DSM IV Definitions:
Diagnostic Criteria for Autistic Disorder
A. A total of six (or more) items from (1), (2), and (3), with at least two from (1), and one each from (2) and (3)
(1) qualitative impairment in social interaction, as manifested by at least two of the following:
(a) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction
(b) failure to develop peer relationships appropriate to developmental level
(c) 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)
(d) lack of social or emotional reciprocity
(2) qualitative impairments in communication as manifested by at least one of the following:
(a) 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)
(b) in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
(c) stereotyped and repetitive use of language or idiosyncratic language
(d) lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
(3) restricted repetitive and stereotyped patterns of behavior, interests and activities, as manifested by at least two of the following:
(a) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
(b) apparently inflexible adherence to specific, nonfunctional routines or rituals
(c) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)
(d) persistent preoccupation with parts of objects
B. Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years: (1) social interaction, (2) language as used in social communication, or (3) symbolic or imaginative play
C. The disturbance is not better accounted for by Rhett's Disorder or Childhood Disintegrative Disorder.
www.autismspeaks.orgautism societyNational Autism Association IN my experience......there is no real treatment for autism. There are some intensive therapy programs and some research-based methods that can help control autism.
Applied Behavior Analysis (ABA)
Pivotal Response Therapy (PRT)
Verbal Therapy
Floortime
Relationship Development Intervention (RDI)
Training and Education of Autistic and Related Communication Handicapped
Children (TEACCH)
Social Communication/ Emotional Regulation/ Transactional Support (SCERTS)
Treatment for Associated, Biological & Medical Conditions Associated with Autism Social Symptoms-lack of interaction
-lack of eye contact
-resisting attention from others
-slow to interpret emotions
-can not express their emotions
Communication Difficulties-may be mute all their lives
-use sign language or visual icons to communicate
-inability to understand meanings of communication (body language, tone, etc.)
Repetitive Behaviors-Repetitive physical motions (hand flapping, walk on toes, arm movements)
-Consistency in routines
-OCD tendencies
Physical and Medical Issues that may Accompany Autism-Seizures
-Pica (eating of inedible items)
-Genetic disorders
-Gastrointestinal disorders
-sleep dysfunction
-sensory integration dysfunction
Here are a few things to consider if you have a student in your classroom with Autism.....there will be many more tips to come!!!
- Autistic kids often have trouble with generalization, which can affect the way they learn skills. When teaching a child to look both ways before crossing a street, it may be necessary to show them in several locations. If not, they may think they need to look only when crossing at that particular spot.
- This lack of generalization can apply to objects as well. For example, Hilde de Clereq from Belgium had a case of a boy who could use the toilet at home but wouldn't use toilets elsewhere. Eventually it was realized that the toilet at home had a black seat and the boy couldn't connect the concept of "toilet" to ones that had white seats. They were able to teach him to generalize by putting black tape on the seat at school then removing pieces of the tape over time. Eventually, he was able to generalize "toilet" to include white seats as well.
- Autistic children may fixate on something they enjoy, such as trains. Incorporating this fixation into their lessons by including stories of trains, math problems involving trains, and so on gives motivation to learn.
- It is common for an autistic kid to have trouble connecting two events even if they are very close together. For example, if teaching reading with flash cards, use cards with both the written word and the picture of the object on the same side of the card. If they are on different sides, the child may not understand that they represent the same idea.
- If the child has auditory sensitivity, a class bell, PA system, or even the teacher's voice could seem like someone is blasting an air horn. In a classroom, muffling the bell or PA system while still leaving them audible may help the student to stay focused. The teacher might need to speak more softly, especially when addressing the student directly.
- Determine which learning style best suits the child with autism, and emphasize that method of learning and communication. Taking the example of the child who is ignoring the lecture, if he were a visual learner you might show him his seat or a picture of a chair to help him understand it is time to sit down. If he were a kinesthetic learner, you might lead him over to his seat with light pressure on his shoulders.
Resources:
Autismspeaks.org