| Princeton Township
in Mercer County is considered to be a hot-bed of autism research
and services, relative to other towns throughout the state of New
Jersey. For example, the Eden Institute is a school that provides
a variety of year-round educational services to individuals with disabilities,
ages 3 through 21. In addition, the Princeton Child Development Institute
is a non-profit program serving children with autism, ages 3 through
18. Yet, most individuals who inhabit this county (including the majority
of The College of New Jersey students) are unfamiliar with the specifics
concerning autism.
Many myths
about autism exist. Some are obsolete theories that current research
has proven false, yet they are still spread by people who are supposedly
authoritative and knowledgeable in the field. Most are overly broad
generalizations about autism characteristics that apply to only
select individuals with autism.
Autism is a complex developmental disability that typically appears
during the first few years of a child’s life. Autism has had
a name for more than 50 years, but only recently has it had a definition.
The disorder was first described in 1943 by Dr. Leo Kanner, an American
psychiatrist at Johns Hopkins University, who applied the term autism
to a group of children who were self-absorbed and displayed behavioral,
communicative and social problems. The word autism stems from the
Greek word autos, which means “self.” Eugen
Bleuler, a Swiss psychiatrist, first applied this term to schizophrenics
who appeared to have their own style of thinking, the type of thinking
that revolves around oneself.
The disorder impacts the normal development of the brain in areas
which control communication skills and social interaction. Autism
is a spectrum disorder, meaning that the characteristics and symptoms
of the disorder range from mild to severe and vary in intensity.
Children with autism may have repeated body movements, unusual interactions
with people, attachment to objects and resist change to routines.
It is estimated that 1,500,000 people in the United States today
have autism or a similar pervasive developmental disorder. Additionally,
autism is four times more prevalent in males than females. As a
result, autism is one of the most widespread developmental disabilities.
Yet most people, including many professionals in related fields,
remain uninformed as to how autism affects people.
Symptoms of autism usually begin during infancy. Autistic infants
typically show little interest in other people, including immediate
family members. This includes an inability to develop normal relationships
with family members and other children, in part because they are
almost completely unaware of the feelings and needs of other people.
They also lack typical social behaviors, such as making eye contact.
Moreover, autistic children typically play alone. These children
often partake in activities and games that are excessively repetitious,
such as repeatedly turning the television on and off, or staring
at toys and objects that spin. In addition, many autistic children
engage in repetitious body movements, such as flapping their arms
and rocking back and forth. Some autistic children are self-injurious
and engage in movements that are harmful to themselves, including
repeatedly banging their head. Often, these self-injurious actions
occur because these children become upset at minor changes in their
daily routines and their environment.
Approximately three out of every four autistic children are classified
as having mental retardation. In addition, the vast majority of
autistic children also have difficulties with language. In fact,
many children with autism never learn to speak. Children with the
disability may also demonstrate echolalia, mechanically repeating
words or phrases that other people say.
Autistic children who score highly on intelligence tests are considered
to have high-functioning autism. A very small percentage of children
with autism have extraordinary talents such as the ability to remember
abstract information or illegally count cards, which was evidenced
in the popular movie “Rainman.” These individuals with
autism are referred to as autistic savants.
Scientists today are still unsure as to what exactly causes autism.
It was once believed that parents caused a child’s autism
by rejecting a child or traumatizing a child in such a way that
the child was forced to retreat into his or her own world. This
theory lacked any scientific validity and was quickly dismissed.
However, more recent evidence indicates that autism results from
biological abnormalities in brain structure and function. Researchers
have found that autistic people have a drastically reduced number
of certain blood cells and abnormally low blood flow to certain
parts of the brain. In addition, researchers have linked a lack
of oxygen at birth to a possible cause for the disorder.
Another theory views autism primarily as a problem of cognition
that is due to an inability to express emotions, share experiences
and communicate in a normal fashion. The majority of researchers
believe that people with the disorder lack “a theory of the
mind,” which includes being aware of the beliefs and feelings
of other people. As a result, autistic people are unable to predict
and interpret the actions of others, which can lead to difficulties
in social interaction. Nonetheless, most experts dismiss this theory,
stating that autism appears at such an early age and that no children
at this age have a concept of the minds of others.
There is no cure for autism, but there are treatments that reduce
symptoms and significantly help people with autism function better.
However, there is no single treatment that works for everyone because
individuals respond in different ways. Among the most common treatments
are medication and behavior modification.
Behavior modification involves analyzing the cause of an undesirable
behavior, then using rewards and punishments or other approaches
to replace the behavior with a more appropriate response. For example,
children who bang their head due to anxiety about a situation can
be taught to say “stop.” Doctors often prescribe antipsychotic
drugs and other medications to reduce self-abusive behavior, such
as head banging. Some individuals with autism benefit from drugs
that adjust levels of brain chemicals such as dopamine and serotonin.
These medications are often successful in reducing unnecessary body
movements and other compulsive behaviors.
Federal law in the United States requires that early intervention
services are provided for children aged one to three with autism
and other disabilities. These services attempt to help children
with autism develop academic and social skills in the hopes of lessening
the disorder’s long-term effects. Children with autism attend
either regular or special education classes and follow individual
education plans.
There is no “typical type” of child with autism. The
disorder knows no ethnic, racial or social boundaries and is not
affected by family values, level of education or lifestyle. It is
important to understand that these people can learn and function
productively in society.
|