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THE MANY FACES OF AUTISM
By Dr. G. Barry Worthington

Children diagnosed with autism usually exhibit very poor social maturity for their age. Communication skills are delayed and peer relationships are very immature. They may play with toys near other children but not with the other children. This is known as parallel play.

Verbal and nonverbal communication is also very restricted. Eye to eye gaze, facial expression and general gestures to indicate their feelings are also limited.

Often a child with autism will demonstrate hand flapping movements, toe walking, and extreme interest in moving objects. They often do not understand that others have feelings and dismiss the fact that a person may be hurting. They do not show feelings of sympathy or joy for others. The right posterior part of the brain is felt by some researchers, as being "shutdown" or "asleep" that limits the patient's capacity for taking in social/emotional information that is essential for developing and maintaining relationships

Autistic children will often talk nonstop on a topic of special interest to themselves, and be completely uninterested in what another person has to say. Autistic children don't choose to be socially disconnected; it is, according to brain researchers, a byproduct of systems in the brain being shutdown or disconnected. This may result from either too slow or too fast brainwaves causing either underfunctioning or overstimulation and confusion in the brain.

Autism is usually associated with lower functioning in the ability of children diagnosed with the disorder. Children who may be diagnosed with Asperger’s Disorder have many of the symptoms of autism except that they usually function within the normal range of ability, have average reading and math skills and have good language ability. These children do not meet all the criteria for autism. However, they do exhibit many of the symptoms. Many of these children are initially diagnosed with Attention Deficit Hyperactivity Disorder.

Children with ADHD have great difficulty staying on task in order to finish a project as they are very distractible, don’t seem to listen when spoken to, have difficulty organizing tasks and activities, and are often forgetful. Hyperactivity and impulsivity can also be associated with ADHD.

Although Autism,Asperger’s and ADHD are different disorders, each has some aspects of the other two and sometimes one may be confused with another. Children who have been diagnosed with one or another of these disorders need to be taught and reinforced to respect others space and that others have feelings that can be hurt by name calling, being touched without permission, interrupted, etc. With a great deal of support and reinforcement of general rules of conduct children with these disorders will begin to understand the perspective of others.

 

Dr. Worthington is a licensed clinical psychologist and contributed this article for San Diego Family Services. To find out more, please visit http://www.sdfamilyservices.com . He is also a locally recognized child advocate.



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