Showing posts with label autism houston. Show all posts
Showing posts with label autism houston. Show all posts

Thursday, August 22, 2013

Brain differences in those with Autism: Think Local Not Global

Fig. 4.A new study shows that a person with autism's brain is wired differently than those without autism, and this finding may help explain some of the typical symptoms of autism. 

Increased connectivity may favor local connections over global. - JR

The way the gray matter in the brain is wired appears to be different in people with autism, new research shows.
Specifically, those with the disorder are more likely to have enhanced connections in the brain that are associated with common autism symptoms, such as narrow interests and repetitive behaviors, the scientists reported.
"Our study [and others] reliably and repeatedly demonstrate that the brain in autism is built and functions differently, which explains a variety of autistic symptoms," said study author Christine Ecker, a lecturer in neuroimaging at King's College London.
"From neuropsychology, we also know that people with autism often have a preference for processing [fine details] over global features (the ability to integrate piecemeal information into a coherent whole)," she said. "Our findings may therefore represent a neuroanatomical correlate of these behaviors, although a direct causal link remains to be established."
Results of the study were published online July 22 in the Proceedings of the National Academy of Sciences.
Autism spectrum disorders are a group of neurodevelopmental disorders, common symptoms of which include impaired social communication, social reciprocity and repetitive behaviors, according to background information included in the study. Experts believe that differences in the brain account for these behaviors, but the exact changes that might occur in someone with autism aren't yet clear, according to the study.
The current study looked at 34 adult males with autism and 34 males without autism to serve as the control group. All of the study volunteers underwent MRI.
The researchers found that there were significant differences in the length of the connections between regions of the brain when they compared people with autism to those without. The minimum length of these connections in the cortical gray matter was dubbed "wiring costs" by the researchers. These wiring costs were significantly reduced in people with autism, meaning the lengths of their connections were shorter.
"These differences are predominantly observed in brain regions that we know are anatomically different in autism, and that are underlying autistic symptoms and traits," Ecker said. "We think that such differences in neuronal wiring may lead to locally over-connected networks in the brains of [patients with autism spectrum disorders] that could explain some autistic symptoms, such as repetitive behaviors."
One expert said the findings help define the biological basis of autism more clearly.
"We've known that there is a history of wiring differences that appear in individuals with autism. What's novel is that they used structural imaging to assess whether neurons are connected in the same way structurally," said Daniel Smith, senior director of discovery neuroscience at Autism Speaks.
"Gray matter connections are referred to as microcircuits, and they're everywhere," Smith said. "They're very important in the cerebral cortex, and the highest levels of thinking occur in the cerebral cortical regions of the brain."
"This study is another component in building our knowledge base," he added. "It's a step toward better understanding of what's happening in the brain and, ultimately, that will help lead to new treatments. But this study won't lead to an immediate impact on treatment."
Dr. Andrew Adesman, chief of developmental and behavioral pediatrics at the Steven and Alexandra Cohen Children's Medical Center in New Hyde Park, N.Y., agreed that this study won't lead to any immediate changes in the field.
"Unfortunately, despite the many advances in our ability to study the brain and identify a range of structural and functional differences associated with autism, we are still left with more questions than answers," Adesman said.
"[But] studies such as this bring us one step closer to understanding the neurobiological underpinnings of the mysterious and enigmatic condition known as autism spectrum disorder," he said.
Ecker said she hopes to conduct a study that follows young people as their brains are developing to see how the connections in the brain behave over time in people with autism.
Read more here

Full article

Saturday, December 15, 2012

Asperger Syndrome, Autism, Violence and Guns - A Literature Review

Asperger Syndrome, Autism, Violence and Guns - A Literature Review

Like many parents, my thoughts tonight are with the families of Newtown Connecticut. What can I add to the public discussion?


I searched the terms Asperger and violence in the NLM.  I found these TWELVE published peer-reviewed articles. 

Clearly, the association has been incompletely studied.  But, in Autism Spectrum disorder, psychotic and substance abuse disorders are highly associated with violent behavior. 

As the authors say, early recognition and care is important for minimizing this behavior.

And, for any family with a child or teenager with a co-morbid psychiatric disorder, the SAFEST thing is to REMOVE guns, ammunition and any other weapon from the home. 

 At all times, follow basic safety principles.

JR



Safety & Prevention


More than 44 million Americans own firearms. Of the 192 million firearms owned in the United States, 65 million are handguns. Research shows guns in homes are a serious risk to families.  
  • A gun kept in the home is 43 times more likely to kill someone known to the family than to kill someone in self-defense.  
  • A gun kept in the home triples the risk of homicide.  
  • The risk of suicide is 5 times more likely if a gun is kept in the home.  

Advice to parents  

The best way to keep your children safe from injury or death from guns is to NEVER have a gun in the home.  
  • Do not purchase a gun, especially a handgun.  
  • Remove all guns present in the home.  
  • Talk to your children about the dangers of guns, and tell them to stay away from guns.  
  • Find out if there are guns in the homes where your children play. If so, talk to the adults in the house about the dangers of guns to their families.  
For those who know of the dangers of guns but still keep a gun in the home.
  • Always keep the gun unloaded and locked up.  
  • Lock and store the bullets in a separate place.  
  • Make sure to hide the keys to the locked boxes.  

Here is the literature search.....
Last Updated
 
6/5/2012
Source
 
TIPP—The Injury Prevention Program (Copyright © 1994 American Academy of Pediatrics, Updated 9/2005)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.



JR



This message contains search results from the National Center for Biotechnology Information (NCBI) at the U.S. National Library of Medicine (NLM). Do not reply directly to this message
Sent on: Sat Dec 15 03:00:59 2012
12 selected items



PubMed Results
Items 1 -12 of 12    (Display the 12 citations in PubMed)

1.J Interpers Violence. 2009 Aug;24(8):1358-70. doi: 10.1177/0886260508322195. Epub 2008 Aug 13.

Risk factors for violent offending in autism spectrum disorder: a national study of hospitalized individuals.

Långström N, Grann M, Ruchkin V, Sjöstedt G, Fazel S.
Centre for Violence Prevention, Karolinska Institutet, Stockholm, Sweden. niklas.langstrom@ki.se

Abstract

Little is known about risk factors for violence among individuals with autism spectrum disorder (ASD). This study uses data from Swedish longitudinal registers for all 422 individuals hospitalized with autistic disorder or Asperger syndrome during 1988-2000 and compares those committing violent or sexual offenses with those who did not. Thirty-one individuals with ASD (7%) were convicted of violent nonsexual crimes and two of sexual offenses. Violent individuals with ASD are more often male and diagnosed with Asperger syndrome rather than autistic disorder. Furthermore, comorbid psychotic and substance use disorders are associated with violent offending. We conclude that violent offending in ASD is related to similar co-occurring psychopathology as previously found among violent individuals without ASD. Although this study does not answer whether ASDs are associated with increased risk of violent offending compared with the general population, careful risk assessment and management may be indicated for some individuals with Asperger syndrome.
PMID: 18701743 [PubMed - indexed for MEDLINE]
Related citations
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MeSH Terms

  • Adult
  • Child Development Disorders, Pervasive/epidemiology*
  • Child, Preschool
  • Comorbidity
  • Female
  • Humans
  • Interpersonal Relations
  • Longitudinal Studies
  • Male
  • Patient Discharge/statistics & numerical data*
  • Prevalence
  • Psychotic Disorders/epidemiology*
  • Risk Factors
  • Socioeconomic Factors
  • Substance-Related Disorders/epidemiology*
  • Substance-Related Disorders/psychology
  • Sweden/epidemiology
  • Violence/psychology
  • Violence/statistics & numerical data*
  • Young Adult
2.J Autism Dev Disord. 2008 Nov;38(10):1848-52. doi: 10.1007/s10803-008-0580-8. Epub 2008 May 1.

Violent crime in Asperger syndrome: the role of psychiatric comorbidity.

Newman SS, Ghaziuddin M.
University of Oregon, Eugene, OR, USA.

Abstract

Although several studies have suggested an association between violent crime and Asperger syndrome (AS), few have examined the underlying reasons. The aim of this review is to determine to what extent psychiatric factors contribute to offending behavior in this population. Online databases were used to identify relevant articles which were then cross-referenced with keyword searches for "violence," "crime," "murder," "assault," "rape," and "sex offenses." Most of the 17 publications which met the inclusion criteria were single case reports. Of the 37 cases described in these publications, 11 cases (29.7%) cases had a definite psychiatric disorder and 20 cases (54%) had a probable psychiatric disorder at the time of committing the crime. These findings underscore the role of psychiatric disorders in the occurrence of violent crime in persons with Asperger syndrome and highlight the need for their early diagnosis and treatment.
PMID: 18449633 [PubMed - indexed for MEDLINE]
Related citations
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MeSH Terms

  • Antisocial Personality Disorder/diagnosis
  • Antisocial Personality Disorder/epidemiology
  • Asperger Syndrome/diagnosis
  • Asperger Syndrome/epidemiology
  • Asperger Syndrome/psychology*
  • Comorbidity
  • Crime/psychology
  • Crime/statistics & numerical data
  • Databases as Topic
  • Humans
  • Mental Disorders/diagnosis
  • Mental Disorders/epidemiology
  • Mental Disorders/psychology
  • Prisoners
  • Sex Offenses/psychology
  • Sex Offenses/statistics & numerical data
  • Violence/psychology
3.Nihon Rinsho. 2007 Mar;65(3):539-44.

[Asperger syndrome in adolescence: The problem and appropriate treatment].

[Article in Japanese]
Nagao K.
National Hospital Organization Sakakibara Hospital

Abstract

I have described the corresponding method for bullying, independence and interpersonal relationships of company/opposite sex, thinking disorders caused by suffering damage or victimization and withdrawal and violence in the family among the problems in and in response to Asperger syndrome in adolescent cases. Psychotherapy is used for bullying and interpersonal relationship problems. Cognitive therapy and protective correspondence are more effective in bullying than the exposure method. It seems to be more effective to teach and instruct the corresponding principle as well as supportive response because interpersonal relationships are likely to involve failures. Pharmacological therapy was valid in feelings of paranoia and violence. Since the disorder has been recently conceptualized in pervasive developmental disorder, the scope of the subject has increased whereas Asperger syndrome used to be diagnosed in compliance with its classic examples. Therefore, it needs to clarify diagnostic examples based on new concepts, accumulate subject examples and verify the corresponding method with evidence.
PMID: 17354573 [PubMed - indexed for MEDLINE]
Related citations

Publication Types

  • Case Reports
  • English Abstract
  • Review

MeSH Terms

  • Adolescent
  • Adult
  • Antipsychotic Agents/administration & dosage
  • Asperger Syndrome/psychology*
  • Asperger Syndrome/therapy*
  • Cognitive Therapy
  • Delusions
  • Domestic Violence
  • Humans
  • Interpersonal Relations
  • Male
  • Obsessive Behavior
  • Risperidone/administration & dosage

Substances

  • Antipsychotic Agents
  • Risperidone
4.J Am Acad Psychiatry Law. 2001;29(4):420-6.

Juvenile and young adult mentally disordered offenders: the role of child neuropsychiatric disorders.

Siponmaa L, Kristiansson M, Jonson C, Nydén A, Gillberg C.
Department of Forensic Psychiatry, Karolinska Institute, Huddinge, Sweden. leila.siponmaa@rmv.se

Abstract

A retrospective study of the prevalence of child neuropsychiatric disorders was done involving pervasive developmental disorder (PDD), attention-deficit/hyperactivity disorder (ADHD), and Tourette syndrome in young offenders (15-22 years, n = 126) consecutively referred for presentencing forensic psychiatric investigation (FPI) in Stockholm, Sweden. Most offenders were referred for FPI because of serious offenses. Case report sheets were prepared, and retrospective neuropsychiatric DSM IV diagnoses were made by the first two authors. For best-estimated diagnoses, the case report sheets were then submitted to the fifth author, a child neuropsychiatrist with expertise in this area. Fifteen percent of the subjects had a definite diagnosis of ADHD, and another 15 percent had PDD, including 12 percent PDD not otherwise specified (NOS) and 3 percent Asperger syndrome. Autistic disorder was not found in any case. Tourette syndrome occurred in two percent of the cases. The rate of PDD is particularly striking. Neuropsychiatric diagnoses had been determined in the FPI in only a few cases. The contribution of constitutional problems to later criminal development may have been underestimated.
PMID: 11785613 [PubMed - indexed for MEDLINE]
Related citations

MeSH Terms

  • Adolescent
  • Adult
  • Asperger Syndrome/epidemiology
  • Asperger Syndrome/psychology
  • Attention Deficit Disorder with Hyperactivity/epidemiology*
  • Attention Deficit Disorder with Hyperactivity/psychology
  • Child
  • Child Development Disorders, Pervasive/epidemiology*
  • Child Development Disorders, Pervasive/psychology
  • Crime/legislation & jurisprudence
  • Crime/psychology*
  • Crime/statistics & numerical data
  • Female
  • Forensic Psychiatry*
  • Humans
  • Juvenile Delinquency/legislation & jurisprudence
  • Juvenile Delinquency/psychology*
  • Juvenile Delinquency/statistics & numerical data
  • Male
  • Neuropsychological Tests
  • Prevalence
  • Retrospective Studies
  • Sweden/epidemiology
  • Tourette Syndrome/epidemiology*
  • Tourette Syndrome/psychology
  • Violence/psychology
  • Violence/statistics & numerical data
5.Compr Psychiatry. 2005 Mar-Apr;46(2):111-6.

The childhood-onset neuropsychiatric background to adulthood psychopathic traits and personality disorders.

Soderstrom H, Nilsson T, Sjodin AK, Carlstedt A, Forsman A.
Department of Forensic Psychiatry, 422 04 Hisings Backa, Sweden. henrik.soderstrom@rmv.se

Abstract

Childhood conduct disorder (CD) and adult psychopathic traits according to the Psychopathy Checklist Revised (PCL-R) were the closest psychiatric covariates to repeated violent crimes and aggression among offenders under forensic psychiatric investigation in Sweden. As psychopathy is not included in the present psychiatric diagnostic systems, we compared total and factor PCL-R scores to Axis I disorders, including childhood-onset neuropsychiatric disorders, and to Axis II personality disorders, to establish the convergence of psychopathic traits with other psychiatric diagnoses, and to identify possible unique features. Psychopathic traits were positively correlated with bipolar mood disorder and negatively with unipolar depression. The total PCL-R scores as well as the Factor 2 (unemotionality) and Factor 3 (behavioral dyscontrol) scores were significantly correlated with attention-deficit/hyperactivity disorder, Asperger's syndrome/high-functioning autistic traits, CD, substance abuse, and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Cluster B personality disorders. The interpersonal Factor 1 showed none of these correlations and may capture features that are specific to psychopathy, distinguishing core psychopathy from other diagnostic definitions.
PMID: 15723027 [PubMed - indexed for MEDLINE]
Related citations

Publication Types

  • Research Support, Non-U.S. Gov't

MeSH Terms

  • Adolescent
  • Adult
  • Aged
  • Aggression/psychology
  • Antisocial Personality Disorder/diagnosis
  • Antisocial Personality Disorder/epidemiology*
  • Antisocial Personality Disorder/psychology
  • Asperger Syndrome/diagnosis
  • Asperger Syndrome/epidemiology*
  • Asperger Syndrome/psychology
  • Attention Deficit Disorder with Hyperactivity/diagnosis
  • Attention Deficit Disorder with Hyperactivity/epidemiology*
  • Attention Deficit Disorder with Hyperactivity/psychology
  • Autistic Disorder/diagnosis
  • Autistic Disorder/epidemiology*
  • Autistic Disorder/psychology
  • Bipolar Disorder/diagnosis
  • Bipolar Disorder/epidemiology*
  • Bipolar Disorder/psychology
  • Child
  • Child Behavior Disorders/diagnosis
  • Child Behavior Disorders/epidemiology*
  • Child Behavior Disorders/psychology
  • Comorbidity
  • Cross-Sectional Studies
  • Depressive Disorder/diagnosis
  • Depressive Disorder/epidemiology
  • Depressive Disorder/psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Personality Disorders/diagnosis
  • Personality Disorders/epidemiology*
  • Personality Disorders/psychology
  • Prisoners/psychology
  • Prisoners/statistics & numerical data
  • Risk Factors
  • Sex Offenses/psychology
  • Sex Offenses/statistics & numerical data
  • Statistics as Topic
  • Substance-Related Disorders/diagnosis
  • Substance-Related Disorders/epidemiology
  • Substance-Related Disorders/psychology
  • Violence/psychology
  • Violence/statistics & numerical data
6.J Autism Dev Disord. 2005 Jun;35(3):313-21.

Characteristics of children with autistic spectrum disorders served in comprehensive community-based mental health settings.

Mandell DS, Walrath CM, Manteuffel B, Sgro G, Pinto-Martin J.
Center for Mental Health Policy and Services Research, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.mandelld@mail.med.upenn.edu

Abstract

This study describes the characteristics of children with autistic spectrum disorders (ASD) receiving treatment in community mental health settings. Data from a national community mental health initiative was used to identify children who had received a primary diagnosis of ASD. These children were compared with children with other diagnoses on socio-demographic and psychosocial characteristics, presenting problems and service histories. Regardless of diagnosis, children were most often referred to service because of disruptive behaviors. Children with ASD were less likely to be referred for drug use, truancy or running away, but were more likely to be referred for social interaction difficulties and strange behavior. Many children had family histories of mental illness, substance abuse and domestic violence. Implications of these findings are discussed in detail.
PMID: 16119472 [PubMed - indexed for MEDLINE]
Related citations
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MeSH Terms

  • Asperger Syndrome/epidemiology*
  • Autistic Disorder/epidemiology*
  • Child
  • Child Abuse/statistics & numerical data
  • Community Mental Health Services/utilization*
  • Comprehensive Health Care/utilization*
  • Demography
  • Female
  • Humans
  • Male
  • Referral and Consultation/statistics & numerical data
7.J Am Acad Psychiatry Law. 2005;33(3):390-3.

Asperger's disorder and murder.

Schwartz-Watts DM.
University of South Carolina School of Medicine, 15 Medical Park, Suite 102, Columbia, SC, USA. donnasw@gw.mp.sc.edu

Comment in

  • Asperger's disorder and murder. [J Am Acad Psychiatry Law. 2006]
    Asperger's disorder and murder.Silva JA, Haskins BG. J Am Acad Psychiatry Law. 2006; 34(1):133-4.

Abstract

Little is known about the prevalence of violence and autistic spectrum disorders. This article reviews findings of current research on Asperger's disorder and violence. Criteria for diagnosing Asperger's disorder are given. Three cases are presented in which defendants with diagnosed Asperger's disorder were charged with murder. Specific symptoms in this disorder are discussed as they relate to issues of diminished capacity and criminal responsibility.
PMID: 16186206 [PubMed - indexed for MEDLINE]
Related citations
Icon for HighWire Press

Publication Types

  • Case Reports
  • Comparative Study

MeSH Terms

  • Adult
  • Asperger Syndrome/diagnosis*
  • Asperger Syndrome/psychology*
  • Capital Punishment/legislation & jurisprudence
  • Child
  • Child Development Disorders, Pervasive/diagnosis
  • Child Development Disorders, Pervasive/psychology
  • Criminal Law/legislation & jurisprudence
  • Expert Testimony/standards*
  • Forensic Psychiatry*/standards
  • Homicide/legislation & jurisprudence*
  • Humans
  • Insanity Defense
  • Male
  • Mental Competency/legislation & jurisprudence
  • Mental Competency/standards
  • United States
  • Violence/legislation & jurisprudence
  • Violence/psychology
8.Isr J Psychiatry Relat Sci. 2006;43(3):166-73.

Criminal responsibility in Asperger's syndrome.

Katz N, Zemishlany Z.
Geha Mental Health Center, Petah Tikva, Israel. nkatz@clalit.org.il

Abstract

BACKGROUND:

Asperger's syndrome (AS) has been of much interest in the last two decades. Most people with AS are law abiding and are not involved in any violence. Over the years, however, there is increasing evidence of violent behavior and criminal acts committed by some people with AS. The characteristics of the link between AS and violation of the law requires identification and definition and the question regarding the criminal responsibility to be attributed to these offenders needs to be clarified.

DATA:

We present three cases that illustrate how the special characteristics of this syndrome and particularly the inability to assess social situations and appreciate others' point of view constitute the main cause for the violent behavior and the criminal offences. For this specific behavior, the AS patients lack the criminal intent or the intent to cause harm (mens rea), which is essential for criminal responsibility. Thus it is reasonable to consider some AS sufferers not criminally responsible for their actions and unfit to stand trial. This approach has been accepted by the courts.

CONCLUSION:

It can be inferred that people with AS may not be criminally responsible despite not suffering from a psychotic illness.
Free Article
PMID: 17294982 [PubMed - indexed for MEDLINE]
Related citations
Icon for Israel psychiatry association

Publication Types

  • Case Reports

MeSH Terms

  • Adult
  • Asperger Syndrome/diagnosis*
  • Asperger Syndrome/psychology
  • Commitment of Mentally Ill/legislation & jurisprudence
  • Crime/legislation & jurisprudence*
  • Crime/psychology
  • Diagnosis, Differential
  • Domestic Violence/legislation & jurisprudence
  • Empathy
  • Expert Testimony/legislation & jurisprudence
  • Humans
  • Insanity Defense*
  • Interpersonal Relations
  • Male
  • Personal Construct Theory
  • Sexual Harassment/legislation & jurisprudence
  • Social Behavior
  • Violence/legislation & jurisprudence*
  • Violence/psychology
9.Acta Neurol Belg. 2010 Dec;110(4):334-6.

Asperger syndrome, violent thoughts and clinically isolated syndrome.

Vanderbruggen N, Van Geit N, Bissay V, Zeeuws D, Santermans L, Baeken C.
Department of Psychiatry, UZ Brussel, Brussel, Belgium. nathalie.vanderbruggen@uzbrussel.be

Abstract

A young man, 23 years old, with a clinically isolated syndrome (CIS), presented violent thoughts during a neurological consultation. He was diagnosed with Asperger Syndrome based on a psychiatric and (neuro)psychological examination. Possible risk factors for acting-out and the implications for treatment, if CIS would evolve to MS, are discussed based on a review of the literature.
PMID: 21305864 [PubMed - indexed for MEDLINE]
Related citations

Publication Types

  • Case Reports

MeSH Terms

  • Asperger Syndrome/diagnosis
  • Asperger Syndrome/physiopathology*
  • Asperger Syndrome/psychology*
  • Humans
  • Male
  • Neuropsychological Tests
  • Syndrome
  • Violence/psychology*
  • Young Adult
10.J Law Med. 2011 Jun;18(4):677-94.

Asperger's disorder and the criminal law.

Freckelton I.
Law Faculty, Department of Psychology, Psychiatry and Psychological Medicine, Monash University. l.Freckelton@vicbar.com.au

Abstract

Asperger's Disorder has the potential to be relevant to many aspects of the functioning of the criminal justice system. However, its mere presence does not excuse or justify all offending. The inquiry into its potential relevance to criminal offending and sentencing must be both contextual and informed by suitably qualified expert evidence. This column reviews court decisions in respect of offences of physical violence, sexual violence, arson, stalking/harassing and computer offences across a range of jurisdictions to evaluate how courts have latterly incorporated Asperger's Disorder into decisions about criminal responsibility and culpability.
PMID: 21774264 [PubMed - indexed for MEDLINE]
Related citations

Publication Types

  • Legal Cases

MeSH Terms

  • Asperger Syndrome/psychology*
  • Crime/legislation & jurisprudence
  • Crime/psychology*
  • Criminal Law*
  • Humans
11.Am J Psychiatry. 2011 Sep;168(9):890-2. doi: 10.1176/appi.ajp.2011.10091261.

A suicidal adult in crisis: an unexpected diagnosis of autism spectrum disorder.

Spencer L, Lyketsos CG, Samstad E, Dokey A, Rostov D, Chisolm MS.
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, USA.
PMID: 21890803 [PubMed - indexed for MEDLINE]
Related citations
Icon for Silverchair Information Systems

MeSH Terms

  • Adjustment Disorders/diagnosis
  • Adjustment Disorders/psychology
  • Adult
  • Asperger Syndrome/diagnosis*
  • Asperger Syndrome/psychology
  • Crisis Intervention*
  • Depressive Disorder/diagnosis
  • Depressive Disorder/psychology
  • Diagnosis, Differential
  • Emotions
  • Humans
  • Interpersonal Relations
  • Male
  • Personality Disorders/diagnosis
  • Personality Disorders/psychology
  • Stereotyped Behavior
  • Suicide, Attempted/psychology*
  • Violence/psychology
12.J Autism Dev Disord. 1991 Sep;21(3):349-54.

Brief report: violence in Asperger syndrome, a critique.

Ghaziuddin M, Tsai L, Ghaziuddin N.
University of Michigan Medical Center, Ann Arbor.
PMID: 1938780 [PubMed - indexed for MEDLINE]
Related citations

MeSH Terms

  • Adolescent
  • Adult
  • Aggression/psychology*
  • Autistic Disorder/diagnosis*
  • Autistic Disorder/psychology
  • Child
  • Humans
  • Social Behavior
  • Syndrome
  • Violence*

Wednesday, October 24, 2012

SENSORY FRIENDLY ACCESS EVENTS at CHILDRENS MUSEUM


SENSORY FRIENDLY ACCESS

JOIN US FOR OUR NEXT SENSORY FRIENDLY EVENTS!

MONDAY, NOVEMBER 5, 2012
4-8 PM
 

MONDAY, FEBRUARY 18, 2013
10AM-2PM
 
MONDAY, APRIL 22, 2013
4-8 PM

ONLY $5!


Sensory Friendly Day is an opportunity for kids with Autism Spectrum Disorders (ASD) to explore the Children’s Museum of Houston in their own way and in their own time!
These exclusive events will:
•Provide a comfortable, protected and accepting environment.
•Allow parents to make connections with other families.
•Offer new tools and resources.

Doors will be closed to the general public.
There will be no music.
Sound reducing headphones will be available.
Fresh Café will be closed, so feel free to bring your own food if needed.
To register, please contact Lydia Dungus at (713) 535-7238.
For more information, please contact Will Rice at (713-)535-7286.

The Children’s Museum of Houston is committed to making our Museum accessible and interactive for all. Below you will find useful information for planning a more comfortable and enjoyable visit with your family.

Tuesday, May 29, 2012

Autism usually not diagnosed until age 5 or older

Editors' note: Early diagnosis and  intervention can modify outcome. If you are concerned, seek an evaluation by a pediatric neurologist, psychiatrist or developmentalist. JR

Even though autism symptoms typically emerge before age 3, most children with autism are diagnosed when they're 5 or older, a new snapshot of autism in America shows.

More than half of U.S. children with an autism spectrum disorder are taking at least one psychotropic medicine -- including stimulants, anti-anxiety medications, antidepressants, sleep aids, seizure medications or antipsychotics -- even though there are no drugs that have clearly been shown to impact the core symptoms of the disorder.

The findings are from a nationally representative survey of more than 4,000 parents or guardians of children with special needs aged 6 to 17, including about 1,400 who had an autism spectrum disorder. The report was compiled by researchers from the U.S National Institute of Mental Health in conjunction with the U.S. Centers for Disease Control and Prevention.

"This is a snapshot of what the nation looks like. American families can compare their experience to what others have found," said study co-author Lisa Colpe, chief of the office of clinical and population epidemiology research at the U.S. National Institute of Mental Health.

Among the other key findings:

About 19 percent of kids were diagnosed with an autism spectrum disorder at age 2 or younger; 17 percent were diagnosed at age 3; 13 percent were age 4; 11.5 percent were age 5; and nearly 40 percent were 6 or older when they were diagnosed.
Children were identified by a range of health care professionals, including pediatricians, family physicians, nurse practitioners, psychologists, developmental psychologists, neurologists and multidisciplinary teams.
Nine of 10 school-aged children with an autism spectrum disorder use at least one service to meet their developmental needs, while just over half of the kids use three or more services.
The most common service is social skills training, followed by speech or language therapy. Others include behavioral interventions and occupational therapy.
Geraldine Dawson, chief science officer for Autism Speaks, said findings show the continued need to work toward identifying children earlier.

"Research tells us that children who start intervention earlier do better in the long run. This report found that the majority of children were 5 years or older when they were first identified. We can reliably diagnose autism by 24 months, so professionals need to do a better job, including screening all children at 18 and 24 months," Dawson said.

Only about 40 percent of school-aged children with an autism spectrum disorder receive behavioral intervention, even though research has shown such strategies can "significantly improve outcomes," she added.

Lack of insurance coverage and too few trained providers with expertise in behavioral interventions are reasons why some children aren't getting the services, Dawson noted. "It is critical that we address the barriers that are preventing children from receiving early intervention. Early intervention will result in better outcomes for children and provide substantial cost savings in the long run," Dawson said.

Autism is a neurodevelopmental disorder characterized by problems with social interaction, communication and restricted interests and behaviors. That includes repetitive behaviors, such as arm-flapping or head-banging; having an obsessive interest in one topic; having a need to stick to a specific ritual or routine; and experiencing distress or agitation when that routine gets disrupted.

About one in 88 U.S. children has the disorder, according to the CDC.

Children with autism can also have co-existing conditions, such as anxiety, seizures, depression or attention-deficit/hyperactivity disorder (ADHD). Experts say it's not always easy for parents and doctors to know whether symptoms are autism-related or a co-existing condition, but many will try various drugs to alleviate the symptoms.

"The findings with respect to psychotropic medication use is in line with previous findings," Dawson said. "Children with autism often have co-occurring conditions, such as ADHD and anxiety, which are often helped with medication."

Because some of the drugs to treat those conditions can be powerful, Colpe said it was a good sign that so many children (upwards of 90 percent) were also receiving some other sort of treatment, indicating that they are being monitored by a physician.

"They are getting a multi-mode treatment," Colpe said.

Read more here: http://www.nlm.nih.gov/medlineplus/news/fullstory_125545.html