childhood disorders_lwh_spr09_class

childhood disorders_lwh_spr09_class - ABNORMAL P S...

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ABNORMAL PSYCHOLOGY: - AUTISM & PERVASIVE DEVELOPMENTAL DISORDERS - CHILDHOOD DISORDERS Guest Lecture: Luke Hyde – 3-2-09
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Autism Spectrum Pervasive Developmental Disorders: Autistic disorder (autism) Asperger’s disorder Rett’s disorder Specific genetic basis Childhood disintegrative disorder Loss of previous skills Pervasive Developmental Disorder Not Otherwise Specified (NOS) What do you know about these disorders? What are common misconceptions?
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Autism: Primary Impairments Social Relationships Communication Repetitive and Stereotypic Behaviors, Interests and Activities
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Autism: Social Relationships Noticeable lack of awareness of the existence or feelings of others Often treat people as objects Do not seek out comfort of adult if hurt or upset Do not like to be held and prefer no eye contact Prefer solitary activities How would we assess this?
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Autism: Communication 50% never develop speech Echolalia Pronoun Reversal “You” and “I” Rate and Rhythm disturbances Monotoned “Robot” like speech – often because it has been “taught”
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Autism: Repetitive Behaviors Intense, but narrow interests Spend great deal of time engaging in self-stimulatory behaviors spinning, flicking fingers twisting or rocking their bodies toe-walking Sameness and routines are important
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Asperger’s Disorder Absence of language impairments BUT content of the material may be esoteric and socially odd May be interested in peers Poor interpersonal skills
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Prevalence of Autism Spectrum Disorders Variation due in part to the range of disorders studied, location of research, and diagnostic tool/classification system Current prevalence of autism 30-60 cases per 10,000 Gender differences Prevalence rates have increased over the last 40 years Has autism become more common?
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Etiology of Autism Psychodynamic view Refrigerator Mother No! But “broader phenotype” has been described Genetics Sibling studies (100X greater chance) Clear genetic loading Biological disorders Fragile X syndrome, Rhetts Vaccinations do not cause autism! Many instances of environmental factors causing higher than average rates in areas
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Treatment Programs should: Be intensive, start early Importance of early identification Be carefully controlled/systematic, promote generalization, involve parents, be flexible Behavioral Interventions Wrap-Around Applied Behavior Analysis Medication Prescribing is all over – includes antidepressants, antipsychotics and stimulants among others Families need to be careful consumers Fad Treatments Gluten-Free Diets Facilitated Communication
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Autism Speaks Video http://www.youtube.com/watch?v=FDMMwG7RrFQ
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childhood disorders_lwh_spr09_class - ABNORMAL P S...

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