Explaining child disorders


Types of autism

Autism presents in a wide degree, from thoseSimilarly, there is a popular conception that
who are nearly dysfunctional and apparentlyautistic individuals with a high level of
mentally disabled to those whose symptoms areintellectual functioning in fact have
mild or remedied enough to appearAsperger's syndrome, or that both types are
unexceptional ("normal") to others. Althoughmerely 'geeks' with a medical label. The
not used or accepted by professionals orpopular depiction of autism in the media has
within the literature, autistic individualsbeen of relatively severe cases (for example,
are often divided into those with an IQ<80as seen in the films Rain Man and Mercury
referred to as having "low-functioningRising), and in turn many close friends and
autism" (LFA), while those with IQ>80 arerelatives of those who have been diagnosed in
referred to as having "high-functioningthe autistic spectrum choose to speak of
autism" (HFA).[48] Low and high functioningtheir loved ones as having Asperger's
are more generally applied to how well ansyndrome  rather  than  autism.
individual can accomplish activities of daily
living, rather than to IQ. The terms low andThe extent to which someone with higher
high functioning are controversial and notfunctioning autism or Asperger's syndrome may
all autistics accept these labels.excel is theoretically quite high. For
Additionally, a recent review questioned theexample, Henry Cavendish, one of history's
validity  of  IQ  testing of autistic people.foremost scientists, may have been autistic.
George Wilson, a notable chemist and
This discrepancy can lead to confusion amongphysician, wrote a book about Cavendish
service providers who equate IQ withentitled, "The Life of the Honourable Henry
functioning and may refuse to serve high-IQCavendish", published in 1851. From Wilson's
autistic people who are severely compromiseddetailed description it seems that while
in their ability to perform daily livingCavendish may have exhibited many classic
tasks, or may fail to recognize thesigns of autism, he nevertheless had an
intellectual potential of many autisticextraordinary  mind.
people who are considered LFA. For example,
some professionals refuse to recognizeAutism  as  a  spectrum  disorder
autistics who can speak or write as being
autistic at all, because they still think ofAnother view of these disorders is that they
autism as a communication disorder so severeare on a continuum known as autistic spectrum
that  no  speech  or  writing  is  possible.disorders. Autism spectrum disorder is an
increasingly popular term that refers to a
As a consequence, many "high-functioning"broad definition of autism including the
autistic persons, and autistic people with aclassic form of the disorder as well as
relatively high IQ, are under diagnosed, thusclosely related conditions such as PDD-NOS
making the claim that "autism impliesand Asperger's syndrome. Although the classic
retardation" self-fulfilling. The number ofform of autism can be easily distinguished
people diagnosed with LFA is not rising quitefrom other forms of autism spectrum disorder,
as sharply as HFA, indicating that at leastthe  terms  are  often  used interchangeably.
part of the explanation for the apparent rise
is probably better diagnostics. Many alsoA related continuum, Sensory Integration
think that ASD's are being over diagnosed:Dysfunction, involves how well humans
(1) because the growth in the number andintegrate the information they receive from
complexity of symptoms associated with autismtheir senses. Autism, Asperger's syndrome,
has increased the chances professionals willand Sensory Integration Dysfunction are all
erroneously diagnose autism and (2) becauseclosely  related  and  overlap.
the growth in services and therapies for
autism has increased the number who falselySome people believe that there might be two
qualify for those often free services andmanifestations of classical autism,
therapies.regressive autism and early infantile autism.
Early infantile autism is present at birth
Asperger's  and  Kanner's  syndromeswhile regressive autism begins before the age
of 3 and often around 18 months. Although
In the current Diagnostic and Statisticalthis causes some controversy over when the
Manual of Mental Disorders (DSM-IV-TR), theneurological differences involved in autism
most significant difference between Autistictruly begin, some speculate that an
Disorder (also known as Kanner's syndrome)environmental influence or toxin triggers the
and Asperger's syndrome is that a diagnosisdisorder. This triggering could occur during
of the former includes the observation ofgestation due to a toxin that enters the
"delays or abnormal functioning in at leastmother's body and is transferred to the
one of the following areas, with onset priorfetus. The triggering could also occur after
to age 3 years: (1) social interaction, (2)birth during the crucial early nervous system
language as used in social communication, ordevelopment  of  the  child.
(3) symbolic or imaginative play", while a
diagnosis of Asperger's syndrome observes "noA paper published in 2006 concerning the
clinically significant delay" in the latterbehavioral, cognitive, and genetic bases of
two  of  these  areas.autism argues that autism should perhaps not
be seen as a single disorder, but rather as a
While the DSM-IV does not include level ofset of distinct symptoms (social
intellectual functioning in the diagnosis,difficulties, communicative difficulties and
the fact that those with Asperger's syndromerepetitive behaviors) that have their own
tend to perform better than those withdistinct causes. An implication of this would
Kanner's autism has produced a popularbe that a search for a "cure" for autism is
conception that Asperger's syndrome isunlikely to succeed if it is not examined as
synonymous with "higher-functioning autism",separate, albeit overlapping and commonly
or that it is a lesser disorder than autism.co-occurring, disorders.



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