Autism Spectrum Disorder
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Questions and Answers

What was one of Kanner's beliefs about the nature of autism during the early diagnosis period?

  • Autism is closely related to childhood schizophrenia.
  • Autism is a neurodevelopmental disorder related to genetic predisposition.
  • Autism is an escape from reality. (correct)
  • Autism is primarily the result of environmental influences.

Which characteristic is NOT typically associated with Asperger’s Syndrome?

  • Deficiency in empathic responding
  • Stilted speech patterns
  • Normal intelligence
  • Severe cognitive impairment (correct)

How did early perceptions of autism incorrectly attribute the cause of the disorder?

  • By linking it to environmental toxins like pesticides.
  • Due to ineffective parenting styles. (correct)
  • Through genetic factors and family background.
  • As a result of infant vaccinations.

What is the current understanding of Autism Spectrum Disorder (ASD) in relation to neurodevelopment?

<p>ASD is a set of neurodevelopmental disorders unrelated to parenting. (B)</p> Signup and view all the answers

What notable change occurred regarding the classification of Asperger’s Syndrome in DSM-5?

<p>It was merged into the ASD category. (B)</p> Signup and view all the answers

According to historical perspectives, parents of autistic children were often viewed as what?

<p>Contradictory communicators and emotionally withholding. (C)</p> Signup and view all the answers

Which of the following is a symptom associated with Asperger’s Syndrome?

<p>Stilted and monotonous speech patterns. (C)</p> Signup and view all the answers

What misconception about autism treatment was prevalent historically?

<p>Parenting techniques could cure autism. (C)</p> Signup and view all the answers

Which of the following individuals is most commonly associated with the early study of autism and may have influenced its diagnosis?

<p>Leo Kanner (B)</p> Signup and view all the answers

Which of the following statements regarding the characteristics of Asperger's Syndrome is accurate?

<p>Social interactions may be awkward but cognitive abilities are often intact. (C)</p> Signup and view all the answers

What was a common misconception about the cause of autism in historical contexts?

<p>Parental neglect. (B)</p> Signup and view all the answers

What is one proposed neurodevelopmental basis for Autistic Spectrum Disorder?

<p>Underdevelopment of social networks in the brain. (D)</p> Signup and view all the answers

Which factor has been dismissed as a significant cause of ASD, despite historical speculation?

<p>Infant vaccines. (C)</p> Signup and view all the answers

What is a characteristic feature of lower-functioning ASD in children?

<p>Social withdrawal and lack of interest in peers (C)</p> Signup and view all the answers

Which genetic condition is the most common known cause of ASD?

<p>Fragile X Syndrome (C)</p> Signup and view all the answers

What is the incorrect perception about the causes of autism in historical discussions?

<p>Vaccines are a direct cause of ASD. (B)</p> Signup and view all the answers

Which of the following is a sensory problem often seen in children with lower-functioning ASD?

<p>Hyper-sensitivity to touch and sounds (B)</p> Signup and view all the answers

What is a key feature of Asperger’s Syndrome compared to lower-functioning ASD?

<p>High verbal capabilities and normal cognitive functioning (D)</p> Signup and view all the answers

Which behavioral characteristic is often present in individuals with lower-functioning ASD?

<p>Repetitive body movements and narrow interests (C)</p> Signup and view all the answers

Which is a common comorbidity identified in individuals diagnosed with lower-functioning ASD?

<p>Attention-Deficit/Hyperactivity Disorder (ADHD) (B)</p> Signup and view all the answers

Which behavioral pattern is characteristic of a diagnosis of Childhood Disintegrative Disorder?

<p>Normal development followed by significant regression (B)</p> Signup and view all the answers

Which of the following factors is widely accepted as a risk factor for ASD, based on contemporary research?

<p>Advanced paternal age (D)</p> Signup and view all the answers

Which risk factors are associated with an increased likelihood of developing Autism Spectrum Disorder (ASD)?

<p>Older parental age, especially fathers (A)</p> Signup and view all the answers

What is a notable brain finding in individuals with Autism Spectrum Disorder?

<p>67% more neurons in the prefrontal cortex (D)</p> Signup and view all the answers

Which treatment is NOT commonly associated with managing Autism Spectrum Disorder?

<p>Surgery to alter neurotransmitter levels (B)</p> Signup and view all the answers

Which statement accurately describes the relationship between vaccines and Autism Spectrum Disorder?

<p>Childhood vaccines have no credible evidence linking them to ASD. (B)</p> Signup and view all the answers

What is a possible outcome for lower-functioning individuals with Autism Spectrum Disorder?

<p>They often require long-term custodial care. (D)</p> Signup and view all the answers

What characterizes Autistic Spectrum Disorder in the DSM-5-TR classification?

<p>Early-onset impairments in social interaction and communication. (D)</p> Signup and view all the answers

Which of the following statements reflects a common misconception about Autism historically?

<p>Autism primarily affects females more than males. (A)</p> Signup and view all the answers

What is a primary focus of Applied Behavior Analysis (ABA) therapy for individuals with lower-functioning ASD?

<p>Language acquisition and social skills (C)</p> Signup and view all the answers

Which level of functioning in ASD indicates the need for 24/7 care?

<p>Level 3 (D)</p> Signup and view all the answers

Which statement best reflects the current understanding of Kanner's etiology for early infantile autism?

<p>It combines genetic, environmental, and epigenetic factors. (D)</p> Signup and view all the answers

What medical condition is commonly co-morbid with Autism Spectrum Disorder?

<p>Seizures due to Rett Syndrome (C)</p> Signup and view all the answers

What neurodevelopmental characteristic is commonly found in individuals with ASD?

<p>Restricted and repetitive patterns of behavior. (B)</p> Signup and view all the answers

Which approach is recommended for educational intervention in high-functioning individuals with ASD?

<p>1:1 teaching environment with focus on language (A)</p> Signup and view all the answers

In Kanner’s etiology for 'early infantile autism,' which factor was mistakenly emphasized?

<p>Parental coldness. (B)</p> Signup and view all the answers

Which of the following is NOT considered a risk factor for developing ASD?

<p>Low socioeconomic status. (B)</p> Signup and view all the answers

What treatment approach is commonly utilized for individuals diagnosed with ASD?

<p>Behavioral therapies designed for social skills development. (D)</p> Signup and view all the answers

What is a significant brain finding associated with Autism Spectrum Disorder?

<p>Decreased neural connectivity in social brain regions. (C)</p> Signup and view all the answers

Which of the following describes historical treatment perceptions of Autism?

<p>Belief in the need for psychoanalytic therapy. (B)</p> Signup and view all the answers

What aspect of autism is emphasized in current diagnostics compared to historical frameworks?

<p>The spectrum nature and range of functioning. (C)</p> Signup and view all the answers

Flashcards

Early Infantile Autism

An early diagnosis of autism, first described by Leo Kanner in 1943, now considered a precursor to ASD.

Leo Kanner

Psychiatrist who first used the term "Early Infantile Autism" in 1943.

Asperger's Syndrome

A now-obsolete condition, a type of high-functioning autism characterized by social impairment and repetitive interests. Included in the ASD category in DSM-5.

Hans Asperger

The Austrian pediatrician who first identified Asperger's Syndrome in 1944.

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DSM-5-TR

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. A book that describes various psychological disorders and their diagnostic criteria.

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ASD (Autism Spectrum Disorder)

A broad category of neurodevelopmental disorders encompassing conditions like autism and Asperger's Syndrome. Characterized by social communication challenges and restricted or repetitive patterns of behavior.

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Neurodevelopmental disorder

Conditions affecting how a person develops that affect brain function, resulting in specific symptoms in how a person communicates and behaves.

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"Refrigerator Mother"

An outdated and incorrect theory that blamed the mothers of autistic children for their condition, suggesting emotional coldness in parenting was a primary cause.

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ASD Genetic Factors

Multiple genes, gene copy number variants, and chromosomal abnormalities may contribute to ASD risk.

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Twin Studies in ASD

MZ (identical) twins show a higher concordance rate (similar diagnosis) for ASD than DZ (fraternal) twins, suggesting a genetic component.

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Fathers' Age and ASD Risk

Older fathers are linked to a higher chance of offspring with ASD, potentially due to gene mutations.

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ASD Brain Neuron Abundance

ASD brains have an excess of neurons, especially in the prefrontal cortex, starting in the prenatal period.

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Vaccines and ASD

Scientific evidence does not support a link between childhood vaccines and ASD.

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Early Behavioral Intervention

Early intervention for ASD focuses on self-care, social skills, and education, often employing ABA therapy.

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Medication for ASD

Medication for ASD can address ADHD-like behaviors or other medical issues, but response varies greatly and violence should be addressed with psychosocial considerations.

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Family Therapy in ASD

Family therapy is critical in supporting families struggling with ASD challenges. It promotes healthy boundaries and harmony.

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Treatment Outcomes in ASD

Outcomes of ASD treatment vary significantly from case to case and are unpredictable.

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Cost Factors in ASD Care

Interventions and ongoing care for individuals with ASD can place high financial and emotional demands on families, and healthcare systems are often poorly prepared.

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Neurodiversity

The idea that variations in brain structure and function are natural and should be respected, rather than viewed as disorders.

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Temple Grandin

A renowned scientist, author, and autism advocate who has spoken extensively about neurodiversity and the importance of understanding autistic perspectives.

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ASD Etiology

The causes of Autism Spectrum Disorder are complex and likely involve multiple factors, including genetics and environmental influences.

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High-Functioning ASD

A term used to describe individuals with ASD who have strong cognitive abilities and may excel in specific areas, but still experience challenges with social communication.

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ASD on TV

Characters with ASD are increasingly portrayed in television shows, raising awareness and understanding.

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Lower-functioning ASD Signs

Characteristics observed in children with lower-functioning ASD, including communication problems, sensory sensitivities, repetitive behaviors, and social withdrawal.

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Lack of Babbling/Gesturing

A sign of lower-functioning ASD where a child does not babble, gesture, or point by 12 months, and may not respond to gestures.

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Echolalic Speech

A sign of lower-functioning ASD where a child repeats phrases or words without understanding their meaning.

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Social Withdrawal in ASD

A characteristic of lower-functioning ASD where children show little interest in peers, making friends, or engaging in joint play.

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Sensory Sensitivity in ASD

A symptom of lower-functioning ASD involving extreme reactions (either hyper-sensitivity or indifference) to touch, smells, sounds, or pain.

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Repetitive Body Movements

A sign of lower-functioning ASD where children engage in repetitive actions like hand-flapping or finger-flicking.

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Perseveration

A characteristic of lower-functioning ASD where a child gets stuck on a specific topic or task, unable to move on easily.

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Fragile X Syndrome

A genetic condition that is the most common known cause of ASD and intellectual disability, affecting the FMR1 gene on the X chromosome.

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Rett Syndrome

A genetic disorder caused by mutations in the MECP2 gene on the X chromosome, leading to developmental deterioration, primarily affecting females.

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Trisomy 21 (Down Syndrome)

A genetic condition where an extra copy of chromosome 21 is present, often associated with ASD.

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Autistic Spectrum Disorder (ASD)

A group of neurodevelopmental disorders affecting social communication and behavior. Individuals with ASD show early onset difficulties with social interaction, communication, and may exhibit restricted and repetitive behaviors.

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Social Communication

The process of conveying and understanding information, ideas and feelings in social interactions. Individuals with ASD experience difficulties in these areas.

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Restricted and Repetitive Behaviors

A common feature of ASD. These may include seemingly unusual or repetitive movements or behaviors, limited interests, and inflexible adherence to routines.

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Levels of ASD Functioning

DSM-5-TR categorizes ASD based on level of support needed. Level 1: High-functioning, independent living. Level 2: Moderate functioning, semi-independent living. Level 3: Severe, requiring medication and specialized care.

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ASD in Males vs Females

ASD occurs more frequently in males than females, with a ratio of 5 to 10 times more common in males.

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Early Onset of Symptoms

ASD is characterized by early onset symptoms, meaning they are present within the first few years of life.

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Impairments in Social Interaction

A key characteristic of ASD, including difficulties with initiating and maintaining social relationships, understanding social cues, and engaging in reciprocal interaction.

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Impairments in Communication

Challenges in communication skills including verbal and nonverbal communication. This may involve difficulty with understanding language, initiating conversations, or expressing oneself.

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Study Notes

  • Lecture notes are copyright 2014, 2020, 2023
  • All rights reserved
  • Download for private student use only
  • Psych 183 students currently registered at UCSB
  • For-profit reproduction prohibited
  • Violation of U.C. regulations and DMCA
  • Expressly prohibited

Course Materials Protection

  • Class lectures, discussions, handouts, examinations, and web materials are protected by US Federal Copyright Law and California Civil Code
  • Recording lectures or discussions and distributing/selling notes without instructor permission is prohibited
  • Students are permitted notes only for private educational use
  • Exceptions for students with disabilities may be granted with appropriate documentation
  • Completing and selling study guides is prohibited

Taylor Swift Fan "Amnesia"

  • Fans paid hundreds of dollars and endured rain to see Taylor Swift
  • After the 40-song show, many fans couldn't recall details of the performance.

DSM-5-TR Autistic Spectrum Disorder

  • Classified as a neurodevelopmental disorder
  • Includes various intellectual, perceptual, and communication disorders
  • Includes a range of syndromes, with early onset impairments
  • Social interaction and communication deficits
  • Restricted, repetitive, and stereotyped behaviors, interests, and activities
  • About 1 in 150 children have ASD; 5-10 times more common in males
  • Includes levels of functioning:
    • Level 1: Relatively high-functioning; independent living
    • Level 2: Moderate functioning; capable of semi-independent living
    • Level 3: Serious communication and repetitive behaviors; requires 24/7 care and medication

Signs of Lower-Functioning ASD

  • Problems in verbal and nonverbal communication:
    • No babbling, gesturing, or pointing by 12 months
    • Absence of speech or echolalic speech
    • Social withdrawal, limited interest in peers
    • Poor eye contact, difficulty with "joint attention"
    • Failure to initiate or respond to social interactions
  • Sensory problems:
    • Hypersensitivity or indifference to touch, smells, sounds, pain
    • Absence of startle response to loud noises
  • Repetition and Preference for Sameness:
    • Repetitive body movements (e.g., hand-flapping)
    • Perseveration (getting stuck on a specific topic or task)
    • Very narrow set of interests, over-focus on preferred activities
  • Co-diagnosis of ADHD is common

Comorbid Medical Conditions

  • 70% of ASD cases have no apparent medical disorder
  • 30% of ASD cases are diagnosed with an associated medical condition, including:
    • Fragile X syndrome: most common known genetic cause of ASD and intellectual disability.
    • Rett syndrome: genetic mutation affecting mostly females with infantile deterioration
    • Trisomy 21 (Down Syndrome)
    • Others

Older Classifications within ASD

  • No longer diagnosed separately in DSM-5 and DSM-5-TR:
    • Higher-functioning: Asperger's Syndrome
    • Lower-functioning:
      • Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS)
      • Childhood Disintegrative Disorder

"Early Infantile Autism"

  • Introduced by Leo Kanner at Johns Hopkins University (1943)
  • Autism seen as a way to avoid reality.
  • Parents sometimes blamed for the disorder
  • Confusion with childhood schizophrenia

ASD as a Set of Congenital Disorders

  • ASD is a set of congenital disorders.

Adult ASD in Rain Man (1988)

  • Movie depicting an adult with ASD

"Asperger's Syndrome"

  • Pioneered by Hans Asperger in 1944.
  • Mostly known from the 1980s
  • High-functioning: normal intelligence with autism features
  • Deficient empathy and social skills
  • Routines and interests dominate speech
  • Potential for odd posturing, nervous tics, hand-flapping, violent outbursts, and sensory hypersensitivity

High-Functioning, High Profile

  • List of high-profile individuals who are/were speculated to have ASD

High-Functioning ASD People on TV

  • Fictional characters displayed on TV who have ASD traits
  • Shaun Murphy, Sheldon Cooper and Amy Farrah Fowler

Is High-Functioning ASD a Disorder?

  • Temple Grandin (Professor of animal science)
  • Advocate for neurodiversity and spectrum of human differences

Etiology of ASD

  • A number of different types of ASD with varied causes
  • Potential genetic links and chromosomal abnormalities
  • 600-1200 genes possibly linked to ASD
  • Genetic markers, epigenetic, and possible prenatal complications
  • Brain findings including overabundance of neurons (67% more than norm) and over-wiring of connections in ASD brains

How is ASD Treated?

  • Early behavioral intervention:
    • Self-care and social skills training
    • ABA therapy (autism behavior analysis) for lower-functioning
    • Social-scripts training for higher-functioning
  • Structured educational environment
  • Medication (optional):
    • Ritalin for ADHD-like behaviors
    • Anticonvulsants/antipsychotics (if needed) for outbursts, seizures
  • Family therapy and ABA are used to improve family dynamics

Fridlund's Last Lecture for ASB (2012)

  • Alan Fridlund's final lecture from 2012

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