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Learning Objectives

  1. Understand that autism and schizophrenia were once linked together, but are now seen as separate disorders.

  2. Grasp that autism involves impaired social interaction, problems with communication and restricted preoccupations and stereotyped behaviors. These children will often have intellectual, adaptive behavior and motor skill deficits.

  3. Realize that the prevalence rate of autism has increased over the years and the diagnosis is more common in boys, but is unrelated to social class.

  4. Comprehend that autism is typically a chronic disorder and many are unable to achieve independent living.

  5. Discover that research on autism indicates that it is related to deficits in theory of mind, central coherence and executive functioning. A number of areas of the brain have also been implicated.

  6. Accept that many causes of autism have been explored including genetics, prenatal complications, immunization, exposure to viruses and medical conditions.

  7. Acknowledge that a variety of pervasive developmental disorders have been identified and differentiating each of those disorders from autism is difficult at times. This has led some professionals to consider autism a spectrum disorder with varying degrees of impairment.

  8. Consider that the assessment of autism involves obtaining, a thorough family and medical history, evaluating intellectual and adaptive functioning, completing behavioral observations, as well as standardized measures of autism.

  9. Gather that treatment should begin as early as possible and include intensive behavioral interventions to improve language and communication, academic readiness and social functioning. Several comprehensive programs have demonstrated effectiveness.

  10. Ascertain that schizophrenia differs from autism as the hallmark symptoms are hallucinations, delusions and thought disorder.

  11. See that the prevalence rate for childhood schizophrenia is quite low, less than 1% of the population and that when schizophrenia does occur in childhood, the onset is typically insidious.

  12. Discern that many neurological abnormalities have been noted in schizophrenia and that many are related to brain connectivity.

  13. Determine that many causes for schizophrenia have been explored. Currently, the vulnerability stress model and neurodevelopmental model are widely accepted.

  14. Recognize that assessment of schizophrenia is difficult in childhood and treatments are typically based on adult theories. Treatment includes medication, education, and psychosocial intervention.






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