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“Healing Autism: No Finer a Cause on the Planet”

January 21, 2002        News Morgue Search  www.feat.org/search/news.asp

 

RESEARCH

Abstracts (Technical language.)

·        Autism and Massage Therapy

·        Autism’s Picky Eaters

·        Verbal Association For Simple Common Words In HF Autism

·        Goal-directed behaviors in Autistic Children

·        Birth Order and Non-Verbal IQ

·        On the Differential Diagnosing of Autism, Language Disorder

·        Why Neuropeptides And Neurotrophins Are Important To Autism

 

COMMENTARY

·        ‘Geeks’ Get Lucky

 

Autism and Massage Therapy

“Brief report: improvements in the behavior of children with autism following massage therapy.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11794416&dopt=Abstract <- - address ends here.

Escalona A, Field T, Singer-Strunck R, Cullen C, Hartshorn K. Touch Research Institute, University of Miami School of Medicine, FL 33101,USA.

Twenty children with autism, ages 3 to 6 years, were randomly assigned to massage therapy and reading attention control groups. Parents in the massage therapy group were trained by a massage therapist to massage their children for 15 minutes prior to bedtime every night for 1 month and the parents of the attention control group read Dr. Seuss stories to their children on the same time schedule.

Conners Teacher and Parent scales, classroom and playground observations, and sleep diaries were used to assess the effects of therapy on various behaviors, including hyperactivity, stereotypical and off-task behavior, and sleep problems. Results suggested that the children in the massage group exhibited less stereotypic behavior and showed more on-task and social relatedness behavior during play observations at school, and they experienced fewer sleep problems at home.

* * *

 

Autism’s Picky Eaters

“An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11794415&dopt=Abstract <- - address ends here.

Ahearn WH, Castine T, Nault K, Green G.

The New England Center for Children, Southboro, MA 01772-2108, USA.

Bahearn@necc.org

Some children with autism and pervasive developmental disorder-not otherwise specified (PDD-NOS) have been reported to have atypical feeding behavior, such as sensitivity to food texture and selective preferences for particular foods.

No systematic studies of feeding behavior in this population have been published. Munk and Repp (1994) developed methods for assessing feeding problems in individuals with cognitive and physical disabilities that allow categorization of individual feeding patterns based on responses to repeated presentations of food. In this study, we systematically replicated the Munk and Repp procedures with children with autism and PDD-NOS. Thirty children, ages 3 to 14 years, were exposed to 12 food items across 6 sessions.

Food acceptance, food expulsion, and disruptive behavior were recorded on a trial-by-trial basis. Approximately half of the participants exhibited patterns of food acceptance, indicating selectivity by food category or food texture. Others consistently accepted or rejected items across food categories.

Whether these patterns of food acceptance are atypical remains to be determined by comparison with the feeding patterns of typically developing children and other children with developmental delays.

* * *

 

Verbal Association For Simple Common Words In High-Functioning Autism

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11794413&dopt=Abstract <- - address ends here.

Toichi M, Kamio Y.

Division of Child & Adolescent Psychiatry, Case Western Reserve University/University Hospitals of Cleveland, OH 44106, USA.

We investigated conceptual relationships in semantic memory using an indirect priming technique in high-functioning autistic adolescents and their controls who were matched for age, verbal IQ, performance IQ, and nonverbal reasoning ability. The prime was a single word and the target task was completing a word fragment that was semantically related or unrelated to the prime word.

The autistic subjects and controls showed similar semantic priming effects, indicating intact conceptual relationships for simple common words in those with autism. Only in the autistic group was a significant correlation found between performance for the related items and two nonverbal cognitive measures, which suggests a possibility that semantic processing in individuals with autism might be qualitatively different from that in controls.

* * *

 

Goal-directed Behaviors in Autistic Children

“Analysis of social interactions as goal-directed behaviors in children with autism.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui

ds=11794412&dopt=Abstract

Ruble LA.

Treatment and Research Institute of Autism Spectrum Disorders, Child

Development Center, Vanderbilt University, Department of Pediatrics,

Nashville, TN 37232, USA. lisa.ruble@mcmail.vanderbilt.edu

An ecological psychology framework that considers the intentions of the child within the child’s own social context was used to study the complexity of social interactions of 16 children with autism or Down syndrome. Children were observed in their homes and behaviors were recorded.  Records were then analyzed by dividing behavior based on the children’s own goals.

Goal-directed behaviors were then categorized. Statistical analyses revealed similar social contexts and opportunities to receive bids from others for both groups. Differences in the frequencies and complexities of children’s behaviors depended on behavioral intent. Socially intended behaviors were less frequent, less self-initiated, and less complex in children with autism.

These findings are discussed as problems of attention and executive function, because social behaviors were more likely to occur secondarily, within the context of another ongoing behavior.

 

 

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* * *

 

Birth Order and Non-Verbal IQ

“Birth order effects on nonverbal IQ scores in autism multiplex families.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui

ds=11794410&dopt=Abstract

Spiker D, Lotspeich LJ, Dimiceli S, Szatmari P, Myers RM, Risch N.  Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305-5719, USA.

Lord (1992) published a brief report showing a trend for decreasing nonverbal IQ scores with increasing birth order in a sample of 16 autism multiplex families, and urged replication in a larger sample. In this report, analyses of nonverbal IQ scores for a sample of 144 autism multiplex families indicated that nonverbal IQ scores were significantly lower in secondborn compared with firstborn siblings with autism. This birth order effect was independent of gender as well as the age differences within sib pairs.

No such birth order effects were found for social or communicative deficits as measured by the Autism Diagnostic Interview-Revised (ADI-R), but there was a modest tendency for increased scores for ritualistic behaviors for the firstborn sibs. Further, there were no gender differences on nonverbal IQ scores in this sample. Results are discussed in terms of implications for genetic studies of autism.

* * *

 

On the Differential Diagnosing of Autism, Language Disorder

“The use of the ADI-R as a diagnostic tool in the differential diagnosis of

children with infantile autism and children with a receptive language

disorder”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11794550&dopt=Abstract <- - address ends here.

Mildenberger K, Sitter S, Noterdaeme M, Amorosa H.  Heckscher Klinik fur Kinder- und Jugendpsychiatrie, Abteilung fur teilleistungs- und verhaltensgestorte Kinder, Munchen, Germany.

Children with infantile autism and children with a specific receptive language disorder often show similar behavioural problems, making the differentiation between these two diagnostic categories difficult. The purpose of this study is to evaluate the usefulness of parental information in the differential diagnosis of the two types of disorders mentioned above.  Sixteen children with a receptive language disorder and 11 children with infantile autism participated in the study.

All children had normal non-verbal IQs. The ADI-R (Autism Diagnostic Interview-Revised) was performed with all children. The results showed that the ADI-R items reflecting behavioural features at pre-school age (age range 4-5 years) were better suited to differentiate the groups than the items reflecting behavioural features at the time of the investigation (mean age:

9 years).

The items on the dimension “Reciprocal social interaction” and “Communication and language” discriminated the groups better than the items of the dimension “Restricted interests”. According to the ICD-10 algorithm of the ADI-R one child with autism and one child with a receptive language disorder were falsely classified. These false classifications were mainly due to a distorted parental perception of the child’s behaviour. The ADI-R is a useful tool in the differential diagnosis of developmental disorders.

* * *

 

Why Neuropeptides And Neurotrophins Are Important To Autism “What are neuropeptides and neurotrophins and why are they imortant in autism?”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11794417&dopt=Abstract <- - address ends here.

Minshew N. Publication Types:  *  Editorial

 

 

COMMENTARY

‘Geeks’ Get Lucky

Mark Blaxill

 

Autism experts have a long tradition of displaying contempt for the parents of autistic children. Most famously, Bruno Bettelheim propounded the theory of the “refrigerator mother”, while boasting that “all my life, I have been working with children whose lives were destroyed because their mothers hated them” (1). More recently, Chistopher Gillberg turned the spotlight to socially unfit fathers, speculating in a peer-reviewed article that autism might be increasing because of “indirect associations of maternal immigrant status and paternal Asperger’s syndrome”, creating a situation in which “men...with increased risk of fathering children with autism and with difficulty in finding a native partner, might have children by women from far-away countries, who would not immediately identify the social anomalies or ascribe them to a difference in culture” (2).

I have used Gillberg’s odd contention in recent presentations as a joke. It’s a reliable laugh line. To Gillberg’s modest credit, his speculation was buried deeply in a long paper in an obscure journal. He certainly did not seek to call attention to it.

But now, Simon Baron-Cohen has taken this “geeks get lucky” theory out in the open. In a recent essay (3), Baron-Cohen develops Gillberg’s speculation into a full-fledged argument. Autism increases, Baron-Cohen claims, are the direct consequence of advances in transportation and information technology. Dads of today’s autistic children, “would traditionally have not competed well in the competition for mates, as appearing socially odd might have either put off prospective females from choosing them, or put off prospective parents-in-law from arranging such a marriage for their daughters.”

Too bad, lonely geek! But in the modern world, claims Baron-Cohen, “two massive changes hit the planet: the airplane and the computer. The airplane has allowed unprecedented opportunities for changing your culture.  And when you go from your native culture into another one, your social oddness may be far less obvious.” Score one for the dating strategy of the mysterious stranger.

But that’s not all of the good news for our strange friend. Now he can even get a job! “In just 50 short years, there is now no office in the developed world where computers are not essential, and we need those people with the cool, razor-sharp logic to fix them, reconfigure them, develop them, adapt them, program them. The autistic mind was sitting around for centuries, even millennia, under-employed, because how many jobs were there for mathematicians and scientists, who also needed this style of thinking?”

It’s hard to make this stuff up. Under most circumstances, one would be tempted to write this off as lunacy from some out-of-touch crackpot. But here is the astonishing part. Baron-Cohen is an autism expert, and a respected academic as well. As Professor of Developmental Psychopathology and Co-Director of the Autism Research Centre at Cambridge University, he has published widely on autism and is one of the small cadre of epidemiological researchers who have been responsible for investigating the prevalence of autism and how it is detected. Most notably, he led a research effort that tried to develop tools (4) for diagnosing autism in infants. He failed (5). Neglecting to notice that this failure might actually support a case for an increase in regressive autism (why did the early detection tools fail to find over 60% of the infant autism population if autism is determined in utero?), he has now moved on to unsupported theories of natural selection and new-economy mating patterns.

But this is pure nonsense. Malicious nonsense. And we must expose nonsense when we see it. Especially when it comes from Cambridge professors with international reputations as autism experts. Bruno Bettelheim was one of the most celebrated psychologists of his time: can we calculate the emotional damage he inflicted on a generation of mothers? As for Baron-Cohen, I suspect he would prefer that those of us he would judge as unfit to mate would simply to withdraw to our computer programs. We must not. We need to hold him accountable for his theory.

I would suggest that the scientific method is the best way to hold the good professor accountable. He has a theory.  Can he provide plausible evidence to support it? Can he provide a rigorous test for it? Can he defend it against the simple standard of common sense? More specifically, he offer two hypotheses: *       The mobility hypothesis. Baron-Cohen argues that social mobility created by air travel has allowed “geeks on the go” a chance to mate. If this were true, then Baron-Cohen would have to explain why other increases in cross-cultural mobility and mating would not have produced similar increases in autism.  The mobility hypothesis would predict higher autism incidence in: historical periods of high migration; periods of involuntary mating (e.g., war); societies with higher rates of internal migration; cross-cultural and mixed race marriages; female populations with lower degrees of social standing and ability to attract “normal” mates; and countries with high and rising rates of immigration.

·        Commentary continues at:

http://www.angelfire.com/on/FEATNews/MBlaxill.htm

 

 

 

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