DOCSLIB.ORG

Autism and Ageing

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Autism and Ageing 230 Clinical practice Autism and ageing: issues for the future Recognising the needs of autistic adults is now an expectation enshrined in law, but little attention has been paid to the issues affecting older people with the condition. What is certain is that a significant challenge remains to ensure that adults with autism enjoy fulfilling and productive lives as they age. Carol Povey* Director of the Centre for Autism, National Autistic Society, 393 City Road, London EC1V 1NG Richard Mills Director of Research, National Autistic Society, 393 City Road, London EC1V 1NG Dr Gina Gomez de la Cuesta Action Research Leader, National Autistic Society, 393 City Road, London EC1V 1NG *email [email protected] In October 2009, the Autism Act 1940s by Leo Kanner,4 it was not others, or may wish to interact but (in England) was passed, which put until 1975 that the concept of struggle in their understanding an expectation on local authorities autism as a spectrum disorder of the usual social cues and to recognise the needs of adults was described by Lorna Wing behaviour. This also affects their with autism. This landmark and her colleague Judith Gould. ability to communicate with legislation resulted in Fulfilling Their work recognised that others and to make sense of the and rewarding lives. The strategy autism affects each person world around them, particularly for adults with autism in England.1 differently, and that though all the context of behaviours, This strategy describes a vision people with autism have defined motivations and the inner where all adults with autism are characteristics necessary for thoughts of other people. Their able to live fulfilling and rewarding a diagnosis, they will vary in thinking is likely to be inflexible, lives within a society that accepts severity and complexity. Those and they may have a restricted and and understands them. key characteristics necessary repetitive repertoire of activities. These are bold aspirations, but for diagnosis are known as the As a spectrum condition, autism what do we know about people “triad of impairments” relating to affects each person differently, with autism as they age? Despite difficulties with communication, irrespective of IQ and level of progress in our understanding of social interaction and social functioning. Some will need high autism, relatively little attention imagination.5,6 levels of support throughout has been paid to date to the process The core problems in autism their lives, have no language, of ageing2 and what we can do to relate to the development of and very severe challenging ensure that people with autism the social instinct (the ability to behaviours; others will be able have the same opportunities as relate to others) in childhood. to attain academic qualifications other citizens to live healthy, Consequently as individuals and achieve great things in their fulfilled lives as they age. with autism develop, they chosen career, though they may Autism is a lifelong usually find huge problems in continue to struggle with social condition, which is now thought social understanding and in relationships and understand to affect one in 100 people.3 their relationships with others. the complex social interactions While it was first recognised For example, they may find no happening around them. as a distinct syndrome in the pleasure in sharing company with In addition, many have GM | Midlife and Beyond | Aprll 2011 www.gerimed.co.uk Clinical practice 231 markedly different sensory As parents age, they may In coming to sensible experiences to people without no longer be able to support conclusions, we need to know autism. This may affect one or their autistic children, but there more about the ageing process in all of the senses. Some people is evidence that they are not general. There is a scant evidence report being unable to filter out supported by professionals or base. More research is needed background noise, an aversion friends either. This puts a great into the specific issues related to to particular textures in food responsibility onto other family autism and ageing, but it is not or clothing, a fascination with members. When asked about their enough to wait until we know the particular light patterns, or a son or daughter's future, 85% answers to these questions. We hypo- or hyper-sensitive response of parents said they had serious need to do something now. to pain. worries about what would happen The National Autistic Society Autism is not a unitary when they were no longer able to has introduced a health screening condition and there are thought support them. tool to assess personal health to be many factors involved in We still know little about and family health history to be causation. Genetic factors have long outcomes for adults with autism, completed regardless of age. This been implicated,7,8 but these are especially the older age group, will capture essential information complex and solutions related to or whether there are changes in that will allow for the assessment genetic therapies are controversial. autism symptoms and behaviours of the risk of particular medical In 2009 the National Autistic related to the ageing process. conditions that have a familial Society surveyed 1400 adults with Tantam’s studies from the 1980s component such as cancer, heart autism, either directly or through and 1990s10 revealed a desperate disease, and diabetes. We have their families, to support their picture of social isolation, high also been developing a bank of campaign to draw attention to the unemployment and mental ill resources to help staff working needs of adults with autism. Some health among the more able with older people with autism 4% (65) of the respondents to the population. This view was gain a better understanding of “I Exist” survey were 65 years or confirmed by recent work by how to support people as they over, while 30% (540) were 40–64 Stuart-Hamilton and colleagues2 grow older. Many care staff who years. This makes a total of 605 comparing adults with autism work with people with autism are respondents over the age of 40 over the age of 40 with those of used to managing younger groups (34% of the respondents).9 the general population, which and, therefore, may have had little The findings of this survey also points to significant levels experience in being with older point to a population who of unemployment, anxiety and people. Without good training, are struggling to have their depression in older adults with they may struggle to understand needs recognised and met. A autism. the issues they face. Similarly, we significantly higher percentage of It is suggested by some that are developing training, based 40–64 year olds had not received brain maturation and adaptation on the Department of Health an assessment (a statutory continues well into adulthood, framework for older people, assessment of their needs under with a consequent reduction in which looks at how people with the Community Care Act 1990) the perceived level of disability autism can be helped to remain compared with 18–29 year olds, for some individuals. It is also independent and healthy into and the survey showed that a suggested that some do in fact older age. considerable number of adults “grow out of” autism, in that they We also need better with autism aged 40 and over no longer meet diagnostic criteria mechanisms for the diagnosis remained reliant on family for for diagnosis. If this is so, and and treatment of comorbid their support. Very few individuals whether it is due to changes in conditions. Dementia rates are in any age group received most of the brain itself or the individual’s increasing, and dementia in the their support from friends, and successful adaptation to social and learning disabled population is the evidence points to people with environmental conditions, are much higher than in the general autism2 becoming more and more matters for conjecture. At present population, even excluding Down isolated as they grow older. we do not know. syndrome. It is important to be www.gerimed.co.uk April 2011 | Midlife and Beyond | GM 232 Clinical practice able to recognise possible signs of of the state to provide it. References dementia and refer on for expert Could this be a double help. Nevertheless, changes in whammy for people with autism? 1. The Department of Health. The National Autism Strategy. http:// behaviour are not necessarily Already socially isolated and bit.ly/dr2xoy (accessed 17 March related to dementia. There could disadvantaged by their condition 2011) be many alternative explanations, and responses to it, will they 2. Stuart-Hamilton I, Griffith G, and the input of people who know face additional problems from Totsika V, et al. The circumstances the individual with autism really a system more attuned to the and support needs of older people well is vital in understanding the needs of the majority? What of with autism. Welsh assembly government; 2009. http://bit. possible reasons for such changes. those already settled in residential ly/h1aQGg (accessed 17 March Health issues apart, the services? Will their entitlement 2011) social and economic and legal to funding be lost? Could they 3. Baird G, et al. Prevalence of implications of ageing should be forced to move on from disorders of the autism spectrum also be considered. The majority familiar surroundings and people in a population cohort of children of adults with autism spectrum as a consequence of arbitrary in South Thames: the Special Needs and Autism Project conditions live with carers in budgeting on the part of a local (SNAP). The Lancet 2006; 368: the community, some of whom authority? Who will defend or 210–15 may themselves be ageing or fight for them when their parents 4.
Load more

Recommended publications
  • Autism: Resource List
    Autism: Resource List Books for Children: Ages 4 to 8 Andy and His Yellow Frisbee; by Mary Thompson; Woodbine House, 1996 Asperger's huh? A Child's Perspective; by Rosina Schnurr; Anisor, 1999 Autism; Sudipta Bardhan-Quallen; KidHaven Press, 2005 Ian's Walk: A Story About Autism; by Laurie Lears; illustrated by Karen Ritz; Albert Whitman, 1998 When My Autism Gets Too Big: A Relaxation Book for Children With Autism Spectrum Disorders; by Kari Dunn Baron; Autism Asperger Publ Co, 2004 Ages 9 to 12 Autism; Elaine Landau; Franklin Watts, 2001 Autism; by Carol Baldwin; Heinemann Library, 2002 Autism; Sarah Lennard-Brown; Raintree, 2004 Different Like Me: My Book Of Autism Heroes; Jennifer Elder; illustrations by Marc Thomas and Jennifer Elder; Jessica Kingsley, 2005 Mori's Story: A Book About a Boy With Autism; by Zachary M. Gartenberg; Lerner Publications Co., 1998 (for siblings) To Be Me; by Rebecca Elinger: WPS Creative Therapy Store, 2005 Teen Coping With Asperger Syndrome; Maxine Rosaler; The Rosen Pub. Group, 2004 Everything You Need to Know When a Brother or Sister Is Autistic; Marsha S. Rosenberg; Rosen Pub. Group, 1999 Your Life is Not a Label: A Guide to Living Fully with Autism and Asperger's Syndrome; by Jerry Newport; Future Horizons, 2001 Books for Adults: Activity Schedules for Children with Autism: Teaching Independent Behavior; by Lynn McClannahan; Woodbine House, 2003 The Asperger Parent: How to Raise a Child with Asperger Syndrome and Maintain Your Sense of Humor; by Jeffrey Cohen; Autism Asperger Publ. Co,
    [Show full text]
  • The Relationship Between Social Skills and Challenging Behaviors in Children with Autism Spectrum Disorders
    Louisiana State University LSU Digital Commons LSU Doctoral Dissertations Graduate School 2010 The elr ationship between social skills and challenging behaviors in children with autism spectrum disorders Jonathan Wilkins Louisiana State University and Agricultural and Mechanical College, [email protected] Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_dissertations Part of the Psychology Commons Recommended Citation Wilkins, Jonathan, "The er lationship between social skills and challenging behaviors in children with autism spectrum disorders" (2010). LSU Doctoral Dissertations. 766. https://digitalcommons.lsu.edu/gradschool_dissertations/766 This Dissertation is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Doctoral Dissertations by an authorized graduate school editor of LSU Digital Commons. For more information, please [email protected]. THE RELATIONSHIP BETWEEN SOCIAL SKILLS AND CHALLENGING BEHAVIORS IN CHILDREN WITH AUTISM SPECTRUM DISORDERS A Dissertation Submitted to the Graduate Faculty of Louisiana State University Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Doctorate of Philosophy in The Department of Psychology by Jonathan Wilkins M.A., Louisiana State University 2008 B.A., Carleton College 1998 August 2010 TABLE OF CONTENTS List of Tables ...............................................................................................................................
    [Show full text]
  • A Historical Analysis of the Pioneers and Advocates of Autism
    Loyola University Chicago Loyola eCommons Dissertations Theses and Dissertations 2015 A Historical Analysis of the Pioneers and Advocates of Autism Spectrum Disorder (1980-2013): Examining the Evolution of the Diagnosis and the Influences That Have Shaped What the Diagnosis Is Today Cynthia Marie Sikora Loyola University Chicago Recommended Citation Sikora, Cynthia Marie, "A Historical Analysis of the Pioneers and Advocates of Autism Spectrum Disorder (1980-2013): Examining the Evolution of the Diagnosis and the Influences That Have Shaped What the Diagnosis Is Today" (2015). Dissertations. Paper 1305. http://ecommons.luc.edu/luc_diss/1305 This Dissertation is brought to you for free and open access by the Theses and Dissertations at Loyola eCommons. It has been accepted for inclusion in Dissertations by an authorized administrator of Loyola eCommons. For more information, please contact [email protected]. This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License. Copyright © 2015 Cynthia Marie Sikora LOYOLA UNIVERSITY CHICAGO A HISTORICAL ANALYSIS OF THE PIONEERS AND ADVOCATES OF AUTISM SPECTRUM DISORDER (1980-2013): EXAMINING THE EVOLUTION OF THE DIAGNOSIS AND THE INFLUENCES THAT HAVE SHAPED WHAT THE DIAGNOSIS IS TODAY A DISSERTATION SUBMITTED TO THE FACULTY OF THE GRADUATE SCHOOL OF EDUCATION IN CANDIDACY FOR THE DEGREE OF DOCTOR OF EDUCATION PROGRAM IN ADMINISTRATION AND SUPERVISION BY CYNTHIA SIKORA CHICAGO, ILLINOIS MAY 2015 Copyright by Cynthia Sikora, 2015 All rights reserved. ACKNOWLEDGEMENTS I would like to thank Dr. Janis Fine who served as my adviser and mentor throughout the dissertation process. Dr. Fine gave helpful insight and provided feedback and a valuable learning experience.
    [Show full text]
  • Confusions and Controversies About Asperger Syndrome Uta Frith UCL Institute of Cognitive Neuroscience, UK
    Journal of Child Psychology and Psychiatry 45:4 (2004), pp 672–686 Emanuel Miller lecture: Confusions and controversies about Asperger syndrome Uta Frith UCL Institute of Cognitive Neuroscience, UK Background: Hans Asperger drew attention to individuals who show the core symptoms of autism in the presence of high verbal intelligence. Methods: A review of the literature explores current issues concerning the diagnosis and nature of Asperger syndrome. Results: The behavioural and neuro- physiological evidence to date suggests that Asperger syndrome is a variant of autism typically occur- ring in high-functioning individuals, and not a separate disorder. One of the problems of diagnosis is that the typical impairment of social communication may be difficult to identify in early childhood, and can be camouflaged in adulthood by compensatory learning. The range and nature of the social impairments in Asperger syndrome are still in need of investigation, but appear to be less severe than in autism. Experimental evidence suggests that individuals with Asperger syndrome may lack an intuitive theory of mind (mentalising), but may be able to acquire an explicit theory of mind. Brain imaging studies pinpoint a network that links medial prefrontal and temporal cortex as the neural substrate of intuitive mentalising. This network shows reduced activation and poor connectivity in Asperger syn- drome. While some individuals with Asperger syndrome have written eloquently about their lives, their ability to talk about their own emotions appears to be impaired (alexithymia). This impairment may be linked to depression and anxiety, which is common in adulthood. Little is as yet known about the often considerable cognitive strengths in Asperger syndrome, or about the difficulties observed in higher-level executive skills.
    [Show full text]
  • Subgrouping the Autism ''Spectrum'': Reflections on DSM-5
    Perspective Subgrouping the Autism ‘‘Spectrum’’: Reflections on DSM-5 Meng-Chuan Lai1,2*, Michael V. Lombardo1, Bhismadev Chakrabarti1,3, Simon Baron-Cohen1 1 Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom, 2 Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan, 3 School of Psychology and Clinical Language Sciences, Centre for Integrative Neuroscience and Neurodynamics, University of Reading, Reading, United Kingdom The biology of autism cannot yet be biomedical diagnosis in which the individ- reliability, with an intraclass Kappa (a used diagnostically, and so—like most ual needs support, and which leaves room statistical measure of reliability) of 0.69 psychiatric conditions—autism is defined for areas of strength as well as difficulty, (95% CI 0.58–0.79) [4]. by behavior [Rett syndrome (Rett’s disor- without the somewhat negative overtones There have been concerns that the der) is diagnosed by incorporating biology, of the term ‘‘disorder,’’ which implies DSM-5 criteria may be more stringent but it has been moved out of the ‘‘Autism something is ‘‘broken.’’] DSM-5 charac- than DSM-IV, such that some individuals Spectrum Disorder’’ category in DSM-5]. terizes ASD in two behavioral domains who qualified for PDD will not meet the The two international psychiatric classifi- (difficulties in social communication and new ASD criteria. A series of studies cation systems (the Diagnostic and Statis- social interaction, and unusually restricted, testing the initial [5] and revised draft tical Manual of Mental Disorders [DSM] repetitive behaviors and interests) and is ASD criteria [6–12] showed increased and the International Classification of accompanied by a severity scale to capture specificity but decreased sensitivity of the Diseases [ICD]) remain useful for making the ‘‘spectrum’’ nature of ASD.
    [Show full text]
  • Neurocognitive Functioning and Psychiatric Symptoms in Children and Adolescents with Higher Functioning Autism Spectrum Disorders
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Helsingin yliopiston digitaalinen arkisto Department of Psychology and Logopedics Faculty of Medicine University of Helsinki Neurocognitive functioning and psychiatric symptoms in children and adolescents with higher functioning autism spectrum disorders Outi Reinvall ACADEMIC DISSERTATION To be presented, with the permission of the Faculty of Medicine of the University of Helsinki, for public examination in the Lecture Hall 1 in the Haartman Institute, Haartmaninkatu 3, Helsinki, on June 7, 2018, at 14.00. Finland 2018 Supervisors Teija Kujala, PhD Professor, Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland Marja Laasonen, PhD Adjunct Professor, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland Professor, Department of Psychology and Speech-Language Pathology, University of Turku, Finland Clinical Neuropsychologist, Department of Phoniatrics, Helsinki University Hospital, Finland Marit Korkman, PhD (deceased) Professor, Institute of Behavioural Sciences, University of Helsinki, Finland Reviewers Silja Pirilä, PhD Docent, Paediatrics, Tampere University Hospital, Finland Maarit Silvén, PhD Professor, Department of Teacher Education, University of Turku, Finland Opponent Christopher Gillberg , MD, PhD Professor, Child and Adolescent Psychiatry, University of Gothenburg, Sweden ISBN 978-951-51-4245-0 (paperback) ISBN 978-951-51-4246-7
    [Show full text]
  • Autism Spectrum Disorder
    AUTISM SPECTRUM DISORDER Katie Skinner WHAT ARE WE TALKING ABOUT? ASD Asperger Autism Syndrome ASD PDD PDD-NOS A-Typical Autism Autistic Regression (Social Communication Difficulties). CO-MORBIDITY ISSUES Some individuals with ASDs will have additional needs such as Dyspraxia Dyslexia Attention Deficit Hyperactivity Disorder (ADHD) Obsessive Compulsive Disorder (OCD) They may also have difficulties with their sleeping and eating patterns. WE DIDN’T HAVE AUTISTIC CHILDREN WHEN I WAS AT SCHOOL…… 1943 Leo Kanner “Classical Autism” 1944 Hans Asperger’s study 1979 Lorna Wing “Triad of Impairments” 1989 Gillberg and Gillberg’s diagnostic criteria 1991 Uta Frith publishes Asperger’s work in English 1994 Asperger Syndrome medically recognised. 1972 : 1:2500 2014 : 1:88 DSM-5 Fixed Social/ interests communication and ASD deficits repetitive behaviours ARE YOU AUTISTIC? ORANGE DO YOU THINK DIFFERENTLY? “HE’S A BIT AUTISTIC” “SHE’S ON THE SPECTRUM” DIAGNOSIS Consultation with GP or health visitor A referral is made by the GP for a paediatric assessment Paediatric consultation. The consultant takes information from parents and does an observation in clinic. They may also do some tests to rule out other difficulties. If after this assessment the paediatrician thinks that the child might have an Autistic Spectrum Disorder they will refer the child to a speech and language therapist. Speech and language assessment takes place Then you return to the community paediatrician – who now does a further assessment. At the end of this process a decision about diagnosis is made. This is the process for children ages 11 or under. Children older that 11 receive their diagnosis through CAMHS.
    [Show full text]
  • Signposting for Diagnosis of Autism Spectrum Disorder Using the Diagnostic Interview for Social and Communication Disorders (DISCO)
    Research in Autism Spectrum Disorders 9 (2015) 45–52 Contents lists available at ScienceDirect Research in Autism Spectrum Disorders Journal homepage: http://ees.elsevier.com/RASD/default.asp Signposting for diagnosis of Autism Spectrum Disorder using the Diagnostic Interview for Social and Communication Disorders (DISCO) Sarah Carrington a,*, Susan Leekam a, Rachel Kent a, Jarymke Maljaars b,c, Judith Gould d, Lorna Wing d, Ann Le Couteur e, Ina Van Berckelaer-Onnes c, Ilse Noens b a Wales Autism Research Centre, School of Psychology, Cardiff University, UK b University of Leuven (KU Leuven), Belgium c Leiden University, The Netherlands d Lorna Wing Centre, National Autistic Society, Elliot House, Bromley, UK e Institute of Health and Society, Newcastle University, UK ARTICLE INFO ABSTRACT Article history: Recent research has investigated the capability of the Diagnostic and Statistical Manual Received 22 July 2014 for Mental Disorders (DSM-5) descriptions to identify individuals who should receive a Received in revised form 1 October 2014 diagnosis of Autism Spectrum Disorder (ASD) using standardised diagnostic instru- Accepted 3 October 2014 ments. Building on previous research investigating behaviours essential for the diagnosis of DSM-5 ASD, the current study investigated the sensitivity and specificity of Keywords: a set of 14 items derived from the Diagnostic Interview for Social and Communication Autism Spectrum Disorder Disorders (DISCO Signposting set) that have potential for signposting the diagnosis of Diagnosis DSM-5 autism according to both the new DSM-5 criteria for ASD and ICD-10 criteria for ICD-10 Childhood Autism. An algorithm threshold for the Signposting set was calculated in Screening Sample 1 (n = 67), tested in an independent validation sample (Sample 2; n =78),and applied across age and ability sub-groups in Sample 3 (n = 190).
    [Show full text]
  • Teaching College Students with Asperger Syndrome
    Teaching College Students with Asperger Syndrome Mitch Nagler MA, LMHC Assistant Director, Adelphi University Student Counseling Center Director, Bridges to Adelphi Program Fashion InsDtute of Technology June 5th, 2012 People with Asperger’s Syndrome perceive the world differently. They may find other people strange and baffling. Why do people say so many things that they don’t mean? ………………..Why do people care about social hierarchies? Why not treat everyone the same way?... ….Why do people send and receive so many social signals to each other, and how do people make sense of them?.......Why are people so illogical compared to people with Asperger Syndrome? (Atwood, 1998) http://www.youtube.com/watch?v=KyHrl9Ie-MI What do these people have in common? • Bill Gates • Stephen Spielberg • Dan Ackroyd • Albert Einstein • Thomas Jefferson Asperger Syndrome • Asperger Syndrome (AS) is a complex pervasive developmental disorder resulDng from a neuro-developmental disorder that affects normal funcDoning of the brain. • Because AS is a pervasive developmental disorder, it is different from a learning disability in that it affects all areas of funcDoning; including academic performance, social interacDons, interpersonal communicaon, and execuDve funcDoning skills. • AS is a non-verbal learning disorder (70% of communicaon is non-verbal) • AS is a “spectrum disorder” that exists on the AuDsDc Spectrum • There are never two people with AS that are exactly the same. Asperger Syndrome • Diagnosis of AS is not based on a blood test, or the results of any single
    [Show full text]
  • Handbook on Autism. PUB DATE Aug 96 NOTE 215P.; Some Pages Are Printed on Colored Paper and May Not Reproduce Well
    DOCUMENT RESUME ED 404 828 EC 305 363 AUTHOR Thacker, Cheryl TITLE Handbook on Autism. PUB DATE Aug 96 NOTE 215p.; Some pages are printed on colored paper and may not reproduce well. PUB TYPE Guides Non-Classroom Use (055) EDRS PRICE MF01/PC09 Plus Postage. DESCRIPTORS *Autism; *Behavior Modification; Case Studies; *Communication Skills; Educational Strategies; Elementary Secondary Education; Foreign Countries; *Interpersonal Competence; *Intervention; Play; Preschool Education; Reading Materials; Skill Development; Student Placement IDENTIFIERS *Aspergers Syndrome ABSTRACT This handbook provides information on various techniques and strategies that can reduce excessive behaviors and improve deficit behaviors in children with autism. Chapter 1 gives an overview of autism and discusses the development of social skills and play skills in individuals with high-functioning autism. The characteristics of children with Asperger's syndrome, the phenomena of hyperlexia, and the relationship of autism to mental retardation are also reviewed. The final section of Chapter 1 discusses research regarding behavior modification techniques as applied to individuals with autism. Chapter 2 presents techniques to increase and improve the social and communication skills of children with Asperger's syndrome. Interventions, such as integrated play groups and social reading strategies, are outlined and behavior modification techniques are presented. Chapter 3 provides a case study of afive-year-old boy with autism. His diagnosis and current educational placements are described. Appendices include the diagnostic criteria for autistic disorder, Asperger's disorder, and mental retardation; observation forms used in the case study; a bibliography of storybooks that can be used to increase vocabulary and comprehension skills; a sample lesson plan; and the suggestions of a speech and language pathologist for helping the boy develop better socialization skills.
    [Show full text]
  • 1910 Swiss Psychiatrist Eugen Bleuler Introduces the Term Autism. 1943
    1910 Swiss psychiatrist Eugen Bleuler introduces the term autism. 1943 American psychiatrist Leo Kanner publishes “Autistic Disturbances of Affective Contact” (Nervous Child 2 (1943): 217-250), identifying autism as a childhood psychiatric disorder. 1944 Austrian pediatrician Hans Asperger publishes “ Die ‘Autistischen Psychopathen’ im Kindesalter” “[`Autistic Psychopathy’ in Childhood”] ( Archiv fur Psychiatrie und Nervenkrankheiten, 117, 76-136). It will not be available in English until 1991. 1946 Congress enacts PL 79-725, the Hospital Survey and Construction Act, also known as the Hill- Burton Act, authorizing federal grants to the states for the construction of hospitals, public health centers, and health facilities for rehabilitation of people with disabilities. The National Mental Health Foundation is founded by conscientious objectors who served as attendants at state mental institutions during World War II. It works to expose the abusive conditions at these facilities, and becomes an early impetus in the push for deinstitutionalization. 1948 The Act of June 10, 1948, PL 80-623, forbids “employment discrimination based on physical handicaps within the United States Civil Service” – mainly to protect wounded veterans of the Second World War. 1949 Leo Kanner writes “Problems of Nosology and Psychodynamics in Early Childhood Autism” (American Journal of Orthopsychiatry 19 (3): 416–26) in which he identifies a “maternal lack of genuine warmth” in autism cases. He says that autistic children “were kept neatly in refrigerators which did not defrost.” This is the birth of the idea of “refrigerator mothers.” 1950 The Association for Retarded Children of the United States (later the Association for Retarded Citizens and then the Arc) is founded in Minneapolis by representatives of various state associations of parents of mentally retarded children 1954 The U.S.
    [Show full text]
  • Heterogeneity Within Autism Spectrum Disorder in Forensic Mental Health: the Introduction of Typologies
    Kent Academic Repository Full text document (pdf) Citation for published version Alexander, Regi T. and Langdon, Peter E. and Chester, Verity and Barnoux, Magali F.L. and Gunaratna, I. and Hoare, S. (2016) Heterogeneity within Autism Spectrum Disorder in Forensic Mental Health: The Introduction of Typologies. Advances in Autism, 2 (4). pp. 201-209. ISSN 2056-3868. DOI https://doi.org/10.1108/AIA-08-2016-0021 Link to record in KAR http://kar.kent.ac.uk/56761/ Document Version Author's Accepted Manuscript Copyright & reuse Content in the Kent Academic Repository is made available for research purposes. Unless otherwise stated all content is protected by copyright and in the absence of an open licence (eg Creative Commons), permissions for further reuse of content should be sought from the publisher, author or other copyright holder. Versions of research The version in the Kent Academic Repository may differ from the final published version. Users are advised to check http://kar.kent.ac.uk for the status of the paper. Users should always cite the published version of record. Enquiries For any further enquiries regarding the licence status of this document, please contact: [email protected] If you believe this document infringes copyright then please contact the KAR admin team with the take-down information provided at http://kar.kent.ac.uk/contact.html Advances in Autism Heterogeneity within Autism Spectrum Disorder in Forensic Mental Health: The Introduction of Typologies Advances in Autism Journal: Advances in Autism Manuscript ID AIA-08-2016-0021 Manuscript Type: Research Paper Autism Spectrum condition, Autism Spectrum Disorder, Behavioural Key ords: Phenotypes, Forensic, Intellectual Disability, Mental Disorder Page 1 of 11 Advances in Autism 1 2 3 4 Heterogeneity within Autism Spectrum Disorder in Forensic Mental Health: The 5 Introduction of Typologies 6 7 8 9 Abstract 10 11 12 Purpose: Individuals with diagnoses of Autism Spectrum Disorder (ASD) within criminal 13 justice settings are a highly heterogeneous group.
    [Show full text]