Early Indicators of Autism Spectrum Disorders

Jan 9, 2013 | Posted by: roboblogger | Full story: Examiner.com

It is well established that early identification and intervention are critical determinants in the course and outcome of autism spectrum disorders .

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#498
Feb 20, 2013
 

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friend wrote:
2018 hardly helps those kids today, does it? Our insurance was very good, union-based. It covered a 35K implant my son had to have for precocious puberty (anyone can look that up, has nothing to do with vaccines, either and happens with or without having autism).
Surprisingly, my son has had few serious accidents. He's put himself in dangerous situations and it was just by the grace of someone that he wasn't seriously hurt. My son is an out door kid, just not for teams ports. He loves to swim. Best thing we ever bought was a trampoline and a huge pool. There's an out door small skate park near us, we go there a lot when the weather is nice, only I cant just drop him off and it's terribly boring for me. I have to pretend not to be there :) I can hardly wait for Spring. I think the 15 below zero temps we're getting is coming from Canada. Figures the cold chill would come from there!
<quoted text>
We get your filthy river water in the spring. Precocious puberty? Who invented that B.S.?
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DUH IM ELIASS wrote:
<quoted text> OK lets talk about your lack of interest about what caused your chil's autism. If your child was raped or murdered would you also not want to know who did it? Did you read my link? It included this USA government quote:
"The government has never compensated, nor has it ever been ordered to compensate, any case based on a determination that autism was actually caused by vaccines. We have compensated cases in which children exibited an encephalopathy, or general brain disease. Encephalopathy may be accompanied by a medical progression of an array of symptoms including autistic behavior, autism, or seizures"
Has your child had seizures yet? My child's started at 17. But there you have it, the MMR is known to cause both encephalopathy and seizures as side effects. Encephalopathy according to the USA government statement above can and does include autistic behavior and autism. Case closed.
Wow

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#500
Feb 20, 2013
 
There is now mounting evidence demonstrating the effectiveness of intensive early intervention using a range of behavioral and naturalistic approaches with a substantial proportion of young children with autism spectrum disorders (ASD). Research indicates that intervention provided before age 3 1/2 has a much greater impact than that after age 5, which underscores the importance of improving early identification. In spite of the severity of the
behavioral characteristics of most children with ASD, the average age for diagnosis in the United States is not until 3 to 4 years. Although there have been significant advances in genetic and biomedical research on ASD, there is currently no biological
marker for either autism or ASD, therefore screening and diagnosis must be based on behavioral features.

Purpose
The purpose of this prospective, longitudinal study was to identify precise early indicators of autism spectrum disorders (ASD) during the second year of life by examining videotaped communication samples.

Specific research objectives were:
To examine the accuracy of the Communication and Symbolic Behavior Scales Developmental Profile (CSBS DP) Infant-Toddler Checklist as a 1st stage screening tool for children with ASD; and
To identify red flags for ASD from archival videotapes collected during the second year of life.

Method
PAR TICIPANTS: Three groups of children participated in this study: one with ASD (n = 18), one with developmental delays in which ASD was ruled out (DD; n = 18), and one with typical
development (TD; n = 18). The participants in this study were drawn from a pool of children who are part of an ongoing longitudinal study of the FIRST WORDS Project. Children were recruited to the Project by having parents complete the CSBS DP
Infant-Toddler Checklist distributed by childcare and healthcare agencies and by staff in public places that serve families of young children. The target population for screening is children who have not yet been identified as having a developmental delay. This investigation is reporting on findings of participants drawn from a pool of 3,021 children who were not previously identified (NPI) as having a developmental delay and were screened with the Infant-Toddler Checklist under two years of age. Additionally, five children who were developmentally delayed and had been identified (DDI) under the age of 2 years when referred to the Project were included in this study, three who received a diagnosis of ASD from a pediatric neurologist and two who had Down syndrome. These five DDI children were also screened with the Infant-Toddler Checklist under two years of age.
Elias

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friend wrote:
When my son was young, he was very afraid of bugs, mainly spiders and bee's. He'd mistake a fly for a bee, and run to the house and not want to go back outside.


LOL! yes my daughter is a tomboy outside but turns very girly when she sees a bug. My daughter has very low tolerance for Australian flies as she knows they will buzz near her ears.
friend wrote:
The other problem is his sense of cold and hot. In the winter he'd try and take off all his winter clothes while outside, in the summer he could never tell when he was over heating.
Yes my daughter seems to have a high threshold for pain. It makes it hard to diagnose when she has hurt herself. She never mentions she is hot or cold but will tell us if something is hot to touch.
friend wrote:
My son will soon be 14. At our meeting last week, he was observed with the crowd of boys, but he was just sort of 'there'. In small groups he'll talk but not in larger groups. When he was younger, if they made eye contact level, he'd never talk to a peer(s) but he did talk to adults, and only of things of his interest which at the time was trains and it was short statements.
Yes my daughter doesn't speak to cildren her age but she is happy to sit with them or lay outside provided they don't cough or sneeze excessively.
friend wrote:
I found that interesting because I do not and never did have blond hair. This year he transitioned to secondary (his school is K -12th) this is the first year he is telling an adult when something is wrong, and he goes to the social skills teacher who he seems to trust the most. She also has blond hair.
Does your son watch TV? the media has a significant number of blonde haired news presenters, models and celebrities. These impact on children and may influence their personal preferences according to research on the impact of the media on children.
friend wrote:
Those things take time. My son could never do these things when he was the age of your daughter. The good thing is when a child talks to someone, chances are they will progress to speaking to others. The aides could and should help her to speak to peers, and model for her.
I think each child is different. Sometimes some strengths may compensate for other areas of weakness. What's your opnion on the Asperger/HFA schism? mny parents with aspergers kids are refusing to recognise the new DSM guidelines. They are agitating to remove Aspergers from DSM claiming it's not a mental disorder like autism.

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#504
Feb 21, 2013
 

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My son's preference to blond hair started before he ever watched TV. I realized it when we were interviewing day care people, it did become more obvious as he got older.

The DSM changes names of diagnosis all the time when they revise it. Asperger syndrome will be eliminated as a separate disorder, and merged under autism spectrum disorders. For those claiming it's not a mental disorder and at the same time upset about this change, asperger's always was part of the DSM which makes it clasified as a mental disorder. Cant have it both ways. A medical diagnosis also is not the same as an educational label. Those who had previously qualified for services still would.

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#505
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Also DSM 4, the category was Pervasive Developmental Disorder (PDD) which included autism and asperger's. They're changing the category to Autism Spectrum Disorders.
Many who do have asperger's do refer to themselves as being on the autism spectrum or having autism when the category was pervasive developmental disorder.
I think more people are worried about the PDD-NOS.

The DSM lll occurred in 1980, and there were only six characteristics listed and each of these six symptoms must be present in order for an individual to be diagnosed with infantile autism. Due to some controversy surrounding the descriptor infantile, this category was changed to autistic disorder in 1987.

DSM-IV, occurred in 1994. Besides the inclusion of four new subtypes, drastic changes were made to the criteria that needed to be met in order to receive a diagnosis of autistic disorder. The current release of the DSM has a list of 16 different symptoms used to describe autistic disorder and a patient only needs to exhibit six of the 16 to receive the diagnosis.

DSM V reduces the 16 different symptoms, more narrowing them down, and only in one area (B) a child only has to meet 2 of the 4.
They also lost the speech and cognitive delay.
Elias

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friend wrote:
The DSM changes names of diagnosis all the time when they revise it. Asperger syndrome will be eliminated as a separate disorder, and merged under autism spectrum disorders. For those claiming it's not a mental disorder and at the same time upset about this change, asperger's always was part of the DSM which makes it clasified as a mental disorder. Cant have it both ways. A medical diagnosis also is not the same as an educational label. Those who had previously qualified for services still would.
Yes there is four groups opposed to the collapsing of AS under the top functional category of the ASD sepctrum in DSMV.

Firstly there are those parents concerned that changes to DSM will lead to less funding or no funding or support in relation to their children being diagnosed with Aspergers prior to 2013.

The second group are adults with Aspergers who currently recieve assitance for their condition either through subsidies (i.e. through insurance) for drugs or services. This group are worried that the dissapearance of AS in DSMV will lead to them no longer being recognised as having a disorder.

The two above groups have a legitimate concerns but we are lead to believe by both the Australian and north American health providers that nobody will lose their current services.

The last two groups concerns are less admirable. Firstly parents of children diagnosed with AS who are worried that if their children are labelled as autistic it will mean they will be ridiculed, teased or bullied worse. Finally there are adults and teenagers with Aspergers who find it distasteful to be associated with autism and would oppose the amalgamation on the grounds they are either gifted intellectually or fucntional in society. The classic line "They will now think I am like Rainman".
Elias

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friend wrote:
I think more people are worried about the PDD-NOS..
Mnay diagnosed with PDD-NOS are likely not actually on the spectrum. Many of these will be re-diagnosed with ADHD or Language delay (expressive language disorder). Indeed it may be possible some children diagnosed with PDD-NOS actually have acquired nueral damage that induce autistic like behaviors that are not consistent with classic ASD or AS. As you say they will now have to meet at least 2 of the 4 criteria in order to meet the new ASD diagnosis.

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In the USA, most who have asperger's don't qualify for state or county funding anyway. if anything, the new change will open more funding doors for them. Many insurances here don't ever cover mental health, let alone for autism or asperger's. That's what everyone is trying to change be it ASD or bi-polar. What people have done was classify/ code the disorder as something else in order for insurances to provide coverage.
In the state where I live, asperger's get's no county support and in public school, they don't qualify for any educational services.
Bottom line is, asperger's always has been associated with autism, and most still will fit the new criteria.

I disagree with the association to autism will lead to more bully-type events. Most people aren't even aware of someone's diagnosis by label or title, people don't wear signs saying they have autism or asperger's. It doesn't matter if one has autism or asperger's or is just a nerd, they both and all get teased and bullied. This change isn't going to affect the fact that people who are different get teased and bullied. I have yet to have anyone relate my child who has autism to that of the Rainman (1988 movie), Kim Peeks. That 'old' movie was loosely based on Kim Peeks, and was more about a selfish brother, whose brother was institutionalized at a very young age and then on well into adulthood. Kids are not sent to institutions so that fear to me is baseless. Kim Peeks was also a savant; most with autism are not and I never heard of any with aspergers ever being a savant. I don't think he had any siblings and I don't think he was ever institutionalized. Rainman was a Hollywood movie. Kim Peeks was also born with damage to the cerebellum, and agenesis of the corpus callosum, a condition in which the bundle of nerves that connects the two hemispheres of the brain is missing. Most with autism or asperger's do not have that same condition.
People can more look at Temple Grandin who has autism, they made a recent movie about her as well, and get a whole different view of what autism is for some and how she is a productive member of society.
Elias wrote:
<quoted text>
Yes there is four groups opposed to the collapsing of AS under the top functional category of the ASD sepctrum in DSMV.
Firstly there are those parents concerned that changes to DSM will lead to less funding or no funding or support in relation to their children being diagnosed with Aspergers prior to 2013.
The second group are adults with Aspergers who currently recieve assitance for their condition either through subsidies (i.e. through insurance) for drugs or services. This group are worried that the dissapearance of AS in DSMV will lead to them no longer being recognised as having a disorder.
The two above groups have a legitimate concerns but we are lead to believe by both the Australian and north American health providers that nobody will lose their current services.
The last two groups concerns are less admirable. Firstly parents of children diagnosed with AS who are worried that if their children are labelled as autistic it will mean they will be ridiculed, teased or bullied worse. Finally there are adults and teenagers with Aspergers who find it distasteful to be associated with autism and would oppose the amalgamation on the grounds they are either gifted intellectually or fucntional in society. The classic line "They will now think I am like Rainman".
Elias

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friend wrote:
I disagree with the association to autism will lead to more bully-type events. Most people aren't even aware of someone's diagnosis by label or title, people don't wear signs saying they have autism or asperger's. >
No I was talking about perceptions i.e. parent's perceptions of what other children will think of their Aspie child. Asperger children normally try and make friends and become sensitive to what other children think of them. Autistic kids tend to be less concerned over other's opinions.
friend wrote:
Kim Peeks was also a savant; most with autism are not and I never heard of any with aspergers ever being a savant. I don't think he had any siblings and I don't think he was ever institutionalized. Rainman was a Hollywood movie. Kim Peeks was also born with damage to the cerebellum, and agenesis of the corpus callosum, a condition in which the bundle of nerves that connects the two hemispheres of the brain is missing. Most with autism or asperger's do not have that same condition.>
Yes Peeks did not actually have autism. However rainman is how many people caricature autism (largely because Tom Cruise acted in the movie). Dane's character in Temple Grandin was watched in HBO but I doubt it will change most people's views on autism.
friend wrote:
People can more look at Temple Grandin who has autism, they made a recent movie about her as well, and get a whole different view of what autism is for some and how she is a productive member of society.
<quoted text>
I think people who watch that movie will be suitably impressed with her overcoming abstacles to become socially fucntional. What wasn't highlighted was her dependecy on anti-depressants and anti-anxiety drugs.

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I think that's misconception. Those with asperger's and autism probably care as much as anyone what others think of them. Children with autism try to make friends just as those with asperger's do, but both suffer from social awareness which makes making a friend difficult for them both. And besides all that, no peer yet of my son's even knows what autism is. I doubt peers are going to get the heebeegeebee's over night when the word autism spectrum disorders is used instead of asperger's.

Temple Grandin will tell you she is totally socially awkward. If you watch any of her seminars, she's scripting. My son can script, too and as he get's older I'm sure he'll get better at it. Couldn't tell you about her being on anti-depressants and anti-anxiety drugs. If she is, who cares.

As for movies in general, I doubt that has as much impact as those who advocate currently that those with autism will never progress, will never talk and so on. It's seen on this forum a lot. Hollywood wannabee's jumping on the autism band wagon doesn't help, either.
Elias wrote:
<quoted text>
No I was talking about perceptions i.e. parent's perceptions of what other children will think of their Aspie child. Asperger children normally try and make friends and become sensitive to what other children think of them. Autistic kids tend to be less concerned over other's opinions.
<quoted text>
Yes Peeks did not actually have autism. However rainman is how many people caricature autism (largely because Tom Cruise acted in the movie). Dane's character in Temple Grandin was watched in HBO but I doubt it will change most people's views on autism.
<quoted text>
I think people who watch that movie will be suitably impressed with her overcoming abstacles to become socially fucntional. What wasn't highlighted was her dependecy on anti-depressants and anti-anxiety drugs.
Vaccines Cause Autism

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friend wrote:
In the USA, most who have asperger's don't qualify for state or county funding anyway. if anything, the new change will open more funding doors for them. Many insurances here don't ever cover mental health, let alone for autism or asperger's. That's what everyone is trying to change be it ASD or bi-polar. What people have done was classify/ code the disorder as something else in order for insurances to provide coverage.
In the state where I live, asperger's get's no county support and in public school, they don't qualify for any educational services.
Bottom line is, asperger's always has been associated with autism, and most still will fit the new criteria.
I disagree with the association to autism will lead to more bully-type events. Most people aren't even aware of someone's diagnosis by label or title, people don't wear signs saying they have autism or asperger's. It doesn't matter if one has autism or asperger's or is just a nerd, they both and all get teased and bullied. This change isn't going to affect the fact that people who are different get teased and bullied. I have yet to have anyone relate my child who has autism to that of the Rainman (1988 movie), Kim Peeks. That 'old' movie was loosely based on Kim Peeks, and was more about a selfish brother, whose brother was institutionalized at a very young age and then on well into adulthood. Kids are not sent to institutions so that fear to me is baseless. Kim Peeks was also a savant; most with autism are not and I never heard of any with aspergers ever being a savant. I don't think he had any siblings and I don't think he was ever institutionalized. Rainman was a Hollywood movie. Kim Peeks was also born with damage to the cerebellum, and agenesis of the corpus callosum, a condition in which the bundle of nerves that connects the two hemispheres of the brain is missing. Most with autism or asperger's do not have that same condition.
People can more look at Temple Grandin who has autism, they made a recent movie about her as well, and get a whole different view of what autism is for some and how she is a productive member of society.
<quoted text>
Insurance cmpanies won't touch vaccine injury either, strange when accoring to those who make and push vaccines, it doesn't exist. What a hoot there's a vaccine injury compensation program that actuaqlly DOES compensate for vaccine injury, and even autism.
Elias

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Vaccines Cause Autism wrote:
<quoted text> Insurance cmpanies won't touch vaccine injury either, strange when accoring to those who make and push vaccines, it doesn't exist. What a hoot there's a vaccine injury compensation program that actuaqlly DOES compensate for vaccine injury, and even autism.
Oh please
Elias

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friend wrote:
I think that's misconception. Those with asperger's and autism probably care as much as anyone what others think of them. Children with autism try to make friends just as those with asperger's do, but both suffer from social awareness which makes making a friend difficult for them both.>
I notice my daughter doesn't care what others think and she is seven. When did this change happen for your son?
friend wrote:
And besides all that, no peer yet of my son's even knows what autism is. I doubt peers are going to get the heebeegeebee's over night when the word autism spectrum disorders is used instead of asperger's.>
As a young adult myself I thought the two were seperate. I used to consider Aspies as eccentric individuals prone to tourettes (i.e. outbursts). My attitude toward Autism was based on Hoffman's rainman. This is all largely to lack of exposure.
friend wrote:
Temple Grandin will tell you she is totally socially awkward. If you watch any of her seminars, she's scripting. My son can script, too and as he get's older I'm sure he'll get better at it. Couldn't tell you about her being on anti-depressants and anti-anxiety drugs. If she is, who cares.>
I think she claims she needed the drugs to overcome extreme senstivity. What do you mean by scripting?
friend wrote:
As for movies in general, I doubt that has as much impact as those who advocate currently that those with autism will never progress, will never talk and so on. It's seen on this forum a lot. Hollywood wannabee's jumping on the autism band wagon doesn't help, either.
<quoted text>
The worst was Jim Carey. I really found his fake attitude to autism was based purely on his dating alicia silverstone (who's son was autistic). I was sad to hear about John Travolta's son's premature death.

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I don't think any child really has the concept or maturity to care about what others think of them until they're in about 4th or 5th grade. And then there are people who just could care less and they're that way all their lives. Both disorders consist of being socially impaired, and the misconception is that impairment equals not caring about other people and what they think, and not caring to have friends. It's a misconception. There also is a difference to caring what others think and the ability to make friends.

I seen the Rainman. When my child was diagnosed, I never related autism to that movie. It's terribly difficult to see an actor depict a disorder and compare that adult male to a young child. What I did relate and remember is something maybe on 60 Minutes. They were comparing a child with downs syndrome to a child with autism and their reactions to someone getting hurt. This was at a time when the media wasn't showing kids with autism only having meltdowns. My son would react the same way as the child with autism on that news show. He has plenty of emotions, he just doesn't outwardly show them easily. Those with autism either over react or under react but their reactions are not typical. I knew early on my son didn't have the startle affect. As of today, he's the only baby I have ever known who never reacted to peek a boo. If you snuck up on him and to scare him, he'd have no reaction.

I have been around many young children who had major behavioral issues and mearning disabilities. We could just compare ADHD and autism for behavior factors. Does society more easily accept any disorder as long as it's not 'autism'?? Is autism suppose to be the boogyman of all diagnosis? I'm not sure any dignosis is any more acceptable to the public, I think they all have their stereotypes and lack of understanding. Which brings me to ask if your child is aware she has a disorder?
Elias wrote:
<quoted text>
I notice my daughter doesn't care what others think and she is seven. When did this change happen for your son?
<quoted text>
As a young adult myself I thought the two were seperate. I used to consider Aspies as eccentric individuals prone to tourettes (i.e. outbursts). My attitude toward Autism was based on Hoffman's rainman. This is all largely to lack of exposure.
<quoted text>
I think she claims she needed the drugs to overcome extreme senstivity. What do you mean by scripting?
<quoted text>
The worst was Jim Carey. I really found his fake attitude to autism was based purely on his dating alicia silverstone (who's son was autistic). I was sad to hear about John Travolta's son's premature death.
Elias

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friend wrote:
This was at a time when the media wasn't showing kids with autism only having meltdowns. My son would react the same way as the child with autism on that news show. He has plenty of emotions, he just doesn't outwardly show them easily.>


To be honest I used to switch off when seeing any child with disability on TV. After my daughter was showing signs of autism from around three or four I began screening any media (internet or TV) for information. Yes, the media tends to highlight meltdowns in public. Apparently a CNBC documentary they tried an experiment where a family was eating in a restaraunt and a child actor was asked to fake meltdowns in front of customers and behavior symptomatic of autism like walking next to customers while they were eating. Remarkably none of the customers minded. When thye bought in a actor to to feign anger at the family for brining the child into public other diners came to the families defense. Obviously in parts of America people are aware of autism and willing tolerate noisy screaming kids in public.
friend wrote:
Does society more easily accept any disorder as long as it's not 'autism'?? Is autism suppose to be the boogyman of all diagnosis? >
The answer to your question is the time and effort from scientists and autism groups to look for pre-natal tests that liken autism to downs syndrome whereby mother's can have the option to abort a fetus with autism. Obviously this seems horrific to parents who already have kids with autism.
friend wrote:
Which brings me to ask if your child is aware she has a disorder? <quoted text>
Not that I know. She is yet to articualte that level fo speech to us. Part of the reason is she chooses not to benchmark herself against her peers at school. But perhaps she does know? we just haven't picked up on it.

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I decided from the time I knew my son had autism, I told him he did have autism. Because people in general are not accepeting of those who are different, he would need to have a strong sense of self one day in the great big world. He does know he's different and probably has for quite some years. He could easily see us as his parents didn't do the things he did or think the same as he does. And he isn't stupid. He also could tell what kids didn't have the same services as he did. He's always known the reason why.

All of his peers were accepting of him, until about 4th or 5th grade. It wouldn't matter if he had autism, or some other diagnosis or no diagnosis. Kids at that age become mean to others for the slighest things.

As for those abortions. I'm sure those who already had children with SD would had felt the same way when terminating a pregnancy became available. At the same time, many used those tests to prepare themselves for a child with a disability. I'm no fan of abortion to begin with, for any reason but I also know others wouldn't make the same choices as me. people do get abortions, and I cant hold it against them for the choices they make. I can say when my son's dad found out I was pregnant, the first thing out of his mouth was to get an abortion. So for many, that is their answer. Needless to say, I was hoping the idea of being a dad would sink in for him, but it never did. I left when my son was 1 years old, and his dad refused to see him for the next 3 years. My son and his dad have never got along, and they share many of the same behaviors. I have yet to know any others like those 2 who smell non food items. I don't know if his dad was ever diagnosed, I suspect he was because when I suggested he had asperger's, it didn't shock him.
Elias

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friend wrote:
I decided from the time I knew my son had autism, I told him he did have autism.
I am somewhat reluctant to do this to my daughter. Her classmates have been educated about her condition and why she needs an aide.
friend wrote:
All of his peers were accepting of him, until about 4th or 5th grade. It wouldn't matter if he had autism, or some other diagnosis or no diagnosis. Kids at that age become mean to others for the slighest things..
Interesting because I recall I was bullied quite relentlessly from about the end of 5th grade and peaking between yr 7 and yr 8. In our school system 5th grade kids are about 9-10yrs old. Something happens to children's behavior (particularly boys but also girls) just prior to puberty, I put it down to hormones.
friend wrote:
As for those abortions. I'm sure those who already had children with SD would had felt the same way when terminating a pregnancy became available. At the same time, many used those tests to prepare themselves for a child with a disability. I'm no fan of abortion to begin with, for any reason but I also know others wouldn't make the same choices as me. people do get abortions, and I cant hold it against them for the choices they make.
There is an interesting arguement (still being researched) that giftedness is a form of mild autism. Can you imagine if the genes for autism also happened to code for gifted kids! An interesting article on Terence tao
http://en.wikipedia.org/wiki/Terence_Tao

Terence is considered one of the most gifted children to have studied in Australia, excelling in both Math and music. Extrordanarily his brother Trevor shares identical skills in math and music but is autistic, having growing up with a severe developmental delay. While Terence is labelled gifted his brother Trevor is labelled an autistic savant. The genetic connction seems to provide compelling evidence that many gifted children may be on the autistic spectrum. Obviously if you abort fetuses with these marker genes you may eliminate giftedness from the population.
friend wrote:
I have yet to know any others like those 2 who smell non food items. I don't know if his dad was ever diagnosed, I suspect he was because when I suggested he had asperger's, it didn't shock him.
I always suspected my father and brother have aspergers. Come to think of it even I qualify when I do online tests.
Elias

Glen Waverley, Australia

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#521
Feb 24, 2013
 

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I see sombody is bombing this thread with negative judging icons. Two guesses....

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#523
Feb 25, 2013
 

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I keep telling you when you feed them attention, it only get's worse.

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