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== Therapies ==
{{details|Autism therapies}}
==Sociology==
Due to the complexity of autism, there are many facets of [[sociology]] that need to be considered when discussing it, such as the culture which has evolved from autistic persons connecting and communicating with one another. In addition, there are several subgroups forming within the autistic community, sometimes in strong opposition to one another.
===Community and politics===
{{details|Autistic community}}
{{details|Autism rights movement}}
Much like many other controversies in the world, the autistic community itself has splintered off into several groups. Essentially, these groups are those who seek a cure for autism, dubbed ''pro-cure'', those who do not desire a cure for autism and as such resist it, dubbed ''anti-cure'', and the many people caught in the middle of the two. In recent history, with scientists learning more about autism and possibly coming closer to a cure, some members of the "anti-cure" movement [[Autistic community#Declaration from the autism community|sent a letter to the United Nations]] demanding to be treated as a minority group rather than a group with a [[mental disability]] or disease. Websites such as autistics.org{{ref|refbot.770}} present the view of the anti-cure group.
There are numerous resources available for autistics from many groups. Due to the fact that many autistics find it easier to communicate online than in person, many of these resources are available online. In addition, sometimes successful autistic adults in a local community will help out children with autism, much in the way a master would help out an apprentice, for example.
2002 was declared [[Autism Awareness Year]] in the [[United Kingdom]]—this idea was initiated by [[Ivan and Charika Corea]], parents of an autistic child, Charin. Autism Awareness Year was led by the [[British Institute of Brain Injured Children]], [[Disabilities Trust]], [[National Autistic Society]], [[Autism London]] and 800 organizations in the United Kingdom. It had the personal backing of [[United Kingdom|British]] Prime Minister [[Tony Blair]] and parliamentarians of all parties in the [[Palace of Westminster]].
===Culture===
{{details|Autistic culture}}
With the recent increases in autism recognition and new approaches to educating and socializing autistics, an ''autistic culture'' has begun to develop. Similar to [[deaf culture]], autistic culture is based in a belief that autism is a unique way of being and not a disorder to be cured. There are some commonalities which are specific to autism in general as a culture, not just "autistic culture".
It is a common misperception that people with autism do not marry; many do get married. Often, they marry another person with autism, although this is not always the case. Many times autistics are attracted to other autistics due to shared interests or obsessions, but more often than not the attraction is due to simple compatibility with personality types, the same as is true for non-autistics. Autistics who communicate have explained that companionship is as important to autistics as it is to anyone else. Multigenerational autistic families have also recently become a bit more common.
The interests of autistic people and so-called "[[geeks]]" or "[[Nerd|nerds]]" can often overlap as autistic people can sometimes become preoccupied with certain subjects, much like the variant normal behavior geeks experience. However, in practice many autistic people have difficulty with working in groups, which impairs them even in the most "technical" of situations.
===Autistic adults===
[[image:Grandin2.jpg|thumb|right|[[Temple Grandin]], one of the more successful adults with autism.
<small>Photograph courtesy Joshua Nathaniel Pritikin and William Lawrence Jarrold.</small>]]
Some autistic adults are able to work successfully in mainstream jobs, usually those with high-functioning autism or Asperger's syndrome. Nevertheless, communication and social problems often cause difficulties in many areas of the autistic's life. Other autistics are capable of employment in sheltered workshops under the supervision of managers trained in working with persons with disabilities. A nurturing environment at home, at school, and later in job training and at work, helps autistic people continue to learn and to develop throughout their lives. Some argue that the internet allows autistic individuals to communicate and form online communities, in addition to being able to find occupations such as independent consulting, which does generally not require much human interaction offline.
In the [[United States]], the public schools' responsibility for providing services ends when the autistic person is in their 20s, depending on each state. The family is then faced with the challenge of finding living arrangements and employment to match the particular needs of their adult child, as well as the programs and facilities that can provide support services to achieve these goals.
=== Autistic savants ===
{{Main|autistic savant}}
The autistic savant phenomenon is sometimes seen in autistic people. The term is used to describe a person who is autistic and has extreme talent in a certain area of study. Although there is a common association between savants and autism (an association created by the 1988 film ''[[Rain Man]]''), most autistic people are not [[savants]]. [[Mental calculator]]s and fast [[programming]] skills are the most common form. The famous example is [[Daniel Tammet]], the subject of the [[documentary film]] ''[[The Brain Man]]'' {{ref|guardianbrainman}} ([[Kim Peek]], one of the inspirations for [[Dustin Hoffman]]'s character in the film ''[[Rain Man]]'', is not autistic). "Bright Splinters of the Mind" is a book that explores this issue further.
== Other pervasive developmental disorders ==
Autism and Asperger's syndrome are just two of the five pervasive developmental disorders (PDDs). The three other pervasive developmental disorders are [[Rett syndrome]], [[Childhood disintegrative disorder]], and [[PDD not otherwise specified|Pervasive developmental disorder not otherwise specified]]. Some of these are related to autism, while some of them are entirely separate conditions.
=== Rett syndrome ===
[[Rett syndrome]] is relatively rare, affecting almost exclusively females, one out of 10,000 to 15,000. After a period of normal development, sometime between 6 and 18 months, autism-like symptoms begin to appear. The little girl's mental and social development regresses; she no longer responds to her parents and pulls away from any social contact. If she has been talking, she stops; she cannot control her feet; she wrings her hands. Some of these early symptoms may be confused for autism. Some of the problems associated with Rett syndrome can be treated. [[Physical therapy|Physical]], [[Occupational therapy|occupational]], and [[Speech therapy|speech]] therapy can help with problems of coordination, movement, and [[speech]].
Scientists sponsored by the National Institute of Child Health and Human Development have discovered that a mutation in the sequence of a single gene causes Rett syndrome, and can physically test for it with a 80% accuracy rate {{ref|nihrett}}. Rett syndrome in the past was sometimes classified as an autistic spectrum disorder, however most scientists agree that Rett syndrome is a separate developmental disorder and not part of the autistic spectrum {{ref|brighttotsrett}}.
===Childhood disintegrative disorder===
[[Childhood disintegrative disorder]] (CDD, and sometimes abbreviated as CHDD also) is a condition appearing in 3 or 4 year old children who have developed normally until age 2. Over several months, the child will deteriorate in intellectual, social, and language functioning from previously normal behaviour. This long period of normal development before regression helps differentiate CDD from Rett syndrome (and in fact it must be differentiated from autism in testing). The cause for CDD is unknown (thus it may be a spectrum disorder) but current evidence suggests it has something to do with the central nervous system {{ref|yalecdd}} {{ref|nihcdd}}.
=== Pervasive developmental disorder not otherwise specified ===
[[PDD not otherwise specified|Pervasive developmental disorder not otherwise specified]], or PDD-NOS, is referred to as a ''subthreshold'' condition because it is a classification which is given to someone who suffers from impairments in social interaction, communication, and/or stereotyped behaviour but does not meet the criteria for one of the other four pervasive developmental disorders. Unlike the other four pervasive developmental disorders, PDD-NOS has no specific guidelines for diagnosis, so the person may have a lot of characteristics of an autistic person, or few to none at all. Note that pervasive developmental disorder is not a diagnosis, just a term to refer to the five mentioned conditions, while PDD-NOS is an official diagnosis {{ref|yalepddnos}}.
==See also==
* '''General'''
:* [[Autism therapies]]
:* [[Causes of autism]]
:* [[Conditions comorbid to autism spectrum disorders]]
:* [[Early Childhood Autism]]
:* [[Heritability of autism]]
* '''Groups'''
:* [[Aspies For Freedom]]
:* [[National Alliance for Autism Research]]
* '''Controversy'''
:* [[Controversies about functioning labels in the autism spectrum]]
:* [[Controversies in autism]]
:* [[Ethical challenges to autism treatment]]
* '''Lists'''
:* [[List of autism-related topics]]
:* [[List of fictional characters on the autistic spectrum]]
:* [[List of autistic people]]
==References==
* {{cite web | author= | title=Rett syndrome (NIH Publication No. 01-4960) | publisher=Rockville, MD: National Institute of Child Health and Human Development | year=2001 | work=Rett syndrome | url=http://www.nichd.nih.gov/publications/pubskey.cfm?from=autism | accessdate=July 30 | accessyear= 2005 }}
* {{cite journal | author=Frombonne E. | title=Prevalence of childhood disintegrative disorder | journal=Autism | year=2002 | volume=6 | issue=2 | pages=149-157}}
* {{cite journal | author=Volkmar RM and Rutter M. | title=Childhood disintegrative disorder: Results of the DSM-IV autism field trial | journal=Journal of the American Academy of Child and Adolescent Psychiatry | year=1995 | volume=34 | pages=1092-1095}}
* {{Citenewsauthor | surname=Ewald | given=Paul | title=Plague Time | date=April 2001 | org=Popular Science | url=http://www.centurytel.net/tjs11/bug/ewald1.htm}}
* {{cite web | title=PANDAS (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococci) and PITAND (Paediatric Infection-triggered Autoimmune Neuropsychiatric Disorders) | work=PANDAS & PITAND Syndromes | url=http://www.webpediatrics.com/pandas.html | accessdate=July 30 | accessyear=2005 }}
* {{cite web | title=Closer to Truth: PBS, with Paul Ewald | work=Microbes -- Friend or Foe? | url=http://www.pbs.org/kcet/closertotruth/explore/show_05.html | accessdate=July 30 | accessyear=2005 }}
* {{cite web | title=M.I.N.D. Institute Study Confirms Autism Increase | work=U.C. Davis| url=http://www.ucdmc.ucdavis.edu/news/MINDepi_study.html | accessdate=March 6| accessyear=2005 }}
* {{Citenews | surname=Stenson | given=Jacqueline | title=As autism cases soar, a search for clues | date=[[24 February]] [[2005]] | org=Newsweek | url=http://www.msnbc.msn.com/id/6947652/}}
* {{Citenews | surname=Goode | given=Erica | title=Autism Statistics: More and More Autism Cases | date=[[26 January]] [[2004]] | org=New York Times | url=http://www.autisticsociety.org/article262.html}}
* {{cite journal | author=Wing L, Potter D. | title=The epidemiology of autistic spectrum disorders: is the prevalence rising? | journal=Mental Retardation and Developmental Disabilities Research Reviews | volume=8 | issue=3 | year=2002 | pages=151–61}} ([http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12216059&dopt=Abstract abstract])
* {{cite journal | author=Croen LA, Grether JK, Hoogstrate J, Selvin S. | title=The changing prevalence of autism in California | journal=Journal of Autism and Developmental Disorders| volume=32| issue=3 | year=2002 Jun | pages=207-15}} ([http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=12108622 abstract])
* Manev R, Manev H. Aminoglycoside antibiotics and autism: a speculative hypothesis. BMC Psychiatry. 2001;1:5. Epub 2001 [[10 October]].[http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11696245&query_hl=60]
* Strock, Margaret (2004). Autism Spectrum Disorders (Pervasive Developmental Disorders). NIH Publication No. NIH-04-5511, National Institute of Mental Health, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, MD, 40 pp. http://www.nimh.nih.gov/publicat/autism.cfm
==Footnotes==
# {{note|NihAutismov2005}} {{cite web | title=NIH Autism Overview 2005 | url=http://www.nichd.nih.gov/publications/pubs/autism_overview_2005.pdf | accessdate=February 5 | accessyear=2006 }}
# {{note|bnat}} {{cite web | title=BehaveNet autism description | url=http://www.behavenet.com/capsules/disorders/autistic.htm | accessdate=July 30 | accessyear=2005 }}
# {{note|bnas}} {{cite web | title=BehaveNet aspergers description | url=http://www.behavenet.com/capsules/disorders/asperger.htm | accessdate=July 30 | accessyear=2005 }}
# {{note|Wired}} {{Citenewsauthor | surname=Silberman | given=Steve | title=The Geek Syndrome | date=December 2001 | org=Wired | url=http://www.wired.com/wired/archive/9.12/aspergers_pr.html}}
# {{note|refbot.770}} {{cite web | title=autistics.org: The REAL Voice of Autism (See above) | url=http://www.autistics.org | accessdate=December 11 | accessyear=2005 }}
# {{note|guardianbrainman}} {{cite web | title=Guardian "Brain Man" article | url=http://www.guardian.co.uk/weekend/story/0,3605,1409903,00.html | accessdate=July 30 | accessyear=2005 }}
# {{note|nihrett}} {{cite web | title=NIH Rett description | url=http://www.ninds.nih.gov/disorders/rett/detail_rett.htm | accessdate=July 30 | accessyear=2005 }}
# {{note|brighttotsrett}} {{cite web | title=Bright Tots Rett description | url=http://www.brighttots.com/Rett_Syndrome.html | accessdate=July 30 | accessyear=2005 }}
# {{note|yalecdd}} {{cite web | title=Yale CDD description | url=http://info.med.yale.edu/chldstdy/autism/cdd.html | accessdate=July 30 | accessyear=2005 }}
# {{note|nihcdd}} {{cite web | title=NIH CDD description | url=http://www.nlm.nih.gov/medlineplus/ency/article/001535.html | accessdate=July 30 | accessyear=2005 }}
# {{note|yalepddnos}} {{cite web | title=PDD-NOS at Yale | url=http://info.med.yale.edu/chldstdy/autism/pddnos.html | accessdate=August 22 | accessyear=2005 }}