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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.
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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!
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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
Site
Awards:
Selected for WebBound's 2002 Spring Edition of 75,000 Best Web Sites;
Selected for reliability & ease of use. www.WebBound.com
Autism
Society of Florida Member's Choice for helpful websites
Featured
on Newstalk 920 am Melbourne, Florida
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