Professional Documents
Culture Documents
Asd F
Asd F
Downs Syndrome
Mental retardation
developmental
retardation
1800s
Dr. John Langdon Down
Used autism to
describe a
symptom of
schizophrenia
Hans Asperger
1940s
De Guzman, Mary Joyce
Refrigerator Mother
Theory
Autism was caused
Leo Kanner by cold mothering
style
Autism was an
emotional disorder
due to harm by
1950s
mothers
Bruno
Bettelheim
De Guzman, Mary Joyce
Pain & punishment
were still inflicted
Use of LSD was
implemented
Autism is not related to
the parent child bond
Bernard Autism Society of
Rimland America was
1960s
established
1970s
De Guzman, Mary Joyce
Early forms of behavioral therapy
were used
Autism was separated from
Schizophrenia
Neurosensory therapy
Rain Man
Holding therapy 1980s&
1990s
De Guzman, Mary Joyce
a pervasive developmental disorder
onset prior to age 3
characterized by qualitatively
impaired:
Communication
Social interaction
Behavior
BEHAVIOR
What is Autism?
KGGF
1
Diagnostic Terms
Autism Spectrum Disorder
KGGF
Changes in DSM Diagnostic Terms
Schizophrenic Pervasive
reaction, Infantile developmental
childhood type Autism disorders
1952 1980 1994 & 2000
DSM I DSM III DSM IV & IV-TR
KGGF
Here will be classified those
schizophrenic reactions occurring
before puberty. The clinical picture
may differ from schizophrenic
Schizophrenic reactions occurring in other age
reaction, periods because of the immaturity
childhood type and plasticity of the patient at the
time of onset of the reaction.
Psychotic reactions in children,
manifesting primarily autism, will be
classified here.
KGGF
This category is for cases in which
schizophrenic symptoms appear
before puberty. The condition may
be manifested by autistic, atypical
and withdrawn behavior; failure to
Schizophrenia, develop identity separate from the
childhood type mother's; and general unevenness,
gross immaturity and inadequacy of
development. These developmental
defects may result in mental
retardation, which should also be
diagnosed.
KGGF
DIAGNOSTIC CRITERIA:
A. Onset before 30 mos. of age
B. [Autism]Pervasive lack of
Infantile responsiveness to other people
Autism C. Gross deficits in language
development
D. If speech is present, peculiar
speech patterns
KGGF
E. Bizarre responses to various
aspects of the environment
(e.g., resistance to change, peculiar
interest in or attachments to
Infantile animate or inanimate objects.)
Autism F. Absence of delusions,
hallucinations, loosening of
associations, & incoherence as
in Schizophrenia.
KGGF
DIAGNOSTIC CRITERIA:
*At least 8 of the sixteen items are present
(2 items from A, 1 from B, & 1 from C)
A. Qualitative impairment in
reciprocal social interaction
Autistic 1. Marked lack of awareness of
the existence/feelings of
Disorder others
2. No/abnormal seeking of
comfort at times of distress
3. No/impaired imitation
4. No/abnormal social play
5. Gross impairment in ability
to make peer friendships
KGGF
B. Qualitative impairment in verbal
& nonverbal communication &
imaginative activity
1. No mode of communication
2. Markedly abnormal nonverbal
communication
Autistic 3. Absence of imaginative activity
Disorder 4. Marked abnormalities in the
production of speech
5. Marked abnormalities in the form
or content of speech
6. Marked impairment in the ability
to initiate/sustain a conversation,
despite adequate speech
KGGF
C. Markedly restricted repertoire of
activities and interests
1. Stereotyped body movements
2. Persistent preoccupation with
parts of objects
3. Marked distress over changes
in trivial aspects of environment
Autistic 4. Unreasonable insistence on
Disorder following routines in precise
detail
5. Markedly restricted range of
interests & a preoccupation
with one narrow interest
D. Onset during infancy/early
childhood
KGGF
These disorders are characterized
by severe and pervasive
Pervasive impairment in several areas of
development: reciprocal social
Developmental interaction skills, communication
Disorders skills, or the presence of
stereotyped behavior, interests,
and activities.
KGGF
Evident in the first years of life
Pervasive Often with some degree of
Mental Retardation (Axis II)
Developmental Sometimes observed with a
Disorders diverse group of other general
medical conditions (Axis III)
KGGF
1. Autistic Disorder
2. Rett's Disorder
Pervasive 3. Childhood Disintegrative
Disorder
Developmental 4. Asperger's Disorder
Disorders 5. Pervasive Developmental
Disorder Not Otherwise
Specified.
KGGF
1. Childhood Autism
2. Asperger Syndrome
3. Atypical Autism
4. Other Pervasive Developmental
Pervasive Disorders
5. Pervasive Developmental
Developmental Disorders, Unspecified
Disorders 6. Overactive disorder associated
with mental retardation &
stereotyped movements
7. Retts Syndrome
8. Childhood Disintegrative Disorder
KGGF
DIAGNOSTIC CRITERIA:
A. Persistent deficits in social
communication & interaction
across multiple contexts
B. Restricted, repetitive patterns of
Autism behavior, interests, activities
Spectrum C. Symptoms must be present in
Disorder the early developmental period
D. Symptoms cause clinically
significant impairment in
important areas of functioning
E. These are not better explained
by intellectual disability
KGGF
Overview of Changes
DSM I DSM II DSM III
onset: birth to 8 y.o. onset: first years of life onset: early dev. period
3 domains 5 subcategories 1 spectrum
8 out of 16 deficits 3 domains 2 domains
more expansive 6 out of 12 deficits +hyper/hypo reactivity
KGGF
2
Diagnostic Criteria
Autism Spectrum Disorder
KGGF
Criterion A
Abnormal Failure to
Reduced
social initiate &
sharing
approach respond
KGGF
Criterion A
KGGF
Criterion A
Difficulty No
Adjusting
in making interest in
behavior
friends peers
KGGF
Criterion B
Simple
Lining up Flipping Idiosyncratic
motor Echolalia
toys objects phrases
stereotypies
KGGF
Criterion B
Extreme Need to
Difficulties Rigid Eat the
distress at Greeting take the
with thinking same food
small rituals same
transitions patterns everyday
changes route
KGGF
Criterion B
Strong
Excessively
attachment or
circumscribed/
preoccupation
perseverative
with unusual
interests
objects
KGGF
Criterion B
Visual
Apparent Adverse Excessive
fascination
indifference response to smelling or
with lights
to pain or specific touching of
or
temperature stimuli objects
movements
KGGF
Place your screenshot here
Criterion D
Symptoms cause clinically significant impairment in
social, occupational, or other important areas of
current functioning.
KGGF
Criterion E
These disturbances are not better
explained by intellectual disability
(intellectual developmental disorder) or
global developmental delay.
KGGF
Note:
Individuals with a well-established DSM-IV
diagnosis of autistic disorder, Aspergers disorder,
or pervasive developmental disorder not
otherwise specified should be given the diagnosis
of autism spectrum disorder.
-and-
Individuals who have marked deficits in social
communication, but whose symptoms do not
otherwise meet criteria for autism, should be
evaluated for social (pragmatic) communication
disorder.
KGGF
Specify if:
With or without accompanying intellectual impairment
With or without accompanying language impairment
Associated with a known medical or genetic condition
or environmental factor
Associated with another neurodevelopmental, mental,
or behavioral disorder
With catatonia (refer to the criteria for catatonia
associated with another mental disorder)
KGGF
Levels of Severity
Social Communication & Restricted Interests &
Interaction Repetitive Behaviors
Without supports in place,
deficits in verbal & nonverbal
social communication cause
LEVEL 1 Rituals and RRBs cause
noticeable impairments.
significant interference with
Requiring functioning in one or more
Has difficulty initiating social
support interactions & demonstrates clear
contexts.
examples of atypical or
Resists attempts by others to
unsuccessful response to social
interrupt RRBs or to be
overtures from others.
redirected from fixated interest.
May appear to have decreased
interest in social interactions.
KGGF
Levels of Severity
Social Communication & Restricted Interests &
Interaction Repetitive Behaviors
KGGF
Place your screenshot here
KGGF
Anxiety disorders
o For children with ASD, anxiety might show up
as self-stimulating more often, asking questions
over and over again, hurting themselves, or having
trouble getting to sleep
o 84% of people with ASD have anxiety symptoms
KGGF
Attention-deficit
hyperactivity disorder
KGGF
Gastrointestinal symptoms
Most common:
chronic constipation,
abdominal pain,
diarrhea and fecal
incontinence
9% - 70% of children
with ASD have
gastrointestinal
problems
KGGF
Intellectual disability
KGGF
Fragile X syndrome
ASD is relatively
common in children
with Fragile:
25-33%
2% of people with
ASD also have
Fragile X
KGGF
Seizures and epilepsy
20-30% of people with ASD also have epilepsy.
Seizures are most common in children under five
years and in teenagers.
KGGF
Sensory sensitivities
KGGF
Sleep problems
Most common:
insomnias &
parasomnias
2/3 of children with
ASD experience sleep
problem at some time
KGGF
Place your screenshot here
Milder form of
autism
high functioning
autism
Mary Bernadette M. Cosare
UTA FRITH
Professor
Institute of
Cognitive Neuroscience
of University College
London
Autism and
Asperger Syndrome
having a dash of
autism
Range of interest
Repetitive behavior
Conduct Disorder
Attachment Disorder
The Asperkids
Secret Book of
Social Rules
Facial Expressions
Tone of Voice
SIGNS AND
Jokes and Sarcasm
SYMPTOMS
Vagueness OF ASPERGERS
Abstract Concept SYNDROME
According to National Autistic
Society
Socially Inappropriate
SIGNS AND
Sound , light , taste , touch , temperature
SYMPTOMS
and pain
OF ASPERGERS
Anxious , Overwhelmed and Stressed SYNDROME
Difficulty in focusing According to National Autistic Society
Difficulty using body awareness
SIGNS AND
Average to above- average intelligence
SYMPTOMS
Math and Science OF ASPERGERS
Difficulty understand concepts related to SYNDROME
relationships and emotions According to National Autistic Society
Excellent in rote memory and vocabulary
Thristan
Tum-Tum
Mendoza
FAMOUS FILIPINO
WITH ASPERGERS
SYNDROME
Patrick So
FAMOUS FILIPINO
WITH ASPERGERS
SYNDROME
Gabby Atienza
FILIPINO WITH
ASPERGERS
SYNDROME
Isiah Paola
Atienza Lee
FILIPINO WITH
ASPERGERS
SYNDROME
Allen Christian
Garcia
Asperger's Syndrome. (n.d.). Retrieved April 17, 2017, from http://www.autism-society.org/what-is/aspergers-syndrome/
REFERENCES
What is Asperger Syndrome? (n.d.). Retrieved April 17, 2017, from http://aspennj.org/what-is-asperger-syndrome
Stppler, M. M. (n.d.). Asperger's Syndrome (Asperger Syndrome, Asperger Disorder) Symptoms, Treatment, Causes - What are the treatments for
Asperger's syndrome? Retrieved April 17, 2017, from http://www.medicinenet.com/asperger_syndrome/page4.htm
DSM IV Criteria for Asperger's Disorder*. (n.d.). Retrieved April 17, 2017, from
https://iancommunity.org/cs/about_asds/about_asds_dsm_iv_criteria_for_aspergers_syndrome
DSM-IV Diagnostic Classifications. (n.d.). Retrieved April 17, 2017, from http://www.autism-society.org/dsm-iv-diagnostic-classifications/
Aspergers Syndrome on TV. (n.d.). Retrieved April 17, 2017, from http://www.autismsocietyphilippines.org/2010/08/aspergers-syndrome-on-tv.html
Asperger's vs. High-Functioning Autism: Understanding the Difference. (n.d.). Retrieved April 17, 2017, from
http://www.durham-autism.org/aspergers-high-functioning-autism-difference/
What is Asperger syndrome? (n.d.). Retrieved May 01, 2017, from http://www.autism.org.uk/about/what-is/asperger.aspx
Lisa Jo Rudy - Reviewed by a board-certified physician. (n.d.). Wondering What "High Functioning Autism" Is? You're Not Alone!
Retrieved May 01, 2017, from https://www.verywell.com/what-is-high-functioning-autism-3896828
Perez, R. (2016, July 14). This Student With Asperger's Syndrome Delivered a Powerful Graduation Speech. Retrieved May 01, 2017, from
http://www.smartparenting.com.ph/life/inspiration/student-with-asperger-s-syndrome-powerful-graduation-speech-a00041-20160714-lfrm
Childhood
Disintegrative
Disorder
Romella Marie I. Elanga
REGRESSION
DEVELOPMENTAL
MILESTONES
Childhood Disintegrative
Disorder
A type of an Autism Spectrum Disorder.
Social interaction
Communication
Repetitive interests or behavior
Psychological tests that may be performed
include the following:
JM Deang
What is Rett Syndrome?
Identified by
Dr. Andreas
Rett
A postnatal
neurodevelopmen
JMD tal disorder
What is Rett Syndrome?
JMD
MeCP2 (Methyl CpG binding protein 2)
Mutations in this gene would cause majority of the cases
Located on the X chromosome
Contains instructions on protein synthesis
Acts like a switch for other genes involved in the
maturation of neurons
Mutations are mostly not inherited
JMD
Symptoms:
Heart rhythm
Apnea Seizures
abnormality
Hyperventilation Sleep Disruption
Orthopedic problems
Air Swallowing Tremors
Microcephaly
JMD
Excess Salivation
Low Muscle tone
Stages of Rett
Syndrome
Stage 1: Developmental Arrest
Stage 2: Regression
Stage 3: Plateau
JMD
Stage 1
Ability to ambulate
ceases
Muscle weakness and
rigidity,
spasticity, and
dystonia.
Less intense hand
JMD stereotypes
A. All of the following:
Criteria
Types of Rett Syndrome
JMD
4. Male Rett Syndrome
Treatment of Rett Syndrome addresses the
symptoms...
Physical
Therapy/Hydrothe
rapy
Occupational
Therapy
Speech and
Language Therapy
JMD Feeding
Prepared by: LJ Cruz
DSM-IV DSM-5
But the criteria are not met for a specific Pervasive Developmental Disorder, Schizophrenia,
Schizotypal Personality Disorder, or Avoidant Personality Disorder.
For example, this category includes atypical autism presentations that do not meet the criteria for
Autistic Disorder because of late age at onset, atypical symptomatology, or subthreshold
symptomatology, or all of these.
ICD-10
This is a residual diagnostic category that should be used for disorders which
fit the general description for pervasive developmental disorders but in which a
lack of adequate information, or contradictory findings, means that the criteria
for any of the other F84 codes cannot be met.
Pervasive Developmental Disorder- Not Otherwise Specified
A PDD-NOS diagnosis is given when a child does not fully meet the criteria for
Autism Spectrum Disorder (ASD), Aspergers Syndrome, Rett Syndrome or
Childhood Disintegrative Disorder, yet clearly shows unusual development in
the areas of communication, social interaction and interests/attention
A child may receive a diagnosis of PDD-NOS if he or she falls into the following
categories:
The child is similar to a person with Autism but symptoms began at a late age
The child has many symptoms of Autism but has fewer perseverative behaviors
than those with an Autism diagnosis
What is PDD-NOS?
Often have more intact social skills than individuals diagnosed with other Pervasive
Developmental Disorders
Diagnosis is sometimes given to very young children with limited communication skills who also
show characteristics of autism As the childs communication skills increase, other symptoms
of autism may become more apparent
Age for Diagnosis & Prevalence
Children are generally 3 to 4 years old before they exhibit enough symptoms for a diagnosis
Current estimates are that 3-4 per 1000 individuals may have PDD-NOS
Individuals with PDD-NOS are found in all races, ethnicities, and social statuses
Poor social skills & experience difficulties
interacting meaningfully
Reluctant to give eye contact
Appears to lack desire to share activities with
others
Prefers to be alone
Lacks an understanding of issues from another
persons point of view
May exhibit some of the following Difficulty in taking turns and/or sharing with peers
Difficulty differentiating between familiar and
features: unfamiliar people
May be unintentionally aggressive in an attempt to
be social
Treats people as tools or equipment something
Social and Emotional to use to open a door, get food, get carried by or
lean on
Is limited in their play skills and may become
fixated on only playing with specific toys in a
particular way
Has poor imaginative play skills
Has low self-esteem
Difficulty understanding or using
appropriate forms of communication
Does not always clearly communicate
wants, express concerns or fears, or
answer questions reliably
May exhibit some of the following Limited or no speech and/or lack typical
features: communicative gestures
As babies, a child with PDD-NOS may
not babble or when they do learn words,
Language and they exhibit echolalia
Often take language literally
Communication Speech may develop to varying degrees
but rarely develops to an
age-appropriate level of ability
May experience great difficulty
processing information received from
senses
Over-sensitive to surroundings and
unable to screen out irrelevant stimuli
May appear to ignore some sounds but
May exhibit some of the following
over-react to other sounds
features: May focus intently on the small visual
details of walls, furniture, objects, prints,
pictures or body parts whilst not seeing
the whole picture
Sensory Processing May show intense interest in light or
shiny reflective surfaces
May explore by smelling or mouthing
objects, people and surfaces
Small changes to routine, activity or
surroundings may cause stress and
anxiety
May avoid strangers or new activities
due to fear and anxiety
May exhibit some of the following Develops routines and rituals and may
features: stay involved with them for long periods
or be upset if interrupted
Becomes very concerned about doing
Adapting to the Environment work perfectly and may become
unwilling to attempt work that he/she
feels they cannot do perfectly
May want to be in control of situations
May have learning difficulties
May have poor memory and attention
span resulting in difficulty persisting
May exhibit some of the following
with activities
features: Requires repetition of instructions or
directions and may require time to
process before responding or acting
Cognitive May have difficulty understanding
concepts such as turn taking, sharing or
how to enter into play situations
Common difficulties often (but not always) experienced by those with Pervasive Developmental
Disorder-Not Otherwise Specified (PDD-NOS):
There is a strong belief in the medical community that that the disabilitys origin is genetic
and/or biological and affects brain function, but specific biological mechanisms remain unclear
There is a possibility that more than one variable could be responsible for the different
symptoms that are present in those individuals with PDD-NOS
Interventions
Interventions
Therapeutic and
Educational
Interventions
Therapeutic & Educational
Interventions
Therapeutic & Educational
Interventions
Evidence-based
Practices
Collaborative Communication
Services
Visual Structure and Support
Enhancing Positive Social
Relationships
Functional Skills
Providing Positive & Creative Educational
Services
1.
2.
3.
4.
Psychological and
Medical Interventions
Psychological Interventions
Medications
Behavioral
Interventions
Behavioral Interventions
Behavioral Interventions