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Which of the following best describes the evolution of autism diagnosis from DSM-IV to DSM-5?
Which of the following best describes the evolution of autism diagnosis from DSM-IV to DSM-5?
- DSM-5 eliminated the category of Autistic Disorder, replacing it with Social Communication Disorder to better capture the range of social communication deficits.
- DSM-5 introduced new diagnostic criteria that specifically distinguish between high-functioning and low-functioning autism, providing clearer guidelines for differentiating severity levels.
- DSM-5 consolidated Autistic Disorder, Asperger's Disorder, and PDD-NOS into a single umbrella diagnosis of Autism Spectrum Disorder (ASD) due to research indicating distinctions between groups were not meaningful. (correct)
- DSM-5 maintained distinct categories for Autistic Disorder, Asperger's Disorder, and PDD-NOS, reflecting ongoing research supporting these separate classifications.
A child with ASD is observed to become intensely focused on the spinning wheels of a toy car, largely ignoring its other features and intended use. According to the diagnostic criteria for Autism Spectrum Disorder, this behavior primarily aligns with which of the following?
A child with ASD is observed to become intensely focused on the spinning wheels of a toy car, largely ignoring its other features and intended use. According to the diagnostic criteria for Autism Spectrum Disorder, this behavior primarily aligns with which of the following?
- Modified sensory reactivity; hyper- or hypo-reactivity to sensory aspects of the environment.
- Stereotyped or repetitive motor movements.
- Deficits in social-emotional reciprocity.
- Intense fixation on interests that are abnormal in intensity or focus. (correct)
A researcher is designing a study to investigate sensory processing differences in children with Autism Spectrum Disorder (ASD). Which experimental paradigm would best isolate and measure 'Modified sensory reactivity' as defined in Criterion B of the DSM-5 ASD diagnostic criteria?
A researcher is designing a study to investigate sensory processing differences in children with Autism Spectrum Disorder (ASD). Which experimental paradigm would best isolate and measure 'Modified sensory reactivity' as defined in Criterion B of the DSM-5 ASD diagnostic criteria?
- A series of structured play activities designed to assess imaginative play skills and interest in peer interactions.
- A task measuring the child's ability to understand and respond appropriately to social cues in a conversational setting.
- Controlled exposure to varied sensory stimuli (e.g., textures, sounds, lights) while measuring behavioral and physiological responses. (correct)
- A standardized observation of the child's reciprocal social interactions during a semi-structured interview.
In the context of assessing social communication deficits in Autism Spectrum Disorder (ASD), which of the following scenarios most directly illustrates a deficit in 'social-emotional reciprocity' as defined by DSM-5?
In the context of assessing social communication deficits in Autism Spectrum Disorder (ASD), which of the following scenarios most directly illustrates a deficit in 'social-emotional reciprocity' as defined by DSM-5?
A 5-year-old child consistently uses phrases and sentences spoken by others in movies or conversations, often out of context. While echolalia can be a typical phase in language development, in the context of assessing for Autism Spectrum Disorder (ASD), how is this behavior best interpreted?
A 5-year-old child consistently uses phrases and sentences spoken by others in movies or conversations, often out of context. While echolalia can be a typical phase in language development, in the context of assessing for Autism Spectrum Disorder (ASD), how is this behavior best interpreted?
During an ADOS assessment, a child with suspected ASD is presented with a 'birthday party' scenario involving dolls and pretend cake. Which of the following observed behaviors would provide the strongest evidence for a deficit in 'developing, maintaining, and understanding relationships' as per DSM-5 criteria?
During an ADOS assessment, a child with suspected ASD is presented with a 'birthday party' scenario involving dolls and pretend cake. Which of the following observed behaviors would provide the strongest evidence for a deficit in 'developing, maintaining, and understanding relationships' as per DSM-5 criteria?
A teenager with ASD describes a social interaction as "the shapes bouncing off each other" rather than attributing intentions or emotions to the individuals involved. This description primarily illustrates a difficulty with which of the following?
A teenager with ASD describes a social interaction as "the shapes bouncing off each other" rather than attributing intentions or emotions to the individuals involved. This description primarily illustrates a difficulty with which of the following?
A researcher is evaluating the effectiveness of a new intervention designed to improve Theory of Mind (ToM) skills in children with ASD. Which assessment task would be most appropriate for measuring ToM development?
A researcher is evaluating the effectiveness of a new intervention designed to improve Theory of Mind (ToM) skills in children with ASD. Which assessment task would be most appropriate for measuring ToM development?
A child with ASD frequently engages in self-stimulatory behaviors, such as hand-flapping, especially when in a new or overwhelming environment. Which theoretical perspective provides the most comprehensive explanation for this behavior?
A child with ASD frequently engages in self-stimulatory behaviors, such as hand-flapping, especially when in a new or overwhelming environment. Which theoretical perspective provides the most comprehensive explanation for this behavior?
An adult diagnosed with Social Communication Disorder (SCD) is likely to experience the most significant challenges in which of the following everyday scenarios?
An adult diagnosed with Social Communication Disorder (SCD) is likely to experience the most significant challenges in which of the following everyday scenarios?
A researcher aims to differentiate between Autism Spectrum Disorder (ASD) and Social Communication Disorder (SCD) in a group of children with social communication difficulties. Which diagnostic feature would be most critical in distinguishing ASD from SCD?
A researcher aims to differentiate between Autism Spectrum Disorder (ASD) and Social Communication Disorder (SCD) in a group of children with social communication difficulties. Which diagnostic feature would be most critical in distinguishing ASD from SCD?
During an assessment, a clinician observes a child with suspected ASD displaying difficulties in using and understanding gestures, along with reduced eye contact and limited facial expressions. According to the DSM-5 criteria, these observations primarily indicate deficits in which area?
During an assessment, a clinician observes a child with suspected ASD displaying difficulties in using and understanding gestures, along with reduced eye contact and limited facial expressions. According to the DSM-5 criteria, these observations primarily indicate deficits in which area?
A team is developing a comprehensive assessment plan for a young child suspected of having Autism Spectrum Disorder (ASD). Considering the recommended best practices, which combination of assessment tools would provide the most thorough evaluation?
A team is developing a comprehensive assessment plan for a young child suspected of having Autism Spectrum Disorder (ASD). Considering the recommended best practices, which combination of assessment tools would provide the most thorough evaluation?
A therapist is working with a child with ASD who exhibits extreme distress when even slight changes occur in their daily routine. According to the DSM-5, this behavior falls under which diagnostic criterion?
A therapist is working with a child with ASD who exhibits extreme distress when even slight changes occur in their daily routine. According to the DSM-5, this behavior falls under which diagnostic criterion?
An individual with ASD consistently struggles to understand jokes, sarcasm, or figurative language. This difficulty primarily reflects an impairment in what aspect of communication?
An individual with ASD consistently struggles to understand jokes, sarcasm, or figurative language. This difficulty primarily reflects an impairment in what aspect of communication?
Considering the historical context surrounding the term 'Asperger's Disorder,' what is the primary reason for the growing preference to avoid using this term in clinical and research settings?
Considering the historical context surrounding the term 'Asperger's Disorder,' what is the primary reason for the growing preference to avoid using this term in clinical and research settings?
A researcher is investigating the prevalence of autism traits within families. Which finding would provide the strongest evidence supporting the concept of autism as a dimensional spectrum?
A researcher is investigating the prevalence of autism traits within families. Which finding would provide the strongest evidence supporting the concept of autism as a dimensional spectrum?
During an ADI-R interview, a parent reports that their child with ASD exhibits a profound indifference to pain and temperature, often failing to react to minor injuries or extreme weather conditions. According to the DSM-5 criteria, this behavior primarily indicates which of the following?
During an ADI-R interview, a parent reports that their child with ASD exhibits a profound indifference to pain and temperature, often failing to react to minor injuries or extreme weather conditions. According to the DSM-5 criteria, this behavior primarily indicates which of the following?
Which of the following best illustrates an example of perseverative speech in a child with Autism Spectrum Disorder (ASD)?
Which of the following best illustrates an example of perseverative speech in a child with Autism Spectrum Disorder (ASD)?
A clinician is assessing a child for potential Autism Spectrum Disorder (ASD) using the Autism Diagnostic Observation Schedule (ADOS). Which of the following 'presses' within the ADOS is specifically designed to elicit behaviors related to reciprocal social interaction?
A clinician is assessing a child for potential Autism Spectrum Disorder (ASD) using the Autism Diagnostic Observation Schedule (ADOS). Which of the following 'presses' within the ADOS is specifically designed to elicit behaviors related to reciprocal social interaction?
A researcher is investigating the neural mechanisms underlying stimming behaviors in individuals with ASD. Which neurobiological factor would most likely be implicated in the maintenance of these repetitive behaviors?
A researcher is investigating the neural mechanisms underlying stimming behaviors in individuals with ASD. Which neurobiological factor would most likely be implicated in the maintenance of these repetitive behaviors?
A child with ASD demonstrates significant deficits in 'joint attention.' In what scenario is this deficit most likely to be observed?
A child with ASD demonstrates significant deficits in 'joint attention.' In what scenario is this deficit most likely to be observed?
Compared to individuals diagnosed with Social Communication Disorder (SCD), individuals diagnosed with Autism Spectrum Disorder (ASD) are more likely to exhibit:
Compared to individuals diagnosed with Social Communication Disorder (SCD), individuals diagnosed with Autism Spectrum Disorder (ASD) are more likely to exhibit:
A clinician is using the ADOS to assess a child for ASD. During a 'bubble-blowing' activity, the child shows no interest in the bubbles, does not make eye contact with the examiner, and repetitively flicks their fingers. Which combination of DSM-5 criteria does this behavior most directly address?
A clinician is using the ADOS to assess a child for ASD. During a 'bubble-blowing' activity, the child shows no interest in the bubbles, does not make eye contact with the examiner, and repetitively flicks their fingers. Which combination of DSM-5 criteria does this behavior most directly address?
A researcher is investigating the potential genetic overlap between ASD and other neurodevelopmental conditions. Which of the following findings would provide the strongest support for shared genetic vulnerability?
A researcher is investigating the potential genetic overlap between ASD and other neurodevelopmental conditions. Which of the following findings would provide the strongest support for shared genetic vulnerability?
An individual diagnosed with ASD demonstrates an exceptional ability to recall and recite detailed information about a highly specific topic, but struggles to apply this knowledge to solve practical problems or engage in reciprocal social interactions. This pattern of abilities and deficits is most consistent with:
An individual diagnosed with ASD demonstrates an exceptional ability to recall and recite detailed information about a highly specific topic, but struggles to apply this knowledge to solve practical problems or engage in reciprocal social interactions. This pattern of abilities and deficits is most consistent with:
A therapist is working with a teenager with ASD who exhibits significant difficulties in understanding the intentions and motivations of others. Which intervention strategy would be most directly targeting the development of Theory of Mind (ToM) skills?
A therapist is working with a teenager with ASD who exhibits significant difficulties in understanding the intentions and motivations of others. Which intervention strategy would be most directly targeting the development of Theory of Mind (ToM) skills?
A researcher is conducting a study to examine the effectiveness of a novel intervention for improving social communication skills in adults with ASD. Which outcome measure would provide the most ecologically valid assessment of the intervention's impact on real-world social functioning?
A researcher is conducting a study to examine the effectiveness of a novel intervention for improving social communication skills in adults with ASD. Which outcome measure would provide the most ecologically valid assessment of the intervention's impact on real-world social functioning?
During an assessment, a child with suspected ASD demonstrates the ability to use single words to label objects but struggles to combine words into meaningful phrases or sentences. According to diagnostic criteria, this child is most likely exhibiting difficulties in:
During an assessment, a child with suspected ASD demonstrates the ability to use single words to label objects but struggles to combine words into meaningful phrases or sentences. According to diagnostic criteria, this child is most likely exhibiting difficulties in:
A child with ASD consistently uses phrases and sentences from movies in conversations, often out of context. While echolalia can be a typical phase in language development, in the context of assessing for Autism Spectrum Disorder (ASD), how is this behavior best interpreted?
A child with ASD consistently uses phrases and sentences from movies in conversations, often out of context. While echolalia can be a typical phase in language development, in the context of assessing for Autism Spectrum Disorder (ASD), how is this behavior best interpreted?
What is the primary reason for the growing preference to avoid using the term 'Asperger's Disorder' in clinical and research settings?
What is the primary reason for the growing preference to avoid using the term 'Asperger's Disorder' in clinical and research settings?
According to the DSM-5 criteria, during an ADI-R interview, a parent reports that their child with ASD exhibits a profound indifference to pain and temperature, often failing to react to minor injuries or extreme weather conditions, indicating which of the following?
According to the DSM-5 criteria, during an ADI-R interview, a parent reports that their child with ASD exhibits a profound indifference to pain and temperature, often failing to react to minor injuries or extreme weather conditions, indicating which of the following?
A therapist is working with a child with ASD to improve their ability to engage in reciprocal social interactions. Which of the following intervention strategies would be most directly targeting the development of social-emotional reciprocity?
A therapist is working with a child with ASD to improve their ability to engage in reciprocal social interactions. Which of the following intervention strategies would be most directly targeting the development of social-emotional reciprocity?
Which of the following scenarios best exemplifies a deficit in 'developing, maintaining, and understanding relationships' as per DSM-5 criteria for Autism Spectrum Disorder (ASD)?
Which of the following scenarios best exemplifies a deficit in 'developing, maintaining, and understanding relationships' as per DSM-5 criteria for Autism Spectrum Disorder (ASD)?
A child with ASD exhibits a strong preference for sameness and becomes highly distressed when their routine is disrupted. From a behavioral perspective, what is the most likely function of this insistence on sameness?
A child with ASD exhibits a strong preference for sameness and becomes highly distressed when their routine is disrupted. From a behavioral perspective, what is the most likely function of this insistence on sameness?
During an ADI-R interview, a parent reports that their child with ASD has a history of responding to their name inconsistently and infrequently, even when there are no apparent distractions. This behavior is most indicative of deficits in what area?
During an ADI-R interview, a parent reports that their child with ASD has a history of responding to their name inconsistently and infrequently, even when there are no apparent distractions. This behavior is most indicative of deficits in what area?
Which statement regarding stimming and self-stimulatory behaviors is most accurate?
Which statement regarding stimming and self-stimulatory behaviors is most accurate?
Which assessment tool relies heavily on eliciting specific behaviors through structured and semi-structured activities?
Which assessment tool relies heavily on eliciting specific behaviors through structured and semi-structured activities?
What key information is gathered from the Autism Diagnostic Interview-Revised (ADI-R)?
What key information is gathered from the Autism Diagnostic Interview-Revised (ADI-R)?
Flashcards
Impairment in Communication & Social Interaction
Impairment in Communication & Social Interaction
Difficulties with communication and interacting socially with others.
Repetitive Behaviors & Interests
Repetitive Behaviors & Interests
Repetitive actions or intense obsessions with specific interests.
Echolalia
Echolalia
Repeating what others say, often seen as a step in language development for children with ASD.
Perseverative Speech
Perseverative Speech
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Impairment in Pragmatics
Impairment in Pragmatics
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Impairment in Social Imitation
Impairment in Social Imitation
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Joint Attention
Joint Attention
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Impairment in Expressive Nonverbal Behavior
Impairment in Expressive Nonverbal Behavior
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Impairment in Reciprocity
Impairment in Reciprocity
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Impairment in Social 'Mind'
Impairment in Social 'Mind'
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Theory of Mind
Theory of Mind
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Self-Stimulation (Stimming)
Self-Stimulation (Stimming)
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Intense, Narrow Interests
Intense, Narrow Interests
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Rigid Routines
Rigid Routines
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Preoccupation with Parts of Objects
Preoccupation with Parts of Objects
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Autism as a Spectrum
Autism as a Spectrum
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Deficits in Social-Emotional Reciprocity
Deficits in Social-Emotional Reciprocity
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Deficits in Non-Verbal Communicative Behaviors
Deficits in Non-Verbal Communicative Behaviors
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Deficits in Developing, Maintaining, and Understanding Relationships
Deficits in Developing, Maintaining, and Understanding Relationships
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ADOS (Autism Diagnostic Observation Schedule)
ADOS (Autism Diagnostic Observation Schedule)
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ADI-R
ADI-R
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Social Communication Disorder
Social Communication Disorder
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Study Notes
- Core features of autism include impairments in communication and social interaction, alongside repetitive patterns of behaviors and interests.
Impairment in Communication
- Approximately 50% of children with autism do not develop useful language.
- Qualitative language impairments include echolalia (repeating what someone says), perseverative speech (getting stuck on a topic), and impaired pragmatics (difficulty understanding social contexts).
Impairment in Social Interaction
- Qualitative impairments in social interaction involve social imitation, joint attention, expressive nonverbal behavior, reciprocity, and social "mind" capabilities.
- Individuals with autism may struggle to interpret social situations or view others as social partners.
Difficulty with Theory of Mind (ToM)
- Theory of Mind is understanding that others have mental states (desires, beliefs, intentions) that guide their behavior.
- Children with ASD typically develop ToM slower, with first signs appearing around age 4.
- ToM is assessed using false belief tasks.
Repetitive Patterns of Behaviors & Interests
- Self-stimulation (stimming) includes behaviors like flapping arms or rocking.
- Theories suggest stimming is a craving for stimulation, a way to block unwanted stimulation, or maintained by sensory reinforcement.
- Intense, narrow interests, rigid routines, and preoccupation with parts of objects are also common.
Autism as a Spectrum
- Autism is viewed as a spectrum disorder, not a classic, categorical disorder.
- Severity of symptoms, language ability, and IQ levels vary within the diagnosis.
- Traits may also be present in close relatives.
Autism: DSM-5 Definition
- DSM-5 replaced previous diagnoses with Autism Spectrum Disorder.
- Prior distinctions between Autistic disorder, Asperger's disorder, and PDD-NOS were deemed not meaningful.
- Research indicated that most children with DSM-IV Pervasive Developmental Delay diagnoses met criteria for ASD.
Controversial Terminology
- Hans Asperger, the psychiatrist for whom "Asperger's" was named, had associations with the Nazi party.
- The use of terms like "high functioning" and "low functioning" is controversial.
Autism Spectrum Disorder (Criteria A): Deficits in social-emotional reciprocity
- Criterion A involves persistent deficits in social communication and interaction, including:
- Failure of back-and-forth conversation.
- Abnormal social approach.
- Reduced sharing of interests, emotions, affect.
- Failure to initiate or respond in social interactions.
Autism Spectrum Disorder: Deficits in on-verbal communicative behaviors used for social interaction
- Deficits in non-verbal communicative behaviors:
- Contact issues (eye contact).
- Understanding and using gestures deficits.
- Expression of face deficits.
Autism Spectrum Disorder: Deficits in developing, maintaining, and understanding relationships
- Deficits in developing, maintaining, and understanding relationships
- Play deficits with imaginative/pretend play.
- Interest deficits in peers.
Autism Spectrum Disorder: Criteria B
- Criterion B includes restricted, repetitive patterns of behavior, interests, or activities, such as:
- Stereotyped or repetitive motor movements, use of objects, or speech.
- Tendency for sameness and inflexible adherence to routines or ritualized patterns of behavior.
- Intense fixation on interests that are abnormal in intensity.
- Modified sensory reactivity; hyper or hypo reactivity to sensory aspects of environment.
Autism Spectrum Disorder: Criteria C & D
- Criterion C requires symptoms to be present during early developmental period
- Criterion D requires symptoms to cause clinically significant impairment.
- Severity is rated on a scale: requiring support, substantial support, or very substantial support.
Social Communication Disorder
- Social Communication Disorder includes deficits in social communication without repetitive patterns of interest.
- Involves impairment of ability to change contexts to needs of listener.
- Difficulties include following rules for conversation and storytelling.
- Restricted, repetitive patterns of interest are not present.
Assessment: ADOS
- The Autism Diagnostic Observation Schedule (ADOS) is a semi-structured observation.
- "Presses" are used to naturally elicit ASD behaviors.
Assessment: ADI-R
- The ADI-R (Autism Diagnostic Interview-Revised) is an interview with parents/caregivers.
- It is often paired with ADOS.
Summary of Autism
- Autism is characterized by impairments in communication and social interaction and repetitive behaviors and interests.
- In DSM-5, earlier diagnoses were combined under Autism Spectrum Disorder.
- The ADOS is a gold standard assessment tool, often paired with other information.
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