Autism

Autism is a complex developmental disability that typically appears during the first three years of life. This is the result of a neurological disorder that affects the functioning of the brain.
Autism is four more times prevalent in boys than girls. Autism shows no racial, ethnic or social boundaries. Family income, lifestyle and educational levels do not affect the chance of autism’s occurrence. Autism and its associated behaviors have been estimated to occur in as many and one in 500 individuals. In this essay, I will discuss the signs and symptoms of autism, types of autism, the diagnosis of autism and studies done on autism.
Autism affects the normal development of the brain in the areas of social interaction and communication skills. Children and adults with autism have difficulties in verbal and non-verbal communication, social interactions and leisure or play activities. This disorder makes it hard for them to relate to the outside world. It is hard for them to communicate with others. Aggressive and/or self-injurious behavior may be present in some cases. They may exhibit repeated body movement, such as hand flapping or rocking, unusual responses to people or attachments to objects and resistance to changes in routines. They possibly will experience sensitivities in the five senses of sight, hearing, touch, taste and smell.
Children will be within the pervasive development until the ages of 24-30 months, when parents may notice delays in language, play or social interaction. If any of these symptoms occur by themselves, that would not result in a diagnosis of autism. Autism is a combination of several developmental challenges.
There are many symptoms of autism. They include: extreme difficulty in learning language, inappropriate response to people, avoiding eye contact, resisting being picked up or cuddled, uncooperative play with other children, extreme hyperactivity and many others. There are five major areas in children highly affected by autism. They are communication, social interaction, sensory impairment, play and behavior.
Every person with autism has a unique personality and combination of characteristics. Some autistic people mildly affected may exhibit only slight delays in language and communication and greater challenges with social interactions. The abilities of an autistic child may fluctuate from day to day due to difficulties in processing, concentration or anxiety. They may show evidence of learning one day, but not the next. Learning can be affected by external stimuli and anxiety. They may have average or above average verbal, memory or spatial skills but find it difficult to be imaginative or join in activities with others. Individuals with more severe challenges may require intensive support to manage basic tasks and needs of day to day living.
Contrary to popular belief, many individuals with autism make eye contact, show affection, smile, laugh and demonstrate a variety of other emotions, although in varying degrees. Like others, they respond to environment with both negative and positive ways. Autism may affect their range of responses and make it more difficult to control how their bodies and minds react. Sometimes motor, visual, and/or processing problems make it difficult to maintain eye contact with others. Some autistic people use peripheral vision rather than looking directly at others. Sometimes the closeness or touch of others may be painful, resulting in withdrawal.
Several related disorders are grouped under “Persuasive Developmental Disorder” or PDD- a general category of disorders, which are characterized by severe and persuasive impairment in several areas of development. A PDD is diagnosed when a specified number of characteristics are present. Diagnostic evaluations are based on the presence of specified behaviors indicated by observation and through parent consultation, and should be made by a highly trained team. Thus, when professionals or parents are referring to different types of autism, often they are distinguishing autism from one of the other persuasive developmental disorders.
Individuals who fall under the PDD category exhibit commonalities in communication and social deficits, but differ in severity. The five different diagnoses are: Autistic Disorder, Asperger’s Disorder, Persuasive Developmental Disorder, Rett’s Disorder and Childhood Disintegrative Disorder.
Autistic Disorder includes impairments in social interaction, communication and imaginative play prior to age three. An autistic child will also have stereotyped behaviors, interests and activities.
Asperger’s Disorder is characterized by social impairments in social interactions and the presence of restricted interests and activities with no clinically significant general delay in language, and testing in a range of average intelligence.
A Persuasive Developmental Disorder-Not otherwise specified (commonly referred to as atypical autism) a diagnosis may be made when a child does not meet the criteria for a specific diagnosis, but there is a severe and persuasive impairment in specified behaviors.
Rett’s Disorder is a progressive disorder, which has occurred only in girls. It includes a period of normal development and then a loss of previously acquired skills, loss of purposeful use of the hands replaced with repetitive hand movements beginning at the ages of one to four years.
Childhood Disintegrative Disorder is characterized by normal development for at least the first two years, showing significant loss of previously acquired skills.
Researchers have devoted a considerable time and energy into finding the answer to what causes autism. Medical researchers have explored numerous explanations for the various forms of autism. Although a specific cause is not known, current research links autism to biological or neurological differences in the brain. In many families, there appears to be a pattern of autism or related disabilities. This suggests that there is a genetic basis to the disorder. Buty there has been no gene linked directly to autism. The genetic basis is believed by researchers to be highly complex, probably involving several genes in combination.
Autism is not a mental illness. Children with autism are not unruly kids who choose not to behave. Autism is not cause by bad parenting. These are just some of the several theories that are false about the cause of autism. They have been proven false. Furthermore, no known psychological factors in the development of the child have been shown to cause autism.
An accurate diagnosis must be based on observation of the individual’s communication, developmental levels and behavior. Because many of the behaviors associated with autism are shared by other disorders, various medical tests may be ordered to rule out or identify other possible causes of the symptoms being exhibited.
Because the characteristics of autism vary so much, a child should be evaluated by a multidisciplinary team which may include a neurologist, developmental pediatrician, pshycologist, learning consultant, speech/language therapist or another knowledgeable professional about autism. In some cases, well-meaning professionals have misdiagnosed autism. Difficulties in the recognition and acknowledgement of autism can lead to a lack of services to meet the needs of individuals with autism.
A brief observation of in a single setting cannot present a true picture of an individual’s abilities and behaviors. Parental input and developmental history are very important components of making an accurate diagnosis. At first observation, some autistic people may appear to have a mental retardation, a behavior disorder, and problems with hearing or even odd and eccentric behavior. These conditions can co-occur and complicate matters further. It is important to distinguish autism from other conditions, since an accurate diagnosis and early identification can provide the basis for building an appropriate and effective educational treatment program.
Very sensitive imaging studies have shown two areas in the brain that are primarily affected: the cerebellum and the limbic system. Currently the cornerstone of treating autism are special education, family support and counseling, behavioral therapy and treatment for any other symptoms that might make symptoms worse, such as medications to treat seizures.
A lot of excitement has been generated by recent reports that symptoms of autism dramatically improved in a few children who received Secretin. Secretin is a hormone normally produced by the body. Its main function is to help with digestion. It is actually a peptide produced in the gut. Secretin is sometimes given by vein to children with serious intestinal problems as a diagnostic test. In 1998, three autistic children who were being tested with secretin to evaluate intestinal disorders were observed to have dramatic reductions in their autistic symptomsstarting to talk, being more alert and maintaining good eye contact. Their parents and pediatricians were amazed. Soon, reports started appearing that a miracle drug had been found to treat autism. In a series of 100 autistic children treated with secretin, half of their families reported improvements in sleep, digestive problems and behavior. In another series of 200 autistic children, only about 10% had dramatic improvements. It was not clear whether the improvements were due to the hormone or to the other therapies being used.
It’s still a mystery why secretin might help. It is known that the brain has receptors for a lot of different hormones, including some that have their biggest effects on other organs. For example, another intestinal hormone, called vasoactive intestinal peptide has many receptors throughout the brain. It appears that secretin might bind to brain receptors too. Right now it’s not clear which brain cells bind to secretin, why they do or exactly what the hormone does once it is there.
Researchers have also found that a diet low in amino acid trytophan made some symptoms worse in 11 autistic adults. After the special diet, patients were more likely to display typical autism behaviors, including pacing, rocking back and forth, and hitting themselves. Their inability to interact socially didn’t change, but they became more anxious and unhappy. Trytophan is an amino acid found in protein; the body converts it into serotonin, which regulates mood and behavior. Previous research suggested that a defect in serotonin production might contribute to autism.
A second study by the same researchers adds weight to this theory. Autistic adults who took fluvoxamine (Luvox), a drug that boosts brain serotonin levels, were less aggressive and better able to communicate and interact that patients given dummy pills. The 12-week drug treatment also improved some patient’s lives. Two people moved out of group homes to supervised apartments. One person was able to keep a full-time job. Although the study involved only 30 adults, the researchers say the results warrant trials in children and adolescents. Drugs currently used to treat autism have limited effectiveness.
Understanding of autism has grown tremendously since Dr. Leo Kunner first described it in 1943. Some of the earlier searches for cures now seem unrealistic in terms of today’s understanding of brain-based disorders. To cure means, “to restore health, soundness or normality”. In the medical sense, there is not cure for the differences in the brain, which result in autism. However, better understanding of the disorder has led to the development of better coping mechanisms and strategies for the various manifestations of the disability. Some of these symptoms may lessen as the child ages; others may disappear all together. With appropriate intervention, many of the associated behaviors can be positively changed, even to the point in some cases, that a child or adult may appear to the untrained person to no longer have autism. The majority of children and adults will, however, continue to exhibit some manifestations of autism in some degree throughout their entire lives. Over one half million people in the United States have autism or some form of pervasive developmental disorder. Its prevalence rate makes autism one of the most common developmental disabilities. Yet most of the public, including many professionals in the medical, educational and vocational fields, are still unaware of how autism affects people and how they can effectively work with individuals with autism. Researchers try everyday to cure autism. Maybe one day, we will have a cure and these people will not have to live everyday of their lives with their disability.
Work Cited:
Autism Society of America, http://www.autism-society.org
OnHealth, http://www.onhealth.com/conditions.autism
WebMD, http://www.onhealth.webmd.com/conditions/resource/conditions/item%2C48194.asp
PlanetRX, http://www.planetrx.com/diagnosis/autism

Autism

.. ternal pleasure. Another theory is that sudden episodes of self-injury may be caused by sub-clinical seizures. An infection of the middle ear is thought to be a cause of the head banging or ear hitting. The last theory is that some forms of self-injury may be a result of over arousal (such as frustration).

It acts as a release, and lowers arousal. The social theorists have a different perspective on self-injurious behavior. They believe that the autistic individuals engage in these behaviors to obtain attention from other people. Research on how to treat autism is a continuous process. It also makes it difficult because each child reacts differently to the various treatments. There is no cure, and probably never will be because of autism being a brain-based disorder.

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It has not yet been discovered how to restore the brain back to normality. All they can do now is find ways to relieve the symptoms and to help the child and its family cope better. Sometimes the symptoms do lessen as the child ages, and can do so to the point that the average person would not be able to tell the person is autistic. This is rare though, and most show some signs of autism throughout their life. There are many different treatments that people try: Diet intervention, medications, auditory training, behavior modification, educational programs, music therapy, occupational therapy, sensory and/or vision therapy and vitamin therapy to name a few.

The treatments have a better chance of working the earlier you start your child on them. It has been proven that it could be crucial to their language and social skills. It is also extremely important for the parent to research the different types of treatments and decide which is best for their child. One type of treatment is diet intervention. This proves to help drastically because autistic individuals are more apt to have allergies and food sensitivities. A believed reason for this is their impaired immune system.

The most common food allergies tend to come from grains and dairy products. Also strawberries and citrus fruits. Consuming these foods could lead to headaches, nausea, stomachaches, bedwetting, stuttering, whining and crying, insomnia, hyperactivity, aggression, ear infections, and possibly a seizure. A way to test if a child is having a reaction to a type of food is to remove the item from their diet for a week or two, then feed it to them on an empty stomach. If there is a reaction, it will take place in 15-60 minutes. Another way to test it would be to give them the food every so many days.

If they have a reaction on those days, then there is an allergy to the item. The reason for the bad reaction to grains and dairy is because of the gluten found in wheat, oats, rye, and barley and the casein found in milk and other dairy products. Most autistic people have a damaged intestine. It may be damaged at birth, but more likely is from an immunological injury, like a bad reaction to an immunization. This is called a leaky gut.

Because of this, not all the food proteins are completely digested, particularly the gluten and casein. These partially broken down proteins form peptides that act like opium. Like the drug, the peptides harm the brain, which causes or magnifies the autistic symptoms. Many times, parents who do not know of the opium affect don’t want to take their child off of dairy and grain-based foods because that is all their children eat and they do not want them to starve. They do not realize that these foods are actually addicting to them and they will have to go through withdrawal and will then learn to eat other foods. To test the level of peptides, a urinary test can be done. Since gluten and casein cause such bad reactions, many autistic people are on Gluten-Free, Casein-Free diets.

Gluten is not only in food, it is also in some medications, so it is very important that the pharmacist makes sure all over-the-counter and prescribed drugs do not contain it. Another type of treatment is the use of megavitamins as nutritional supplements. There has been a drastic behavioral change from large doses of Vitamin B6 and magnesium. They must be used together though because magnesium helps the body to use B6 effectively. In some cases, these vitamins have helped to normalize brain waves and metabolism.

Other supplements that have helped reduce symptoms are Vitamin C, which reduces rocking, spinning, and hand flapping, Dimethylglycine (DMG), a nontoxic chemical, which has aided eye contact and speech, and reduced hyperactivity. These all lead to an overall better emotional health. The other popular form of treatment is medications. There are medications for all different aspects of the disease. The most prescribed medication is Ritalin.

Ritalin is a stimulant and is used to control or reduce hyperactivity and attention deficit. A newer antidepressant that has come into use is Zoloft, which helps to stop racing thoughts, obsessions, and reduces anxiety. Using a more natural, alternative medication, some people have started using secretin. This hormone that naturally aids in gastric functions is either injected or given in pill form. Most parents are extremely thrilled with the results and report behavioral and social improvements, willingness to use language, increase in affection level and attention span, and a better understanding of meanings.

But, there have been a minute number of seizures while the child was being given the injection or shortly afterward. Enzyme Potentiated Desensitization (EPD) is a method of immunotherapy that is still being looked at by the FDA, but has been found to treat many immune and auto immune disorders and cuts down on the affects of allergies. There have been some problems with this though and it is questionable whether or not it will become widely used. As the research shows, there are numerous ways to find treatments for autism. It is also important to keep up with the medical research because they seem to be finding and approving new treatments quite often.

The most important part is finding out what is best for the individual and going from there. Works Cited McClannahan, Lynn E. (1999). Activity Schedules for Children with Autism. New York: Woodbine House Inc. Kranowitz, Carol M.D.

(1998). The Out of Sync Child. NewYork: Skylight Press. Pierangelo, Roger Ph.D. (1996). Special Education Guide.

New York: The Center for Applied Research in Education. Schopler, Eric. (1995). The Autistic Survival Manual. London: Plenum Press. Psychology Essays.

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