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Autism Treatment Comparison pp.26-27



"Imagine you were in a foreign, noisy and crowded city at night, not understanding the language spoken, recognizing a few words but not really comprehending situations taking place around you, wanting to express a need for help but not being able. This experience may begin to help you relate to what a child with autism feels on an ordinary day."
Gihan Ramadan, Arab News
What is Autism?

Autism is a biological disorder of the brain that impairs communication and social skills.  It encompasses a broad spectrum of disorders that may range from mild to severe.  Autistics have been described as being in their “own world”.  Many high functioning autistics describe two worlds; “their world” and the “outside world”.  Many autistics describe their experience as "thinking in pictures", to quote Dr. Temple Grandin.  There are serious sensory challenges that accompany autism, and some say are the source of autism, that must be understood to fully comprehend the disorder (see the discussion below).  Some of the markers are as follows:

Absence or delay of speech and language:

  •  Repetition of words (echolalia) in place of a normal verbal communication.
  •  Hand leading to communicate in place of verbal requests.
  •  Absence of verbal communication.


Difficulty relating to other children and adults:

  • Absence of eye contact.  (When directly in front of the child, they may look in every direction, except at the individual in from of them).
  • Apparent aloofness.
  • Lack of interest in other children and what the other children are doing.
  • Lack of response to verbal requests.
  • No response when name is called.
  • Avoidance of physical contact (even with parents and siblings).
  • Indifference to others in distress or pain.


Odd behaviors:

  • Self-stimulation, spinning, rocking, hand flapping, etc..
  • Inappropriate laughter or tantrums for no apparent reason.
  • Inappropriate attachment to objects.
  • Obsessive compulsive behaviors i.e. lining up objects.
  • Repetitive odd play for extended periods of time.  Example: stacking blocks for a half hour at a time.
  • Insistence on routine and sameness.  Difficulty dealing with interruption of routine schedule and change.
  • Possible self injurious behavior or aggressive behavior toward others.


Sensory Challenges:

  •  Hyper (over) or Hypo (under) sensitivity of the five senses (See the discussion below)
  •  Abnormal responses to the senses.
  •  A lack of response to pain or an overreaction to something seemingly minor such as a door closing.
Sensory dysfunction

In order to fully understand autism, a thorough knowledge of the sensory challenges that autistics face is necessary.  For a typical individual, we take the normal function of our five senses for granted:

1. Vision
2. Hearing
3. Touch
4. Taste
5. Smell

Some Examples: of the impact a dysfunctional sensory system may have.

A Walk Through the Neighborhood

A typical individual has no problem walking down the street with a friend, having a conversation, hearing the sounds of the neighborhood in the background, smelling the blooming spring flowers, and maybe chewing gum, all at the same time.

For an autistic individual, who has a dysfunctional sensory system, this typical experience may be completely overwhelming.  The individual may be completely oblivious to the sounds of the neighborhood  such as an ambulance screaming by, or may be totally  overpowered by the smell of blooming flowers.  The sun shining through the trees may be such an intense experience, it may inhibit the individual from being able to concentrate on walking down the sidewalk.

Thus this inability to mesh the senses appropriately may profoundly impact someone's ability to "act" and communicate in a "normal" fashion.

 


 

 

 

Another True Example

One day mom and 3 year-old autistic child were playing in the back yard.  Dad was in the front yard and unable to hear the two in the back yard.  Mom fell from the playset and hurt her leg badly.  She was immobile and unable to get to the front yard to call Dad.  Mom was lying on the ground yelling in pain and the child was not able to understand the situation and get Dad.  In fact, she continued to play with sand, the item of intense focus for the moment, completely oblivious to the fact Mom was on the ground yelling in pain.   Eventually, Dad heard mom's cries and came to the rescue.  This is an extreme example of an autistic's unawareness of situations, not to mention others feelings and predicaments.

When the sensory issues are more fully understood by both the parents, and the child as they grow older, accommodations and strategies may be enacted to help learning and facilitate recovery.  There are many excellent sources of reading on this topic and the related topic of sensory integration.  See the Booklist Link:  The best way to fully understand the senses and how they relate to autism may be by reading the autistic authors.  Three of the best are Donna Williams, Temple Grandin, and Jasmine Lee O’Neill.  They describe this subject  in excellent detail.  These authors are a “must read”.

Diagnosing and Evaluating Autism

The standard clinical diagnosis is made using the DSM-IV Standard (Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, Fourth Edition).  Briefly, there are twelve diagnostic criteria for the DSM-IV Autistic Disorder.  They are grouped into three areas-social development, communication, and activities and interests.   Within each group there are four specific criteria.  For a diagnosis to be made, six of the criteria must be met, two from each group. Diagnostic Criteria from the Diagnostic and Statistical Manual of Mental Disorders: DSM IV

In addition, there are medical tests, therapy evaluations, direct observations, and standardized developmental evaluations.

Some experts estimate that a large percentage of autistic individuals have some degree of mental retardation.  In addition, an estimated half never speak. In the past decade there seem to be more and more kids making greater progress and joining the mainstream.  For a more thorough explanation of the diagnostic aspect of autism consider Bryna Siegel’s book The World of the Autistic Child.  Nearly all autistic individuals will have some type of special needs throughout their lifetime.

 

There is Hope!

If you are the parent(s) of a newly diagnosed child or a doctor, therapist, educator learning about autism for the first time, please continue.  Autism is a spectrum  disorder.  On one side of the spectrum there are individuals who are mildly effected, who hold jobs and have families.  There are PhD’s and college graduates.  There are most likely individuals you work or go to school with that are autistic and you don’t even know it.  On the other side there are severely affected individuals who require lifelong support.  In between, there is a broad range of  people.  In addition, there are many famous people who have children that are autistic.  The Miami Dolphin's quarterback Dan Marino, Buffalo Bills quarterback Doug Flutie, Former quarterback Jim Kelly, NHL hockey team Florida Panthers Captain Scott Mellanby, William Christopher of M*A*S*H fame, and Sylvester Stallone are just a few who are raising awareness and money for the cause.

Today, there are many more treatments and therapies available than there were ten years ago.  All of these work for some people and none of them work for everyone.  Many individuals have progressed far enough to be considered “mainstream”.  There are many dedicated parents, doctors, researchers and educators working hard every day with the common goal to find a cause and cure.  Work hard yourself and demand others work hard on behalf of your loved one.  There is hope. The hard work and energy will pay off with tangible progress.   It may be slow, but all progress is worthwhile and important.  If you were in your child’s shoes, you would certainly want everyone working hard on your behalf!
 
 

Work Hard!
Demand That Others Work Hard!

Learn, and Educate Yourself!

Progress will Follow!

Don’t give up!

 


2001 Autism Rally, Conference, Hearings, and Caucus


Book of the Week:
Sleep Better, A Guide to Improving Sleep for Children with Special Needs; V. Mark Durand

Sign Our Guestbook
Thanks to everyone who has signed it!

Attitude is Everything!

Searchable Databases:

Medline Plus

Combined Health Information Database (CHID) Online

NLM's PubMed

Computer Retrieval of Information on Scientific Projects (CRISP)

ClinicalTrials.gov


Salon Cover Story on Autism:
"Secrets and Lies" by Lesli Mitchell

Crash Course in Autism; Holiday Letter about the challenges autistic individuals face during the holidays.

New eLearning course; What is Autism? From The Autism Society of America.

Significant statement on the incidence of autism in the sixth edition of Child Neurology-2000, Menkes & Sarnat.

We Cured Our Son's Autism by Karyn Seroussi

Helpful Hints for Persons with Autism (This can be posted in a school or other public place)

Tips for Dealing with Doctors and Labs

Tips for Families with a newly Diagnosed Child

Dr. Jeff Bradstreet's Excellent 74 Page Biomedical Summary (PDF format, may take a minute to load!)
Click here to get Adobe Reader.

Autism Recovery Network's excellent Resource Guide. A great start for families of newly diagnosed kids. (PDF format, may take a minute to load!) Click here to get Adobe Reader.

PowerPoint Presentations from the Spring DAN! 2001 Conference (Atlanta, GA 2001) New!

Developmental Milestones

New! California Special Education Statewide Enrollment by Disability Category 1985-1999; (illustrating a dramatic rise in the rates of autism.)

Pins and Bumperstickers

NICHD Autism Fact Sheet

New! Autism Card That may be Displayed in a Public Place.

The Autism Society of America's position on the relationship between vaccinations and autism. (PDF document)


Download for Free!
Kirkman Laboratories Guide to Intestinal Health in Autism Spectrum Disorder. A comprehensive review of intestinal health issues in Autism Spectrum Disorders and the options available for treating them.

Houston Nutraceuticals Digestive Enzymes


Show your spirit! The Autism Recovery Network offers 3 different autism awareness ribbons. Children's or Men's small lapel pin with small red heart only $2 each.

Misfortune sometimes a blessing in disguise. Star NFL Quarterbacks and their special-needs kids.

Article: Autistic student, parents realize a dream.

"It's not easy living with these kids(with autism), and anything that makes their lives better makes the family's life better,"
Anonymous

Living as an Autistic (a 1st-person account)
Understanding Autism in Adults

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