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Autism Spectrum Disorder
A Bibliography
By Dawn Scheidel Bish
LS 620
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Scope
There is a saying in the world of Autism that 'if you've met one Autistic person, you have
met one Autistic person'. Autism is a spectrum disorder that affects different children in
different ways from mild symptoms to higher functioning autism. Autism is a
developmental disorder that affects not only the person who receives the diagnosis but
the family and friends of such persons. The diagnosis is based on observation and
interviews with parents and others familiar with the child. The parent who receives the
diagnosis can become very overwhelmed with all the information that is available about
autism, some good, some bad and some just ugly. From applied behavior analysis to
chelation therapy to facilitated communication, there is such a vast amount of
information to be found that it can be confusing for the parent trying to find out what is
best for their child. The scope of this bibliography will hopefully help the parent or
person diagnosed with Autism Spectrum Disorder to navigate the ins and outs of ASD
including causes, diagnosis and treatment.
What is Autism Spectrum Disorder?
Autism has probably been around since the beginning of time. However, not until Leo
Kanner and Hans Asperger, did the term Autism and Asperger's become part of
psychiatry. Leo Kanner was an American scientist who first identified 11 children with
similar traits that could not be categorized by any other psychiatric disorder. These
children exhibited symptoms such as lack of affect, resistance to change and abnormal
language. He published a paper in 1943, Autistic disturbances of affective contact,
describing these children. At about the same time, Hans Asperger, an Austrian medical
student published a paper, Autistic psychopathology in children, which described similar
qualities in the children he saw. Unfortunately due to the time in history (WW),
Asperger's account went unnoticed until 40 years later and was only published in
English in 1991. Both Kanner and Asperger were describing the same type of children
at the same time, an ocean away.
Autism is a lifelong disability that presents itself prior to age two and has no known cure.
t is one of the most prevalent of the developmental disabilities rivaling the precedence
of Down Syndrome and Cerebral Palsy. Autism, otherwise known as Autism Spectrum
Disorder (ASD) covers a wide range and ability within the spectrum from the child with
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severe Autism to the person with Asperger's Syndrome to the person diagnosed as
having Pervasive Developmental Disorder, not otherwise specified, (PPD/NOS). . There
is no definitive diagnostic evaluation such as blood test or brain scan that can pinpoint
the presence of ASD; however, there is a list of behavioral criteria that provides the
professional with a diagnostic tool to make the diagnosis of Autism.
National nstitution on Health (NH) estimates that autism rates are 1 in 250 with four
times as many boys as girls affected. As recently as 2006, the CDC reports that the rate
of ASD is 1 in 110. This is a tremendous increase from the preceding years. There have
been many hypotheses about why the increase, including the use of thimerosal,
mercury based preservative in vaccine, to the change in diagnostic criteria. According
to the CDC, the increase in diagnosis of ASD is a combination of differing criteria,
change in criteria, addition of other disorders included in ASD and the increase in
education and training of professionals including physicians and teachers to what ASD
is.
According to the Diagnostic Criteria from the DSM-IV-TR, published by the American
Psychiatric Association, the following is the criteria that need to be met in order to make
a diagnosis of autism:
) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one
each from (B) and (C)
(A) qualitative impairment in social interaction, as manifested by at least two of
the following:
1. marked impairments in the use of multiple nonverbal behaviors such as
eye-to-eye gaze, facial expression, body posture, and gestures to regulate
social interaction
2. failure to develop peer relationships appropriate to developmental level
3. a lack of spontaneous seeking to share enjoyment, interests, or
achievements with other people, (e.g., by a lack of showing, bringing, or
pointing out objects of interest to other people)
4. lack of social or emotional reciprocity ( note: in the description, it gives
the following as examples: not actively participating in simple social play
or games, preferring solitary activities, or involving others in activities only
as tools or "mechanical" aids )
(B) qualitative impairments in communication as manifested by at least one of the
following:
1. delay in, or total lack of, the development of spoken language (not
accompanied by an attempt to compensate through alternative modes of
communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to
initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play
appropriate to developmental level
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(C) restricted repetitive and stereotyped patterns of behavior, interests and
activities, as manifested by at least two of the following:
1. encompassing preoccupation with one or more stereotyped and
restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or
rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger
flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects
() Delays or abnormal functioning in at least one of the following areas, with onset prior
to age 3 years:
(A) social interaction
(B) language as used in social communication
(C) symbolic or imaginative play
() The disturbance is not better accounted for by Rett's Disorder or Childhood
Disintegrative Disorder
The criteria was accessed from the following website: http://www.autreat.com/dsm4-
autism.html on 3/29/10.
So what does that all mean? n layman's terms: ASD is a developmental disorder that
affects the way a person perceives the world including deficits in communication, social
skills and behavioral skills.
ommunication deficits include but are not limited to: no language, no babbling by
age of one, no use of single words by age 18 months, not responding to name, not
asking for things that are wanted, can speak but has trouble with social speech, repeats
words over and over again (echolalia), repeats whatever is said to him and does not
understand jokes, phrases or sarcasm.
SociaI skiIIs deficits include but are not limited to: does not pretend play, does not
parallel play (play alongside a peer), does not establish eye contact, does not draw
attention to himself (look what did), prefers to play by himself and does not
acknowledge others.
BehavioraI deficits include but are not limited to: flapping hands, spinning self or
objects, lack of attention, tantrums, self injurious behaviors, aggression towards others,
persistence in need to follow a routine, lining up toys and is very organized.
Often children with ASD have sensory issues such as heightened awareness to sound,
sight, smell and hearing. ASD is often accompanied by mental retardation and 25 % of
people with ASD also have seizures. Persons with ASD may develop quite normally
however, usually children with ASD will not develop like typically developing children.
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As stated earlier, if you have met one person with autism, you have met one person
with autism. The following chart shows the ranges at which each child with ASD can be
affected.
Example of Range of Symptoms
Following the chart below - a person might have average intelligence, have little interest
in other people, use limited verbal language, experience intense self-stimulatory
behaviors such as hand-flapping, under-react to pain and over-react to sounds, have
very good gross motor skills,
and have weaknesses in fine
motor skills.