Explaining child disorders


Types of autism

Autism presents in a wide degree, fromthat autistic individuals with a high
those who are nearly dysfunctional andlevel of intellectual functioning in
apparently mentally disabled to thosefact have Asperger's syndrome, or that
whose symptoms are mild or remediedboth types are merely 'geeks' with a
enough to appear unexceptionalmedical label. The popular depiction of
("normal") to others. Although not usedautism in the media has been of
or accepted by professionals or withinrelatively severe cases (for example, as
the literature, autistic individuals areseen in the films Rain Man and Mercury
often divided into those with an IQ<80Rising), and in turn many close friends
referred to as having "low-functioningand relatives of those who have been
autism" (LFA), while those with IQ>80diagnosed in the autistic spectrum
are referred to as havingchoose to speak of their loved ones as
"high-functioning autism" (HFA).[48] Lowhaving Asperger's syndrome rather than
and high functioning are more generallyautism.
applied to how well an individual canThe extent to which someone with higher
accomplish activities of daily living,functioning autism or Asperger's
rather than to IQ. The terms low andsyndrome may excel is theoretically
high functioning are controversial andquite high. For example, Henry
not all autistics accept these labels.Cavendish, one of history's foremost
Additionally, a recent review questionedscientists, may have been autistic.
the validity of IQ testing of autisticGeorge Wilson, a notable chemist and
people.physician, wrote a book about Cavendish
This discrepancy can lead to confusionentitled, "The Life of the Honourable
among service providers who equate IQHenry Cavendish", published in 1851.
with functioning and may refuse to serveFrom Wilson's detailed description it
high-IQ autistic people who are severelyseems that while Cavendish may have
compromised in their ability to performexhibited many classic signs of autism,
daily living tasks, or may fail tohe nevertheless had an extraordinary
recognize the intellectual potential ofmind.
many autistic people who are consideredAutism as a spectrum disorder
LFA. For example, some professionalsAnother view of these disorders is that
refuse to recognize autistics who canthey are on a continuum known as
speak or write as being autistic at all,autistic spectrum disorders. Autism
because they still think of autism as aspectrum disorder is an increasingly
communication disorder so severe that nopopular term that refers to a broad
speech or writing is possible.definition of autism including the
As a consequence, manyclassic form of the disorder as well as
"high-functioning" autistic persons, andclosely related conditions such as
autistic people with a relatively highPDD-NOS and Asperger's syndrome.
IQ, are under diagnosed, thus making theAlthough the classic form of autism can
claim that "autism implies retardation"be easily distinguished from other forms
self-fulfilling. The number of peopleof autism spectrum disorder, the terms
diagnosed with LFA is not rising quiteare often used interchangeably.
as sharply as HFA, indicating that atA related continuum, Sensory Integration
least part of the explanation for theDysfunction, involves how well humans
apparent rise is probably betterintegrate the information they receive
diagnostics. Many also think that ASD'sfrom their senses. Autism, Asperger's
are being over diagnosed: (1) becausesyndrome, and Sensory Integration
the growth in the number and complexityDysfunction are all closely related and
of symptoms associated with autism hasoverlap.
increased the chances professionals willSome people believe that there might be
erroneously diagnose autism and (2)two manifestations of classical autism,
because the growth in services andregressive autism and early infantile
therapies for autism has increased theautism. Early infantile autism is
number who falsely qualify for thosepresent at birth while regressive autism
often free services and therapies.begins before the age of 3 and often
Asperger's and Kanner's syndromesaround 18 months. Although this causes
In the current Diagnostic andsome controversy over when the
Statistical Manual of Mental Disordersneurological differences involved in
(DSM-IV-TR), the most significantautism truly begin, some speculate that
difference between Autistic Disorderan environmental influence or toxin
(also known as Kanner's syndrome) andtriggers the disorder. This triggering
Asperger's syndrome is that a diagnosiscould occur during gestation due to a
of the former includes the observationtoxin that enters the mother's body and
of "delays or abnormal functioning in atis transferred to the fetus. The
least one of the following areas, withtriggering could also occur after birth
onset prior to age 3 years: (1) socialduring the crucial early nervous system
interaction, (2) language as used indevelopment of the child.
social communication, or (3) symbolic orA paper published in 2006 concerning the
imaginative play", while a diagnosis ofbehavioral, cognitive, and genetic bases
Asperger's syndrome observes "noof autism argues that autism should
clinically significant delay" in theperhaps not be seen as a single
latter two of these areas.disorder, but rather as a set of
While the DSM-IV does not include leveldistinct symptoms (social difficulties,
of intellectual functioning in thecommunicative difficulties and
diagnosis, the fact that those withrepetitive behaviors) that have their
Asperger's syndrome tend to performown distinct causes. An implication of
better than those with Kanner's autismthis would be that a search for a "cure"
has produced a popular conception thatfor autism is unlikely to succeed if it
Asperger's syndrome is synonymous withis not examined as separate, albeit
"higher-functioning autism", or that itoverlapping and commonly co-occurring,
is a lesser disorder than autism.disorders.
Similarly, there is a popular conception



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