Lang dev dis exam 2

Question 0

DIR roadmap

Answer 0

Regulation attention 
Mutual engagement
2way purposeful interaction/comm
Problem solving interaction
Creative thinking, symbolic play
Logic, abstract &emotion thinking, elaboration

Question 1

DIR autism

Answer 1

D development I individual R relationship
Floor time treatment
Insights: Language develops thru comfortable interaction, motor sensory processing differs btw kids, new roadmap: 6 levels

Question 2

Critical features of interaction

Answer 2

Warmth security engaged pleasurable reciprocal emotionally meaningful

Question 3

Autism history

Answer 3

Leo kanner 1943

Hans asperger 1944

Question 4

PDD

Answer 4

autism, Asperger, Rhett, Childhood disintegrative disorder
Ranges mild to severe,
Disinterest in social, impaired communication, narrow interests
Savant?
ONSET before 3
Difficulty w self regulation, motor planning
Uneven learning profile
Visual stronger than aud

Question 5

Social interaction deficits (must have 2 to qualify)

Answer 5

Deficits in nonverbal
No relationships w peers
No joint reference (seeking to share enjoyment interests or achievements)

Question 6

Communication deficits (at least one)

Answer 6

No or little development of oral language
Stereotypical repetitive or idiosyncratic (echolalic)
No typical symbolic play

Question 7

Repetitive behaviors, narrow interests (exhibit one)

Answer 7

Intense preoccupation
Rigid adherence to nonfunctional routines
Motor behaviors that are stereotypical repetitive

Question 8

Echolalic

Answer 8

Immediate
Delayed
Mitigated
Unmitigated
Communicative
Non communicative

Question 9

Autism sensory characteristics

Answer 9

Over or under reaction
Auditions- hyper or non response
Tactile- dislike light touch but firm ok, unusual reaction to pain, love tickling?

Question 10

Rigidity

Answer 10

Disruption of routine leads to temper tantrum
Ritualistic behavior
Play same scenario
Have same convo

Question 11

Autism comorbidity

Answer 11

25% develop seizures
2-5% fragile X
1-4% tuberous sclerosis

Question 12

Asperger syndrome

Answer 12

Mildest form of autism?
Most distinctive feature is severe social impairment
Speech language not as severe
IQ above 70, not DD
HAS?

Question 13

Rhett’s syndrome

Answer 13

Often misdiagnosed autism
Mutation chromosome 28
Neurological disorder almost exclusively affecting females
Normal develop up to 18 mos
Then lose purposeful movt- stimming like hand wringing
Head growth decelerates, gait falters, language disappears
Limited social interaction
Over time looks less like autism and more physical

Question 14

Childhood disintegrative disorder

Answer 14

Normal devt two years followed by loss of social, self help, motor, language skills
hard to separate from autism bc parents of ASD often report normal devt for first bit

Question 15

PDD NOS

Answer 15

Heterogeneous group

Too young to fit in a specific categ OR not severe enough symptoms

Question 16

Prevalence

Answer 16

Before 1985: 4-5 per 10000, 2 classic autism
1993- 16 per ten thou
Late 90s to 2000: 17-40 classic, up to 67 on spectrum
2004: 71
Increase could be due to underreporting before, recent broadening of category

Question 17

Autism: psychoanalytic theory

Answer 17

Ice box mother- lack of bonding in infancy,

complete lack of controlled evidence yet idea persists

Question 18

Physical causes: theories

Answer 18

MMR vaccine- administer in developed countries around the same time autism is diagnosed
Mercury based Preservative thimersol blamed
EVIDENCE disproved

Question 19

Pseudoscience therapy

Answer 19

Auditory integration therapy: controlled studies show no benefit
Sensory integration therapy: no evidence of efficacy specific to SIT
Vitamins, diet, Candida albicans: no controlled studies support
Chelation therapy: IV infusion of chelating agents to inactivate heavy metals, maybe appropriate for lead poisoning, adverse side effects? Advertised Worse before better

Question 20

Autism: EB theories

Genetic & brain abnormalities

Answer 20

Male:female 3:1 X linked?
Rate of autism in siblings 2-8%
Monozygotic twins: 60-90%
Dizygotic: 10%
OCD, comm disorders, phobias in family members
NO identified specific genes

Question 21

Autism: brain abnormality

Answer 21

Autopsy, MRI studies 
Brainstem, limbic, cerebellum abnormality
Patterns if head growth:
Smaller head circumference at birth
Abn rapid increase at a few months old
Slows mid to late childhood
Evens out late adolescence
What does it mean?