6/23- ADHD I and II-- USELESS DECK

Question 1

What is the distinguishing feature of human beings?

Answer 1

Ability to differentiate animate from inanimate

• Where yourself starts and world begins
• No concept of this at birth
• 2 mo: recognize eyes, nose, mouth (social smile)

Question 2

What is major notice of kids with autism? Diagnosis can be done how?

Answer 2

Lack of speech in early childhood
- Will also show lack of attachment (don’t talk or relate to you)
- Don’t particularly like being picked up; don’t cuddle
Diagnosis can be done with analysis of eye patterns

Question 3

What is the most common cause of lack of/delayed speech in childhood?

Answer 3

Hearing loss (otitis media)

Question 4

What are some general characteristics (personality-wise) of kids with autism?

Answer 4

• Naive
• Gullible
• Impressionable

Question 5

What are characteristics of an idiot savant?

Answer 5

• Intellectual disability
• Very low IQ
• One gift

Question 6

Overall Diagnostic Criteria for Autism Spectrum Disorder?

Answer 6

• Persistent deficits in social communication and social interaction across multiple contexts, currently or by history
• Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history
• Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).
• Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.
• These disturbances are not better explained by intellectual disability or global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level.

Question 7

What are some examples of persistent deficits in social communication/interaction across multiple contexts for diagnosing an Autism Spectrum Disorder?

Answer 7

Deficits in social-emotional reciprocity:
- Abnormal social approach and failure of normal back-and-forth conversation
- Reduced sharing of interests, emotions, or affect
- Failure to initiate or respond to social interactions.
Deficits in nonverbal communicative behaviors used for social interaction
- Poorly integrated verbal and nonverbal communication
- Abnormalities in eye contact and body language
- Deficits in understanding and use of gestures
- Total lack of facial expressions and nonverbal communication.
Deficits in developing, maintaining, and understanding relationships
- Difficulties adjusting behavior to suit various social contexts
- Difficulties in sharing imaginative play or in making friends
- Absence of interest in peers.

Question 8

What are some examples of restricted, repetitive patterns of behavior, interests, or activities for diagnosing an Autism Spectrum Disorder? How many do you need?

Answer 8

Need at least 2 for diagnosis of Autism Spectrum Disorder

• Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).
• Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patters, greeting rituals, need to take same route or eat same food every day).
• Highly restricted, fixated interests that are abnormal in intensity or focus (e.g., strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
• Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement).

Question 9

What are the overall diagnostic criteria for Attention Deficit/Hyperactivity Disorder?

Answer 9

• A persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development, as characterized by (1) and/or (2):
  1. Inattention
  2. Hyperactivity and impulsivity

Question 10

When do you develop a sense of mine/not mine?

Answer 10

Age 3

Question 11

When do you know right from wrong?

Answer 11

Age 6