Pre Midterm Flashcards
Historical Terms for Intelligence
Current (since 2013): Intellectual disability,
Old: Mental Retardation (mild, moderate, severe , profound) Oldest: Mental Deficiency (dullness, feeblemindedness, idiot, imbecile, moron)
Examples of Autism
Nonverbal and Intellectual Disability: cannot speak, unknown how much language they can understand, can be taught to speak with early treatment (severity dependent)
Not “Speaking” with Cognitive Abilities: cannot speak but have cognitive abilities that aren’t understood by others
Very Verbal: has trouble with self regulating
DSM
A practical, functional, and flexible guide to diagnose and treat mental disorders
DSM-I (1954)
Schizophrenic reaction, childhood type:
•Odd kids that didn’t fit into a category
•Much more likely to develop ASD than schizophrenia at this age
•Vague description: symptoms different due to the plasticity and immaturity of the brain
DSM-II (1968)
Schizophrenia, childhood type:
•Vague description: before puberty, atypical behaviour, failure to develop identity separate from their mothers, immaturity, that may lead to mental retardation which should also be diagnosed
•Refrigerator mothers
DSM-III (1980)
Format differences:
•4x the size, intended to have more scientific support
Pervasive Developmental Disorders:
•Infantile Autism: early onset, typical autism
•Child Onset Pervasive Developmental Disorder: later onset and less severe
•Atypical Pervasive Developmental Disorder: social or language dysfunction without meeting full criteria
Diagnostic Criteria for Infantile Autism
Age of onset under 30 months Severe language development delay If language develops, it's atypical Bizarre reactions to environment Absence of schizophrenic reactions (delusions)
DSM-III-R (1987)
Changes:
•Went from non negotiable checklist to a list of symptoms
•Infantile Autism – Autistic Disorder
•Introduced Rett’s Syndrome, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder– not otherwise specified
Rett’s Syndrome
Rare (1/10,000) Onset: 6-18 months Commonly found in girls Due to low grey matter Found to have no connection to Autism
Childhood Disintegrative Disorder
Rare (1.7/100,000)
Normal development til 3
DSM-IV (1994)
Introduction to Aspergers: normal language (single words by age 2, phrases by age 3), and higher IQ (problem)
DSM-IV-TR (2000)
Continues with primary concerns being social communication, stereotyped/pervasive interests, and social interaction
PDD-NOS problem fixed
DSM-5 (2013)
PDD changes to ASD: Intellectual impairment, accompanying language impairment, and known genetic/medical conditions
Deficits in Social Communication/Interaction (DSM-5)
Social-emotional reciprocity
Reduced interest in peers/failure to initiate social interaction
Reciprocal conversation/maintaining friendship challenges
Reduced sharing and imaginative play
Poor gesture use, eye contact, and facial expression
Restricted/repetitive patterns interests, or activities (DSM-5)
Stereotyped repetitive motor movements, objects, and speech
Highly restricted, fixated interests
Insistence on sameness
Reactivity to sensory input
ASD Severity Rating
Level 1 (requiring support): Can speak in full sentences but lacks social components Level 2 (requiring substantial support): Simple sentences limited in topic choice with odd nonverbal communication Level 3 (requiring very substantial support): rarely initiates interaction just to meet need and only responds to very direct social approaches
ICD-10 (2015)
International Classification of Diseases:
•Developed by the World Health Organization
•Likely to blend Aspergers into ASD
•Structure: PDD (AD, Aspergers, Other Child Disintegrative Disorders, Retts, Other PDDs)
DSM-5 Diagnostic Criteria
Deficits in social emotional-reciprocity
Deficits in nonverbal communicative behaviours
Deficits in Developing, maintaining and understanding relationships
Level of Language
Functional:
•Speech can be spontaneous, echoed, or stereotyped
•Used daily involving 3+ phrases understood by others
Non-Functional:
•Used daily, but cannot use 3+ phrases correctly
•Atleast 5 different words used in the last month
No Speech:
•No more than 5 words known total