Lecture on Autism Spectrum Disorder (ASD)

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Questions and Answers

What is the primary focus of the lecture, regarding Autism Spectrum Disorder (ASD)?

  • The lecture will focus on neurodiversity debates in ASD.
  • The lecture will focus on ASD without considering other needs.
  • The lecture will focus on ASD with other needs that impact speech, language, and communication. (correct)
  • The lecture will focus on the history of Autism and ASD only.

Which of the following frameworks is mentioned as a historical tool for understanding ASD?

  • The medical model of diagnosis framework.
  • The learning outcomes framework.
  • The triad of impairment framework. (correct)
  • The neurodiversity framework.

What is one of the learning outcomes specified for the students at the end of this session?

  • To be able to develop new diagnostic tools for ASD
  • To be able to demonstrate an awareness of the variation in ASD using the autism spectrum. (correct)
  • To be able to perform advanced statistical analysis on ASD data.
  • To become experts in diagnosing ASD.

What does the lecture aim to discuss regarding developmental diagnoses related to ASD?

<p>Exploring current debates around these diagnoses, including neurodiversity. (A)</p> Signup and view all the answers

What is one of the primary elements of ASD that the video intends to demonstrate?

<p>The video aims to show typical experiences of a 13-year-old with ASD. (C)</p> Signup and view all the answers

What did Hans Asperger term the condition he observed in children?

<p>Autistic psychopathy (A)</p> Signup and view all the answers

Which of the following is a characteristic of Asperger's syndrome as described by Asperger?

<p>Restricted and repetitive interests (A)</p> Signup and view all the answers

What was a key difference between Asperger’s syndrome and autism, as originally understood?

<p>Absence of language delay or disorder (A)</p> Signup and view all the answers

According to the provided information, what is the current status of Asperger syndrome in the DSM-V?

<p>It is no longer a formally recognized diagnosis. (D)</p> Signup and view all the answers

What did Wing's research contribute to the understanding of Asperger's syndrome?

<p>The re-evaluation of Asperger's work that helped to show an autism continuum (B)</p> Signup and view all the answers

Which of the following was NOT associated with Asperger’s syndrome, according to the text?

<p>Presence of specific phobias or anxieties (D)</p> Signup and view all the answers

What is the best descriptor of the controversy surrounding Asperger syndrome?

<p>Whether it should be considered a disorder or a difference. (C)</p> Signup and view all the answers

Where can you find the video material of a man diagnosed with Asperger Syndrome, mentioned in the text?

<p>On blackboard in the week 5 ASD folder. (C)</p> Signup and view all the answers

What is the primary change in the DSM-5 diagnostic criteria regarding Asperger Syndrome and High Functioning Autism?

<p>They are now included under the umbrella term of ASD. (C)</p> Signup and view all the answers

According to the descriptions by Wing and Gould on socialisation, what might a person with autism display?

<p>A lack of reciprocal interest in others, possibly leading to social withdrawal. (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic included in the DSM-5 criteria for ASD?

<p>A single diagnosis with no allowance for co-occurring conditions. (A)</p> Signup and view all the answers

What does the term 'rigidity of thought and behaviour' refer to in the context of autism?

<p>A preference for routine, potentially difficulty with change and imaginative play skills. (C)</p> Signup and view all the answers

Within the context of the provided text, what is the core idea behind 'Neurodiversity'?

<p>A social model that frames differences in brain types as strengths. (A)</p> Signup and view all the answers

Which of the following is considered a communication difficulty commonly experienced by some individuals with ASD?

<p>An inability to articulate their thoughts clearly, or using no spoken language to communicate at all (D)</p> Signup and view all the answers

Which of the following best describes the perspective on neurodevelopmental conditions based on the provided content?

<p>They arise from a combination of genetic and environmental factors, the specifics of which are often unknown. (B)</p> Signup and view all the answers

When observing someone with autism, what might be identified as evidence of 'impaired socialisation'?

<p>Unusual eye gaze and atypical body posture. (C)</p> Signup and view all the answers

What does the term 'Neurodiversity' primarily encompass according to the text?

<p>A perspective that identifies strengths and differences in 'brain types'. (D)</p> Signup and view all the answers

How might some individuals with autism use language?

<p>They use language with significant differences from the neurotypical population. (B)</p> Signup and view all the answers

Which of the following is NOT typically included as a neurodevelopmental disorder?

<p>Seasonal Affective Disorder (SAD). (D)</p> Signup and view all the answers

Considering the descriptions by Wing and Gould, which of these could be true of social interaction in the context of autism?

<p>They may experience difficulties initiating social contact and forming relationships. (C)</p> Signup and view all the answers

What is implied by the statement that 'neurodevelopmental disorders tend to run in families'?

<p>There may be shared genetic or environmental factors among family members. (C)</p> Signup and view all the answers

Which of these is generally true about changes in communication skills based on the content provided?

<p>Some individuals do not use spoken language, some have inefficient communication, and some are very competent. (B)</p> Signup and view all the answers

Who is credited with coining the term 'Neurodiversity' according to the text?

<p>Judy Springer. (D)</p> Signup and view all the answers

What is a key characteristic of 'imagination' challenges as mentioned in the context of autism?

<p>A marked difference in imaginative abilities, potentially impacting play skills. (B)</p> Signup and view all the answers

What is the primary reason for the increased identification of Autism Spectrum Disorder (ASD) across a wider population?

<p>Greater awareness and identification of ASD, beyond those with severe learning disabilities. (B)</p> Signup and view all the answers

According to autistic advocates, how should the concept of 'functioning' be understood?

<p>As a fluctuating experience, varying with time and situation. (B)</p> Signup and view all the answers

What should be prioritized when determining appropriate support for an individual with ASD?

<p>Understanding the individual's specific needs profile. (D)</p> Signup and view all the answers

In the Triad of Impairment proposed by Lorna Wing (1988), what aspect is most relevant to the work of Speech and Language Therapists?

<p>Impaired and deviant language and communication. (D)</p> Signup and view all the answers

Why is the concept of the Triad of Impairment still relevant for Speech and Language Therapists despite being an older model?

<p>It offers insight into the traditional focus on speech, language, and communication in ASD diagnosis. (B)</p> Signup and view all the answers

According to the Triad of Impairment, what type of social development is typical for individuals with ASD?

<p>Impaired, deviant, and extremely delayed social development. (C)</p> Signup and view all the answers

Why might Speech and Language Therapists work with individuals with ASD who have 'minimal' communication abilities?

<p>Because of the focus on speech, language, and communication difficulties highlighted in the Triad of Impairment. (C)</p> Signup and view all the answers

Which of the following is a common term to describe individuals with minimal verbal communication abilities?

<p>Minimally verbal. (B)</p> Signup and view all the answers

Which of the following is considered an early diagnostic feature of Autism Spectrum Disorder (ASD) related to language?

<p>Echolalia and perseveration (B)</p> Signup and view all the answers

What language characteristic is specifically associated with difficulties in inferential language use in ASD?

<p>Difficulty understanding humor and sarcasm (C)</p> Signup and view all the answers

What is a common characteristic related to play and imagination in young children with ASD?

<p>Delayed pretend and symbolic play (A)</p> Signup and view all the answers

What does the term ‘scripted’ often refer to in the context of ASD?

<p>Routinized or repetitive imaginative play or behavior. (A)</p> Signup and view all the answers

What is a key aspect of understanding ASD?

<p>Recognizing that ASD presents with a range of profiles. (A)</p> Signup and view all the answers

Which of the following best describes the concept of 'functioning' as discussed in the text?

<p>It varies depending on time and place. (C)</p> Signup and view all the answers

What is highlighted about the importance of understanding in order to provide effective supports?

<p>The individual’s unique profile. (D)</p> Signup and view all the answers

Which example from the text demonstrates an atypical use of preposition?

<p>'The clock is at the wall' (D)</p> Signup and view all the answers

Flashcards

What are Autism Spectrum Disorders (ASD)?

Autism Spectrum Disorders (ASD) refer to a broad range of conditions characterized by challenges with social interaction, communication, and repetitive behaviors.

What's the developmental profile used to diagnose ASD?

The developmental profile used to diagnose ASD includes observing a child's social interaction skills (like making friends and understanding social cues), communication skills (understanding and expressing language), and repetitive behaviors (stimming or following routines).

What does "spectrum" mean in Autism Spectrum Disorders?

The term "spectrum" highlights the wide variety of presentations of ASD. Individuals with ASD can have different strengths and challenges across the spectrum. Some may have milder challenges, while others may face more significant difficulties. This makes understanding individual needs crucial.

How can speech, language, and communication difficulties present in ASD?

Speech, language, and communication difficulties are common in people with ASD. These difficulties range from subtle challenges in understanding social cues and complex language to more significant impairments in verbal communication.

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What are the current debates around developmental diagnoses related to ASD?

There are ongoing discussions about various developmental disorders related to ASD, and the concept of neurodiversity is gaining traction. This acknowledges that differences in brain structure and function are natural and can be strengths. It promotes acceptance and understanding of neurodiversity.

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Social Communication Impairment

A difficulty with understanding and responding to social cues and behaviours, like facial expressions or body language.

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Difficulty Initiating social interaction

People with ASD might have difficulty initiating conversations, forming friendships, or engaging in shared social activities.

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Atypical Social Behaviour

A person with ASD might have unusual gaze patterns, body postures, or use gestures in a non-typical way.

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Lack of Reciprocal Interest

People with ASD may not easily understand or respond to emotional cues from others, which can lead to difficulties building relationships.

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Social Withdrawal

Individuals with ASD may avoid social situations or feel isolated from others due to their challenges with social communication.

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Rigidity in Thinking and Behaviour

A lack of imagination and flexibility in thinking and behaviour, often seen in play.

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Differences in Communication

People with ASD may not use language as a primary way to communicate or may use it differently.

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Sensory Processing Difficulties

Individuals with ASD may find it difficult to adjust to sensory experiences and may have heightened sensitivities.

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Increased Autism Diagnoses

The increase in autism diagnoses is not due to a rise in the number of autistic people, but rather a greater understanding and identification of autism across the population.

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Autism Spectrum

Autism is a spectrum, meaning there's a wide range of severity and characteristics. No two autistic individuals are exactly alike.

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Variability of Functioning

The concept of 'functioning' in autism is not fixed and can change based on factors like time, environment, and individual efforts.

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Individualized Autism Profile

Each autistic individual has a unique set of strengths and challenges. Understanding this profile helps tailor support and intervention.

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Triad of Impairment in ASD

This outdated model focused on social, communication, and imaginative impairments to diagnose autism. It's still useful for understanding the core challenges faced by many autistic individuals.

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Socialisation Impairment

One of the three parts of the outdated 'Triad of Impairment' in ASD, this refers to difficulties with social interaction and development.

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Communication Impairment

One of the three parts of the outdated 'Triad of Impairment' in ASD, this refers to difficulties with communication, including verbal and nonverbal communication.

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Imaginative Impairment

The Triad of Impairment in ASD originally included this category, focusing on difficulties with imagination, play, and symbolic thinking. It's important to note that these are not universally present in autism.

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Asperger Syndrome

A condition that was previously recognized as distinct from autism but is now considered part of the autism spectrum.

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High Functioning Autism

A term used to describe autistic individuals with strong communication skills and normal or above-average intelligence.

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Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS)

A term used to describe autistic individuals who have some of the characteristics of autism, but do not meet the criteria for a full diagnosis.

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Unusual Language Use

A type of speech pattern in which language is used in a formal, literal, and sometimes unusual manner.

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Autistic Psychopathy

A condition characterized by difficulty with social interaction, limited interests, and repetitive behaviors.

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Autism Continuum

The idea that autism is a spectrum of disorders, meaning that the severity and presentation of symptoms can vary widely.

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DSM-V

A condition that is officially recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V).

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Asperger Syndrome

A condition that is not officially recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and is no longer formally diagnosed.

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Echolalia

Repeating words or phrases spoken by others, even if they don't make sense. It's often seen in young children with autism, but can also appear in people with other conditions.

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Perseveration

Carrying on with a behavior or activity even when it's no longer appropriate. It's like getting stuck on a certain thought or action.

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Idiosyncratic Language

Using language in unusual ways, such as making up words or using words in a very specific and unique way. It's not just using incorrect grammar, it's a different system of language altogether.

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Neologisms

Invented words or unusual expressions that only the individual understands. It's often seen in people with autism who have difficulty with language development

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Pronoun Reversal

When someone uses the wrong pronouns, like saying 'I' when they mean 'you'. It's often seen in people with autism, but can also appear in people with other conditions.

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Inferential Language

This refers to the ability to understand language in a deeper way including implied meaning, sarcasm, and symbolic language. Problems in this area are common in autism.

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Obsessive Interests

When someone has a strong, unwavering interest in a particular topic that may seem unusual to others. This interest is often accompanied by a deep knowledge of the topic and detailed information.

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Spectrum Disorder

ASD is a spectrum, meaning it affects people differently. There are many possible combinations of symptoms and challenges, and the severity can vary greatly between people. Some may have severe challenges in communication, while others may have milder challenges and be more able to communicate.

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Autism Spectrum Disorder (ASD)

A neurodevelopmental disorder characterized by persistent challenges in social communication and interaction, as well as restricted and repetitive behaviors, interests, or activities. May also include sensory sensitivities.

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Attention Deficit Hyperactivity Disorder (ADHD)

A neurodevelopmental disorder involving persistent inattentiveness and/or hyperactivity-impulsivity, impacting daily functioning.

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Learning Disability/Intellectual Disability

A range of conditions affecting cognitive abilities, including reasoning, problem-solving, and learning. May impact academic performance and daily living.

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Developmental Language Disorder (DLD)

A neurodevelopmental disorder primarily affecting language development, impacting understanding and expression.

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Neurodevelopmental Disorder

A medical term used to describe a range of conditions impacting brain development, often resulting in challenges with learning, behavior, and social skills. It is believed to be caused by a mix of genetic and environmental factors.

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Neurodiversity

A social model of disability that emphasizes the strengths and unique ways of thinking of people with neurodevelopmental conditions, rather than focusing on deficits.

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Neurodiversity Inclusive Practices

The practice of providing support and accommodations to individuals with neurodevelopmental conditions to help them thrive in their environments, considering their unique needs and strengths.

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Study Notes

Speech, Language and Communication Needs in the Context of Autism Spectrum Disorders (ASD)

  • Wide variation in ASD and often other needs impacting on speech, language, and communication
  • The triad of impairment (a framework) is used to understand ASD historically.
  • The session aims to cover the history of autism and ASD to understand how it's understood and identified today.
  • Understanding of ASD as a pervasive developmental disorder is a key learning objective
  • Identifying the developmental profile used for diagnosis in children.
  • Recognising the variation in ASD through the autism spectrum.
  • Learning how speech, language, and communication difficulties can present in ASD.
  • Understanding developmental diagnoses and disorders related to ASD.
  • Research the current debates around these diagnoses, including neurodiversity.

Important Note (1)

  • Significant variation in ASD and various perspectives exist.
  • The lecture focuses on ASD with other needs affecting speech, language, and communication.
  • The triad of impairment will serve as a framework for understanding ASD historically.
  • The session is designed to cater to students with varying levels of experience with ASD.

Important Note (2)

  • Person-first language is essential (e.g., "person with autism" instead of "autistic person").
  • Ableist language should be avoided.
  • Strengths-based approaches to support are important. Examples include visual supports (Makaton signs, visual timetables).

Learning Outcomes

  • Demonstrating understanding of ASD as a pervasive developmental disorder.
  • Identifying the developmental profile used in diagnosing ASD in children.
  • Showing awareness of the varied presentations of ASD along the autism spectrum.
  • Understanding how speech, language, and communication difficulties manifest in ASD.
  • Acquiring knowledge of developmental diagnoses related to ASD, and current debates (including neurodiversity).

First of all....

  • Sharing knowledge of autism spectrum disorder (ASD).
  • Sharing knowledge of speech, language, and communication in ASD.

Autism Spectrum Disorders (ASD)

  • A video, "My Autism and me" (from CBBC Newsround) is suggested viewing material, specifically the first 10 minutes.
  • The video is approximately 7 minutes long, featuring three sections.
  • The camera focuses on the child and the speech language therapist (SLT).

Diagnostic Criteria - DSM-5

  • A. Persistent deficits in social communication and social interaction:

  • Deficits in social-emotional reciprocity

  • Deficits in nonverbal communicative behaviors used for social interaction

  • Deficits in developing, maintaining, and understanding relationships

  • B. Restricted, repetitive patterns of behavior, interests, or activities:

  • Stereotyped or repetitive motor movements, use of objects, or speech

  • Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior

  • Highly restricted, fixated interests that are abnormal in intensity or focus

  • Hyper- or hypo-reactivity to sensory input or unusual interests in sensory aspects of the environment

  • C. Symptoms present in the early developmental period.

  • D. Significant impairment in social, occupational, or other important areas of current functioning.

  • E. Not better explained by intellectual disability or global developmental delay.

Neurodiversity: a note

  • The term 'neurodiversity' was coined in 1999 by Judy Springer.
  • Often centered around ASD, ADHD, Dyslexia and Dyspraxia.
  • Neurodiversity is the recognition that people have different 'brain types.'
  • Neurodiversity is used to refer to the range of neurological profiles that are considered typical. Neurodiversity is not typical/abnormal/a disorder.

ASD: in summary

  • ASD is a neurodevelopmental disorder according to DSM-5 diagnostic criteria.
  • ASD is typically diagnosed in the first 5 years of age.
  • Aspects like socialisation, communication and imagination/thought process might all show a triad/dyad of impairment.
  • The diagnostic process can be complex for some individuals.
  • Speech and language deficits are common in ASD and often a key area of need for support.
  • Several articles and texts are recommended for further study, including books on language development.

Autism Spectrum Disorders (ASD) - Some Historical References

  • A list of historical references on ASD is provided for additional background.

Asperger Syndrome - Some History

  • Introduced by Hans Asperger in the 1940s, around the same time as the proposed diagnosis of ASD.
  • This Vienna-based psychiatrist outlined characteristics of Asperger's Syndrome. Key characteristics include significant deficits/differences in social interaction and language use - but without language delay or intellectual impairment
  • This has since been integrated into broader, more comprehensive concepts (such as the autism spectrum).
  • The condition is no longer a separate diagnosis.

Other Topics

  • The lecture also includes discussions of the learning outcomes, a "myth-busting" section, an overview of the terminology used when diagnosing ASD, explorations on communication, socialisation, imagination, diagnostic considerations, recent research, prevalence in comparison to the past, additional conditions sometimes co-occurring with ASD, and different types of data.

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