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      Autism: the pre-conceptual state of mind

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          Abstract

          Introduction: Autism Spectrum Disorders can be defined as a complex and heterogenous area of clinical characteristics. Adults diagnosed with ASD show a lot of comorbidity and overlapping symptomatology with other neuropsychiatric conditions that require specific approaches. The development of ReAttach supports a dynamic special educational model for autism. Indicating the clinical characteristics of ASD as a reflection of the pre-conceptual stage, the ReAttach for autism protocol is characterized by activating the skills that are required for integration, conceptualisation, imagination and coping. ReAttach starts with external arousal regulation by the therapist to obtain optimal environmental conditions for learning. The term dynamic refers to the personal growth that individuals with ASD and patients with other neuropsychiatric conditions have shown. If core ASD symptomatology, such as lack of coherency, monotropic information processing and social communication problems, can be reduced by intervention it is time to embrace a dynamic model for autism.

          Objective: The objective is to propose a dynamic special education model for autism and to communicate how indicating the clinical characteristics of ASD as a reflection of the pre-conceptual stage sheds a different light on comparative research of ASD versus neurotypical groups.

          Method: The procedure of a comparative study of an autism and a neurotypical control group is reviewed from a dynamic special education model. The questions and remarks about the instructions and findings are displayed.

          Results: Reviewing the research procedure and findings from a dynamic special educational model sheds a different light on this comparative research of ASD versus neurotypical groups.

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          Most cited references35

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          Altered Auditory and Multisensory Temporal Processing in Autism Spectrum Disorders

          Autism spectrum disorders (ASD) are characterized by deficits in social reciprocity and communication, as well as by repetitive behaviors and restricted interests. Unusual responses to sensory input and disruptions in the processing of both unisensory and multisensory stimuli also have been reported frequently. However, the specific aspects of sensory processing that are disrupted in ASD have yet to be fully elucidated. Recent published work has shown that children with ASD can integrate low-level audiovisual stimuli, but do so over an extended range of time when compared with typically developing (TD) children. However, the possible contributions of altered unisensory temporal processes to the demonstrated changes in multisensory function are yet unknown. In the current study, unisensory temporal acuity was measured by determining individual thresholds on visual and auditory temporal order judgment (TOJ) tasks, and multisensory temporal function was assessed through a cross-modal version of the TOJ task. Whereas no differences in thresholds for the visual TOJ task were seen between children with ASD and TD, thresholds were higher in ASD on the auditory TOJ task, providing preliminary evidence for impairment in auditory temporal processing. On the multisensory TOJ task, children with ASD showed performance improvements over a wider range of temporal intervals than TD children, reinforcing prior work showing an extended temporal window of multisensory integration in ASD. These findings contribute to a better understanding of basic sensory processing differences, which may be critical for understanding more complex social and cognitive deficits in ASD, and ultimately may contribute to more effective diagnostic and interventional strategies.
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            Partially enhanced thalamocortical functional connectivity in autism.

            Based on evidence for thalamic abnormalities in autism, impairments of thalamocortical pathways have been suspected. We examined the functional connectivity between thalamus and cerebral cortex in terms of blood oxygen level dependent (BOLD) signal cross-correlation in 8 male participants with high-functioning autism and matched normal controls, using functional MRI during simple visuomotor coordination. Both groups exhibited widespread connectivity, consistent with known extensive thalamocortical connectivity. In a direct group comparison, overall more extensive connectivity was observed in the autism group, especially in the left insula and in right postcentral and middle frontal regions. Our findings are inconsistent with the hypothesis of general underconnectivity in autism and instead suggest that subcortico-cortical connectivity may be hyperfunctional, potentially compensating for reduced cortico-cortical connectivity.
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              Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive–compulsive spectrum

              Eating disorders have been defined as “characterized by persistence disturbance of eating or eating-related behavior that results in the altered consumption or absorption of food and that significantly impairs health or psychosocial functioning”. The psychopathology of eating disorders changed across time under the influence of environmental factors, determining the emergence of new phenotypes. Some of these conditions are still under investigation and are not clearly identified as independent diagnostic entities. In this review, the historic evolution of the eating disorder concept up to the recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, has been evaluated. We also examined literature supporting the inclusion of new emergent eating behaviors within the eating disorder spectrum, and their relationship with anorexia, autism, and obsessive–compulsive disorder. In particular, we focused on what is known about the symptoms, epidemiology, assessment, and diagnostic boundaries of a new problematic eating pattern called orthorexia nervosa that could be accepted as a new psychological syndrome, as emphasized by an increasing number of scientific articles in the last few years.
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                Author and article information

                Journal
                10.26407
                Journal for ReAttach Therapy and Developmental Diversities
                JRTDD
                ReAttach Therapy International Foundation
                2589-7799
                28 June 2018
                15 August 2018
                : 1
                : 1
                Affiliations
                [1 ]ReAttach Therapy International Foundation, Waalre, The Netherlands
                Author notes
                Correspondence: Paula Weerkamp-Bartholomeus ( reattachfoundation@ 123456gmail.com )
                Article
                10.26407/2018jrtdd.1.3
                8c27e43e-b436-4877-979c-16c3d1b586bc
                © Weerkamp-Bartholomeus, P.

                This is an open access article published by ReAttach Therapy International Foundation and distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).

                History
                : 23 June 2018
                : 26 June 2018
                : 27 June 2018
                Page count
                Pages: 7
                Categories
                Short Communication

                Pediatrics,Psychology,Special education,Health & Social care,Clinical Psychology & Psychiatry
                pre-conceptual state of mind,autism,special education

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