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Autism
Autism is a severely handicapping disorder, which
begins at birth or within the first 2 ½ years of life
characterized by impairment in effective social skills, absent
or impaired language development, repetitive and/or stereotyped
activities and interest, especially inanimate objects. For many
years autism occurred in about 5 children per 10,000 live
births. However, since the early 1990's, the rate of autism has
increased enormously throughout the world, so that figures as
high as 60 per 10,000 are being reported. The reasons for the
increase are being debated, but the most likely cause appears to
be the over vaccinations of infants.
Most autistic children are perfectly normal in appearance, but
spend their time engaged in puzzling and disturbing behaviors,
which are markedly different from those of normal children. They
may stare into space for hours, throw uncontrollable tantrums,
show no interest in people (including their parents) and pursue
strange, repetitive activities with no apparent purpose. They
have been described as living in a world of their own.
These are
abnormalities of communication, abnormalities of social
development, and a restriction of behavior and interest. Of
these, the abnormalities of social development are the most
specific to autism. These and other features will be described
more fully.
Autistic
aloneness is an abnormality of social development in which the
child she unable to make warm emotional relationships with
people. Autistic children do not respond to their relationships
with people. Autistic children do not response to their parent’s
affectionate behavior by smiling or cuddling. Instead, they
appear to dislike being picked up or kissed. They are no more
responsive to their parents than to strangers and do not show
interesting other children. There is little difference in their
behavior towards people and inanimate objects. A characteristic
sign is gaze avoidance that is the absence of eye-to eye
contact.
Assessment from
Specialist Medical Doctor should be concerned with more than the
diagnosis of autism. The following additional factors need to be
considered.
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Treatment :
Before starting
with the treatment psychiatrist examination is must.
Treatment has three
aspects: management of the abnormal behavior, arrangements for
social and educational services, and help for the family.
Behavioral method
using contingency management.
Most autistic
children require special schooling.
The family of an
autistic child needs considered help to cope with the child’s
behavior. Which is often bewildering and distressing.
Between 10 and 20
per cent of children with childhood autism begin improve between
the ages of about four and six years and are eventually able to
attend an ordinary school and obtain work.
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