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What is Autism? | How You Can Get Involved  Autism Morning Lecture 2002 –
AUTISM  YEAR  2002.

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The International AUTISTIC Research Organisation


What Is AUTISM?


AUTISM is a developmental disorder that manifests a syndrome of social disturbances and relationships. It often does not become clinically apparent until the second year of life. Many individuals with AUTISM have limited verbal or non-verbal communication. This gives rise to inability to communicate with their peers, parents and other people, such as difficulties to recognise or show facial expressions, gestures or even notice a change in tone of someone's voice.

Problems with feeding and toilet training are also common and many AUTISTIC children/adults have unusual behaviour. Although AUTISTIC children often look healthy and attractive, their visual and auditory concept is distorted, hence they are not able to make sense of the world around them.

AUTISM   is more prevalent than previously been thought.  According to recent reviews, there appears fairly good agreement that the  AUTISM  SPECTRUM  DISORDERS   affect approximately 60, and narrowly-defined  AUTISM 10-30, per 10,000 children under 8.  The prevalence of  AUTISM  among adult populations is not known.  These estimates make AUTISM  SPECTRUM  DISORDERS   far more common than was previously generally recognised.  (MRC-2001).

The average prevalence from all studies published by the year 2000 is 10 per 10,000 for  AUTISTIC  DISORDER, and 2.5 per 10,000 for  ASPERGER  SYNDROME.  Estimates from more recent studies have been higher, reflecting better ascertainment.  For example, prevalence estimates based on two most recent studies in the  UK  using active case ascertainment and two stage ‘screen’ with similar criteria for caseness are consistent.  Baird reported a combined prevalence of 57.9 per 10,000 in children by the age of 7 which accords with the figure of 62.6 per 10,000 for all PERVASIVE  DEVELOPMENTAL  DISORDERS   reported by Chakrabarti and Fombonne in their survey of 4 to 7 year-olds in Staffordshire.  Baird estimated a prevalence of 27.1 per 10,000 for  ASPERGER  SYNDROME   which is higher than 8.4 per 10,000 reported by Chakrabarti – this may reflect some differences in age group studied.  (MRC-2001).

AUTISM  SPECTRUM  DISORDERS  affect many more males than females.  They affect people of all social classes, countries and races.  It is as yet unclear whether people of particular racial origins are more at risk for  AUTISM  SPECTRUM  DISORDERS.  (MRC-2001).

CHILDHOOD  DISINTEGRATIVE  DISORDER  is very rare, with prevalence ranging between 0.1 to 0.6 per 10,000.  However the five studies reporting prevalence combined included only 10 affected individuals so these estimates are very uncertain. (MRC-2001)

Since the recognition of  AUTISM   in 1943 by Leo Kanner in the  U.S.A.  and the  ASPERGER  SYNDROME,  HIGH  FUNCTIONING  AUTISM,  classified as  ATYPICAL  AUTISM  (DSM-IV, 1994) by Hans Asperger in Austria in 1944 and  CHILDHOOD  DISINTEGRATIVE  DISORDER  (CDC)/HELLER’S  SYNDROME/LATE  ONSET  OF  AUTISM first mentioned by Theodor Heller a Viennese educator, in 1908, scientific endeavours in the 1990’s have led us nearer towards the possible causes of  AUTISM,  however, there is still a great deal of work to be done to reach the ultimate goal.

In approximately 90% of individuals with  AUTISM  SPECTRUM  DISORDER,  there is good evidence to indicate that complex genetic influences are contributing to pathogenesis.  However, these estimates are based on studies of relatively small samples of twins that were ascertained using relatively narrowly defined and stringent diagnostic criteria.  Moreover, to varying extents the samples are likely to have been subject to ascertainment bias.  (MRC-2001).

Families with an  AUTISTIC  child are given an approximate 6% chance of having another born with the disorder.  A number of epidemiological twin studies have demonstrated the heritability of  AUTISM  SPECTRUM  DISORDER S.  For example, Bayley et al found that probability of both twins having an   AUTISM  SPECTRUM  DISORDER  is high (60%) if they are identical (monozygotic), whereas if they are non-identical (dizygotic) the probability is very small.  The rate of  AUTISM  SPECTRUM  DISORDERS  in singleton sibilings is 2-6%, which is still at least ten times the general population prevalence.  (MRC-2001).

RESEARCH  IN  AUTISM  IS  VERY  IMPORTANT!!!!!!!!!!!!!


Contact Details:
The International AUTISTIC Research Organisation, 49 Orchard Avenue, Shirley, Croydon, CR0 7NE, United Kingdom

 

        Tel.: +44-(0)20 8777 0095. Fax.: +44-(0)20 8776 2362

        Email: iaro@autismresearchww.freeserve.co.uk

                           

 

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 Patrons: Luciano Pavarotti and Lesley Garrett