Autism: A Simple Definition for Clarity - Psychiatry

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The definition of autism?


Hello Doctor: My cousin is very quiet and has been unfairly labeled as "autistic" by many members of our family, which has caused his parents a lot of unnecessary stress.
I have looked up information about autism online and in books, including Chinese autism websites from Taiwan and Hong Kong, as well as a book written by Ms.
Tsao Chun-Chung.
However, the more I read, the more confused I become.
The only clear concept I have is that autism is not simply about not speaking, but I still cannot grasp the exact definition of autism.
Could you please provide me with a simple and straightforward definition? Thank you, Doctor!

Mihuo, 20~29 year old female. Ask Date: 2003/02/18

Dr. Chen Meizhu reply Psychiatry


Hello: The characteristics of autism include: (1) Impairments in interpersonal relationships and social interactions: such as not acknowledging or making eye contact with others, and difficulty establishing emotional bonds with family members.
(2) Language and communication difficulties: such as lack of functional language, echolalia, pronoun reversal, and providing irrelevant responses.
(3) Patterns of behavior and interests that are highly restricted, repetitive, and stereotyped: such as specific fixed behavioral expressions and monotonous, bizarre play that lacks variation.
The expression of these characteristics may vary with age and IQ.
As for your cousin's behavior, it is still advisable to seek a thorough evaluation at a pediatric and adolescent outpatient clinic.
Wishing you well.

Reply Date: 2003/02/18

More Info


Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by a range of symptoms and behaviors that affect social interaction, communication, and behavior. Understanding autism can be challenging, especially when individuals are labeled without a clear understanding of the condition. Here’s a simple and clear definition of autism, along with some insights into its characteristics.

At its core, autism is defined by two main areas of difficulty:
1. Social Communication and Interaction: Individuals with autism often struggle with understanding social cues and engaging in typical social interactions. This can manifest as difficulty in maintaining eye contact, understanding body language, or responding appropriately in conversations. They may also find it hard to form relationships with peers or family members, which can lead to feelings of isolation.

2. Restricted and Repetitive Patterns of Behavior: People with autism may exhibit repetitive behaviors, such as hand-flapping, rocking, or repeating phrases. They might also have very specific interests or routines that they prefer to follow, and any disruption to these routines can cause significant distress.

It is important to note that autism is a spectrum disorder, meaning that it affects individuals differently and to varying degrees. Some individuals may have significant challenges, while others may be high-functioning and able to lead independent lives. The symptoms can also vary widely; for example, some individuals may be non-verbal, while others may have advanced verbal skills but still struggle with social nuances.

Your cousin's reluctance to speak does not automatically mean he is autistic. Many factors can contribute to a child's communication style, including personality, environment, and developmental stage. It’s crucial to avoid labeling someone as autistic without a comprehensive evaluation by a qualified professional. Mislabeling can lead to unnecessary stress for both the individual and their family, as you mentioned regarding your cousin's parents.

If there are concerns about your cousin's behavior or communication skills, it would be beneficial for his parents to seek an evaluation from a pediatrician or a child psychologist who specializes in developmental disorders. A proper assessment can provide clarity and help determine whether he meets the criteria for autism or if there are other underlying issues that need to be addressed.

In summary, autism is a multifaceted condition that affects social communication and behavior. It is essential to approach the topic with sensitivity and understanding, recognizing that each individual with autism is unique. By fostering an environment of support and understanding, families can help individuals with autism thrive and navigate their challenges more effectively.

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