Explaining child disorders
 

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Article #1: What is autism

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Autism is classified by the World Health Conversely, some autistic children and
Organization (WHO) and American adults are opposed to attempts to cure
Psychological Association as a autism. These people see autism as part
developmental disability that results of who they are, and in some cases they
from a disorder of the human central perceive treatments and attempts of a
nervous system. It is diagnosed using cure to be unethical.
specific criteria for impairments to History
social interaction, communication, The word "autism" was first used in the
interests, imagination and activities.The English language by Swiss psychiatrist
causes, symptoms, etiology, treatment, Eugene Bleuler in a 1911 issue of the
and other issues are controversial. American Journal of Insanity. It comes
Autism manifests itself "before the age from the Greek word for "self," a?t??
of three years" according to the WHO's (autos). Autism was actually confused
International Classification of Diseases with schizophrenia during the early
(ICD-10). Children with autism are marked stages of observation. Bleuler used the
by delays in their "social interaction, term to describe the schizophrenics'
language as used in social communication, seeming difficulty in connecting with
or symbolic or imaginative play" other people.
(Diagnostic and Statistical Manual of However, the classification of autism as
Mental Disorders). a separate disorder or disease did not
Autism, and the other four pervasive occur until 1943 when psychiatrist Dr.
developmental disorders (PDD), are all Leo Kanner of the Johns Hopkins Hospital
considered to be neurodevelopmental in Baltimore reported on 11 child
disorders. They are diagnosed on the patients with striking behavioral
basis of a triad, or group of three similarities and introduced the label
behavioral impairments or dysfunctions: "early infantile autism." He suggested
1. impaired social interaction, 2. the term "autism" to describe the fact
impaired communication and 3. restricted that the children seemed to lack interest
and repetitive interests and activities. in other people. Kanner's first paper on
These three basic characteristics reflect the subject was published in a now
Dr. Leo Kanner's first reports of autism defunct journal called The Nervous Child,
emphasizing "autistic aloneness" and and almost every characteristic he
"insistence on sameness." originally described is still regarded as
From a physiological standpoint, autism typical of the autistic spectrum of
is often less than obvious in that disorders.
outward appearance may not indicate a At the same time, an Austrian scientist
disorder. Diagnosis typically comes from named Dr. Hans Asperger made similar
a complete patient history and physical observations, although his name has since
and neurological evaluation. become attached to a different
The incidence of diagnosed autism has higher-functioning form of autism known
increased since the 1990s. Reasons as Asperger syndrome. Widespread
offered for this phenomenon include recognition of Asperger's work was
better diagnosis, wider public awareness delayed by World War II in Germany, and
of the condition, regional variations in by his seminal paper not being translated
diagnostic criteria, or simply an into English for almost 50 years. The
increase in the occurrence of ASD (autism majority of his work was not widely read
spectrum disorders). The United States until 1997.
Centers for Disease Control (CDC) Autism and Asperger syndrome are today
estimate the prevalence of autism listed in the DSM-IV-TR as two of the
spectrum disorders to be about one in five pervasive developmental disorders
every 150 children. In 2005, the National (PDD), which also include Childhood
Institute of Mental Health (NIMH) stated disintegrative disorder, Rett syndrome
the "best conservative estimate" as 1 in and Pervasive Developmental Disorder Not
1000. In 2006, NIMH estimated that the Otherwise Specified (or atypical autism).
incidence was 2-6 in every 1000 Health care providers also refer to
There are numerous theories as to the autism spectrum disorders (ASD) which
specific causes of autism, but they have includes only three of those listed in
yet to be fully supported by evidence PDD: Autistic disorder, Asperger
(see section on "Causes" below). Proposed syndrome, Pervasive Developmental
factors include genetic influence, Disorder Not Otherwise Specified. All of
anatomical variations (e.g. head these conditions are characterized by
circumference), abnormal blood vessel varying degrees of deficiencies in
function, oxidative stress, and communication skills and social
vaccinations. Their significance as well interactions, along with restricted,
as implications for treatment remain repetitive, and stereotyped patterns of
speculative. behavior.






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