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THE AUTISTIC CHILD


When an infant or toddler does not cuddle, make eye contact or respond to affection and touching, parents are seriously concerned. This lack of responsiveness may be accompanied by an inability to communicate, and by a persistent failure to develop two-way social relationships in any situation.

Many autistic children fail to show a preference for parents over other adults and do not develop friendships with other children. The language skills may be poor, even nonexistent. Language skills as well as facial expressions and gestures are not used in a communicative manner. When a child shows these symptoms, "infantile autism" is one of the diagnoses that the child and adolescent psychiatrist will consider.

The autistic child's relationship to objects is not normal. The child may show unusual, extreme responses to objects--either avoidance or preoccupation. For example, the autistic child whose bed is

moved from one side of the room to another may scream. Moving objects such as a fan hold great fascination, and the child may form an unusual attachment to odd objects such as a paper, rubberband or brick.

Another feature of autism is a tendency toward repetitive activities of a restrictive range. Spinning and rhythmic body movements such as arm flapping may occur. High functioning autistic children may repeat television commercials or indulge in complex bedtime rituals.

Parents who suspect autism in their child should ask their family doctor or pediatrician to refer them to a child and adolescent psychiatrist, who can accurately diagnose the autism and the degree of severity, and determine the appropriate educational measures. Autism is a disease; autistic children may have a serious lifelong disability. However, with appropriate treatment and training, some autistic children can develop certain aspects of independence in their lives. Parents should support their autistic children in developing those skills that use their strengths so they will feel good about themselves.

In addition to working with the autistic child, the child and adolescent psychiatrist can help the family resolve stress--for example, a feeling among the siblings that they are being neglected in favor of the autistic child, or embarrassment about bringing their friends home. The child and adolescent psychiatrist can help parents with the emotional problems that may arise as a result of living with an autistic child and also help them provide the best possible nurturing and learning environment for the child.
 

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