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CHYS 2P35 - October 3

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Child and Youth Studies
Ayda Tekok- Kilic

CHYS 2P35: Chapter 12 (pages 313-334) October 3, 2013 Autism Spectrum Disorder 1- History • 1912 Bleuler: schizophrenia • 1938 Asperger: autistic psychopaths • 1943 Kanner: autism • 1960 Autism is identified as a separate exceptionality 2-Definition and DSM DSM-IV: Pervasive Developmental Disorders (1) Asperger’s Disorder • Atypical: Deficits in social interaction, stereotyped behavior, over focused interests • Social communication problems • Typical: language development, IQ range & no cognitive delays • Trajectory: Later diagnosis (compared to AD) • Prognosis more favorable • Distinguishing from high functioning autism has been difficult (2) Rett’s Disorder • Normal development for first months of life • Distinctive regression around 1.5 yrs. • Abnormal hand wringing behaviour • Mostly in females (3) Childhood Disintegrative Disorder • Normal development for at least 2 years • Followed by sudden decline • Loss of developmental milestones • Deterioration begins before age 10 • Abnormal brain waves common • More severe than autism • Neurological disease • If certain reflexes (rooting reflexes, stepping reflexes) come back after having grown out of them, there is a problem (3) PDD-NOS • Fails to meet full criteria. • Could be an autistic disorder but does not fully meet the full criteria to diagnose an autistic disorder • Problems with social interaction, either impaired communication or stereotyped behavior 3- Change from DSM-IV to DSM V • Categorized under Neurodevelopmental Disorders • Asperger, PDD-NOS are removed (all ASD) • Rett and CDD is omitted totally • Age of onset • Domains of challenges (used to be three) o Social communication (includes language problems) o Restricted, repetitive behaviour Issues • Losing uniqueness of Asperger’s? • Sensitivity vs. specificity issues. • Eligibility of services • Research 4-Symptom domains a- Problems in social interactions and Reciprocal interaction • Can begin very early (early as 1 year) o Less visual responsiveness o Less likely to respond to their names o More likely to show aversion to being touched • Older infants o Fail to track people visually o Avoid eye contact o Exhibit an empty gaze o Fail to respond to others with emotional expression b-Problems in communication • Normally begins to develop around 6 month • Enables mutual connection • Pointing • Eye contact • Imitate the actions of others • Abnormal processing of social stimuli (e.g. face) o Impairment in recognizing faces o Matching emotions with faces o Memorizing faces o Process faces in a different way  Focus on m
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