Early Signs of Autism Identified in Infants

Findings Could Lead to More Effective Treatment. Canadian researchers say they can recognize the early signs of  autism in children as young as 6 months old, and they hope their findings will lead to  better early treatments for the disorder.

In their ongoing study that now includes autism centers across 14 cities in Canada and the U.S., the researchers are following the progression of younger siblings of children with autism.

According to the National Alliance for Autism Research, a child born into a family in which an older child has been diagnosed with autism is 50 times more likely to develop the disorder than a child with no afflicted siblings.

In this study, researchers show that by age 1, siblings who are later diagnosed with autism may be distinguished from other siblings by early developmental behaviors.

“This is groundbreaking work that is pushing the frontier of what we know about the biological nature of autism, and why it emerges so early in life,” says researcher Lonnie Zwaigenbaum, MD, of Ontario’s McMaster University. “Our hope is that it will lead to the development of new and earlier treatments that could make a huge difference for these children.”
High-Risk Kids Followed From Birth

Autism is typically diagnosed in children around the age of 2 or 3 years, but parents often have concerns about developmental delays much earlier. There is strong evidence that autism has its origin in abnormal brain development early in prenatal life, write the authors.

In an effort to better understand the early signs of autism, Zwaigenbaum and colleagues have been observing more than 200 younger siblings of children with autism, many of whom have been followed from birth.

They developed a 16-point observational checklist called the Autism Observational Scale designed to map the development of infants as young as 6 months.

Specific markers include making infrequent eye contact, not smiling in response to smiles from others, and, in older children, exhibiting delayed language skills.

Even as early as 6 months of age, the researchers found that certain behaviors tended to distinguish siblings later diagnosed with autism from siblings who developed normally. These behaviors included passivity and a decreased activity level at 6 months of age, followed by extreme irritability, a tendency to fixate on objects, reduced social interaction, and lack of facial expression.

At 1 year, these same children also tended to have difficulty with language and communication, and they used fewer gestures. Zwaigenbaum noted that almost all of the children in the study who were diagnosed with autism by age 24 months had seven or more of these markers by the time they were a year old.

The findings are reported in the latest issue of the International Journal of Developmental Neuroscience. While the checklist may be useful for recognizing signs of autism in very high-risk children like the ones in the study, its relevance as an observational tool for other children is not yet known.

Imaginative Play Therapy For Autism

“The Joker has stolen the world’s biggest diamond, and it’s up to Batman and Robin to get it back. On a video monitor, hands move toy action figures through the paces of the story, as an off-camera voice speaks the dialogue.”

John, age 6, watches the monitor with rapt attention. He is autistic, and this is a technique called “video modeling,” used by educators at the New England Center for Children (NECC) in Southborough, Mass., where John and some 200 other autistic kids attend school.

When the video ends, Jen, his teacher, affectionately ruffles his hair and directs him to a table that holds the same Batman toys seen in the video. He is supposed to play with them in exactly the same way, saying the same lines, as he has just been shown.

Normally developing children play by imagining scenarios and acting them out with toys. Kids with autism do not. They have to be taught how to play this way. The goal is for them to understand the concept well enough to expand on their play, using their own imaginations.

Learning New Behaviors, Changing Harmful Ones

Teaching play with video modeling is something new that the NECC is studying. On the staff working with the kids are not only educators, but also researchers, and they report on what happens at the NECC to the scientific community. Video modeling is just one small part of the NECC’s whole approach, called “applied behavioral analysis,” widely regarded as the gold standard in autism treatment.

In the simplest terms, applied behavior analysis offers carrots, with no stick. Children are engaged in learning new behaviors and helped to change disruptive or harmful ones, by constant positive reinforcement. The curriculum at the NECC ranges from the most basic language and social skills to academics and vocational training. “We plug them into that wherever they’re at,” says Rebecca MacDonald, PhD, director of the preschool program, which includes kids aged 3 to 7.

Another new area she is studying is what’s called “joint attention,” an important early step in relating to others. If you were to turn and look at something, a typical child observing you would probably turn to look at it, too. An autistic child would not notice. “It’s one of the hallmarks of autism,” MacDonald tells WebMD. “They tend not to care what you are looking at or thinking.”

To encourage them to care, she will make something interesting or rewarding happen if the child follows her gaze. For example, she’ll activate an electronic toy by remote control if the child looks at it when she does. Improving joint attention behavior won’t make all other social skills fall easily into place. Like video modeling, it’s just one tool used in the intensive work that the NECC does. Kids who attend the school go for 30 hours a week, all year long.

Starting Early
The earlier this kind of work can begin, the better the outcomes tend to be for autistic children. Autism can usually be diagnosed by 18 months of age, but some scientists hope that in the future, a blood test at birth might detect it.

In May 2005, researchers at the University of California, Davis MIND Institute announced that they had found remarkable differences in blood tests of autistic and nonautistic children. The children had different levels of certain proteins in the blood and more of some kinds of immune cells.

“The idea for early detection is not only that you can intervene early, which is beneficial, but there’s the notion that not all children who ultimately have autism are doomed to it at birth,” David Amaral, PhD, research director at the MIND Institute, tells WebMD.

Scientists have speculated that maybe something in the environment makes children who are susceptible to autism develop the disorder. If researchers could identify the trigger, avoiding it might prevent autism.

“In some cases the information might allow full-blown prevention, and in other cases more tailored treatment,” MIND Institute researcher Blythe Corbett, PhD, tells WebMD.

It’s too early, however, to say for sure what the differences seen in the study mean. “We don’t know whether our findings indicate a cause or an effect,” Amaral says.

It may be that the immune system plays a role in some children’s autism, but “there simply is not going to be a single cause,” he says. “In fact, we think of autism not as autism, but as autisms.”

What’s more, the differences may not be specific to autistic children. “You have to show, for example, that it differentiates kids with autism from kids with obsessive-compulsive disorder or attention deficit disorder,” says Eric Hollander, MD, director of the Seaver and New York Autism Center of Excellence at the Mount Sinai School of Medicine in New York City.

Hollander’s own research has shown that a particular trait in the immune systems of autistic kids relates to the severity of repetitive behaviors, a common autism symptom. This same trait has been linked to Tourette’s syndrome and obsessive-compulsive disorder.

Emerging Treatments
Recently, Hollander studied the use of Prozac for treating repetitive behavior in children with autism. Those who took low doses of the drug in liquid form showed better improvement than those who took a placebo. But selective serotonin reuptake inhibitors (SSRIs) like Prozac are not stand-alone treatments for autism.

  • “The treatment of choice for most individuals is an integrated approach,” Hollander tells WebMD.

At the University of California San Francisco, professor Michael Merzenich, PhD, is working on a computer program to teach language skills to autistic kids through what is called “neural retraining.” It may sound like science fiction, but it’s not all that speculative.

Scientists have come to understand that the brain is not hardwired, but very flexible, or plastic. There are software programs, such as one called Fast ForWord, that can train the brains of kids with impaired language ability to process speech better.

  • “We have very strong documentation that this kind of brain-plasticity-based training can have an effect,” Merzenich tells WebMD.

But programs that exist now are too complex for many autistic kids to use. “The ways that these programs have been designed for nonautistic children just don’t apply to most autistic children,” Merzenich says.

Once Merzenich and his team finish building their program, they will have to put it through years of rigorous testing, which he says they hope to begin later in 2005.

Although its methods are state of the art, the New England Center for Children prides itself on only applying treatment that is backed up by solid research.

  • “People are faced with a raft of alternative treatments that have no merit,” Vincent Strully Jr., the NECC’s founder and executive director, tells WebMD. He counts special diets, secretin treatment, and mercury detoxification among those.
  • “We’re not claiming any cure,” he says, but the center’s approach makes a difference. “It’s advancing the lives of these kids dramatically.”

Self-Sufficiency Tips for the Mentally Challenged Child or Adult

Sure, there are varying degrees of mental disabilities, and some mentally challenged people function fairly well whereas others struggle with even small issues. There are plenty of ways to make life easier on the latter, though, simply by following a few tips and techniques for making huge hurdles seem like small steps.

Just as with any other person, most mentally challenged kids grow and learn, to become adults that know a lot more than they did as a child. But, for mentally challenged kids and adults, some things can never be learned. Limit that list by starting early to teach the child helpful things for his future. If the child is already grown it’s still not too late to show him some new tricks to make life easier.

First and foremost is a wallet, zip purse or another small item that the child will carry practically from birth. If he does this from infancy it will seem second nature to him later. The wallet – or what have you – should contain identifying information in case the child is ever lost. Limit the information to name, phone number(s), address, allergies, medications and pertinent information. Many mentally challenged kids cannot speak clearly – if at all – making the wallet or other holder a must. Clip the tiny wallet onto a back belt loop, sew a clear plastic pocket into the inside of his coat, or otherwise attach it to where the child cannot play with it or lose it.

Try to give your child an array of things to do, see and participate in as he grows. Lots of learning disabled kids grow to have fits if their patterns in life are broken. For example, if a child has cereal every morning, then his babysitter gives him toast instead, he’s liable to have a fit and she’ll never know what hit her. Teaching a child that days are different, furniture arrangements can vary, and that they don’t always have to watch the same shows on tv can be a big help in producing a well-rounded adult.

The Special World Of The Mentally Challenged

Once upon a time there lived a brain. This brain lived in a big city with many other brains. Some of them were older and some were younger, but they were all brains. This brain was a happy brain because it owned a body that was able to do many things. Every morning the brain awoke and did what ever it pleased with its wonderful body. It was a beautiful life until one day the brain noticed that its body did not function mentally as well as other brains. That is when the brain realized that it had a big problem. How was it going to be able to get all the goodies if it was mentally dysfunctional? The brain became full of vibrations and the body began to cry.

There are over five million Americans that are mentally challenged.This category covers all those that find it impossible to function due to brain or psychological limitations. Their enormous number is frightening. Many of them have severe social and substance abuse problems which lead them to break the law and wind up in prison. The lucky ones barely survive in a world that requires them to get along with others and make a decent living. The mentally challenged have established themselves as a class of people that lives outside the mainstream of society. And that class is growing without any solution to their problems in sight.

Nature is kind but it is also cruel. Its kindness is shown by the creation of billions of people with a brain that can learn and adapt to its surroundings. Those lucky billions have integrated themselves into societies all over the world. They work and raise families without the confusion that comes with being mentally challenged. But nature can also be cruel; it turns out tens of millions of people who can`t solve the puzzle of living smartly.. Those millions are with us and we have no choice except to watch them struggle to understand and survive.

The ball is in the court of science, only they can stop the explosion in the birthrate of mentally challenged children. Better methods are being discovered to screen those couples that are predisposed to have a mentally challenged offspring. New tests are given to warn pregnant women of the possible birth of a brain damaged child The millions that are born mentally dysfunctional are the innocent victims of nature. Those of us that are healthy are not to blame for their misfortune. All we can do is support science and have faith that their smarts will find a method to stop the spread of the mentally challenged .There is little else we can do.

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