The term 'Autism Spectrum
Disorder' (ASD) describes a group of pervasive developmental disorders
including:
• Autism
• High Functioning Autism
• Asperger Syndrome and
• PDD-NOS or Atypical Autism
These disorders all have three common features, which can range from
very mild to the very severe. ALL children with Autism Spectrum Disorders
have problems in:
• Social Interaction
• Verbal and non-verbal communication
And all are prone to developing
• Repetitive behaviours or interests.
In addition, many children with ASD are abnormally sensitive to sounds,
textures, tastes and smells. For some, the feeling of clothes touching
their skin can almost be unbearable and a loud noise caused by a vacuum
cleaner, a plane or lightning crashing may cause them to cover their
ears and scream.
In some children, hints of future problems may be apparent from birth.
Others begin life well-enough, but between 12 and 36 months of age,
the differences in the way they react to people become apparent.
It is believed that approximately 1 in 160 people have ASD, and that
it is caused by a biological or organic dysfunction in the brain.
To date, there is no known cure.
HOW WOULD I KNOW IF MY CHILD HAD ASD?
There are many developmental disorders which have one or more symptoms
in common with ASD and advice regarding your child should be sought
from professionals as soon as possible. If you think that your child
is not developing normally, do seek advice and help as children with
ASD can be diagnosed as early as two years of age.
Here are a few of the things which may lead you to suspect that your
child has ASD:
• Does not babble, point
or make meaningful gestures by 1 year of age
• Does not speak a single word by
16 months of age
• Does not combine two words together
by 2 years of age
• Does not respond to his/her name
• Poor eye contact
• Does not seem to know how to play
with toys
• Endlessly lines up toys or other
objects
• Becomes attached to one particular
toy or object
• Does not smile
• Seems to be hearing impaired at
times
ASD & COMMUNICATION
By the age of three, most children have passed predictable milestones
on the path to learning language. By their first birthday, a typical
toddler says the odd word, turns their attention when they hear their
name being called, points to the toys that they want and communicates
whether they mean ‘yes’ or ‘no’ without any
difficulty.
Some infants who later show signs of ASD coo and babble during the
first few months of life and then stop. Some may be delayed, developing
language skills as late as the ages of 5 and 9 whilst others remain
mute throughout their lifetimes, using pictures or sign language to
communicate.
Those who speak often use language in unusual ways. Some only speak
single words, while others repeat the same phrase over and over, or
parrot what they hear; a condition called echolalia.
For most, the ‘give and take’ of a normal conversation
is difficult. However, it is not unusual to find older children delivering
a monologue on a favourite subject without giving anyone else a chance
to comment.
Usually, body language is difficult to understand too. Facial expressions,
movements and gestures don’t always match what they are saying
and tone of voice might not reflect their actual feelings.
ASD & RELATIONSHIPS
From the time we are born, humans are social beings. Early in life,
we gaze at faces, turn our attention to listen when we hear voices
and learn to smile when we feel joy or happiness.
However, children with ASD have trouble interacting with other people.
Even in the first few months of life, they avoid eye contact with
others. They seem indifferent to the people around them and may prefer
being alone. Often they resist attention and show disinterest in being
cuddled. Later, they won’t turn to their parents for comfort
or respond to parental anger or affection in the way other children
do.
Research has shown that this does not indicate a lack of affection
for their parents; children with ASD just lack the ability to show
how they feel. To many parents, this is difficult to cope with. After
looking forward to the joy of cuddling and playing with their children,
they feel crushed by their lack of ‘warmth’.
Children with ASD are also slower in learning to interpret what other
people are thinking and feeling. Non-verbal signals, such as smiling,
winking or pointing seem to have no meaning to them and without the
ability to interpret gestures and facial expressions, life becomes
confusing. People with ASD have great difficulty in putting themselves
‘in someone else’s shoes’.
Most 5-year-olds can understand that different people have information,
feelings and goals differing from their own, but children with ASD
lack that level of perception. This makes them vulnerable and prone
to misinterpreting other people’s behaviour.
Sometimes, they may also have difficulty regulating their own emotions.
This can result in ‘immature’ behaviour such as crying
in class or inappropriate verbal outbursts. In frustration, some bang
their heads, pull their hair or bite their arms. ASD
& REPETITIVE BEHAVIOUR
A characteristic behaviour of children with ASD is the tendency to
repeat odd movements such as flapping their arms or walking on their
toes.
This kind of repetitive behaviour may also take the form of a persistent,
intense preoccupation. They might spend hours lining up their cars
and trains in a certain way rather than playing with them in the way
other children do. If someone accidentally moves one of the toys,
they may also become extremely upset.
Later, the child might become obsessed with learning all about
vacuum cleaners, train schedules, or lighthouses. Often there is
a great interest in numbers and statistics.
Children with ASD also have difficulties in coping with change.
A different daily routine or an alteration in their physical environment
can seem very disturbing. |