Although every person with autism is unique, some characteristics are viewed as particularly important in the diagnosis of autism...Living with Autism Bright Tots - Information on child development.
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Difficulties of living with Autism
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Difficulties of living with Autism
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Autism is a life-long developmental disorder; it affects the way a person interacts socially. Autism may appear from birth or
from infancy, and causes difficulty in developing normal social relationships, and in standard communication.
It must be stressed that autism is a condition with a wide-ranging degree of severity. Individuals with ASD look no different
from other people, leading to autism being sometimes called the "invisible disability". However, understanding of their unique
condition will prevent unfair judgment of their behavior.
Autistic people do not necessarily have special or ‘savant’ skills. Some autistic people do have unusual drawing abilities,
musical talents, exceptional rote-memory or even lightning-speed mathematical calculation. However, these cases are in the
minority (about 10%) rather than being the average. Autism can be described as a severe disorder of communication,
socialization and imagination.
Autism Impairments
• Impairment of social interaction: difficulty in relating to others.
• Impairment of social communication: poor use and understanding of language.
• Impairment of imagination: inability to play imaginatively with toys or interact socially due to lack of intuition and a
literal understanding.
Language and Communication Impairments
Individuals with ASD show a lack of appreciation of the functions and pleasures of social communication. Even those who
have a lot speech generally talk ‘at’ others rather than talking with others.
• Lack of understanding of language as a tool for conveying social and emotional information to others. They may be
able to ask for their own needs but find it difficult to talk about feelings or thoughts and to understand the emotions, ideas
and beliefs of others.
• Poor comprehension of the information expressed in body language, ex. gestures, facial expression, posture, tone of
voice, etc. Therefore, they generally do not gesture, imitate or use tone of voice, etc. to convey information. Some
individuals do use gestures but these tend to be odd and inappropriate.
• Those with good vocabularies generally show only a literal understanding of the language, and are unable to pick up
the subtle meanings in language. The subjects that they talk about are often limited to a few preferred interests. There are
people with autism who are fascinated with words but generally do not employ them for social interaction or conversation.
Formal Language Problems
Social communication is always impaired in ASD individuals, whereas formal language might not be affected. There may be
problems in comprehension of speech, ranging from complete lack of understanding to subtle difficulties in grasping
metaphorical (sarcasm or imagery) and idiomatic (expressions or phrases) speech.
Other problems in speech include:
• A complete absence of speech
• Both immediate and/ or delayed echolalia
• Confusion of the sequence of letters and word, of similar sound or related meanings; mixing up pronouns and
prepositions, ex. using ‘you’ and ‘he’ instead of ‘I’.
• Poor control of pitch, volume and tone of the voice.
Abnormalities of Visual Inspection and Eye Contact
Examples: The use of peripheral vision more than central visual,, responding less to details and more to movement and
outline; looking past people and things, seeing things ‘out of the corners of the eyes’ more often than by direct inspection.
Children with autism may look at people and things with brief and rapid glances; or look at others too long and too intently
(seen more in older children). The child may have problems with imitating motor movements. There may be a tendency to
mix up left with right, back with front, or up with down. They may learn better if his/her limbs are moved through the
necessary motions. There are children who develop the ability to imitate movements as they grow older.
Problems with Motor Control
Examples include:
• an odd posture when standing
• a bouncy tip-toe way of walking
• jumping, flapping limbs, rocking when excited
Unusual Responses to Sensory Experiences
A child with autism may express fascination, distress or indifference towards sounds, visual stimuli, pain, heat, cold, the feel
of surfaces, tastes, smells, being touched, etc. Their reaction may be rather out of the ordinary, such as covering the eyes
when reacting to a sound.
Inappropriate Emotional Reactions
Examples include lack of fear of real danger, but excessive fear of non-threatening objects or situations; laughing, weeping or
screaming for no apparent reason. These reactions most probably result because they lack understanding of the meaning of
the situation.
Abnormalities of Physical Functions and Physical Development
Examples include:
• irregular patterns of sleeping and resistance to the effects of sedatives
• irregular patterns of eating and drinking, including sometimes the consumption of large quantities of fluid
• lack of dizziness after spinning around
Behavioral Difficulties
Children with ASD tend to be socially immature with a difficult behavior, for example, throwing tantrums, screaming in
public, biting or kicking other people, saying inappropriate things.
Theory of Mind
A relatively new hypothesis in the field of autism has been labeled Theory of Mind which suggests that the human brain
normally has a theory of mind section and that this particular component of the brain may not develop normally in some
people.
Theory of mind is the ability identify with point of views, beliefs, intents, desires, plans, pretending, attitudes, emotions and
understand that others have different beliefs, desires and intentions from one’s own. Empathy is related to the concept,
meaning the inability to “put oneself into another’s shoes”.
Many autistic individuals have difficulties in lying and theory of mind is suggested as a reason. Individuals with autism may
believe that others always know what they are thinking. While not pleasant for teachers or parents, the beginning of telling
lies in a child can be positive in that it is a developmental milestone. This inability could be the cause of their impairments in
social, communication and imagination.
Wing, Lorna (1995). "Autistic Spectrum Disorders: an aid to diagnosis". The National Autistic Society & Team C0110296

Difficulties of living with Autism
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