autism spectrum disorder definition
neurological disorders characterized by “severe and pervasive impairment in several areas of development” including social interaction, communication, and typically have a restricted repertoire of interests
what are the autism spectrum disorders
autism, childhood disintegrative disorder, rett’s disorder
characteristics of autism (before age 3)
assessment of autism
no medical test - diagnosis based on observation of the individual’s communication, behavior, and developmental levels (autism diagnostic interview, home/school observation, video analysis, genetic studies 15-20 genes)
what is the most effective method of acquiring new behavior in autistic children
discrete trial instruction aka “applied behavior analysis”
what is the most effective method of decreasing problematic behavior in autistic children?
reinforcement-based treatments
which meds are commonly prescribed for assoc. behaviors in autism?
antipsychotic meds and stimulants (MC)
what are the three criteria for diagnosis of intellectual disability?
mild ID criteria/lifestyle
IQ 50-70 (90% of ID)
similar to non-ID kids for 1st few years of life, achieve about 6th grade academic level
can support self with minimal supervision
moderate ID
IQ 30-50 (10%)
academic skills up to 2nd grade - benefit from extensive social and vocational training
-can perform unskilled or semi-skilled tasks under supervision
severe ID
IQ 20-35ish (3.5%)
-can acquire some basic self-help skills
can learn to count or “read”
-require assistance for most activities/daily life
profound ID
IQ less than 20-25
ID more common in…
males
causes of ID
unknown 30-40% of cases
challenging behavior in autism
repetitive behaviors are considered an “essential” feature of autism (flapping)
some display challenging behavior considered “associated” including self-injury, aggression, property destruction, pica, etc
self-injurious behavior
act in which an individual deliberately produces physical damage to his or her own body
stereotypic movement disorder
behavior that results in bodily damage that requires specific treatment (or that would result in bodily damage if protective measures were not used)
types of SIB (self-injurious behavior)
head banging, self-hitting, self-biting, self-scratching, pinching, pica, eye gouging, self-restraint, aerophagia, ruminative vomiting, coprophage, trichotillomania
negative consequences of SIB
social isolation, impact on educational/vocational training, tissue damage, infection, blindness, death
3 diagnostic criteria of pica
destructive behavior
acts in which an individual physically harms another person (aggression) or immediate environment (disruption)
data analysis in behavioral treatment
collect data and use data to assess changes int eh occurrence of the target behavior - visual inspection of data helps identify changes in behavior (functional relation/internal validity)