• Greeting Mom

    Registered members

    Dr. Smith describes how a child on the spectrum fails to give his mother a warm, flexible and spontaneous greeting. Similarly, Dr. Smith also describes the child's limited attempt to direct his mother's attention. Though he points out an object of interest, he does not look back to his parents to ensure that they see it and share his enthusiam.

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  • Dad Reads to Christian K: Lack of Joint Attention

    Registered members

    Lack of joint attention is another possible warning sign for autism. Christian K. (2 years 9 months old with autism) is being read to by his father from a children's book. Christian K. shows very little interest in the book. He turns the pages before his father has finished reading and never points or makes eye contact with his father.

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  • Teaching Lucas Emotions

    Registered members

    Though Lucas seems more interested in this picture book, he does not look back at his therapist Georgia as many typically developing children might. He does not seem to be interested in her reactions to the book or in sharing his enjoyment. Further, Lucas shows great difficulty in imitating and understanding the emotions Georgia demonstrates for him. He repeats "I'm angry." and smiles.

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  • Risk Alert Joint Attention

    Registered members

    Dr Deborah Fein explains the concept of "joint attention" what it is in typically developing children, and how the lack of "joint attention" can be a risk alert.

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Social Communication and Social Interaction

Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history

Social Emotional Reciprocity

Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.

Non-verbal Communicative Behaviors

Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.

Understanding & Maintaining Relationships

Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.

Restricted and Repetitive Patterns of Behavior

Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history

Stereotyped Motor Movements and Speech

Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).

Routines, Sameness, Rituals

Insistence on sameness, inflexible adherence to routines, or ritualized patterns or verbal nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat food every day).

Preoccupations -Interests or Objects

Highly restricted, fixated interests that are abnormal in intensity or focus (e.g, strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interest).

Sensitivity to Sensory Input

Hyper- or hyporeactivity to sensory input or unusual interests in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement).

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