Autism 2015 - Autism Spectrum Disorders Amy Lemelman Fred Biasini PY 415\/783 Spring 2014 Some Autism Myths People with autism are savants Rain man

Autism 2015 - Autism Spectrum Disorders Amy Lemelman Fred...

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Autism Spectrum Disorders Amy Lemelman & Fred Biasini PY 415/783 Spring 2014
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Some Autism Myths People with autism are savants Rain man Temple Grandin People with autism cannot form close relationships People with autism can be cured There is an autism epidemic
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Prevalence 1 out of 150 (CDC, 2006) 1 out of 110 (CDC, 2009) 1 out of 88 (CDC, 2012) 1 out of 50 (NSHC, 2013)? 1 out of 68 (CDC, 2014) Between 3:1 and 4:1 male to female ratio 1 out of 70 boys 1 out of 315 girls Epidemic? More public awareness Revised criteria in 1994 includes wider range of individuals Possibly misdiagnosis
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History Autism à derived from the Greek word for self- absorption Eugene Bleuler used the term “autism” to describe a symptom of schizophrenia (1910) Dr. Leo Kanner first described autism syndrome in 1943 Dr. Hans Asperger described Asperger’s Disorder in 1944 (1938, Autistic Psychopaths)
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Brief History of Diagnosis DSM I – 1952 Schizophrenic Reaction – Childhood Type DSM II – 1968 Schizophrenia – Childhood Onset DSM III – 1980 Infantile Autism DSM III-R – 1987 Autistic Disorder DSM IV (1994) & DSM IV-TR (2000) Pervasive Developmental Disorder DSM V (2013) Autism Spectrum Disorder
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The PDD Umbrella Childhood Disintegrative Disorder Rett’s Syndrome Autistic Disorder Pervasive Developmental Disorder Asperger’s Syndrome
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Diagnostic Criteria for Autistic Disorder DSM IV– was a TRIAD of Symptoms DSM-IV-TR identifies three categories of behavior in which individuals with autism show impairments Social Interaction Communication Restricted, Repetitive, and Stereotyped Patterns of Behavior
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DSM-IV-TR Criteria
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How did the disorders differ? Autistic Disorder Asperger’s Disorder Pervasive Developmental Disorder Childhood Disintegrative Disorder Rett’s Disorder
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Autism vs Asperger’s Autistic Disorder Six symptoms with at least two from social interaction and one each from communication and restricted/stereotyped behaviors Behaviors exist before age 3 Asperger’s Disorder Three symptoms with at least two related to social interactions and one to habitual behaviors Language development grossly within normal limits May not be diagnosed until school age
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Childhood Disintegrative Disorder and Rett’s Disorder CDD Development proceeds typically until 3-5 yrs, when skills in all domains regress
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  • Spring '15
  • Dr.Biasini
  • Pervasive developmental disorder, autism spectrum, broader autism phenotype

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