Autism

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PSYC 101.

Introduction to Psychology

Autism
Applying the Developmental Approach

Trey Buchanan, Ph.D.

overview
Goalofthislecture:
toillustratedevelopmentalapproachto understandingaclinicaldisorder

Structuredaroundfourquestions:
1. Whatisautism? 2. Whyisitadevelopmentaldisorder? 3. Howisautismtreated? 4. Whatdoesthefuturehold?

whatisautism?
Popularideasaboutautism A(brief)historyofautism Currentclassificationandresearch Futuredirectionsofautism

Someideasaboutautism
Childrenwithautismcanperformamazingmentalfeats. Coldordistantmotheringcancauseautism. Mostchildrenwithautismneverlearntotalk. Autismcanbecausedbyvaccinations. Autisticchildrenarecompletelycutofffromhumanrelationships. Adultswithautismneedinstitutionalizedcare. Specialdietscanbeusedtocureautisticsymptoms.

A(brief)historyofautism
1908Bleulers initialidentificationofautisminadults 1943Kanner describes11childrenwithchildhoodautism 1944Aspergerdescribeslittleprofessor syndrome 1967BettelheimsTheEmptyFortresspublished 1968DSMIIlistsautismastypeofchildhoodschizophrenia 1980Wingconceptualizestriadofautisticsymptoms 1987DSMIIIR placesamongpersonalitydisorders 1994DSMIV placesautismamongclinicaldisorders 1999Federalautismresearchinitiativeslaunched 2000DSMIVTRclarifiesPDDNOS 2002Vaccine/MMRcontroversy 2010ChangeinDSMV...?

Currentclassificationofautism
Categorical

Spectrum
Combination of deficits in . . .
om C ni u m i at c on l ia c So r ip ec R

it y oc av h Be

a or i

er p Re l

i re to

Level of Functioning

PervasiveDevelopmentalDisorders
CorefeaturesofPDDs /ASDs

Limitedsocialinteraction Lackofverbalcommunication Narrowandrepetitivebehavior patterns

PervasiveDevelopmentalDisorders
IdentifyingPDDs in...
infants youngchildren olderchildren adolescentsandadults

MultilevelModelofPDD
Observable symptoms Core Behavioral Deficits Cognitive-Emotional-Behavioral Functioning Brain Structures and Neurologic Pathways Gene-Environment Interactions

intervention&treatment
Observable symptoms
Behavioral Therapy

Core Behavioral Deficits


Cognitive Therapy

Cognitive-Emotional-Behavioral Functioning Speech & Language Therapy Brain Structures and Neurologic Pathways
Social Skills Training

Psychopharmological Treatment

Gene-Environment Interactions
Parenting and Family Support

currentresearchinautism
Genes and the Broader Autism Phenotype

Autism as Theory of Mind Deficit

Sensory-Motor Learning & Behavioral Regulation The Weak Central Coherence Model

Genes&theBAP
Strongevidenceofheritability Consistent4:1malefemaleratio Likelygeneticeffectsduetomodifications ofsecondaryortertiarystructuresofDNA ratherthanprimarychangesingene sequence(epigenesis) Currentestimateisthatbetween5and100 lociinvolved

TheoryofMind

Weakcentralcoherencemodel

WeakCentralCoherence&ToM?

Typical Viewer

Atypical Viewer

Thefuture
Howwillourunderstandingofautism change?
Broaderunderstandingofautism(s) Neuroimagingstudies Earlieridentificationanddiagnosis Newcognitivebehavioraltreatments Advocacyforlivingamongneurotypicals

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