
Glossary of Terms
Asperger Syndrome (AS) is a neurobiological disorder that is part of a group of diagnoses called "autistic spectrum disorders." The term "autistic spectrum" refers to a range of developmental disabilities that includes autism as well as other disorders with similar characteristics. They are known as spectrum disorders because the symptoms of each can appear in different combinations and in varying degrees of severity: two children with the same diagnosis, though they may share certain patterns of behavior, can exhibit a wide range of skills and abilities. Children with AS share many of the same symptoms as children with "high-functioning autism."Asperger syndrome is characterized by poor social interactions, obsessions, odd speech patterns, and other peculiar mannerisms. Children with AS often have few facial expressions and have difficulty reading the body language of others; they may engage in obsessive routines and may display an unusual sensitivity to sensory stimuli. Adults with AS have trouble demonstrating empathy for others, and social interactions continue to be difficult. Experts say that AS follows a continuous course and usually lasts a lifetime. However, symptoms can wax and wane over the course of time, and early intervention services can be helpful. It's not uncommon for a child to be diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) before the diagnosis of AS is made later on. AS is a high-functioning form of autism in children who generally have high IQs.The following are a number of signs and symptoms that might be present in a child with AS:
- inappropriate or minimal social interactions
- conversations almost always revolving around self rather than others
- "scripted," "robotic," or repetitive speech
- lack of "common sense"
- problems with reading, math, or writing skills
- obsession with complex topics such as patterns or music
- average to above-average verbal cognitive abilities
- average to below-average nonverbal cognitive abilities
- awkward movements
- odd behaviors or mannerisms
It is important to note that, unlike children with autism, children with AS may show no delays in language development however, they typically do exhibit a language disorder. Often there are no obvious delays in cognitive development or in age-appropriate self-help skills. Contrary to the incorrect assumptions some may make about people with the disorder, AS is not caused by emotional deprivation or the way a person has been brought up. Because some of the behaviors exhibited by a person with AS may be seen by others as intentionally rude, many people wrongly assume that AS is the result of bad parenting - it isn't. It's a neurobiological disorder whose causes are not yet fully understood. Currently, there is no cure for the disorder - children with AS become adults with AS. But many individuals with AS lead full and happy lives, and the likelihood of achieving this is enhanced with appropriate education, support, and resources.
Attention Deficit Hyperactivity Disorder (ADHD), used to be known as Attention Deficit Disorder, or ADD. In 1994, it was renamed ADHD. The term ADD is sometimes still used, though, to describe a type of ADHD that doesn't involve hyperactivity. ADHD is a medical condition that affects how well someone can sit still, focus, and pay attention. People with ADHD have differences in the parts of their brains that control attention and activity. This means that they may have trouble focusing on certain tasks and subjects, or they may seem "wired," act impulsively, and get into trouble. Although ADHD begins in childhood, sometimes it's not diagnosed until a person is a teen — and occasionally not even until someone reaches adulthood. Because ADHD is a broad category covering different things — attention, activity, and impulsivity — it can show up in different ways in different people. Some of the signs of ADHD are when someone:
- has difficulty paying attention or staying focused on a task or activity
- has problems finishing assignments at school or home and jumps from one activity to another
- has trouble focusing on instructions and difficulty following through
- loses or forgets things such as homework
- is easily distracted, even when doing something fun
- has problems paying close attention to details or makes careless mistakes
- has trouble organizing tasks and activities
- has difficulty waiting one's turn
- interrupts or intrudes on other people
- blurts out answers before questions have been completed
- fidgets with hands or feet or squirms about when seated
- feels restless
- talks excessively and has trouble engaging in activities quietly
Children with ADHD have so much trouble staying focused and controlling their behavior that it affects their emotions and how well they do in school or other areas of their lives. In fact, ADHD is often viewed as a learning disorder because it can interfere so much with a child's ability to study and learn. Although some may "grow out of" their symptoms, more than half of all children who have ADHD will continue to show signs of the condition as young adults. Because there's no cure for ADHD, doctors treat people by helping them to manage the symptoms most effectively. Because some people have more trouble with the attention side of the disorder and others have more problems with the activity side, doctors use multimodal techniques to tailor their treatment to the person's symptoms.
Auditory Processing Disorder (APD) (previously known as "Central Auditory Processing Disorder" (CAPD)) is a disorder in how auditory information is processed in the brain. It is not a sensory hearing impairment; individuals with APD usually have normal peripheral hearing ability. APD is an umbrella term that describe a variety of problems with the brain that can interfere with processing auditory information. Some of the skills a child needs to be evaluated for central auditory processing disorder don't develop until 8 or 9 years old. The auditory center of the brain isn't fully developed at age 7, 8, and 9 - the most common ages audiologists see for the central auditory processing test. These children's brains just haven't matured enough to accept and process a lot of information. Therefore, many children diagnosed with APD can develop better skills with time. The five main problem areas that can affect both home and school activities in children with APD are:
1. Auditory Figure-Ground Problems: This is when the child can't pay attention when there's noise in the background.
2. Auditory Memory Problems: This is when the child has difficulty remembering information
3. Auditory Discrimination Problems: This is when the child has difficulty hearing the difference between sounds or words that are similar.
4. Auditory Attention Problems: This is when the child can't maintain focus for listening long enough to complete a task or requirement.
5. Auditory Cohesion Problems: This is when higher-level listening tasks are difficult.
One of the most important things that both parents and teachers can do is to realize that APD is real. Symptoms and behaviors are not within the child's control. What is within the child's control is recognizing the problems associated with APD and applying the strategies recommended both at home and school. A positive, realistic attitude and healthy self-esteem in a child with APD can work wonders. Children with APD can go on to be just as successful as other classmates. Although some children do, however, grow up to be adults with APD, with coping strategies and by using techniques taught to them in speech therapy, they can be very successful adults.
Autism is a disorder that can affect the way a child behaves, thinks, communicates, and interacts with others. Children with autism are affected in different ways. Some have only mild symptoms and grow up to live independently, while others have more severe symptoms and need supported living and working environments throughout their lives. It's more common in boys than girls, and is usually diagnosed when a child is between 15 and 36 months old, although signs of the disorder can show up earlier. While there is no cure for autism, and researchers are unsure of its cause, a variety of therapies and resources are available to help kids with autism and their families.
Autism is a spectrum disorder, meaning it affects children in different ways, at different levels of severity, regarding their ability to communicate, process thoughts, and interact socially. Because there's nothing abnormal about the physical appearance of a child with autism, and because children develop at different rates, the disorder can be difficult to recognize.
Autism is characterized by:
- communication problems, which may include delays in developing speech, repeating words, and speaking in a monotone that lacks pitch, inflection, or rhythm
- poor social interaction
- repetitive behavior and interests
- unusual behaviors, such as spinning or flapping hands
About one-third of children who are diagnosed with autism develop fairly typically in the first year or two of life, and then begin to regress in the way that they speak and socialize. They may:
- prefer to play by themselves
- not acknowledge other kids who play alongside them
- like to line up objects and sort them into colors
- have difficulty making eye contact with other people
If a child shows any one of these behaviors on an isolated basis, it's probably not autism. Usually, it's the collection of these behavior patterns that leads to a diagnosis of autism. Though children with autism are affected in different ways, in all cases their capacity to communicate and interact with others is impaired. Other behaviors of kids with autism may include:
- speech that's often limited to a few repeated or "echoed" words or phrases
- stopping speaking altogether
- problems with communicating needs
- withdrawing from physical contact with other people
- want to be alone
- seldom playing fantasy or imagination games
- engaging in repetitive movements like rocking, hand flapping, or spinning objects
- throwing tantrums that are prolonged and begin with little warning
- laughing or crying out of nowhere
- difficulty showing or receiving affection
- resistance to change in daily routines
- no fear of danger
- very physically active or very underactive
- lack of response to verbal cues (i.e., calling the child's name, questions, etc.)
- unusual responses to many sensory experiences, especially to sudden, loud noises or high-pitched sounds
- obsession with predictable rituals and sometimes playing with only one part of a toy
Not every child with autism will have all of these behaviors. Because some children with autism have just a few of these symptoms, they may appear to be developing within typical expectations, although somewhat slowly.
Autism Spectrum Disorders – See Pervasive Development Disorders (PDD)
Dyslexia is a type of learning disability. It is the term used when people have difficulty learning to read, even though they are smart enough and are motivated to learn. The word dyslexia comes from two Greek words: 'dys' which means abnormal or impaired, and 'lexis' which refers to language or words. Research has shown that dyslexia happens because of the way the brain processes information. Pictures of the brain, taken with modern imaging tools, have shown that when people with dyslexia read, they use different parts of the brain than people without dyslexia. These pictures also show that the brains of people with dyslexia don't work efficiently during reading. So that's why reading seems like such slow, hard work.
Most people think that dyslexia causes people to reverse letters and numbers and see words backwards. But reversals occur as a normal part of development, and are not seen only in people with dyslexia. The main problem in dyslexia is trouble recognizing phonemes which are the basic sounds of speech. Therefore, it's a struggle to make the connection between the sound and the letter symbol for that sound, and to blend sounds into words. This makes it hard to recognize short, familiar words or to sound out longer words. It takes a lot of time for a person with dyslexia to sound out a word. The meaning of the word is often lost, and reading comprehension is poor. It is not surprising that people with dyslexia have trouble spelling. They may also have trouble expressing themselves in writing and even speaking.
Dyslexia is a language processing disorder, so it can affect all forms of language, either spoken or written. Words may blend together and spaces are lost. Although dealing with dyslexia can be difficult, people with dyslexia should not feel limited in their academic or career choices.
Early Intervention applies to children of school age or younger who are discovered to have or be at risk of developing special need that may affect their development. Early intervention consists in the provision of services for children and their families for the purpose of lessening the effects of the condition. Early intervention can be remedial or preventive in nature--remediating existing developmental problems or preventing their occurrence.Early intervention may focus on the child alone or on the child and the family together. Early intervention programs may be center-based, home-based, hospital-based, or a combination. Services range from identification--that is, hospital or school screening and referral services--to diagnostic and direct intervention programs. Early intervention may begin at any time between birth and school age; however, there are many reasons for it to begin as early as possible.
There are three primary reasons for intervening early with a child with needs: to enhance the child's development, to provide support and assistance to the family, and to maximize the child's and family's benefit to society.
Child development research has established that the rate of human learning and development is most rapid in the preschool years. Timing of intervention becomes particularly important when a child runs the risk of missing an opportunity to learn during a state of maximum readiness. If the most teachable moments or stages of greatest readiness are not taken advantage of, a child may have difficulty learning a particular skill at a later time.
After nearly 50 years of research, there is evidence--both quantitative (data-based) and qualitative (reports of parents and teachers)--that early intervention increases the developmental and educational gains for a child, improves the functioning of the family, and reaps long-term benefits for society. Early intervention has been shown to result in the child: (a) needing fewer special education and other habilitative services later in life; (b) being retained in grade less often; and (c) in some cases being indistinguishable from their classmates years after intervention.
Learning disability is a problem that affects the brain's ability to receive, process, analyze, or store information. These problems can make it difficult to learn as quickly as someone who isn't affected by learning disabilities. There are many kinds of learning disabilities. Certain kinds of learning disabilities can interfere with a person's ability to concentrate or focus and can cause someone's mind to wander too much. Other learning disabilities can make it difficult to read, write, spell, or solve problems. Most learning disabilities fall into one of two categories: verbal and nonverbal.
Metacognitive Learning consists of instructional approaches emphasizing awareness of the cognitive processes that facilitate one's own learning and its application to academic and work assignments. Typical metacognitive techniques include systematic rehearsal of steps or conscious selection among strategies for completing a task.
Multisensory Learning is an instructional approach that combines auditory, visual, and tactile elements into a learning task. Tracing sandpaper numbers while saying a number fact aloud would be a multisensory learning activity.
Non Verbal Learning Disability (NLD) reveals itself in impaired abilities to organize the visual-spatial field, adapt to new or novel situations, and/or accurately read nonverbal signals and cues. It appears to be the reverse syndrome of dyslexia. Although academic progress is made, such a student will have difficulty "producing" in situations where speed and adaptability are required. Whereas language-based learning disorders have been shown to be genetic in origin, heredity has not, as yet, been linked to NLD. It is known that nonverbal learning disabilities involve the performance processes (generally thought of neurologically as originating in the right cerebral hemisphere of the brain, which specializes in nonverbal processing). Nonverbal learning disorders appear much less frequently than language-based learning disorders. The child with nonverbal learning disorders commonly appears awkward and is, in fact, inadequately coordinated in both fine and gross motor skills. The child with NLD often develops an exceptional memory for rote material, a coping skill learned in order to survive. The child with NLD can usually be accommodated in a "fully-included" mainstreamed educational setting if her unique academic and social needs are understood by parents and school staff.
Occupational Therapy is a treatment that focuses on helping people achieve independence in all areas of their lives. OT can provide children with various needs with positive, fun activities to improve their cognitive, physical, and motor skills and enhance their self-esteem and sense of accomplishment. An occupational therapist can evaluate a child's skills for play activities, school performance, and activities of daily living and compare them to what is developmentally appropriate for an age group. Occupational therapy practitioners address psychological, social, and environmental factors that may hinder an individual's functioning in different ways. This unique approach makes occupational therapy a vital part of health care for some children.
Pervasive Development Disorders (PDD) refer to a broader group of neurobiological conditions, known as autistic spectrum disorders, that are characterized by delayed development of communication and social skills. Perhaps the most noticeable feature of a PDD is a problem with communication, including using and understanding language. Children with these disorders can also have trouble relating to others. They may also exhibit unusual play with toys and other objects, including flicking or shaking toys in nontraditional manners, repetitively spinning toys or parts of toys, and lining up toys instead of playing with them. Children with a PDD tend to lack curiosity about their environments and have difficulty with changes in routines. It's important to note that all children can exhibit unusual behaviors occasionally, or they can seem shy around others sometimes - without having a PDD.
What sets children with PDDs apart is the consistency of their unusual behaviors. Symptoms of the disorder have to be present in all settings - not just at home or at school - and over considerable periods of time. With PDD, there's a lack of social interaction, an impairment in nonverbal behaviors, and a failure to develop normal peer relations. A child with a PDD may also ignore facial expressions or may not look at others. Included in the autistic spectrum are Autism, Asperger syndrome, Rett syndrome and a disorder called PDD-not otherwise specified or PDD-NOS. All of these conditions, to varying degrees, affect communication skills as well as a child's cognitive skills and behavior.
Self-Advocacy is the development of specific skills and understandings that enable children and adults to explain their specific learning disabilities to others and cope positively with the attitudes of peers, parents, teachers, and employers.
Shadow – A personal attendant or aide who follows a child in order to keep watch over his or her behavior and assist this child in achieving age-appropriate behavior.
Speech-Language Therapy is the treatment for most children with speech and/or language disorders. A speech disorder refers to a problem with the actual production of sounds, whereas a language disorder refers to a difficulty understanding or putting words together to communicate ideas. Speech-language pathologists (SLPs), who are often informally known as speech therapists, are professionals educated in the study of human communication, its development, and its disorders. By assessing the speech, language, cognitive-communication, and swallowing skills of children and adults, speech-language pathologists can determine what types of communication problems exist and the best way to treat these challenges.
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