ASD is thought to have a genetic component which results in atypical neurological development and functioning. A lot of research is being done to try and find the cause of autism, but as yet there are no definite answer.
Autism spectrum disorder (ASD) and autism are both general terms for a group of complex disorders of brain development.
ASD is a developmental disability and people with ASD may communicate, interact, behave, and learn in ways that are different from most other people.
The learning, thinking, and problem-solving abilities of people with ASD can range from gifted to severely impaired.
Some people with ASD need high support (a lot of help and intensive intervention) while others need low support (less help and less intensive intervention).
Autism spectrum disorder (ASD) are chararacterized, in varying degrees, by
Recent diagnostic changes
With the May 2013 publication of the DSM-5 diagnostic manual, all autism disorders were merged into one umbrella diagnosis of ASD.
A diagnosis of ASD now includes several conditions that used to be diagnosed separately:
|Little awareness of others.|
|Self-injurious behaviour, e.g. head banging, scratching or biting.|
|Imaginative play may be poor. E.g. cannot play with a wooden block as if it is a car.|
|Unusual habits such as rocking, hand flapping, spinning of objects etc.|
|The development of speech and language may be atypical, absent or delayed.|
|Indifference to, or dislike of being touched, held or cuddled.|
|Minimal reaction to verbal input and sometimes acts as though he/she is deaf.|
|Sense of touch, taste, sight, hearing and/or smell may be heightened or lowered.|
|Changes in routine or the environment may cause distress.|
|Sudden laughing or crying for no apparent reason|
|Pursues activities repetitively and cannot be influenced by suggestions of change.|
|Uneven gross/fine motor skills.|
|Inappropriate attachment to objects.|
|Abnormal sleeping patterns.|
|Displays extreme distress and/or tantrums for no apparent reason|
|Prefers to play alone.|
|Difficulty in interacting with others and little or no eye contact.|
|No real fear of dangers.|
Possible Signs (taken from Autism Ontario – Durham Region)
Autism South Africa assists families in accessing assessment and diagnostic services by qualified professionals.
If you would like to be assisted in getting a diagnosis for yourself or your child, please download and complete the assessment application form below.
Please send it to firstname.lastname@example.org or deliver it to your nearest Autism SA office.
You will then be contacted with the next step.
Please note, the more information the diagnosing team has the better. All school, doctors or other relevant reports must be provided.
(See also Regional Autism Organizations)
Quest School – Port Elizabeth
Tel: 041 581 0964
Action in Autism – KwaZulu-Natal
Tel: 031 261 1154
Autism & Asperger – Namibia
Tel: 00 6461 22 4561/2
Autism is a lifelong, complex condition that occurs as a result of disordered brain growth, structure and development. Autism is believed to stem from a genetic predisposition triggered by environmental factors and affects 4-5 times more boys than girls. There are a vast number of ways that a person can manifest their autism and as a result this condition is now more often referred to as “Autism Spectrum Disorders” (ASD).
Autism Spectrum Disorder is a lifelong, extremely complex condition that appears to result from a genetic predisposition that is triggered by environmental factors.
Autism Spectrum Disorder is a new DSM-5 name that reflects a scientific consensus that four previously separate disorders are actually a single condition with different levels of symptom severity in two core domains. ASD now encompasses the previous DSM-IV autistic disorder (autism), Asperger’s disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified.
ASD is characterized by 1) deficits in social communication and social interaction and 2) restricted repetitive behaviours, interests, and activities (RRBs).
Because both components are required for diagnosis of ASD, social communication disorder is diagnosed if no RRBs are present.
Regardless of the manifestation of Autism Spectrum Disorder, ALL people on this spectrum, are affected in different degrees, by the “Quadrant of Impairments” that causes a disturbance in quality of development in the following areas:-
Language and Communication. 40% of people with “Kanner/Classic autism” never speak nor understand verbal communication. Even those across the full spectrum who do have speech, often still have severe problems understanding the normal process of reciprocal communication;
People with autism, due to the altered chemistry and functioning within the brain, literally cannot fully understand other people s emotions, reactions and the complexity of social relationships (Mindblind). This can result in people with autism reacting inappropriately by our “normal” standards, thus being shunned by society, which sadly can then result in these people becoming confused and isolated from those around them;
Imagination and Creative Play. A person with autism usually becomes trapped by rigid thought patterns and behaviours, a limited range of imaginative activities, as well as a poor understanding of day-to-day concepts, jargon and the abstract.
All people with ASD will have either heightened or lowered sensory perception; this may affect one or more senses.
Parents should ask their child’s family doctor for referral to a developmental pediatrician for assessment if there are concerns with any of the following:
Communication Red Flags
Behaviour Red Flags
Social Red Flags
This disorder differs from autism in that “few clinically significant delays in language or cognitive development are apparent, and self-help and adaptive behaviours often appear normal.” (Rapoport & Ismond, 1996).
Rett’s Disorder is the only subtype of PDD which occurs exclusively in females. In this disorder, development seems normal through the first five months of life, followed by deceleration of head growth, loss of previously acquired purposeful hand skills with subsequent development of stereotyped hand movements, loss of social engagement, appearance of poorly coordinated gait or trunk movements, and severely impaired expressive and receptive language, (DSM-IV, 1994).
Childhood Disintegrative Disorder is characterized by development that appears normal through the first two years of life. Following this, abnormalities develop in at least two of the following areas: social interaction, communication, and restricted, repetitive, stereotyped patterns of behaviour, interests, and activities. In addition, there is clinically significant loss of previously acquired skills (before age 10), in at least two of the following areas: expressive or receptive language, social skills or adaptive behaviour, bowel or bladder control, play, and motor skills. (DSM-IV, 1994).
The category of PDD-NOS is used when there is severe and pervasive impairment in the development of reciprocal social interaction and verbal and nonverbal communication skills, or when stereotyped behaviour, interests and activities are present, but symptoms do not meet the criteria for other disorders. (DSM-IV, 1994).
Typically, Pervasive Developmental Disorders are extremely incapacitating, and their symptoms are chronic and lifelong (although this is less the case for Asperger’s Disorder). “Factors considered most important for determining prognosis are IQ levels and development of social and language skills” (Rapoport & Ismond, 1996). Identification of variables that predict outcomes reliably continue to undergo intense study within the scientific community. Given the chronic nature of PDD, however, long-term treatment is typically required.
Diagnostic criteria for intellectual disability (intellectual developmental disorder) emphasize the need for an assessment of both cognitive capacity (IQ) and adaptive functioning. Severity is determined by adaptive functioning rather than IQ score. The term mental retardation was used in DSM-IV. However, intellectual disability is the term that has come into common use over the past two decades among medical, educational, and other professionals, and by the lay public and advocacy groups.
The DSM-5 communication disorders include language disorder (which combines DSM-IV expressive and mixed receptive-expressive language disorders), speech sound disorder (a new name for phonological disorder), and childhood-onset fluency disorder (a new name for stuttering). Also included is social (pragmatic) communication disorder, a new condition for persistent difficulties in the social uses of verbal and nonverbal communication. Because social communication deficits are one component of autism spectrum disorder (ASD), it is important to note that social (pragmatic) communication disorder cannot be diagnosed in the presence of restricted repetitive behaviours, interests, and activities (the other component of ASD). The symptoms of some patients diagnosed with DSM-IV pervasive developmental disorder not otherwise specified may meet the DSM-5 criteria for social communication disorder.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Autism Society of Maine. (No date). Autism. [Brochure]. Gardiner, ME: Author.
Klinger, L. & Dawson, G. (1996). Autistic disorder. In Marsh, E. & Barkley, R. (eds.), Child Psychopathy (pp 311 – 339). New York: Gilford Press.”
Code of Good Practice on Key Aspects on the Employment of People with Disabilities
Technical Assistance Guidelines on the employment of people with disabilities
Outcome 1 Education MTSF Chapter
Outcome 2 Health MTSF Chapter
Outcome 3 Safety MTSF Chapter
Outcome 4 Economy MTSF Chapter
Outcome 5 Skills MTSF Chapter
Outcome 6 Infrastructure MTSF Chapter
Outcome 7 Rural MTSF Chapter
Outcome 8 Human Settlements MTSF Chapter
Outcome 9 Local Government MTSF Chapter
Outcome 10 Environment MTSF Chapter
Outcome 11 International MTSF Chapter
Outcome 12 Public Service MTSF Chapter
Outcome 13 Social Protection MTSF Chapter
Outcome 14 Nation Building MTSF Chapter
The Super Useful Guide To Managing Meltdowns
Low support needs ASD
100 Day Kit for Newly Diagnosed Families
Why does Chris do that?
Bullying and how to deal with it
Classroom and Playground Support
Asperger Sibling Brochure
10 Tips for Parents
Developmental Milestones Chart
Autism Preparation Kit For Teachers
20 ways to include a student with AS
Education SA article
Classroom and Playground Support Part 1
Classroom and Playground Support Part 2
Classroom Poster – Love goes a long way
Classroom Poster – Just because I cannot talk
Environment and surroundings
Fidget Toys ideas
The Sensory World
Going to the doctor
Patients with an Autism Spectrum Disorder
I have a brother with autism
Early Years and Autism Spectrum Disorders
Going to the shops
Sexuality Brochure May 2007
Sexuality Article USA
Sexuality with your Special Needs Child
Pretoria – Lethabo le Khutso and Abrina Houses
Tel: 012 329 3627 / 7065
Craighall – Adult programme for people with Autism
Tel: 082 499 7012
Cape Town – The Academy for Adults with Autism
Tel: 021 788 7652
Western Cape – De Grendel Home
Tel: 021 838 1139