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Unravelling autism

by Dr Howard Lee
continued from page 1
We don’t know what causes autism

It’s thought that genetic influences play a major part and this is where a lot of research is being concentrated. Family and twin studies provide strong evidence for a genetic link to autism. It’s also been shown that if a child has autism, there’s a 3–5% risk that a sibling will be affected.

What is autism?

Autism affects each child differently. No two autistic children will be the same. It’s a ‘range of disorders’ and is referred to as an Autistic Spectrum Disorder (ASD). It’s generally agreed that severe ‘core’ autism only affects about 4 in every 10,000 people whilst 50-60 in every 10,000 are affected by some disorder from the autistic spectrum. The label PDD (pervasive development disorder) is often used for children with a range of less severe symptoms but all those affected tend to show three common characteristics – known as the Triad of Impairments:

  • Difficulties with speech, language and non-verbal communication
  • Difficulties with social interaction
  • Difficulties with imagination and inner language
Autism is up to four times more common in boys than girls – and more than 70% of children with autism also have a learning disability.

Early signs before one year

  • Lack of interest in people and toys.
  • Poor sleep pattern.
  • Lack of speech development.
  • Failure to meet developmental milestones.
As age increases there may be other signs
  • Obsessive behaviour problems.
  • Other severe behaviour problems.
  • Apparent ‘deafness’ – this is related to sensory ‘learning’ difficulties.
  • It can be hard for the child to look another person in the eye.
  • Problems identifying and concentrating on an individual voice when there’s a lot of background noise.
Diagnosing autism

Autistic spectrum disorders are diagnosed by assessing behaviour. The procedure can vary greatly from one health authority to another because autism is still a relatively unknown condition. One thing’s certain though – an early diagnosis (by the time the child’s three) special teaching and support will help.



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