Can autism recover?

If autism is not treated professionally early, it will affect children's normal life and study. And as children grow older, autism will continue into adulthood, even for life. The following is what I share with you about whether autism can recover. Let's take a look!

Can autism recover

Original title: Can autism recover?

　? Reading Preparing for the Life of Autistic Children

Sun Dunke, Consultant of Autism Committee of China Jingxie

(1)

Can autism be recover? Because the cause is unknown, recovery is still an unrealistic hope for most autistic patients. Professor Cai Yizhou once said that there is only one Temple Gradine in the world. What's more, we heard the introduction of American professionals in 1998, and once Tianbao interrupted his report, he had to start from the beginning.

In 1972, Leo Kanner made a follow-up survey of 11 autistic children reported by him in 1943, and found that one (male) graduated from college and worked as a bank teller. One person (male) holds a public office after receiving vocational training to supervise environmental (atmospheric) pollution; One person (male) has no spontaneous language, and his symptoms have not improved. He originally assisted in farming and later worked as an assistant in a home for the elderly. Two men (male) had epilepsy, and one of them died of epilepsy at the age of 29; A person enters a shelter after the age of 28, but never participates in any group activities; The whereabouts of the two are unknown; Four people (a man and three women) were admitted to the state mental hospital in their late twenties for long-term care without any possibility of recovery. Of the 11 cases, only two have a good social adaptation.

Takashi Ishii of Japan reported in 1978 that in his prognosis study, among 4 autistic patients (31 males and 9 females) over 16 years old, 7 (6 males and 1 female) had fixed salary positions; 28 people have poor prognosis, 16 of them are at home and 8 are in institutions for the disabled; Four people were admitted to a mental hospital. Good adaptation accounts for about 2%, which is similar to Kenner's case, and maladaptation still accounts for the majority.

Lovas, the originator of applied behavior analysis (ABA), reported in 197 that he gave 4-hour individual instruction to 19 autistic children aged 3 years and 6 months, and found that 1 of them entered ordinary primary schools, did not need any assistance in learning in class, and their intelligence test results were normal, their social and emotional responses were good, and they could be promoted normally in the second school year. Regrettably, 4 years later, we have never seen any follow-up reports on the employment and living conditions of those 19 children after they grew up. Therefore, people can't help questioning its long-term efficacy.

most studies in the last century show that the decisive factor of future development is the development level of language ability and intelligence. It is generally believed that those who have acquired useful language skills before the age of 5 (such as being able to express? Mom, juice? Give boiled water? Buy popsicles? Requirements, etc.) can be expected good future development; The early IQ of children is directly proportional to their future adaptability. Autism treatment is generally considered that the younger the age, the better the effect, but so far there is no age cut-off point, in fact, there are some patients who get improvement at an older age. An autistic person in the United States didn't say his first sentence until he was 5 years old. Get away,I don? t like that! Step aside, I don't want that. )?

(2)

Dr. Zou Xiaobing was in Beijing on April 2nd this year? At the 21 China Symposium on Social Service Guarantee for Autistic People? When talking about this issue, he said: According to our own work experience, this is entirely possible. First of all, in our actual cases, in recent years, more and more children have been no different from normal children after our evaluation (not individual magical cases); Secondly, there are some mild cases in ASD itself, and the recovery of these mild cases after intervention is predictable both in theory and practice, especially in early detection. We now know that early detection, early intervention, high functional state and behavioral intervention are favorable factors to realize ASD recovery. ?

This reminds me of an Associated Press report in Chicago on May 8, 29, which talked about a man named Leo? Laiter's typical case, I translated it as an appendix to share with parents, but please pay special attention to the following points:

1) Deborah Fein, a professor of psychology at Connecticut State University, said, cured? For the vast majority of children, it is an unrealistic expectation, but parents should know that this may happen. ?

　2)? Voice of autism? Dr Dawson, the chief scientist, said? I don't think we can predict who this will happen to. As far as understanding is concerned, we are still at a very early stage. ?

3) Most cases received long-term behavioral therapy shortly after diagnosis, and in some cases, the time was as long as 3-4 hours per week.

4) In most cases, it is suggested that the period of significant improvement (for children) that has been cured appears around 7 years old.

5) So far? Recovered? How do children perform in neuropsychological tests, as well as oral and non-oral tests? Very normal? . Does this mean? Heal? Besides DSM-Ⅳ, the basis is some scale values.

6) His mother Jayne Lytel said: Leo sometimes still gets upset easily but is much more flexible than before.? This shows that he is still prone to emotional problems of irritability, but the rigid situation has been greatly improved. In view of this situation, Dr. Zou said: Who doesn't have some problems?

7) for? 3%-25% of autistic children can recover? Professor Finn said that her research shows that the range is between 1% and 2%. This figure is compared with the follow-up report of Kenner and others on prognosis mentioned at the beginning of this article. What conclusions should we draw?

(3)

Just before Dr. Zou's speech, Dr. Yang delivered a speech entitled "Preparing for the Life of Autistic Children" in the same forum. As an expert who has been engaged in autism rehabilitation research for more than 3 years and has contacted more than 1, patients, she emphasized: Her speech? The target seems to be parents, but it involves all the people who serve autism. ?

talking about? Make full use of the educational resources of the school? When, she put forward:? Parents and teachers should keep close contact with each other. Parents can not only learn a lot of teaching contents and skills from teachers, so that the education at home is consistent with that at school. At the same time, school is also a social environment, which is completely irreplaceable by home. There are many students in the school, and their role is often irreplaceable by adults. At the same time, getting along with partners is not limited to school, but also extends to outside school and home, which is an indispensable condition for children to learn to establish partnerships. ?

the case she cited is:? Nothing, male, 13 years old this year, in the first grade of junior high school. Parents with college education or above. At the age of 3, he was diagnosed with autism. I went to the government kindergarten (I have been accompanying students) and went to elementary school at the age of 7. Parents are very close to the school, so the class teacher asks his classmates to join him? Pairing? Not only help him with his lessons but also lead him to play with children after class. Teachers give spiritual or material rewards to such students, and at the same time gain the understanding and support of their parents. Some parents think that this makes their children learn to care for others. The head teacher, teachers of all subjects and even the janitor also participated in helping him, so that he could spend the primary school happily. ?

Recalling a hot night 11 years ago, I also received a long-distance telephone consultation from my father. At that time, the child was 3 years old and was diagnosed by Professor Yang Xiaoling from the Sixth Hospital of Beijing Medical University. From the parents' complaints, what impressed me most was that the child had no functional language, but? Fine movements are good. I like watching advertisements and weather forecasts. Grind your teeth and knock people with your chin. ? At the beginning of April this year, I met a grown-up child for the first time by chance. He is 14 years old and is currently studying in the junior middle school of an experimental school in a city in the northeast. He is the representative of the geography class in his class, and he is the first in the English exam and the third in the worst. When he entered junior high school, the school took the students to Anshan for military training. He left home and lived with his classmates for seven days. In addition to his amazing special skills in calendar calculation, memory and time, he is particularly interested in computers, and power point is very good at it. If his father hadn't accompanied him, it's hard to imagine this sunny boy in front of him. Nothing was once diagnosed as autism. Of course, he still has some questions. Parents? Don't want to hand him over to relatives in a hundred years? ; ? I hope to turn his potential into creativity. ? Parents? Never thought he was disabled? What is the question that parents think about? How to transform a natural person into a social person? ，? Ask him to write his own development plan. ?

(4)

Now let's go back to 25. At that time, Mr. Yang, the head teacher, had a detailed record, describing how you got into the fast lane of remarkable improvement at the age of about 7:

? In the late summer of 23, another new semester began, and Qunying Primary School welcomed such a special freshman. The child is very beautiful, with a pair of big eyes embedded in his white face. He also has a nice name? Nothing. However, when you look into his eyes, what you see is a dull look and a confused look. This is a child with severe autism. His thinking consciousness is confused, he completely loses his self-control ability, his language expression ability is extremely poor, and he doesn't know the depth of his work. If you don't pay attention, you will get into trouble. You are a child who can break people's hearts. His mother tried several times to embark on the road of no return with her children because of pessimism and despair. Although nothing is over seven years old, his psychological age is not as good as that of a two-year-old child. His parents have taken their children to many schools to register for school, but they were coldly rejected. ?

　? Because you are over five years old, you can't fully express your meaning because you can't speak and jump, and you can't fully express your meaning. You completely vent your dissatisfaction by crying and express your happiness by shouting. He has no self-control. In class, if he wants to get off the seat, he will run around at any time, and if he is a little unhappy, he will cry. He didn't understand the teacher's reasoning at all, and he didn't respond and his expression was blank. If I don't pay attention during class, I will do some dangerous things, which are hard to prevent, involve my great energy and make me tired every day. ? He is very rigid about the rules of school life, and he is not allowed to make any changes, otherwise he will cry and cry, which is very heartbreaking. For example, the flag-raising ceremony on Monday must be held on time, but it can't be suspended because of the heavy rain. Classes must be conducted according to the schedule, and changing a class temporarily will offend his dissatisfied nerve. ?

　? According to his poor self-control ability, I take the methods of reminding him more in class (once every three minutes on average), educating him after class and contacting his parents every night to help him. ? According to his special situation, I formed a love and mutual aid group in the class group. Arrange several excellent students around him in class, set an example for him and remind him at any time. During the break, some students went to the toilet with him and played games with him. At noon, some classmates went to cook together, and some classmates reminded him in time and took him away when he was doing dangerous activities. When writing homework, some students check whether they have written it completely. Has the whole class started? Love and help you? Activities, a rational and caring environment, thus established. Practice has proved that this environment is very important to the training of nothing, and his progress is gradually accelerated. ?

　? Everyone is required to say a word to nothing every day, and praise his classmates who talk a lot in time. ? With everyone's help, nothing has changed faster, from being able to say a word to saying a word and then to a short sentence; Never listen to others until you can talk to your classmates to express yourself; From being held by a classmate to playing, to actively inviting classmates; From where you want to go, you will immediately get off your seat, and when you have an idea, raise your hand before you speak. With the ringing of the New Year bell in 25, the door of getting rational is opened in an orderly way. One day, when the class was over, the students were listening to the radio attentively. Nothing that never responded to praise and criticism suddenly said to me. Teacher, I want a little red flower? . After listening, I was stunned first, and then shed tears of joy. Isn't this the moment I've been waiting for? (Quoted from Yang Guang: "Strive for Children to Break Free from the shackles of Autism")

(5)

Regardless of the growth process of nothing? Individual magical cases? No matter what difficulties you will encounter in your future growth, some problems are worth thinking about:

1) Professor Yang Xiaoling pointed out? Their learning and improvement is a long-term or maybe a lifetime. And? Parents are the main role of education and rehabilitation and the decision-makers of life? . The role of parents is the most critical factor and strength to help children with autism. After frustration, grief and disappointment, parents can calmly accept the reality and help their children get out of loneliness and enjoy a beautiful and happy life with a firm and stable attitude. We should learn from the spirit that nothing parents never give up and fight against fate. In the past, it was generally believed that a child's prognosis depended on the degree of language development at the age of five, and nothing was exactly? I didn't open my mouth until I was over five years old. And? I can't express my meaning completely because my words are vague. I completely rely on crying to vent my dissatisfaction and use shouting to express my happiness. ?

2) The progress of getting nothing depends on one's own potential at first, which is also closely related to early diagnosis and early intervention. At the same time, it also supports the suggestion of foreign cases: his? The significant improvement period appears around 7 years old? Keeping this in mind may be as important as paying attention to early intervention.

3) The understanding and acceptance of school and society is also an indispensable key factor for the prognosis of autistic children. Whether to shut them out, alienate, ignore or even despise them, or to accept them sincerely, with more care, understanding and love, a completely different attitude determines a completely different result. The progress of nothing is thanks to the class teacher and the school leaders who support her, and more importantly, to the understanding and acceptance of nothing's classmates and their parents. ? Nothing's mother was so moved that she bowed deeply to all the parents at the parent-teacher meeting. She thanked all the children in the class for their caring heart. ?

4) President Zhou of the school where you studied said,? The child who was initially admitted is endogenous, and we must accept it based on the principle of enrollment. ? Now, she is worried. After a principal retires, it remains to be solved whether the follow-up principals can continue their in-depth research. ? As? So far, 18 autistic children have entered school? The school leader, she said: It is instinctive for teachers to love their children, but it is sacred to care for other children. ? Educate our teachers to