Autism (the term is made up of the Greek words "cars" = "self" and "ismos" = "state") is a collective term for various pro found development disorders of a person.
Depending
on the severity of their illness, autistic people find it difficult to
correctly assess the facial expression, body language and tone of another
person. This means that they have problems correctly interpreting what is
being said and the emotions of others, understanding them and reacting
appropriately to their feelings and actions.
Autism is
a disease in which people have difficulty expressing their own emotions and
connecting with other people. Some sufferers also have limited language
skills and can barely articulate themselves.
However,
there is no such thing as “the one” autism. The disorder manifests itself
in a range (spectrum) of different variants and degrees of severity, which is
why the technical term "autism spectrum
disorder" (ASS for short) is used today.
Not
all autistics are created equal. While some sufferers are only mildly developed,
have normal to above-average intelligence and eloquent language skills, others
are mentally handicapped and incapable of language development. "If
you a have met person with autism, you have one person hit with autism," said Stephen
M. Shore, an autistic professor from New York, once.
The three
main form of autism spectrum disorder are:
- Early childhood autism
- Atypical autism
- The Asperger Syndrome
An
estimated 800,000 adults and children in Germany are affected by an autism
spectrum disorder.
Autism Traits: How To Recognize
Symptoms Correctly
The symptoms of early childhood autism usually
appear before the age of three. The developmental disorder manifests
itself in the affected person in three main characteristics:
- his
social skills are impaired
- his
language and communication are impaired
- his
behavior is stereotypical and repetitive
Low social skills
Many autistic people have problems communicating with other
people. This often becomes evident in infancy, when the autistic child
avoids eye contact with the parents, does not imitate their facial expressions,
such as a smile, and does not develop a close bond with them.
Babies usually seek eye contact and physical closeness to their mother
in order to feel safe and secure. Autistic children also often do not
react to other stimuli from their environment; they appear listless and
absent. Parents therefore often initially assume that their baby is blind
or deaf.
Autistic
children also prefer to play alone ; their fellow human beings
usually only notice them when it comes to satisfying needs such as hunger or
thirst.
Even at a later age, autistic people have great problems establishing
and maintaining eye contact with other people. They often feel uncomfortable
with physical contact, do not want to be touched and can react fearfully or
aggressively (there are, however, also autistic people who want to hug people
they know well; however, the contact usually comes from the autistic person,
about physical closeness control yourself).
For some, the disorder is so pronounced that they are hardly or not able
to enter into friendly relationships.
Autistic people also find it difficult to interpret the gestures and
facial expressions of other people, to correctly interpret their feelings and
to empathize with them. Often they do not respond appropriately. They
are also poor at expressing their own feelings. Sometimes they suddenly
start giggling or laughing when there is no apparent reason.
Autistic people can also be recognized by the fact that they hardly show any spontaneous emotions . They also
often have problems recognizing people's faces. It happens that they do
not recognize neighbors on the street who have lived next door for years.
Impaired communication
and language
Language development is often slower in autistic children than in
non-autistic children of the same age. They often have a poor
understanding of language, their vocabulary is limited and they are often
unable to use terms flexibly.
They are not able to use linguistic sub-contexts such as irony or
“reading between the lines” and neither do they understand this with
others. You always take what is said literally .
As they also have great difficulty understanding social interaction
rules as a result (for example, when a bad tasting meal is politely said to be
delicious), they often say honestly and directly what they think and are amazed
and unsettled when this offends others.
In addition, they usually do not know how to start and end a conversation,
small talk is a tremendous stress for an
autistic person .
Since their speech melody is not very pronounced, they hardly change
pitch or volume and they do not use non-verbal communication such as a smile,
winking or raised eyebrows to emphasize things when speaking, they usually
appear monotonous when speaking.
Children with early childhood autism have great difficulty learning
normal language. Some toddlers can't even say “mom” or
“dad”. Sometimes when they speak, they can just string a few words
together or repeat words and phrases (experts call this
"echolalia"). Example: The mother asks: "Are you
hungry" ?, The child says: "Are you hungry?"
It is different for people with Asperger's Syndrome, their language
skills are often quite highly developed. However, they too often have a mechanical effect when talking .
Stereotypical and
repetitive behaviors
Another sign of autism is that those affected have a limited behavior
pattern and often perform everyday actions in a rigid, stereotypical and
repetitive manner. Such stereotypical actions give them a feeling of
security and also serve to cope with stress. Most autistic people do not
have spontaneity and creativity.
When an autistic child plays, it often seems unimaginative and is
usually always the same. In addition, it does not imitate personal
experiences and, unlike its peers, does not imitate the behavior of adults.
Autistic people can spend hours on topics that interest them (e.g.
timetables), or concentrate intensively on specific details of things (such as
how an object smells, tastes or feels) and listen to the noises of a radiator
or the Carefully examine the structure of the tiles in the bathroom. It
can also happen that an autistic person repeats a sound (such as a popping).
High sensitivity and
freaking out
Some autistic people perceive sounds very intensely. If you stand
on a busy street or hear a booming vacuum cleaner at home, you can cover your
ears and start screaming.
Their sense of touch can also perceive stimuli more strongly, as a
result of which those affected perceive certain items of clothing as annoying
("scratchy", "rough") on the skin and do not want to wear
them. It can also happen that you find the consistency of some dishes unpleasant
and therefore only consume certain foods. Some sufferers only eat this and
otherwise refuse to eat.
In addition, they cannot tolerate deviations from their usual daily
routine; routine is extremely important for them in all areas of life. If
there are changes in everyday processes or in things in their personal
environment, it is very stressful for them and they can react very emotionally.
If, for example, they are prevented from eating at the usual time, if
they are supposed to walk another way to school or if furniture has been moved
at home, this can completely upset them, they can become afraid and
panic. To calm themselves down, they usually perform certain repetitive
(repetitive) actions, such as rocking the upper body back and forth, walking in
circles, or jumping up and down.
Experts refer to this as stimming . If
the calming down does not succeed or the stress is too overwhelming, the person
concerned can get screaming attacks (called "meltdowns").
Autistic people can also have such freaks when they experience a sensory
overload (called "overload"), for example from a loud radio, a ride
on the subway or an unfamiliar meal in a full restaurant. Or sometimes out
of frustration when they hear a “no” or are supposed to do something they don't
want.
Those affected scream loudly, can throw objects, hit their head on the
wall, or bite each other to mask other overwhelming stimuli.
Other malfunctions
that can occur
In addition, autistic people often experience other psychological
problems, such as anxiety disorders (including phobias), depression, attention
deficit hyperactivity disorder ( ADHD ), obsessive-compulsive
disorder , tic disorder, sleep problems, eating disorders, and self-harming
and self-harming behavior.
These can exacerbate the autistic symptoms. Sometimes the
comorbidities also cover up an existing autism spectrum disorder, then the
person affected is treated for an anxiety disorder , but the
autism on which it is based is not recognized. When making a diagnosis,
the doctor must therefore check which diseases are present in order to be able
to treat the patient correctly.
Autistic traits
If people have behaviors that can occur in autistic people, such as
significant difficulties communicating with others or a tendency to be
introverted, but the symptoms are so weak that they do not meets the diagnostic
criteria and do not interfere with the person's everyday life, speak is
popularly referred to as "autistic traits". The term
"autistic traits" describes the fringes of autism, but it is not a
diagnosis.
The criteria to differentiate between autistic traits and a
developmental disorder are, however, vague. While one psychologist only finds
autistic traits in a person, another interprets this perhaps as Asperger's
syndrome.
Island talent
Some autistic people (mostly people with Asperger's Syndrome )
also suffer from Savant's Syndrome . This
means that they have an extraordinary talent in a special area: a so-called
island talent. The film "Rainman" (USA, 1988), for example,
shows an autistic person with such an island talent.
Savants, for example, have a photographic memory, can learn a foreign
language in just one week, only need to hear a piece of classical music once
and can then play it perfectly.
Those affected invest a lot of energy and time in this special talent
area and can give long lectures about it. On the other hand, they are
usually less interested in other topics.
Those affected have an above-average IQ in this particular area, but
otherwise their IQ can be low (below the value of 70). But it can also
happen that the autistic person generally has a normal or above-average
intelligence quotient.