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Lecture 5

Lecture 5 .doc

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Hywel Morgan

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July 23rd 2012 Lecture 5 Autism • we have known of its existence for a while, since the 50’s it has been called autism, before it was called childhood schzo • It seems as if these names will change for • pervasive developmental disorders, it seems on DMS 5 this will change, to autism spectrum disorders • there are different forms of autism • autism, aspbergers, disintegrated disorders, and rets • childhood disintegrated disorder has replaced childhood schzo • this is all under the umbrella term of childhood psychosis’ • disintegrated disorder existed before autism, it is under the umbrella of psychosis, they do not live in the reality that we do. • autism is frequently mis diga. as a physical condition - deafness- • extreme autism, you can yell at them, but they will not pay attention • very difficult to study condition, the child does not interact with anyone: • hallmark symptom: is no social interaction. • because there is no interaction, it is extremely difficult to gather their thought process, because of their disorder is co morbid with mental retardation • very hard to tease the two apart, autism and mental retardation • this area has been researched for a while, and the reearch is confusing and controversial • in the DSM 5, the entire section ( childhood disorders), is getting a name change to neuro developmental disorders • we do not know what causes them, but we know that there are neurological connections to the disorder • all of these disorders have an umbrella term to: childhood psychosis • Childhood sczho”: was used first in the first few DSM’s, it was changed by the DSM reached it IV ed. • clinicians are free to diga children with schzo, even though it is not on DSM. • But it is hard to diga, because of the hallmark symptoms: delusions and hallucinations • Csczho has different symptoms than adult sczho • autism and Cschzo, have overlap • Infantile autism: • this term was first coin by Keller/ Kaner, the father of childhood psychology • he actually used the phrase, extreme autisic aloneness • he described the infants as ignoring his/her caregivers and everyone around them • they do not react with pleasure or displeasure, to the absences or presences of caregivers • the child with autism reaction is concern, to i don’t give a crap...lalala • Leo Kaner, described this as a child who just wants to be left alone, • if you force interaction, the child will freak out. • hallmark symptoms: 1: lack of social interaction, 2: self stimulation (- they will look at their fingers…. observe different items….etc.-), 3: no eye contact 4: poor speech • likely to respond angerily to an adult that reaches out to them • rarely make eye contact • we can treat autism through behavioural modification, one of the first steps is to teach the child to make eye contact with someone • you can see reinforcement in all specimen, • there have been studies to look at environmental components, • some research shows that children with autism are children who were premi’s • by toddlerhood the symptoms are very clear, • they have a fondness for inanimate object, and have excellent hand co ordination • react violently to any changes in their environment, which shows that they have photographic memory -hypernmesia- • if these children are not exposed to speech, they will not learn anything. Autisic children do not expose themselves to speech. . • lack of speech is an important prognosis to how well they do and function in their life • autism does not mean that these children ar
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