Understanding Autism TRUE 1 2 3 How much do you know about Autism? Decide what you think about each of the statements. Some of them are known to be True or False while for others the answer is Uncertain even to the experts. FALSE UNCERTAIN Autism can be caused by emotional deprivation. Understanding Autism People with autism are all eccentric geniuses. Autism is on the increase. 4 Autism has the same rate of occurrence worldwide. 5 Autism can be detected before a child is 2 years old. 6 People with autism don’t easily understand other people’s thoughts and feelings. 7 Autism runs in families. 8 There is a gene for autism. 9 Autism can be caused by the MMR vaccine. 10 A person with autism can grow out of it. 11 People with autism all have below average intelligence. 12 People with autism always prefer being alone. 13 More boys are diagnosed with autism. Adapted from: `The Autism Spectrum in the 21st Century: Exploring Psychology, Biology and Practice` 2010 the Open University. You can find more information about autism here: www.open.ac.uk/science/main/about-the-faculty/ departments/life-health-and-chemical-sciences/general-information-about-autism DON’T KNOW Answers Statement 1 is false: despite claims made in the 1960s by Bettelheim, there is no evidence to support this suggestion, and much evidence that biological influences play the major role in autism. One study of infants abandoned in Romanian orphanages (Rutter et al., 1999) identified an ‘autistic-like’ condition in some of the children, but these children showed substantial recovery when placed in a more nurturing environment. Statement 2 is false: just a small minority of people on the autism spectrum have exceptional talent in areas such as numerical calculation, visual art and music, while a larger number have specific areas of special skill. Some people with autism have intellectual or learning difficulties. Statement 3 is uncertain: there has certainly been an increase in the numbers of children receiving autism spectrum diagnoses, but this does not necessarily mean that autism is on the increase; these changes could, for instance, be due to changes in diagnostic practice. Understanding Autism Understanding Statement 8 is false: unlike conditions such as cystic Autism fibrosis, where a defect in a specific gene is known to cause the condition, no single gene is implicated in autism. Autism almost certainly involves the combined impact of several genes, and different genes may be involved in autism in different families. Statement 9 is false: extensive scientific tests have produced absolutely no evidence for the claim that the MMR vaccine is influential in causing autistic conditions. Note, however, that it is not possible to prove conclusively a negative in science. Statement 10 is false: despite some claims, there is no good evidence that children diagnosed with autism can become completely free of it as adults. However, in some cases the pattern and severity of symptoms changes radically. The adult may become much less affected by certain symptoms, though social difficulties are likely to persist. Statement 11 is false: while some children and adults on the autism spectrum have mild to Statement 4 is uncertain: estimates of severe intellectual impairments, the intellectual ‘prevalence’ vary from one country to another, functioning of many others is within, and in some but as for statement 4 this may be due to factors cases above, the normal range. Children on the such as differences in diagnostic practices. autism spectrum often attend mainstream schools. Note, however, that they may still have difficulties Statement 5 is uncertain: by the age of 18 months the in coping with everyday situations, and may not failure of some children to pass typical development achieve what they are capable of for this reason. milestones, such as following a parent’s gaze, places them in the ‘at risk’ category. But these early signs Statement 12 is false: people on the autism are not conclusive. To date, autism cannot be reliably spectrum would often like to make friends and diagnosed before the age of 2 years, but improved have the company of others, though they may ‘screening tools’ for infants may change this situation. also have difficulties in making this happen. Statement 6 is true: probably the welldocumented research finding from recent decades is that people on the autism spectrum typically have difficulty in understanding another person’s point of view and feelings. Statement 13 is true: Four times more boys are diagnosed with autism than girls although research is underway to look at whether doctors are missing diagnosing girls with the condition. Statement 7 is true: in some families autistic conditions may affect more than one individual, though this is by no means always true. Parents and siblings of children on the autism spectrum may also show mild autistic traits, without actually meeting the criteria for an autism spectrum diagnosis. These facts point strongly to a genetic factor in autism. WS1632(11) 02.15
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