Charts the personal journey of three families with children who have been…
The Spectrum of Autism
- Description
- Reviews
- Citation
- Cataloging
- Transcript
Autism is referred to as a spectrum disorder: those affected by it can exhibit a wide range of symptoms and of developmental progress. It is this extreme variability which makes the disorder sometimes difficult to recognize, and may lead to children being misdiagnosed as mentally ill or retarded, when early and appropriate intervention is so crucial to treating children with autism.
In this video, we share in the experiences of several families who have struggled to love and care for children who fall at various points on the spectrum of autism. We learn about the symptoms which first alerted them to the possibility of a developmental disorder in their child, and the challenges they faced in obtaining an accurate diagnosis, and then in securing proper treatment and an educational setting appropriate to their children's needs. We hear as well the perspectives of clinicians and educators who explain the difficulties they face in recognizing autism, and point to some of the common developmental signs which may be early signals of the disorder. These include delays or regression in learning to talk; difficulties in understanding and integrating various forms of sensory stimuli; and failure to develop normal speech, language or early social skills.
Yet the overriding message of this production is that caring and aware parents and professionals can be extraordinarily effective in enabling children with autism to participate in the world around them.
'The information presented is concise, well organized, and serves as a good general introduction to the subject of autism in children. As with most Fanlight Productions titles, The Spectrum of Autism is well edited and reflects good production values. The information is accurate and useful to both health and lay audiences. Recommended.' -Educational Media Reviews
'Excellent and informative - a short, accurate, well-documented exploration of autism.' -Science Books and Films
Citation
Main credits
Hed, Sharon (narrator)
Rosenthal, Heidi (film director)
Rosenthal, Heidi (film producer)
Rosenthal, Heidi (screenwriter)
Rosenthal, Heidi (editor of moving image work)
Rosenthal, Shane (screenwriter)
Other credits
Cameramen, Tim Wagner, Taj Teffaha, Dan Zimmerman; editor, Heidi Rosenthal; music, Nina Maria.
Distributor subjects
Autism; Developmental Disabilities; Disabilities; Fanlight Collection; Parenting and ChildbirthKeywords
WEBVTT
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Roller coaster, roller
coaster, going up and down.
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Roller coaster, roller coaster, going
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up and down. These
children are in a special
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treatment for autism. Many people
appear to confuse autism with mental
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retardation, but in reality these are
two entirely separate and unrelated
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disorders. So what is autism? Autism
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is a developmental disorder that involves
a miswiring of the brain. This miswiring
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interferes with normal development
in the areas of reasoning, social
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interaction, and communication skills.
The degree of abnormality
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in these areas range in a spectrum with
a variety of combinations; from mild
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to severe, depending on the individual.
Reasons for this
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disorder are not fully known, although many
experts believe they will eventually find that
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genes play a significant factor.
In 1943, Leo
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Canter in Baltimore, Maryland, was first to
publish accounts of the disorder. Not long
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after in 1944, Hans Asperger,
unaware of Canter\'s work, also
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published similar accounts of this disorder in
Vienna, Austria. Remarkably, they both used
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the word autistic to describe
symptoms of unresponsive
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self-stimulative children.
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[music] The understanding of
autism has changed significantly
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since the 1940s. We now know
autism is not a mental illness
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caused by bad parenting. It is not a
disease or mental retardation, although
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this can occur simultaneously.
Autism is a disorder that today
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has been estimated to effect 400,000
people in the United States.
00:02:00.000 --> 00:02:04.999
This makes it the third most common
developmental disability; more
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common than down syndrome. Someone who
can give insight into this disorder
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is an assistant professor of animal
science at Colorado State University,
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Temple Grandin. One of the problems that a lot
of autistics have is they can\'t stand to be
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touched. They\'d like to feel a nice feeling of
being held, but touch hurts. Touch is just too
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overwhelming. It\'s like an overwhelming
tidal wave of stimulation. But
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pressure is very calming. Many autistic kids
will get under be-, under mattresses, get
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under cushions, get under rugs,
cause that applies pressure,
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and, I was one of the pressure seekers. I\'d
get under the mattress because it calmed me
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down. It calmed down my nerves.
And, one time when I was
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out on my aunt\'s ranch, I noticed that when they put cattle
in the squeeze shoot, that the pressure of the squeeze shoot
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calmed the cattle down.
So I went and tried it,
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on myself. I got my aunt to try it, do it to me,
so I built a device I could get into that would
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apply pressure that I could control the
amount of pressure. One of the main
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emotions in autism is fear. Change in my schedule
would make me panic. You know, sometimes
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I still a little bit of that problem, but I built
this device I could get into that would apply
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pressure. And, it, it helped to
calm down my nervous system.
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I kind of look at Autism as a
spectrum disorder. Where at 1
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end of the, of the spectrum,
especially the non-verbal,
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autism is primarily a sensory processing
disorder; a person never learns to talk; because
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he could never hear the speech. He was
just hearing jumbles. Find the bunny. The
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bunny. Find the, bunny.
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The bunny! Yay! Good job! Now, at the other
end of the spectrum, you get your ``rain man\"
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savant [sp.] type, where I think that autism
is much more of a cognitive and rigid
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thinking disorder, and the sensory
problems are very very mild. I
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love to walk, I love to key and carry me.
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Of, up, up and up... up, up and windy.
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Typically
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by age 5 or 6, the kids fall into three area-, three
groups. About 50 percent of the children are mentally
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retarded. This one mother said to me,
\"B.J., I didn\'t like it when you told me
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he was retarded, but he learns slowly.\" I
said, \"That\'s what mental retardation is.\"
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Mike and I are going to highlight the word
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Muppet right here. Another 25% of the
children have normal non-verbal intelligence,
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but are still having language problems.
Those are the children that tend to
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show the most improvement, even
into adolescence. Circle. Circle.
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Square. Square. Square.
00:05:05.000 --> 00:05:09.999
Where\'s the triangle?
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Good. Then, there are the children who have
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normal intelligence both verbally and non-verbally,
but have serious social difficulties.
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[sil.]
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One of the things that\'s very important
to understand about autism is
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extreme variability of the disorder.
Autism is nervous system immaturity
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and this varies tremendously. As far as I\'m
concerned, autism is a continual, from
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normal to abnormal. Oh, okay! Bye!
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Hi baby! You ready to go
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to church? Baby, get some tights on!
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Ahh... No, look over here.
Which one do we drive?
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I...uh-huh... I,
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I drive a?
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Car! Good job! I drive a car.
I first started
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noticing something was different about
Clayton when he turned about 18
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months old, and, he really didn\'t have
any words. You know? He could, he
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could say his words. He could say his vowels,
he could say mama and dada, but that
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was about it, and plus, um, his
eye con-, his eye contact,
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uh, was almost nothing. You know, he
would hardly even look at you when you
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said his name, so we thought there might be something
wrong with his, with his hearing. Which is the
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first, thing that you think of,
uh, so of course when he was 2,
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he went through numerous tests to
find out if there was anything
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physically wrong with him. Uh, besides
the hearing tests, numerous tests on his
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brain, to see if there might be a tumor or
something like that. Uh, it\'s the communication
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that\'s the problem with him.
His frustration level and his
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aggression behavior increases
because he cannot tell people
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what he needs, what he is mad about,
uh, what\'s upsetting him. Physically
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he\'s fine, uh, he\'s a very healthy child.
Um, when he\'s in a good mood, he-, he\'s
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a very loving child. Um,
but those compulsive
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obsessive behaviors, uh, happen daily
and it\'s kind of hard to deal with.
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When I was a little
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kid, if adults spoke directly to me, I
could understand them, but if they were
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yacking fast off in the distance, then they went into what I
thought was grown up talk. I actually thought it was a different
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language. I have problems with hard
consonant sounds. I have to figure
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things out in context. If someone
says, \"The airport is fogged in.\"
00:08:05.000 --> 00:08:09.999
I know they\'re not talking about a muddy
bog somewhere, but if you say fog or bog
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just by themselves, I mix them up. There
are many many causes, most likely,
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for this syndrome. That is not a disease.
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I think that is the most important thing. There was
no one test. There was no medical test that one
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does to diagnose autism. There\'s no
blood test to diagnose autism. It is a
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behavioral disorder and the
behavioral criteria need to be met.
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Diagnosis is made based on
the presence and absence
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of symptoms in 4 areas. The first is the way a
child developed. Normal children learn to walk,
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they learn to talk, and they learn to interact with you, so
that by the end of the first year you have a little person
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on your hands. Children who are slower learn those
skills, but learn them at a slower rate. Children
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with autism are up and down. They might
start to develop a skill and stop.
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There may be long transitions
between phases of development,
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and the most common symptom we get is,
kids will start to talk and stop.
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I first noticed, Luke
was, starting to regress,
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um, in between ages 2 and 3. He had,
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at 18 months, he had,
probably, his language was
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probably 25 to 30 words,
and he kept losing words
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in between age 2 and 3 until he, the
only word he would say was apple
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juice. He was using words
and he was singing
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like, Old McDonald Had a Farm. He would sing
E-I-E-I-O, and he had the little games he
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would, you know, little rhyming games,
patty cake, things like that, and he
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quit doing it. Well, I\'d say I
first started noticing changes in
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Clayton, he was about 19
months, and, um, he was
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quieter all of a sudden,
he seemed to be really
00:10:05.000 --> 00:10:09.999
into TV, I mean, just
mesmerized by it, and uh...
00:10:10.000 --> 00:10:14.999
he had been talking prior
to that, you know, at
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one year old I\'d say he had a pretty decent
vocabulary, and then I noticed there\'d be a whole day
00:10:20.000 --> 00:10:24.999
pass where he didn\'t say a word. And
I thought maybe it was his hearing.
00:10:25.000 --> 00:10:29.999
It\'s a difficulty in understanding stim-,
stimuli in all the areas, whether it be
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visual, sight, the children may appear deaf,
they may get overstimulated by lights, they
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may be fascinated with things that spin
in circles. They may flap their hands. We
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think the part of the brain that\'s effected, is the
part of the brain that integrates all of the different
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senses, and one minute the children are, one
way, one minute they\'re the next. If you talk to
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adults with autism they all describe
this problem with sensory input, sensory
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modulation.
00:11:00.000 --> 00:11:04.999
Heeeeey..... And an
immature nervous system is
00:11:05.000 --> 00:11:09.999
like overly sensitive. Sounds that wouldn\'t
be loud to you, hurt my ears like a dentist
00:11:10.000 --> 00:11:14.999
drill going down my ear. You know, a child
might be, might be disruptive in the
00:11:15.000 --> 00:11:19.999
classroom because there\'s just so much noise in
the classroom, he can\'t tolerate it. It\'s like
00:11:20.000 --> 00:11:24.999
living inside a boiler factory. You know,
that\'s why he\'s throwing a fit. Or, he might be
00:11:25.000 --> 00:11:29.999
scared to go to church. I had one parent say that her
child was terrified of church. He was fine in Sunday
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School, but church terrified him, and the reason for
that was, one day a microphone fed back and went,
00:11:35.000 --> 00:11:39.999
\"Eeeeeeeeee,\" in his ears, and he was scared
to death that he\'d be subjected to the
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microphone blasting his ears out. I
know with Luke we have a swimming pool
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and he would be on top of his tree house, and if
the, we\'d flip the skimmer on in the swimming
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pool which we don\'t even hear the skimmer, he would
climb down, no matter where he was, run over and
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turn that skimmer off because that just bothered
him so much! That sound. You know, there has to
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be some concessions about clothing.
Like, even now, I can\'t
00:12:05.000 --> 00:12:09.999
stand scratchy things. I bought a New Jersey
shirt that I was wearing yesterday, and the tag
00:12:10.000 --> 00:12:14.999
was bothering me. I could feel the tag and it was
like this little thing cutting into the back of my
00:12:15.000 --> 00:12:19.999
neck and I\'ve got to cut the tag out of that
shirt. You know, most people wouldn\'t even
00:12:20.000 --> 00:12:24.999
feel that, but to me it was like having
a sharp piece of metal in the back of a
00:12:25.000 --> 00:12:29.999
shirt, just digging into me constantly and
bothering me. Usually the first referral
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for children with autism is the lack of
development in speech and language. Children who,
00:12:35.000 --> 00:12:39.999
early on, if you wanted to make a differential
diagnosis between children who are language delay
00:12:40.000 --> 00:12:44.999
and children who are autistic,
the hallmark of autism is
00:12:45.000 --> 00:12:49.999
the lack of communication. It\'s not that the
children don\'t talk, it\'s they don\'t communicate.
00:12:50.000 --> 00:12:54.999
Cat? Do you want to do a cat?
Want to do a cat,
00:12:55.000 --> 00:12:59.999
or cow. Which one?
00:13:00.000 --> 00:13:04.999
Want to do a cat?
00:13:05.000 --> 00:13:09.999
Or a cow? But, when I would go to the nursery
and call her name, all the other children,
00:13:10.000 --> 00:13:14.999
would turn their heads except for her, and then as
soon as she saw me, she would immediately start
00:13:15.000 --> 00:13:19.999
screaming and demand to be picked up.
Um, you could say to her, ``
00:13:20.000 --> 00:13:24.999
Kendall, would you like a drink?\" and no
response, but then, as soon as she saw the
00:13:25.000 --> 00:13:29.999
milk, she\'d start screaming. We would
call his name, and he wouldn\'t
00:13:30.000 --> 00:13:34.999
respond at all, and yet,
00:13:35.000 --> 00:13:39.999
some small little noise in the other room, like his
favorite candy, you know, unwrapping that candy,
00:13:40.000 --> 00:13:44.999
he would hear that. That\'s the
main thing we noticed. Candy,
00:13:45.000 --> 00:13:49.999
you know, or if we\'d say we\'re putting
the candy here in the drawer, then he\'d
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come in there and get in the drawer, I mean,
there were just definite signs he was hearing,
00:13:55.000 --> 00:13:59.999
alright, but he wasn\'t, he was distractible,
he wasn\'t paying attention, when
00:14:00.000 --> 00:14:04.999
I was talking anymore. The
eye contact wasn\'t good,
00:14:05.000 --> 00:14:09.999
but I didn\'t notice that a great deal.
In retrospect, I
00:14:10.000 --> 00:14:14.999
realize he was just, you know, kind of
looking around, not really focusing on
00:14:15.000 --> 00:14:19.999
me. The final area, and I think probably the most
important, has to do with the development of early social
00:14:20.000 --> 00:14:24.999
skills. The symptoms you can see very early
on have to do with playing baby games.
00:14:25.000 --> 00:14:29.999
Um, I ask parents all the time, \"`Did the child
play baby games?\" The parents will say, \"Yes.\"
00:14:30.000 --> 00:14:34.999
Then the question is did the child initiate the
games? At 6 months, a normal infant is attempting
00:14:35.000 --> 00:14:39.999
to bring you in to their world. What you find
in autism is that it\'s often not the case.
00:14:40.000 --> 00:14:44.999
Shoulders.
00:14:45.000 --> 00:14:49.999
Yay! Now let\'s touch our knees!
00:14:50.000 --> 00:14:54.999
Knees! We have 2 knees!
00:14:55.000 --> 00:14:59.999
Good morning, knees!
00:15:00.000 --> 00:15:04.999
Kendall would always have to have two objects, one
in each hand, and she would just sit on top of the
00:15:05.000 --> 00:15:09.999
stairs, and get 2 inches away from these
objects and just, make all these,
00:15:10.000 --> 00:15:14.999
you know, guttural sounds,
but, I-, she wasn\'t interested
00:15:15.000 --> 00:15:19.999
in, people, she wasn\'t interested in, y-,
anything, except for these little Sesame Street
00:15:20.000 --> 00:15:24.999
toys. She would line them up in
a row, which is very typical,
00:15:25.000 --> 00:15:29.999
and, would be, if you tried to take one of those
objects away, she would, scream and just,
00:15:30.000 --> 00:15:34.999
get real winded and start shaking,
a-a-a-, you know, so you\'d give them
00:15:35.000 --> 00:15:39.999
back, and then she\'d, when she\'d get them back, she\'d immediately
go back into her, own little world. Children with autism
00:15:40.000 --> 00:15:44.999
don\'t learn to imitate the way
normal children do, and if you think
00:15:45.000 --> 00:15:49.999
about how people learn language, how they
learn social skills, they learn by imitation.
00:15:50.000 --> 00:15:54.999
This is what children do. There\'s an impairment
there, not too strange that there\'s an
00:15:55.000 --> 00:15:59.999
impairment in social and
language skills. Come.
00:16:00.000 --> 00:16:04.999
Tell me goodbye!
00:16:05.000 --> 00:16:09.999
I\'m not Christina. My name is Tina.
00:16:10.000 --> 00:16:14.999
Good bye! Oh! Good bye,
00:16:15.000 --> 00:16:19.999
Tony! See, most people get these
little emotional cues all the
00:16:20.000 --> 00:16:24.999
time when they interact. See, I don\'t get that. I
have to go, oh, well the person is folding his arms,
00:16:25.000 --> 00:16:29.999
and that\'s the body language that\'s saying
he may be resisting what I\'m saying.
00:16:30.000 --> 00:16:34.999
I need to change what I\'m saying. I have to do it all with
intellect. In fact, I didn\'t know people had these little
00:16:35.000 --> 00:16:39.999
eye signals until last year when I read a
book about it. I didn\'t even know about
00:16:40.000 --> 00:16:44.999
that. You know, what do you mean? I, I couldn\'t
figure out why eye contact was so important.
00:16:45.000 --> 00:16:49.999
Who knows how to wash their face? Look at
me, Luke. You can do that in a minute.
00:16:50.000 --> 00:16:54.999
I want you to look at me.
Are you looking at me?
00:16:55.000 --> 00:16:59.999
Yeah. His main form of communication
during one period, was
00:17:00.000 --> 00:17:04.999
phrases from videos. In fact that\'s, early
on, that\'s one thing, I\'m not sure if it was
00:17:05.000 --> 00:17:09.999
just before or just after when he got the
diagnosis, but he had very little, uh,
00:17:10.000 --> 00:17:14.999
language. His vocabulary was very limited and I
remember we had watched Pinocchio, the video,
00:17:15.000 --> 00:17:19.999
one night, one evening, and we went out on
the deck after the movie was over, and,
00:17:20.000 --> 00:17:24.999
uh, you know, it was after dark, and
he looked up in the sky and, and
00:17:25.000 --> 00:17:29.999
repeated, uh, a phrase, a lengthy phrase, from,
from Pinocchio about start light star bright,
00:17:30.000 --> 00:17:34.999
first star I see tonight, and it was just like,
just ripped it off, just like that, word for word,
00:17:35.000 --> 00:17:39.999
and, you know, there was a time when he, he
only had a vocabulary of about six words,
00:17:40.000 --> 00:17:44.999
and he repeated this word for word,
and thereafter, for about a year,
00:17:45.000 --> 00:17:49.999
that was his main form of commu-, communication.
He drew, or vocabulary, I guess, he would
00:17:50.000 --> 00:17:54.999
draw phrases from movies, from
Sesame Street, from videos.
00:17:55.000 --> 00:17:59.999
Very often, the children develop an
echolalic language as they get a bit older.
00:18:00.000 --> 00:18:04.999
In my view, it\'s a bit like, uh, saying to a parent
that the child does not have a language of their
00:18:05.000 --> 00:18:09.999
own. They are basically borrowing the
languages of somebody, around them,
00:18:10.000 --> 00:18:14.999
and the remarkable thing is that echolalia,
which means repeating things that you
00:18:15.000 --> 00:18:19.999
hear, the child may have
echolalia which is immediate.
00:18:20.000 --> 00:18:24.999
That means that I say a word and the child
basically mimics the word and says the word right
00:18:25.000 --> 00:18:29.999
back, or the echolalia can be delayed.
Ah! Ahhhhh!
00:18:30.000 --> 00:18:34.999
Ah Ah Ah... Ahhhh-ck.
00:18:35.000 --> 00:18:39.999
Yuck. Yuck. Yuck. What\'s that mean?
Yuck! What does that
00:18:40.000 --> 00:18:44.999
mean? Yuck. Yuck.
00:18:45.000 --> 00:18:49.999
Yuck. What do they tell Chelsea to do at
00:18:50.000 --> 00:18:54.999
school? Chelsea, sit down. Chelsea,
sit on the bench. Isn\'t that
00:18:55.000 --> 00:18:59.999
what they tell her? In reality,
in a five minute well baby check,
00:19:00.000 --> 00:19:04.999
or a ten minute
00:19:05.000 --> 00:19:09.999
well baby check, and a five
minute office sick visit, a
00:19:10.000 --> 00:19:14.999
pediatrician is not going to see a
child having difficulties with play.
00:19:15.000 --> 00:19:19.999
Let\'s make an eye out of (inaudible)
00:19:20.000 --> 00:19:24.999
. Very nice. If a child is screaming because
they\'re in the doctor\'s office to begin with,
00:19:25.000 --> 00:19:29.999
it\'s kind of hard to understand what mom\'s talking
about that the child is tantruming all day, or having
00:19:30.000 --> 00:19:34.999
behavioral problems all day.
So, pediatricians, and
00:19:35.000 --> 00:19:39.999
family practitioners, and child neurologists
and child psychiatrists, um, have not,
00:19:40.000 --> 00:19:44.999
it has not been a key aspect
of, uh, in training, uh,
00:19:45.000 --> 00:19:49.999
until very recently, when a lot of people
are getting on the, the bandwagon, and
00:19:50.000 --> 00:19:54.999
deciding that this is a major goal, that people
need to know what to look for and what questions
00:19:55.000 --> 00:19:59.999
to ask. Look. At me.
00:20:00.000 --> 00:20:04.999
Tear... paper. This is tear.
00:20:05.000 --> 00:20:09.999
I, I think the world of our
pediatrician, but I feel that, um,
00:20:10.000 --> 00:20:14.999
he probably wasn\'t cued in to
autism, and realized that,
00:20:15.000 --> 00:20:19.999
you know, these wer-, this was like
an autism spectrum, or could possibly
00:20:20.000 --> 00:20:24.999
be autistic tendencies. He never
mentioned anything about autism,
00:20:25.000 --> 00:20:29.999
and when, we decided that we
should take Luke to a neurologist,
00:20:30.000 --> 00:20:34.999
just to check it out, we
approached our, pediatrician,
00:20:35.000 --> 00:20:39.999
and our pediatrician said, he really
didn\'t think that was the case, but if we
00:20:40.000 --> 00:20:44.999
wanted to go to a neurologist, he
would go ahead and, um, you know,
00:20:45.000 --> 00:20:49.999
recommend, which neurologist to go to.
00:20:50.000 --> 00:20:54.999
It is my personal experience
that, when a parent
00:20:55.000 --> 00:20:59.999
presents to me saying, I think my child\'s
autistic, that, I have never had
00:21:00.000 --> 00:21:04.999
a parent be wrong. Um, I say, what
I would recommend if a mother
00:21:05.000 --> 00:21:09.999
or a parent is very concerned
that they think their
00:21:10.000 --> 00:21:14.999
child may be autistic, or have very similar
00:21:15.000 --> 00:21:19.999
symptoms, and for whatever reason they are
not happy with the response they\'re getting
00:21:20.000 --> 00:21:24.999
from their primary care
doctor, or even a specialist,
00:21:25.000 --> 00:21:29.999
um, that they continue to pursue. As
far as when I thought something was
00:21:30.000 --> 00:21:34.999
wrong, but I wasn\'t sure what,
um, let me think. I went
00:21:35.000 --> 00:21:39.999
through one, I was on my third
pediatrician at that time,
00:21:40.000 --> 00:21:44.999
uh, just do a relocation
and that, um, he really
00:21:45.000 --> 00:21:49.999
just was not concerned. He said, \"Well,
how many words do you think he can
00:21:50.000 --> 00:21:54.999
say? \" So I wrote down a list for him, and
he said, \" Oh, that\'s not that out of
00:21:55.000 --> 00:21:59.999
line for a boy. You know, they\'re often
delayed in speech, but more developed in
00:22:00.000 --> 00:22:04.999
motor, and, uh, ya know, le-,
let\'s just wait and see.\"
00:22:05.000 --> 00:22:09.999
So, my sister-in-law recommended
another pediatrician
00:22:10.000 --> 00:22:14.999
and I went to him and he had a form you
fill out like, yes no, you know? Can a
00:22:15.000 --> 00:22:19.999
child build a tower of eight blocks? Yes, no, and
as soon as you answered 3 in a row no, then you
00:22:20.000 --> 00:22:24.999
were to stop, and I think
I got maybe two questions
00:22:25.000 --> 00:22:29.999
answered out of 20. I mean, he was
very delayed. The majority of
00:22:30.000 --> 00:22:34.999
pediatricians use something similar
or, or to the Denver Developmental
00:22:35.000 --> 00:22:39.999
Screening test that asks specific
questions about language and about
00:22:40.000 --> 00:22:44.999
socialization. It does not
ask, for example, um,
00:22:45.000 --> 00:22:49.999
what kind of toys, that the child plays
with, and how does he play with those
00:22:50.000 --> 00:22:54.999
toys. Um, it does not ask if the
play is appropriate. Um, a lot of
00:22:55.000 --> 00:22:59.999
the milestones for language
where you have two words
00:23:00.000 --> 00:23:04.999
by two years and three word or more sentences
by three are your global milestones. Don\'t
00:23:05.000 --> 00:23:09.999
stop and ask, is the child using spontaneous
language or is the child echoing back
00:23:10.000 --> 00:23:14.999
TV commercials? Because a six word
sentence that\'s from a TV commercial
00:23:15.000 --> 00:23:19.999
doesn\'t cut it. And, I
wish I may, and I wish my
00:23:20.000 --> 00:23:24.999
might, ands, and have the
wish I wish tonight.
00:23:25.000 --> 00:23:29.999
Until more and more understanding is, is
00:23:30.000 --> 00:23:34.999
realized about what the spectrum really, how the
spectrum can present and the variability in
00:23:35.000 --> 00:23:39.999
that, um, and I think as more and more
people are going out an-, and ta-,
00:23:40.000 --> 00:23:48.000
talking about their experience, I think more
and more pediatricians are referring early.
00:23:50.000 --> 00:23:54.999
Well, you see, I\'m almost 50-years-old so most
doctors did not know about autism. My original
00:23:55.000 --> 00:23:59.999
diagnosis was brain damaged, and
the autism label didn\'t come on
00:24:00.000 --> 00:24:04.999
until a while later. But, fortunately
I got referred to a very good
00:24:05.000 --> 00:24:09.999
speech therapy school, and the teacher I had
in that school is as good as any teacher
00:24:10.000 --> 00:24:14.999
today. I can\'t emphasize enough the importance of good teachers.
I think these teachers are born, I don\'t think they are
00:24:15.000 --> 00:24:19.999
trained. Mrs. Reynolds was just one of these
wonderful teachers, just knew how to work, work
00:24:20.000 --> 00:24:24.999
with, with kids, and the things that
she wo-, did with me, you know,
00:24:25.000 --> 00:24:29.999
uh, 45, you know, more than 45 years ago are
the same things that good teachers do today.
00:24:30.000 --> 00:24:34.999
Ideally a child, a preschool child,
should be in a classroom with intensive
00:24:35.000 --> 00:24:39.999
communication emersion, so that speech
and language therapy doesn\'t occur
00:24:40.000 --> 00:24:44.999
30 minutes 3 times a week, only, but occurs
00:24:45.000 --> 00:24:49.999
every day. And two hands. And two hands.
Okay. I drew one arm, now it\'s your
00:24:50.000 --> 00:24:54.999
turn. My hand! Oh very
00:24:55.000 --> 00:24:59.999
good! Kendall was in, uh, you know, uh, public school
and, immediately, as soon as I found out, I had her in
00:25:00.000 --> 00:25:04.999
special, you know, private schools, at to. Um,
but still, she was in a class with eight other
00:25:05.000 --> 00:25:09.999
kids; down syndrome, cerebral
palsy, um, she was by far the
00:25:10.000 --> 00:25:14.999
worst. And, so, you know, the 1
teacher and the 1 aid in that class,
00:25:15.000 --> 00:25:19.999
they\'ve got to address a program that addressed
all of those kids, but they\'re so different,
00:25:20.000 --> 00:25:24.999
and when I put her, finally in a public school
because of the expense, again she was in a
00:25:25.000 --> 00:25:29.999
classroom with eight other kids, different diagnoses,
um, one of the boys who, eh, eh, the next year, ended
00:25:30.000 --> 00:25:34.999
up in my daughter, who is
severely retarded\'s class,
00:25:35.000 --> 00:25:39.999
but, they just look at these children and think okay
this is what we can allot these children, but you
00:25:40.000 --> 00:25:44.999
have got to look at these kids, as, different. There\'s a lot
of different programs out there making a lot of different
00:25:45.000 --> 00:25:49.999
claims, but the most important
thing is, getting enough hours a
00:25:50.000 --> 00:25:54.999
week of one-on-ones. You\'ve got to keep the kid
connected to the world. When I was a little
00:25:55.000 --> 00:25:59.999
kid, I used to shut the world out because the world hurt,
so what you need to do is you have to have a teacher do a
00:26:00.000 --> 00:26:04.999
lot of 1-on-1s, but you\'ve got to adjust the
environment so you don\'t have the kinds of noise and
00:26:05.000 --> 00:26:09.999
things that makes them shut out the world. I mean, I
was a kid who liked to go to the supermarket, but
00:26:10.000 --> 00:26:14.999
some of the more severe kids, it might take them a
day to get over a trip to the supermarket because
00:26:15.000 --> 00:26:19.999
it\'s very very over stimulating. So, you have
got to get a lot of hours of one-on-ones,
00:26:20.000 --> 00:26:24.999
but you\'ve got to be in a quiet environment. And, and
with some of the lower functioning kids you need to
00:26:25.000 --> 00:26:29.999
just use one sensory channel at a time.
They can\'t see and hear at the same time.
00:26:30.000 --> 00:26:34.999
Turn the page. Good!
00:26:35.000 --> 00:26:39.999
You need to follow along while I read.
Batman was the greatest crime fighter in
00:26:40.000 --> 00:26:44.999
Gotham City. Whenever criminals, uh,
you need to follow me. Now I had
00:26:45.000 --> 00:26:49.999
3 Miss Manner\'s Meals every day.
That took about an hour and a half
00:26:50.000 --> 00:26:54.999
of time. That was part of my treatment. Where I had to set
the table, and I had to have manners and I had to behave,
00:26:55.000 --> 00:26:59.999
and I had to stay connected to the world and I
couldn\'t sit and stem while I was at the table.
00:27:00.000 --> 00:27:04.999
I had, I went to speech therapy school, and
then my mother hired a nanny that just
00:27:05.000 --> 00:27:09.999
played with me and my sister all afternoon,
keeping me engaged. Aren\'t you going to play it?
00:27:10.000 --> 00:27:14.999
Uh-huh. One. Two. Three.
00:27:15.000 --> 00:27:19.999
Four. Five. Six. Seven. Eight. Very nice!
That was perfect! Way
00:27:20.000 --> 00:27:28.000
to go! Now what? Luke seemed to go
through, through transitional changes, I
00:27:30.000 --> 00:27:34.999
think at first, shortly after
his diagnosis, of autism,
00:27:35.000 --> 00:27:39.999
he, uh, I think he, he
had little interest in
00:27:40.000 --> 00:27:44.999
our world and such. He more or
less had his own world, and really
00:27:45.000 --> 00:27:49.999
wasn\'t interested and just didn\'t bother
recognizing our world, and he, I think the next
00:27:50.000 --> 00:27:54.999
stage, he began to recognize it.
Probably wasn\'t that thrilled with it,
00:27:55.000 --> 00:27:59.999
but began to tolerate it, and I think now
he\'s at the point where he recognizes that,
00:28:00.000 --> 00:28:04.999
he is, part of, the same world we are...
00:28:05.000 --> 00:28:09.999
and he\'s interested in being a part of it.
He enjoys it, and I
00:28:10.000 --> 00:28:14.999
think he, he really wants to be a part
of it, and be an interactive, um,
00:28:15.000 --> 00:28:19.999
member in class and, and in social
situations and play situations
00:28:20.000 --> 00:28:24.999
as well. The greatest thing, I
guess, has to be actually wanting to
00:28:25.000 --> 00:28:29.999
be friends with other children,
wanting to interact; we never
00:28:30.000 --> 00:28:34.999
saw that, and he wants to be a part, he
wants to be a line leader. He raises his
00:28:35.000 --> 00:28:39.999
hand to give answers in class. Snap!
00:28:40.000 --> 00:28:44.999
Aw! I actually, for a while, had a
job with a free lock construction
00:28:45.000 --> 00:28:49.999
company, and I started to do some deciding there.
There was a very good draftsman there named
00:28:50.000 --> 00:28:54.999
David, and the way I learned
drafting, was I watched David,
00:28:55.000 --> 00:28:59.999
then I would, then I went out and bought the same
kind of pencils and everything that David had,
00:29:00.000 --> 00:29:04.999
and I just started copying like the way that
David drew. I didn\'t never traced his drawings,
00:29:05.000 --> 00:29:09.999
but I would, I sort of, I sort of like, pretended I
was David and I couldn\'t believe the nice drafting
00:29:10.000 --> 00:29:14.999
I did. But once I just sketch out
the most basic layout of the
00:29:15.000 --> 00:29:19.999
system, then I can see the whole system. You want
me to see it in metal? You want me to see it in
00:29:20.000 --> 00:29:24.999
concrete? I can see it either way. I can see
the animals going through it, I can see it
00:29:25.000 --> 00:29:29.999
for washing it down and cleaning it, in fact,
a lot of people don\'t know how to design
00:29:30.000 --> 00:29:34.999
something for cleaning. See, it\'s very easy for me to
imagine, you know, where the water\'s going to go. I
00:29:35.000 --> 00:29:39.999
think what makes autism such a difficult
disorder to deal with is what the children
00:29:40.000 --> 00:29:44.999
have the most trouble learning is what society
prizes the most, and that\'s how do you interact
00:29:45.000 --> 00:29:49.999
socially with other people. The reality of the
situation is that it doesn\'t matter how smart
00:29:50.000 --> 00:29:54.999
you are, if you can\'t get along
in society and any treatment
00:29:55.000 --> 00:29:59.999
program has to focus on this difficulty
in social communication skills.
00:30:00.000 --> 00:30:04.999
I will have, I\'m thirsty too. Are you
thirsty today? I\'m thirsty too. What
00:30:05.000 --> 00:30:09.999
kind of juice is this? Hillary, look at
this. What kind of juice is that? Can
00:30:10.000 --> 00:30:14.999
you tell? It\'s yellow. It is yellow juice.
Do you smell?
00:30:15.000 --> 00:30:19.999
Smell? Stop it! I smell. Do you
00:30:20.000 --> 00:30:24.999
smell? Learning social skills is like a, is like
having a part in a play, and autistics need
00:30:25.000 --> 00:30:29.999
coaches on how they are supposed
to act in certain situations.
00:30:30.000 --> 00:30:34.999
I mean, the real complicated kind of, you know, like romance
relationships I, that\'s just not part of my life. I know how
00:30:35.000 --> 00:30:39.999
to do social relations, for, you know,
00:30:40.000 --> 00:30:44.999
like at a job. I\'ve learned, you know, you
don\'t go into the, you don\'t go into a
00:30:45.000 --> 00:30:49.999
plant and tell them they\'re stupid jerks.
That isn\'t, doesn-, I used to
00:30:50.000 --> 00:30:54.999
do stuff like that. I\'ve learned how to tell customers
diplomatically that something they\'re doing is
00:30:55.000 --> 00:30:59.999
wrong, and, and I\'ve learned
that by experience...
00:31:00.000 --> 00:31:04.999
and, and I, but it\'s all
learned intellectually.
00:31:05.000 --> 00:31:09.999
In fact, I\'ve gotten very good at,
at, at being diplomatic because I
00:31:10.000 --> 00:31:14.999
approach strictly as logic. You know,
I\'ve, you know I\'ll tell people that
00:31:15.000 --> 00:31:19.999
they\'re doing something wrong, but I\'ve
learned to do it so I don\'t make them angry.
00:31:20.000 --> 00:31:24.999
Once the diagnosis of autism has been
00:31:25.000 --> 00:31:29.999
made and an effective treatment
program has been sought, many
00:31:30.000 --> 00:31:34.999
questions still remain in the minds of parents.
Such as how the child will progress, and to what
00:31:35.000 --> 00:31:39.999
degree he will be able to function
in society. Unfortunately, there are
00:31:40.000 --> 00:31:44.999
no easy answers to such questions.
Due to the wide spectrum of
00:31:45.000 --> 00:31:49.999
symptoms, the outcome of each child with
autism may vary significantly. Those
00:31:50.000 --> 00:31:54.999
with mild autistic symptoms
communicate surprisingly well by the
00:31:55.000 --> 00:31:59.999
time they\'ve reached 5 or 6 years of age. Children
who fall into this category are virtually
00:32:00.000 --> 00:32:04.999
normal, both socially and verbally
in their assimilation into society.
00:32:05.000 --> 00:32:09.999
On the other end of the spectrum, there
are those who, by the time they reach the
00:32:10.000 --> 00:32:14.999
adolescent and adult years, have little or no
significant change from the type of behavior
00:32:15.000 --> 00:32:19.999
expressed at ages three or four. This
type of person often struggles with
00:32:20.000 --> 00:32:24.999
ritualistic behavior, continues to
experience difficulty with eye to eye
00:32:25.000 --> 00:32:29.999
contact, displays little or no
language development, and often
00:32:30.000 --> 00:32:34.999
exhibits severe social and behavioral
problems. Adults with this more
00:32:35.000 --> 00:32:39.999
pronounced form of autism often exhibit a lack
of self-control and a higher frequency and
00:32:40.000 --> 00:32:44.999
intensity of self-inflicted injuries.
00:32:45.000 --> 00:32:49.999
The majority of children diagnosed with
autism fall somewhere between these two
00:32:50.000 --> 00:32:54.999
extremes. They are children who have varying
degrees of learning disabilities and who
00:32:55.000 --> 00:32:59.999
require special assistance and training.
Though they may be able to perform
00:33:00.000 --> 00:33:04.999
normal jobs, and function adequately in
society, they, never the less, may require some
00:33:05.000 --> 00:33:09.999
sheltering and help with decision making.
Other than this,
00:33:10.000 --> 00:33:14.999
they can live relatively normal lives. You
have to get away from the notion there\'s
00:33:15.000 --> 00:33:19.999
something wrong. It\'s not anything
wrong, it means the brain
00:33:20.000 --> 00:33:24.999
works differently. Being autistic is
just a part of who the child is, and,
00:33:25.000 --> 00:33:29.999
the message we have to give
the children is it\'s ok.
00:33:30.000 --> 00:33:35.000
[music]
Distributor: The Fanlight Collection
Length: 34 minutes
Date: 2002
Genre: Expository
Language: English
Grade: College/Adult/Professional
Color/BW:
Closed Captioning: Available
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