Yorquise is a 1-year-old boy, progressing into a rambunctious toddler, learning to walk and talk. He has a vocabulary of about 10 words, right at average for his age. He can feed himself and he loves to play with his toys and siblings. He has the cutest little head of blond curls and bright blue eyes. Yorquise's mom notices one day that he is not responding to her calling his name. He has stopped talking altogether and seems to have introverted into himself. The pediatrician repeatedly tells his mom that there is nothing wrong, until mom finally goes to the doctor's office and demands that some tests be done. The author is that mom and many, many tests later, her son Yorquise is Autistic. Through hard work and determination she hopes to provide Yorquise with a way to live life functionally and happily. Early intervention is the key to learning to deal with the effects of Autism. The National Institute of Mental Health says that “the earlier that the child is diagnosed, the sooner they can be helped through treatment interventions.” (Latitudes online, 2005, Vol. 7 Issue 1, p1) Is there a therapy better than another?
The Centers for Disease Control and Prevention (CDC) estimates that one in 166 children is diagnosed with Autism. (CDC, 2006) The CDC also states “Autism Spectrum Disorders are the second most common serious developmental disability.” Boys are four times more likely to be affected by Autism than girls will be. More than 1.5 million are diagnosed in the United States alone with Autism. (TACA, 2000-2006) The CDC (2006) also says that:
It is important that we treat common developmental disorders, and especially the Autism Spectrum Disorders, as conditions of urgent public health concern, do all we can to identify children's learning needs, and begin intervention as early as possible to enable all children to reach their full potential. (How Common Are Autism spectrum Disorders, Summary section para. 1)
Autism Society of America describes Autism as ” a complex developmental disability that typically appears during the first three years of life and is the result of a neurological disorder that affects the normal functioning of the brain.” (ASA, Defining Autism, para. 1) The effects of the disorder know no boundaries; it affects all races, ethnicities and social statures. Autism limits communication and learning skills. Symptoms are different in every child; one could be mild where another could be severely affected. (Autism Speaks, N.D.) Autism Speaks also says that “If your child is diagnosed with autism, early intervention is critical to gain maximum benefit from existing therapies.” (Autism Speaks, The Overview, para.4)
All individuals that have any form of ASD have some sort of developmental disorder. Whichever the disability, it is unique to each person. Therapy and educational needs should be based on the individual needs of the student. Individuals with Autism respond well to structured, individualized education programs designed to meet the student's needs. Parents and teachers need to work together to provide the best atmosphere for their children. Is it best to try several therapies and find out which ones work best for that individual. (Autism Society of America, Unique Needs & Abilities, para. 4) One of the structured education programs is called TEACCH. TEACCH stands for Treatment and Education of Autistic and Related Communication Handicapped Children. Founded in the 1970's by Eric Schopler at the University of North Carolina at Chapel Hill, TEACCH focuses on smaller teacher to student ratio classes and works with the needs of each child individually working to build existing skills and interests. (Division TEACCH, 2006) Since autism is a lifelong condition, it is best to offer a continual program that can be used through-out all aspects of life; social and educational. Dr. Gary B. Mesibov Ph.D. says that “Our TEACCH principles, developed in 1974, have stood the test of time; adults brought up using those practices are now the most productive and successful in the world with lives that are full, rich, and meaningful.”
Applied Behavior Analysis offers one-on-one intensive training, where the instructor offers rewards for completing a task. Many professionals use what is called discrete trial training, which consists of 30-40 hours a week with someone trained in ABA therapy. The student is required to perform a task and is then rewarded for said completion. This is done repetitively, reinforcing positive behavior. Some doctors and therapists feel that this therapy is too intense. They feel that it is too emotionally draining for children with autism, that the amount of time spent in therapy is too extensive and intrusive on family life. (Autism Society of America, N.D.) In early trials of the ABA therapy, the therapist used what would now be called abuse to punish the children. Slapping the children in the face and screaming at them, using floors with metal strips used to shock the children. (Life Magazine, 1967) Most therapists have gotten away from using this form of punishment any longer, but instead drill in repetitive behaviors until the child gives the correct response. While this therapy has proved beneficial to some, it hinders incorporating change into the children's schedule.
12 years after ethyl mercury was added to the pertussis vaccine, the first case of autism was diagnosed. (Miller, D., 2004) Dr. Donald Miller states that vaccine makers added thimerosal (which is half ethyl mercury) to vaccines to prevent bacterial infection. There are some doctors who believe that detoxification can remove some of the mercury from autistic children's bodies and improve the health and behavior. (Autism Research Institute, 2005-2006) One form of detoxification is called Chelation. TACA (2000-2006) says that “Chelation is the process of removing toxic metals from the body.” Through medication, the toxic metals are removed by urinary and fecal excretion. (Holmes, A., 2000-2002) In October 1998, the FDA banned the use of thimerosal in over-the-counter medications but it is still used in most vaccines. (TACA, 2000) Although some vaccine manufacturers have started to remove some of the thimerosal from the MMR vaccine (Miller, D.,2004), the CDC says that there is no relationship between autism and vaccines. (CDC,2004) 33% of parents who have autistic children believe the MMR vaccine is one of the causes of autism because the symptoms arrive shortly after the children receive their vaccination. (CNN, 2002) The CDC states that the MMR vaccine is a combination vaccine that protects children from the measles, mumps and rubella viruses. The first dose is given between 12 and 15 months of age with the second dose given around 4 years of age. (CDC, 2004) There is much disagreement over whether or not autism and vaccinations are related. These same vaccines are needed to prevent other deadly diseases and are required for children to enter public schools. Parents must choose which is the greater risk.
Augmentative devices are another way to help break the communication barrier. Augmentative devices are a variety of devices to help enhance communication and language skills. In addition to speech therapy an augmentative device can help a non-verbal child to speak or express themselves. Some of the devices allow the buyer to record their own voice and incorporate pictures into the device. The child can press the corresponding picture and hear their parents or teacher's voice and words that are used in everyday life. (Enabling Devices, N.D.) Picture Exchange Communications System (PECS) is another augmentative device that uses pictures to communicate. Wallin(2001-2004) says that “picture exchange is a selection-based communication system. Where a single set of behaviors, selecting and exchanging, is necessary.” PECS is a more universal approach as opposed to sign language because there is less motor skill involved. There is no need to learn sign language in order to communicate when using PECS as with signing. Maintaining a schedule is crucial in implementing any type of therapy with autism. With PECS it is best to keep the child's picture or communication book available at all times, so that he or she may use it at any time during the day. (Wallin,J., 2001-2004)
With so many different therapies available, it is best to evaluate all the possibilities and choose what is best for the child. Having a variety of therapy options available can only improve the chances of self- assurance. While there is no cure for autism, beneficial improvements can be made with early intervention and choosing a therapy that will help the child function in everyday life. Early structured education based on the child's needs seems best suited for maximizing their potential to become functioning productive adults.
References
Autism Research Institute (2005-2006) Mercury Detoxification. Retrieved June 24, 2006
http://www.autismwebsite.com/ari/vaccine/mercurydetox.htm
Autism Speaks (N.D.) What is Autism: An Overview, para. 1. Retrieved June 24, 2004
http://www.autismspeaks.org/whatisit/index.php
Autism Speaks (N.D.) What is Autism: An Overview, para. 4. Retrieved June 24, 2004
http://www.autismspeaks.org/whatisit/index.php
Autism Society of America (N.D.) Applied Behavior Analysis para. 1.
Retrieved June 24, 2006 www.autism-society.org/site/PageServer?pagename=LearningApproaches#ABA
Autism Society of America (N.D.) Unique Needs & Abilities, para. 4.
Retrieved June 24, 2006 www.autism-society.org/site/PageServer?pagename=Education
Autism Society of America (ASA), (N.D.) Defining Autism, para. 1. Retrieved 06-24-06
http://www.autism-society.org/site/PageServer?pagename=WhatIsAutism
The Centers for Disease Control and Prevention (CDC) (2006) How Common Are
Autism spectrum Disorders? para 1. Retrieved June 23, 2006
http://www.cdc.gov/ncbddd/autism/asd_common.htm
CDC, (2006) How Common Are Autism spectrum Disorders? Summary section para. 1,
Retrieved June 23, 2006 http://www.cdc.gov/ncbddd/autism/asd_common.htm
CDC, (2004) Vaccines and Autism Theory. Retrieved June 24, 2006
http://www.cdc.gov/nip/vacsafe/concerns/autism/default.htm
CNN, (2002) Vaccinations Contributing to Rise in Autism? Retrieved June 24, 2006
http://www.autismwebsite.com/ari/vaccine/cnntranscript.htm
Division TEACCH (2006) TEACCH Autism Program. A Division of the UNC
Department of Psychiatry. Retrieved July,8 2006
http://www.teacch.com/welcome.html
Enabling Devices (N.D.) Retrieved June 24,2006
http://enablingdevices.com/viewproduct.aspx?id=130
Holmes, A (2002-2006). Autism: Treatments Chelation of Mercury. Retrieved July 2,
2006, Web site: http://www.healing-arts.org/children/holmes.htm#wethink
(2005). Latitudes Online, Vol. 7 Issue 1, p1, 11p. Retrieved June 23, 2006 from
http://web11.epnet.com/externalframe.asp?tb=1&_ug=sid+3A1002B7%2D464B%2D4F94%2D82B9%2D167122F8860C%40sessionmgr3+dbs+aph%2Cawh%2Cbth%2Cf5h%2Cnqh%2Ctfh%2Cufh%2Czbh+cp+1+2EEC&_us=mh+1+hd+False+hs+False+or+Date+mdbs+aph%2Cawh%2Cbth%2Cf5h%2Cnqh%2Ctfh%2Cufh%2Czbh+fh+False+ss+SO+sm+ES+sl+%2D1+ri+KAAACBTB00018445+dstb+ES+sel+False+frn+1+F134&_uso=%5F3&fi=awh_19991449_AN&lpdf=true&pdfs=273K&bk=C&tn=281&tp=CP&es=cs%5Fclient%2Easp%3FT%3DP%26P%3DAN%26K%3D19991449%26rn%3D10%26db%3Dawh%26is%3D%26sc%3DR%26S%3DR%26D%3Dawh%26title%3DLatitudes%2BOnline%26year%3D2005%26bk%3DC&fn=1&rn=10&
Mesibov, G. (2006) What is TEACCH? Para 6. Retrieved July 8, 2006
http://www.teacch.com/whatis.html
Miller,D. (2004) Mercury On The Mind, para. 7. Retrieved June 24, 2006
http://www.lewrockwell.com/miller/miller14.html
Miller,D. (2004) Mercury On The Mind, para. 19. Retrieved June 24, 2006
http://www.lewrockwell.com/miller/miller14.html
Screams, Slaps & Love. A surprising, shocking treatment helps far-gone mental cripples.
(1965) Life Magazine. Retrieved July 2, 2006 http://www.neurodiversity.com/library_screams_1965.html
Talk About Curing Autism (TACA) (2000-2006) Latest Autism Statistics.
Retrieved June 24, 2006 http://www.tacanow.com/latest_autism_statistics.htm
TACA (2000-2006) Vaccines, Chelation & Autism. Retrieved July 2, 2006
http://www.tacanow.com/chelation.htm
Wallin, J. (2001-2004) Visual Supports, PECS. Retrieved June 24, 2006
http://www.polyxo.com/visualsupport/pecs.html