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A Screening tool; a way for pediatricians to begin to identify children and toddlers who might be at risk for Autism. • Looks for milestones, development not progressing as it ought to, markers and warning signs. • Original published in 2001 o 1076 Screened, 30/44 received diagnosis (“hit rate”) o Considered to have a high false positive • It’s better to have a high false positive than a high false negative || “Better safe than Sorry” |
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(M-CHAT-R) Not based on any direct observation of the pediatrician Indirect Assessment – The person gathering the information does not have direct contact with the behavior of interest. • There are limitations and problems with indirect assessments |
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(M-CHAT-R) associated with "No Response to all items except 2.5 & 12. |
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(M-CHAT-R) o 0-2 failed items = “low risk” o 3-7 failed items = “medium risk” (necessary follow-up) o 8 + failed items = “high risk” (referral for diagnostic evaluation) |
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Autism Diagnostic Interview, Indirect Interview |
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Autism Diagnostic Observation Schedule, Direct Assessment |
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psychodynamic and psychoanalytic |
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o The predominant perspective was _____ || Sigmund Freud • A model that suggests that early childhood traumas serve the impetus for later disorder. • Relies a lot on talking and conveying what those childhood traumas were. |
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o Belief that Autism was a form a _____ • JADD was originally titled Journal of Autism and ______ |
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Belief that Autism was a ______ (not organic); it was a psychological disorder |
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Bruno Bettleheim steeped in psychodynamic model and made popular the phrase the _____. • Infants developing normally would withdraw into an autistic state because they received a lack of maternal love Became the accepted theory in the 1940s, 1950s and 1960s |
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Founded the Orthogenic School in Chicago and reported a recovery rate of ~85% Suicide, 1990 Posthumously, all of his data was debunked and it was discovered that they was completely fabricated |
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_____ was the first to use the word “Autism” and included strains of this idea in his paper. |
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_____ sought to refute predominant theories of the time, including the idea of the Refrigerator Mother |
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Rimland proposed the idea _____ (1964) Proposed that Autism was biological in nature and that it was a neurological disorder. • He was beginning to foster and promote science and the scientific method in terms of studying and treating Autism. |
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Autism Society of America (ASA) |
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Bernard Rimland Founded the _____ in 1965 Advocating for parents, teaching them were to get resources, teaching them about the diagnosis |
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Autism Research Institute (ARI) |
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Bernard Rimland founded the _____ in 1967 To study biomedical approaches to intervention. |
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Autism Treatment Evaluation Checklist (ATEC) |
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Lends itself to bias that is associated with Indirect Measures, (comes out of the ARI) |
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100% shared genetic material, shared placenta |
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50% shared genetic material, different placenta |
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The extent to which if one sibling has autism, the other sibling has autism.
(1977) o 0/11 Dz o 4/10 Mz (40% Concordance)
(1995) o 0/11 Dz o 11/17 Mz |
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An intervention called _____ (used to treat GI problems) Helped a child with true GI problems, but not found to be helpful in general |
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The most common and prevailing logic is that there are many forms of Autism, but nobody can tell them apart and, therefore, they each have many different _____. |
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Medication & LSD o Decreased hallucinations/ bizarre speech o Elevated mood o Decreased Ritualistic Behavior & Stereotypy o Increased interaction with others |
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shock & aversive stimulation o distinguished from Behavior Analysis o Behavior Modification was simply about changing behavior and not understanding it |
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Starts out in around the 1850s as a Humanitarian effort to help people in need |
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1880s: ~_____ state funded hospitals across the nation • US Census (1850) - ~15,000 people with MR • US Census (1880) - ~95,000 people with MR |
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1966: ____ exposed Institutional conditions of neglect and psychological abuse |
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1972: famous exposé on Willowbrook opened in 1952 capacity of 2000 in 1960s house ~6000 patients |
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Deinstitutionalization Movement |
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Whole groups of children and adults coming out of institutions and being sent home • Schools and other forms of community based treatment centers pick up the responsibilities of treating this group. • This sets the stage for the proliferation of treatment options. |
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o 1975: PL 94-142 • Individuals with Disabilities Education Act |
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1981: _____ • Allocated resources for treatment • Now called the Medicaid Waiver • This is how many programs are funded for people with disabilities |
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treat self-injurious behavior Based on the idea that self-injurious behavior causes tissue damage/pain and causes the body to produce opiates (naturally occurring painkillers) • Beta endorphins dull pain By blocking the beta endorphin then it would lead to a decrease in self-injurious behavior because it was no longer being maintained by beta endorphin. |
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