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Welcome to…. Autism Spectrum Disorders: Educational Implications of DSM-V . with Steve Becker, Ph.D. Offered to the Washington State Association of School Psychologists Fall Conference, 2010. Today’s Program. 9:00 A Framework for Understanding ASD
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with Steve Becker, Ph.D.
Offered to the
Washington State Association
of School Psychologists
Fall Conference, 2010
9:00 A Framework for Understanding ASD
A Brief History of ASD Classifications
Current DSM-TR Classification
9:45 Proposed DSM-V Criteria for ASD
DSM-V: Cross-Cutting Dimensional Assessment
DSM-V: Proposed ASD Criteria
Issues in Classification
DSM-V: Clinical Implications
10:30 That’s all, folks!
Pervasive Developmental Disorders Not Otherwise Specified
X = Criterion met
Mild (Asperger’s) (40%) Autism (Moderate) (50%) Autism (Severe)
“On the Spectrum”
Individuals vary greatly from one another on the “spectrum.”
“Autism” comes from the Greek: “aut(o)”=self + “ism”: a state
1911: “Autism” used by Bleuler to mean active withdrawal into fantasy by schizophrenic patient
1919: Kraeplin: “Autistic personality”: “(They) reduce external interests and…[are notable for] their preoccupation with inward ruminations (precursor to schizoid personality).”
1943: Kanner: “Early Infantile Autism”: failure to develop relationships, lack of imagination
1944: Hans Asperger, Viennese physician: identified a pattern of lack of empathy, difficulty forming friendships, absorption in a special interest, and clumsiness. (Translated by Lorna Wing in the U.K. in 1983)
1950’s: Use of childhood schizophrenia, autism, and childhood psychosis as interchangeable (Laufer and Gair, 1969)
Asperger’s: Higher prevalence
intelligence with one focused interest.
Autistic (6 or more from 3 below, with 2 from Social Interaction and 1 from Communication, 1 from Restricted below):
5) Effects of Dimensional Assessment on differential diagnosis of autism spectrum disorders:
A] Anxiety: HFA: low
B] Mood: HFA: often depressed
C] Affect: HFA: stable, constricted
LFA: labile; self-stimulation/mutilation
D] Substance use: HFA: very low
LFA: very low
E] Sleep disturbances: HFA: cycles
LFA: very changeable
2) Restricted, repetitive patterns of behavior, interests, and activities, as manifested by at least TWO of the following:
a. Stereotyped motor or verbal behaviors, or unusual sensory behaviors
b. Excessive adherence to routines and ritualized patterns of behavior
c. Restricted, fixated interests
3) Symptoms must be present in early childhood (but may not become full manifest until social demands exceed limited capacities)
4) A child with autism could not also be diagnosed with ADHD.
Asperger, Hans. (1944). “Die Autistischen Psychpathen.” Archiv fur Psychiatrie und Nervenkrankheiten. 117:76-136.
Atwood, Tony. (1998). Asperger’s Syndrome. Jessica Kingsley Publishers: London, England.
Bleuler, E. (1911). “Dementia preacox oder gruppe der schiozophrenien.” Translated by Zinkin, J. New York: International University Press.
Frances. A. (2009). “Alert to the research community-be prepared to weigh in on DSM-V,” Psychiatric Times. 27:2.
Kanner, Leo. (1943). “Autistic disturbances of affective contact.” Nervous Child 2:217-250.
Kraeplin, E. (1919). “Dementia preacox and paraphilia,” Livingstone: Edinburgh, Scotland.
Laufer, M.W., and Gair, D.S. (1969). “Childhood Schizophrenia.” In L. Bellak and L. Loeb (Eds.) The Schizophrenic Syndrome. Grune and Stratton: New York.
Macintosh, K.E., and Dissanaayake. (2004). Annotation: The similarities and differences between autistic disorder and Asperger’s disorder: a review of the empirical evidence. Journal of Child Psychology and Psychiatry., 45, 421-434.
Mayes, S.D. Calhoun, S.L., and Crites, D.L. (2001). Does DSM-IV Asperger’s Disorder exist? Journal of Abnormal Child Psychology. 29:263-271.
MillerJ.N., and Ozonoff, S. (2000). The external validity of Asperger Syndrome: Lack of evidence from the domain of neuropsychology. Journal of Abnormal Psychology, 109: 227-238.
Millon, T. (2000). Personality Disorders in Modern Life. John Wiley and Sons: New York.
American Psychological Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Washington, DC. American Psychological Association.
Attwood, T. (1998). Asperger’s Syndrome: A Guide for Parents and Professionals. Philadelphia. Jessica Kingsley Publishers.
Attwood, T. (2004). Exploring Feelings: Cognitive Behavior Therapy to Manage Anxiety. Arlington, TX. Future Horizons.
Attwood, T. (2007). The Complete Guide to Asperger’s Syndrome. London. Jessica Kingsley Publishers.
Baker, B.L., & Brightman, A.J. (2004). Steps to Independence: Teaching Everyday Skills to Children with Special Needs. (4th ed.). Baltimore. Paul Brookes Publishing Company.
Baker, J.E. (2003). Social Skills Training for Children and Adolescents with Asperger Syndrome and Social-Communication Problems. Shawnee Mission, KS. Autism Asperger Publishing Company.
Baker, Jed. (2001). The Social Skills Picture Book: Teaching Play, Emotion, and Communication to Children with Autism. Arlington, TX. Future Horizons.
Baron-Cohen, S. (2004). Mind Reading: An Interactive Guide to Emotions. London. Jessica Kingsley Publishing.
Bellini, S. (2006). The Autism Social Skills Profile. Shawnee Mission, KS. Autism Asperger Publishing Company.
Bellini, Scott. (2006). Building Social Relationships: A Systematic Approach to Teaching Social Interaction Skills to Children and Adolescents with Autism Spectrum Disorders and Other Social Difficulties. Shawnee Mission, KS. Autism Asperger Publishing Company.
Cater, M, and Santomauro, J. (2007). Pirates: An Early-Years Group Program for Developing Social Understanding and Social Competence for Children with Autism-Spectrum Disorders and related Challenges. Shawnee Mission, KS. Autism Asperger Publishing Company.
Csoti, M. (2001). Social Awareness Skills for Children. Philadelphia. Jessica Kingsley Publishing.
Elias, M.J., Butler, L.B., Bruno, E.M., Papke, M.R., & Shapiro, T.F. (2005). Social Decision Making/Social Problem Solving: A Curriculum for Academic, Social, and Emotional Learning. Champaign, IL. Research Press.
Gajewski, N., Hirn, P., & Mayo, P. (1998). Social Skill Strategies: A Social-Emotional Curriculum for Adolescents. (2nd ed.). Eau Claire, WI. Thinking Publications.
Grandin, Temple, and Barron, Sean. (2005). Unwritten Rules of Social Relationships. Future Horizons.
Gray, C. (2000). The New Social Story Book: Illustrated Edition. Arlington, TX. Future Horizons.
Gray, C., & White, A.L. (2002). My Social Stories Book. Philadelphia. Jessica Kingsley Publishers.
Gutstein, S.E. & Sheely, Rachelle K. (2002). Relationship Development Intervention with Children, Adolescents, and Adults: Social and Emotional Development Activities for Asperger Syndrome, Autism, PDD and NLD. London. Jessica Kingsley Publishers.
Gutstein, S.E. & Sheely, Rachelle K. (2002). Relationship Development Intervention with Young Children. London. Jessica Kingsley Publishers.
Klin, A., Volkmar, F.R., & Sparrow, S.S. (2000). Asperger Syndrome. New York. The Guilford Press.
Knapczyk, D., & Rodes, P. (2001). Teaching Social Competence: Social Skills and Academic Success. Verona, WI. IEP Resources.
Lieberman, L.A. (2005). A “Stranger” Among Us: Hiring In-Home Support for a Child with Autism Spectrum Disorders or Other Neurological Differences. Shawnee Mission, KS. Autism Asperger Publishing Company
McAfee, Jeanette. (2002). Navigating the Social World: A Curriculum for Individuals with Asperger’s Syndrome, High Functioning Autism and Related Disorders. Arlington, TX. Future Horizons, Inc.
Myles, B.S., Cook, K.T., Miller, N.E., Rinner, L., & Robbins, L.A. (2000). Asperger Syndrome and Sensory Issues: Practical Solutions for Making Sense of the World. Shawnee Mission, KS. Autism Asperger Publishing Company.
Smith, C. (2003). Writing and Developing Social Stories: Practical Interventions in Autism. Oxon, UK. Speechmark Publishing, Ltd.
Wagner, S. (1998). Inclusive Programming for Elementary Students with Autism. Arlington, TX. Future Horizons, Inc.
Waltz, Mitzi. (1999). Pervasive Developmental Disorders. O’Reilly and Associates.
Becker, Steve. (2003). Living with Asperger’s: The Aspie’s Guide to Friendships. Seattle, WA. Capital City Publishing.
Grandin, T., and Scariano, M. (1986). Emergence: Labeled Autistic. Novato, California. Arena Press.
Lawson, Wendy. (2003). Build Your Own Life. London. Jessica Kingsley Publishers.
Lovett, J. (2005). Solutions for Adults with Asperger’s Syndrome. Gloucester, MA. Quayside Publishing.
Willey, L. (1999). Pretending to bo Normal. London. Jessica Kingsley Publishers.
Zaks, Z. (2006). Life and Love: Positive Strategies for Autistic Adults. Shawnee Mission, KS. Autism Asperger Publishing Company.
Harris, S. (1994). Siblings of Children with Autism. Bethesda, Md. Woodbine House.
Ives, Martine, and Munro, Nell. (2002). Caring for a Child with Autism. London. Jessica Kingsley Publishers.
Johnston-Tyler, J. (2007). The Mom’s Guide to Asperger’s Syndrome. Shawnee Mission, KS. Autism Asperger Publishing Company.
Myles, B.S., & Southwick, J. (2005). Asperger Syndrome and Difficult Moments: Practical Solutions for Tantrums, Rage, and Meltdowns. (Rev. ed.). Shawnee Mission, KS. Autism Asperger Publishing Company.
Myles, B.S., Trautman, M.L., & Schelvan, R.L. (2004). The Hidden Curriculum: Practical Solutions for Understanding Unstated Rules in Social Situations. Shawnee Mission, KS. Autism Asperger Publishing Company.
Newport, J, and M. (2002). Autism-Asperger’s and Sexuality. Arlington, Tx. Future Horizons.
Ozonoff, S., Dawson, G., and McPartland, J. (2002). A Parent’s Guide to Asperger’s Syndrome and High-Functioning Autism. New York. Guilford Press.
Pyles, L. (2002). Hitchhiking through Asperger’s Syndrome. London. Jessica Kingsley Publishers.
Pratt, C. (2000). Peer Support Programs. Bloomington. Indiana Resource Center for Autism Training.
Quill, K. (2000). Do-Watch-Listen-Say: Social and Communication Intervention for Children with Autism. Baltimore. Brookes Publishing.
Sicile-Kira, Chantal. (2004). Autism Spectrum Disorders. Perigee.
Vicker, Beverly. (2007). Sharing Information about Your Child with Autism Spectrum Disorder: What Do Respite or Alternative Caregivers Need to Know? Shawnee Mission, KS. Autism Asperger Publishing Company.
Willey, L. (2001). Asperger’s Syndrome in the Family. London. Jessica Kingsley Publishers.
Books for Kids:
Bolick, Teresa. (2001). Asperger’s Syndrome and Adolescence. Gloucester, MA. Future Horizons.
Buron, K.D. (2006). When My Worries Get Too Big! Shawnee Mission, KS. Autism Asperger Publishing Company.
Faherty, Catherine. (2000). Aspergers…What Does It Mean to Me? A Workshop Explaining Self-Awareness and Life Lessons to the Child or Youth with High Functioning Autism or Aspergers. Arlington, TX. Future Horizons, Inc.
Jaffee, A., & Gardner, L. (2006). My Book Full of Feelings. Shawnee Mission, KS. Autism Asperger Publishing Company.
Keating-Velasco, J. A is for Autism, F is for Friend. (2007). Shawnee Mission, KS. Autism Asperger Publishing Company.
Levine, Caroline. (2007). Jay Grows an Alien. Shawnee Mission, KS. Autism Asperger Publishing Company.