There are growing international chorus of voices calling for action
to enable children and persons with autism to lead full and meaningful
lives. According to UN Secretary General, Ban Ki Moon, this is not a
far-off dream; it is a reality that can be attained by promoting
positive perceptions about autism as well as a greater social
understanding of this growing challenge.
Autism is known as a complex developmental disability. Experts
believe that Autism presents itself during the first three years of a
person’s life. The condition is the result of a
neurological disorder
that has an effect on normal brain function, affecting development of
the person’s communication and social interaction skills, says Dr Nelvin
Eze.
According to the World Health Organisation (WHO), despite the high
burden of autism and other developmental disorders in children and
adolescents, these conditions have been widely neglected by policy
makers and public health experts, particularly in low- and middle-income
countries.
As a consequence, the health organisation said, children and families
in need have often poor access to services and do not receive adequate
treatment and care. Greater investments in advocacy, awareness,
research, and services and human resource development are needed.
Experts have come up with some tips on how to deal with autistic
people. According to them, people with autism have issues with
non-verbal communication, a wide range of social interactions, and
activities that include an element of play and/or banter.
ASD stands for Autism Spectrum Disorder and can sometimes be referred
to as Autistic Spectrum Disorder. In this text Autism and ASD mean the
same. ASDs are any developmental disabilities that have been caused by a
brain abnormality. A person with an ASD typically has difficulty with
social and communication skills.
A person with ASD will typically also prefer to stick to a set of
behaviors and will resist any major (and many minor) changes to daily
activities. Several relatives and friends of people with ASDs have
commented that if the person knows a change is coming in advance, and
has time to prepare for it; the resistance to the change is either gone
completely or is much lower.
Autism is a wide-spectrum disorder
Autism (or ASD) is a wide-spectrum disorder. This means that no two
people with autism will have exactly the same symptoms. As well as
experiencing varying combinations of symptoms, some people will have
mild symptoms while others will have severe ones. Below is a list of the
most commonly found characteristics identified among people with an
ASD.
Social skills
The way in which a person with an ASD interacts with another
individual is quite different compared to how the rest of the population
behaves. If the symptoms are not severe, the person with ASD may seem
socially clumsy, sometimes offensive in his/her comments, or out of
synch with everyone else. If the symptoms are more severe, the person
may seem not to be interested in other people at all.
It is common for relatives, friends and people who interact with
someone with an ASD to comment that the ASD sufferer makes very little
eye contact. However, as health care professionals, teachers and others
are improving their ability to detect signs of autism at an earlier age
than before, eye contact among people with autism is improving. In many
cases, if the symptoms are not severe, the person can be taught that eye
contact is important for most people and he/she will remember to look
people in the eye.
A person with autism may often miss the cues we give each other when
we want to catch somebody’s attention. The person with ASD might not
know that somebody is trying to talk to them. They may also be very
interested in talking to a particular person or group of people, but
does not have the same skills as others to become fully involved. To put
it more simply, they lack the necessary playing and talking skills.
Empathy - Understanding and being aware of the feelings of others
A person with autism will find it much harder to understand the
feelings of other people. His/her ability to instinctively empathize
with others is much weaker than other people’s. However, if they are
frequently reminded of this, the ability to take other people’s feelings
into account improves tremendously. In some cases - as a result of
frequent practice - empathy does improve, and some of it becomes natural
rather than intellectual. Even so, empathy never comes as naturally for
a person with autism as it does to others.
Having a conversation with a person with autism may feel very much
like a one-way trip. The person with ASD might give the impression that
he is talking at people, rather than with or to them. He may love a
theme, and talk about it a lot. However, there will be much less
exchanging of ideas, thoughts, and feelings than there might be in a
conversation with a person who does not have autism.
Almost everybody on this planet prefers to talk about himself/herself
more than other people; it is human nature. The person with autism will
usually do so even more.
Physical contact
A number of children with an ASD do not like cuddling or being
touched like other children do. It is wrong to say that all children
with autism are like that. Many will hug a relative - usually the
mother, father, grandmother, grandfather, teacher, and or sibling(s) -
and enjoy it greatly. Often it is a question of practice and
anticipating that physical contact is going to happen. For example, if a
child suddenly tickles another child’s feet, he will most likely giggle
and become excited and happy. If that child were to tickle the feet of a
child with autism, without that child anticipating the contact, the
result might be completely different.
Loud noises, some smells, and lights
A person with autism usually finds sudden loud noises unpleasant and
quite shocking. The same can happen with some smells and sudden changes
in the intensity of lighting and ambient temperature. Many believe it is
not so much the actual noise, smell or light, but rather the surprise,
and not being able to prepare for it - similar to the response to
surprising physical contact. If the person with autism knows something
is going to happen, he can cope with it much better. Even knowing that
something ‘might’ happen, and being reminded of it, helps a lot.
Speech
The higher the severity of the autism, the more affected are a
person’s speaking skills. Many children with an ASD do not speak at all.
People with autism will often repeat words or phrases they hear - an
event called echolalia.
The speech of a person with ASD may sound much more formal and woody,
compared to other people’s speech. Teenagers with Asperger’s Syndrome
can sometimes sound like young professors. Their intonation may sound
flat.
Repetitive behaviours
A person with autism likes predictability. Routine is his/her best
friend. Going through the motions again and again is very much part of
his/her life. To others, these repetitive behaviors may seem like
bizarre rites. The repetitive behavior could be a simple hop-skip-jump
from one end of the room to the other, repeated again and again for one,
five, or ten minutes - or even longer. Another could be drawing the
same picture again and again, page after page.
People without autism are much more adaptable to changes in
procedure. A child without autism may be quite happy to first have a
bath, then brush his teeth, and then put on his pajamas before going to
bed - even though he usually brushes his teeth first. For a child with
autism, this change, bath first and then teeth, could completely put
him/her out, and they may become very upset. Some people believe that
helping a child with autism learn how to cope better with change is a
good thing, however, forcing them to accept change like others do could
adversely affect their quality of life.
A child with autism develops differently
While a child without autism will develop in many areas at a
relatively harmonious rate, this may not be the case for a child with
autism. His/her cognitive skills may develop fast, while their social
and language skills trail behind. On the other hand, his/her language
skills may develop rapidly while their motor skills don’t. They may not
be able to catch a ball as well as the other children, but could have a
much larger vocabulary. Nonetheless, the social skills of a person with
autism will not develop at the same pace as other people’s.
Learning may be unpredictable
How quickly a child with autism learns things can be unpredictable.
They may learn something much faster than other children, such as how to
read long words, only to forget them completely later on. They may
learn how to do something the hard way before they learn how to do it
the easy way.
Physical tics and stimming
It is not uncommon for people with autism to have tics. These are
usually physical movements that can be jerky. Some tics can be quite
complicated and can go on for a very long time. A number of people with
autism are able to control when they happen, others are not. People with
ASD who do have tics often say that they have to be expressed,
otherwise the urge does not stop. For many, going through the tics is
enjoyable, and they have a preferred spot where they do them - usually
somewhere private and spacious. When parents first see these tics,
especially the convoluted ones, they may experience shock and worry.
Obsessions
People with autism often have obsessions.
-Leadership
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