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<page>
<title>AlTruism</title>
<id>22</id>
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<id>15898956</id>
<timestamp>2002-02-25T15:43:11Z</timestamp>
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<text xml:space="preserve">#REDIRECT [[Altruism]]
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<page>
<title>AssistiveTechnology</title>
<id>23</id>
<revision>
<id>15898957</id>
<timestamp>2003-04-25T22:20:03Z</timestamp>
<contributor>
<username>Ams80</username>
<id>7543</id>
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<comment>Fixing redirect</comment>
<text xml:space="preserve">#REDIRECT [[Assistive_technology]]</text>
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<page>
<title>AmoeboidTaxa</title>
<id>24</id>
<revision>
<id>15898958</id>
<timestamp>2002-02-25T15:43:11Z</timestamp>
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<text xml:space="preserve">#REDIRECT [[Amoeboid]]
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<page>
<title>Autism</title>
<id>25</id>
<revision>
<id>42019020</id>
<timestamp>2006-03-03T06:39:21Z</timestamp>
<contributor>
<username>Ohnoitsjamie</username>
<id>507787</id>
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<comment>rv difficult-to-follow paragraph</comment>
<text xml:space="preserve">&lt;!-- NOTES:
1) Please do not convert the bullets to subheadings here as the table of contents would be too large in that case (for example, see the FAC).
2) Use ref/note combos for all links and explicitly cited references
3) Reference anything you put here with notable references, as this subject tends to attract a lot of controversy.
--&gt;{{DiseaseDisorder infobox |
Name = Childhood autism |
ICD10 = F84.0 |
ICD9 = {{ICD9|299.0}} |
}}
'''Autism''' is classified as a neurodevelopmental disorder that manifests itself in markedly abnormal social interaction, communication ability, patterns of interests, and patterns of behavior.
Although the specific [[etiology]] of autism is unknown, many researchers suspect that autism results from genetically mediated vulnerabilities to environmental triggers. And while there is disagreement about the magnitude, nature, and mechanisms for such environmental factors, researchers have found at least seven major genes prevalent among individuals diagnosed as autistic. Some estimate that autism occurs in as many as one [[United States]] child in 166, however the [[National Institute of Mental Health]] gives a more conservative estimate of one in 1000{{ref|NihAutismov2005}}. For families that already have one autistic child, the odds of a second autistic child may be as high as one in twenty. Diagnosis is based on a list of [[Psychiatry|psychiatric]] criteria, and a series of standardized clinical tests may also be used.
Autism may not be [[Physiology|physiologically]] obvious. A complete physical and [[neurological]] evaluation will typically be part of diagnosing autism. Some now speculate that autism is not a single condition but a group of several distinct conditions that manifest in similar ways.
By definition, autism must manifest delays in &quot;social interaction, language as used in social communication, or symbolic or imaginative play,&quot; with &quot;onset prior to age 3 years&quot;, according to the [[Diagnostic and Statistical Manual of Mental Disorders]]. The [[ICD-10]] also says that symptoms must &quot;manifest before the age of three years.&quot; There have been large increases in the reported [[Autism epidemic|incidence of autism]], for reasons that are heavily debated by [[research]]ers in [[psychology]] and related fields within the [[scientific community]].
Some children with autism have improved their social and other skills to the point where they can fully participate in mainstream education and social events, but there are lingering concerns that an absolute cure from autism is impossible with current technology. However, many autistic children and adults who are able to communicate (at least in writing) are opposed to attempts to cure their conditions, and see such conditions as part of who they are.
==History==
[[image:Asperger_kl2.jpg|frame|right|Dr. [[Hans Asperger]] described a form of autism in the 1940s that later became known as [[Asperger's syndrome]].]]
The word ''autism'' was first used in the [[English language]] by Swiss psychiatrist [[Eugene Bleuler]] in a 1912 number of the ''American Journal of Insanity''. It comes from the Greek word for &quot;self&quot;.
However, the [[Medical classification|classification]] of autism did not occur until the middle of the [[twentieth century]], when in 1943 psychiatrist Dr. [[Leo Kanner]] of the [[Johns Hopkins Hospital]] in Baltimore reported on 11 child patients with striking behavioral similarities, and introduced the label ''early infantile autism''. He suggested &quot;autism&quot; from the [[Greek language|Greek]] &amp;alpha;&amp;upsilon;&amp;tau;&amp;omicron;&amp;sigmaf; (''autos''), meaning &quot;self&quot;, to describe the fact that the children seemed to lack interest in other people. Although Kanner's first paper on the subject was published in a (now defunct) journal, ''The Nervous Child'', almost every characteristic he originally described is still regarded as typical of the autistic spectrum of disorders.
At the same time an [[Austria|Austrian]] scientist, Dr. [[Hans Asperger]], described a different form of autism that became known as [[Asperger's syndrome]]&amp;mdash;but the widespread recognition of Asperger's work was delayed by [[World War II]] in [[Germany]], and by the fact that his seminal paper wasn't translated into English for almost 50 years. The majority of his work wasn't widely read until 1997.
Thus these two conditions were described and are today listed in the [[Diagnostic and Statistical Manual of Mental Disorders]] DSM-IV-TR (fourth edition, text revision 1) as two of the five [[Pervasive developmental disorder|pervasive developmental disorders]] (PDD), more often referred to today as [[Autistic spectrum|autism spectrum disorders]] (ASD). All of these conditions are characterized by varying degrees of difference in [[communication skill]]s, social interactions, and restricted, repetitive and stereotyped patterns of [[Human behavior|behavior]].
Few clinicians today solely use the DSM-IV criteria for determining a diagnosis of autism, which are based on the absence or delay of certain developmental milestones. Many clinicians instead use an alternate means (or a combination thereof) to more accurately determine a [[diagnosis]].
==Terminology==
{{wiktionarypar2|autism|autistic}}
When referring to someone diagnosed with autism, the term ''autistic'' is often used. However, the term ''person with autism'' can be used instead. This is referred to as ''[[person-first terminology]]''. The [[autistic community]] generally prefers the term ''autistic'' for reasons that are fairly controversial. This article uses the term ''autistic'' (see [[Talk:Autism|talk page]]).
==Characteristics==
[[Image:kanner_kl2.jpg|frame|right|Dr. [[Leo Kanner]] introduced the label ''early infantile autism'' in 1943.]]
There is a great diversity in the skills and behaviors of individuals diagnosed as autistic, and physicians will often arrive at different conclusions about the appropriate diagnosis. Much of this is due to the [[sensory system]] of an autistic which is quite different from the sensory system of other people, since certain [[stimulus|stimulations]] can affect an autistic differently than a non-autistic, and the degree to which the sensory system is affected varies wildly from one autistic person to another.
Nevertheless, professionals within [[pediatric]] care and development often look for early indicators of autism in order to initiate treatment as early as possible. However, some people do not believe in treatment for autism, either because they do not believe autism is a disorder or because they believe treatment can do more harm than good.