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BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

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4. Autism<br />

Autism (from the Greek word autos, which means self) is a severe<br />

infant disor<strong>de</strong>r of behavior that <strong>de</strong>velops before the age of three. The term<br />

is used to <strong>de</strong>scribe many types of mental disor<strong>de</strong>rs, but, as originally<br />

named in 1943 by the American child psychologist Leo Kanner, early<br />

infantile autism <strong>de</strong>scribes a rare cluster of symptoms. Its inci<strong>de</strong>nce is<br />

approximately 1 in 2,500. An autistic child is unable to use language<br />

meaningfully or to process information from the environment. About half<br />

of all autistic children are mute, and those who speak often only repeat<br />

what they have heard. The term autism refers to their vacant, withdrawn<br />

appearance, but its connotation of voluntary <strong>de</strong>tachment is inappropriate.<br />

Other characteristics of autism inclu<strong>de</strong> an uneven pattern of <strong>de</strong>velopment,<br />

a fascination with mechanical objects, a ritualistic response to<br />

environmental stimuli, and a resistance to any change in the environment.<br />

Some autistic children have precocious ability, such as mathematical<br />

skills. The cause, prognosis, and treatment of autism are still un<strong>de</strong>r study.<br />

Research suggests a genetic <strong>de</strong>fect as the cause of the disor<strong>de</strong>r, which may<br />

be some form of autoimmune disease or <strong>de</strong>generative disease of nerve<br />

cells in the brain. The best treatment is special education, stressing<br />

learning in small groups, and strict behavioral control of the child.<br />

Treatment with drugs such as fenfluramine and haloperidol is also being<br />

tested. In general, prognosis is poor for those autistic children who remain<br />

mute past the age of five. Children who speak fare better, and some of<br />

them recover.<br />

5. Phobias<br />

Phobias are excessive fears in specific situations when there is no<br />

real danger or fears that are totally out of proportions. Most of the time the<br />

person with a phobia realizes that his fear is irrational and illogical but he<br />

still feels anxiety. Avoiding the feared situation can only relieve this<br />

anxiety. Most of us are afraid for something; snakes, heights, doctors,<br />

injury or <strong>de</strong>ath are the most reported fears. But a fear is different from a<br />

phobia. A fear is usually not diagnosed as a phobia unless it causes big<br />

problems in the person's daily life. An example of this is a person with a<br />

phobia for enclosed places, he/she will notice his/her phobia when he/she<br />

want to use elevators.<br />

There are a number of explanations about how phobias <strong>de</strong>velop.<br />

Some phobias may result from frightening experiences. For example, you<br />

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