Autism Spectrum Disorder Flashcards

1
Q

What are the most popular ways to refer to ASD?

A
  • autism
  • autistic
  • brain difference
  • difficulties
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2
Q

What are the issues with the ASD diagnostic criteria?

A
  • focuses heavily on impairment
    -has faced criticism for pathologising neurodivergent characteristics
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3
Q

The DSM-V definition is broken down into…

A

A, B, C, D, and E

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4
Q

Section A of the DSM-V criteria is..

A

persistent difficulties in social communication and interaction across multiple contexts with
1. deficits in social-emotional reciprocity
2. deficits in non-verbal communicative behaviours in social interactions
3. deficits in developing, maintaining, and understanding relationships

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5
Q

Section B of the DSM-V criteria is…

A

Restrictive, repetitive patterns of behaviour, interests, or activities, with at least 2 of:
1. stereotyped repetitive motor movements, use of objects, or speech
2. insitence on sameness, inflexible adherence to routines, or ritualised patterns of verbal and non-verbal behaviour
3. highly restricted, fixed interests that are abnormal in intensity or focus
4. hyper or hypo-reactivity to sensory inputs or unusual interests in sensory aspects of environment

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6
Q

Section C of the DSM-V criteria is…

A

Symptoms must be present in early developmental period (may not fully manifest until social demands exceed limited capacity, or may be masked in later life)

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7
Q

Section D of the DSM-V criteria is…

A

Symptoms clinically significant impairment in social, occupational, or other important areas of functioning

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8
Q

Section E of the DSM-V criteria is…

A

These disturbances are not better explained by intellectual disability or global developmental delay

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9
Q

When was ASD first identified?

A

1940s by Leo Kanner - identified as a behavioural syndrome with no variation

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10
Q

What did early ASD research attempt to do?

A
  • see if ASD could be distinguished from childhood schizophrenia, hearing impairments, chromosomal learning disabilities
  • autism continuum and triad of impairment to explain variation
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11
Q

What are the important differences in the DSM-III criteria?

A
  • pervasive lack of responsiveness to others
  • gross deficits in language development
  • absence of delusions/hallucinations
  • 75% diagnosed with intellectual disability - seen as part of autism
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12
Q

What was the prevalence of ASD in 1980s

A
  • 6 in 10,000
  • 5-10:1 male:female
  • underdiagnosed
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13
Q

What was the prevalence of ASD in 2018?

A
  • 1 in 100
  • 3:1 male:female
  • over diagnosed???
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14
Q

What were the findings of Russel et al. (2021)

A
  • 787% increase in recorded incidences between 1980-2018
  • increase greater in females
  • likely due to increased reporting and application of critera
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15
Q

What did the triad of impairment consist of (1988)?

A
  1. socialisation - impaired, deviant, and extremely delayed social development
  2. communication - impaired and deviant language and communication
  3. imagination - rigidity of thought and behaviour, and poor imagination skills
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16
Q

What differences in socialisation were noted in the triad?

A
  • lack of ability to understand and interpret social signals and behaviours
  • lack of reciprocal interests in others
  • can result in social withdrawal, isolation, alienation
17
Q

What were Wing and Gould’s (1979) contribution to socialisation in the triad?

A
  • some ‘socially passive’
  • some actively social in unusual way
  • some appear disinterested in others entirely
  • some interested in others in stilted/formal manner
18
Q

What behaviours were used as evidence of impaired socialisation?

A
  • unusual eye gaze
  • atypical body posture
  • problems with proxemics
  • absent/deviant use of gesture
  • unusual facial expression
19
Q

What communication difficulties might there be in the triad?

A
  • some do not use spoken language at all to communicate
  • some may not use language effectively
  • some may be competent communicators who experience difficulties in other aspects
20
Q

How might language be used differently in ASD?

A
  • echolalian and gestalt learning processing
  • perserveration
  • stereotyped and idiosyncratic language
  • neologism/jargon
  • pronoun reversal
  • often unusual rhythm, intonation, and stress
  • inferential use of language is an area of significant need
21
Q

How might imagination be different in the triad?

A
  • appear delayed in pretend and pre-symbolic play
  • older children may play imaginatively, but in an unusual or routinised way
  • stereotypes repetitive behaviours which can be simple or complex
  • ‘obsessive interests’ or factual knowledge
22
Q

What behaviour was noted in 1944 for Aspergers syndrome?

A
  • restricted and repetitive interests
  • used language in unusual and overly formal ways
  • appeared physically and socially clumsy
  • intellectually able
23
Q

What were the controversies of Aspergers?

A
  • fuzziness over if same as high functioning autism
  • disorder or difference
  • Nazi influences
  • no longer formally recognised in DSM-V