7.+Autism+Spectrum+Disorders+and+Childhood+Onset+Schizphrenia

7.+Autism+Spectrum+Disorders+and+Childhood+Onset+Schizphrenia

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Unformatted text preview: Autistic Disorder: Core Characteristics Autistic Disorder: Core Characteristics Pervasive Developmental Disorders (PDDs):-Early appearing severe impairments that are QUALITATIVELY different from those of normally developing age peers Triad of impairments: Social Interaction Communication Restricted, repetitive behavior, interests >>>>> Autistic Disorder: Core Characteristics Autistic Disorder: Core Characteristics Qualitative Impairment in Social Interaction Impaired nonverbal behaviors ~ eye contact; imitation Failure to develop age-appropriate peer relationships Lack of spontaneous sharing of enjoyment/ interests ~ pointing out objects of interest Lack of social and emotional reciprocity ~ profound lack of interest in social engagement; unresponsiveness Quality of parent-infant attachment (class)?? Autistic Disorder: Core Characteristics Autistic Disorder: Core Characteristics Qualitative impairment in communication Delayed or lack of spoken language ~ 50% have little or no speech When speech is adequate, impairment in initiating or sustaining conversation: ~ more of a monologue; inappropriate shifts Stereotyped, repetitive, or idiosyncratic language: ~ immediate or delayed echolalia; abnormal prosody; pronoun reversal;neologisms >>>> Autistic Disorder: Core Characteristics Autistic Disorder: Core Characteristics Qualitative impairment in communication, cont: Lack of varied, age-appropriate spontaneous make believe or social imitative play Autistic Disorder: Core Characteristics Autistic Disorder: Core Characteristics Restricted, repetitive, stereotyped behavior Abnormal preoccupation with stereotyped or restricted interests Inflexible adherence to nonfunctional routines or rituals Stereotyped and repetitive motor mannerisms ~ rocking, whirling, hand or finger flapping Persistent preoccupation with parts of objects >> Not observed before age 3 Autistic Disorder: Case example Autistic Disorder: Case example Jenny, age 7, attended a day school for children with severe developmental disabilities. Jenny was observed in a small classroom. She was unresponsive to others, never making eye contact. When alone, Jenny would stand, put her hands over her throat, stick out her tongue, and make soft noises. This would last for hours. When seated, Jenny would rock back and forth in her chair. Jenny often grabbed peoples eyeglasses and jewelry and flung them across the room. Jenny had no speech. Jennys parents said she had always been like this. As a baby, she was unresponsive and resisted being held. When by age 3 Jenny had not yet spoken, her parents initiated an evaluation. Autistic Disorder: Features Autistic Disorder: Features Epidemiology Apparent increase in prevalence 66-91, 4.4/10,000; 92-01, 12/10,000 reasons? (class) Comorbidity of AD and MR very high, ~ 70% Deficits in adaptive function Sex ratio B > G, 3.5 : 1 Autistic Disorder: Course...
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This note was uploaded on 09/14/2008 for the course PSYCH 477 taught by Professor Olson during the Fall '08 term at University of Michigan.

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7.+Autism+Spectrum+Disorders+and+Childhood+Onset+Schizphrenia

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