How does a child with aspergers act
Asperger's Syndrome: Symptoms, Diagnosis and Treatment
Nationwide Children’s Hospital
Overview
Signs & Symptoms
Causes
Diagnosis
Treatment
Seeking Help
What is Asperger’s Syndrome?
Asperger’s Syndrome is a developmental disorder. Young people with Asperger’s Syndrome have a difficult time relating to others socially and their behavior and thinking patterns can be rigid and repetitive.
Generally, children and teens with Asperger’s Syndrome can speak with others and can perform fairly well in their school work. However, they have trouble understanding social situations and subtle forms of communication like body language, humor and sarcasm. They might also think and talk a lot about one topic or interest or only want to do a small range of activities. These interests can become obsessive and interfere with everyday life, rather than giving the child a healthy social or recreational outlet.
Boys are three to four times more likely than girls to have Asperger’s Syndrome. Most cases are diagnosed between the ages of five and nine, with some diagnosed as early as age three.
What Is the Difference Between Asperger’s Syndrome and Autism Spectrum Disorder?
The name for Asperger’s Syndrome has officially changed, but many still use the term Asperger’s Syndrome when talking about their condition. The symptoms of Asperger’s Syndrome are now included in a condition called Autism Spectrum Disorder (ASD). ASD is now the name used for a wide range of autism-like disorders. Some providers may still use the term Asperger’s Syndrome, but others will say “ASD – without intellectual or language impairment.” These two syndromes are, for the most part, the same.
What are the Symptoms of Asperger’s Syndrome?
Children with Asperger’s Syndrome exhibit poor social interactions, obsessions, odd speech patterns, limited facial expressions and other peculiar mannerisms. They might engage in obsessive routines and show an unusual sensitivity to sensory stimuli.
While all children with Asperger’s Syndrome are different, what sets them apart are their unusual social skills and obsessive interests. For a child with Asperger’s Syndrome, you may see one or more of the following symptoms:
- Inappropriate or minimal social interactions
- Conversations that almost always revolve around themselves or a certain topic, rather than others
- Not understanding emotions well or having less facial expression than others
- Speech that sounds unusual, such as flat, high-pitched, quiet, loud, or robotic
- Not using or understanding nonverbal communication, such as gestures, body language and facial expression
- An intense obsession with one or two specific, narrow subjects
- Becoming upset at any small changes in routines
- Memorizing preferred information and facts easily
- Clumsy, uncoordinated movements, including difficulty with handwriting
- Difficulty managing emotions, sometimes leading to verbal or behavioral outbursts, self-injurious behaviors or tantrums
- Not understanding other peoples’ feelings or perspectives
- Hypersensitivity to lights, sounds and textures
Children with Asperger’s Syndrome often show no delays in their language development.
They are likely to have good grammar skills and an advanced vocabulary, but they also tend to be very literal. They have trouble using language in a social context.
There may be no obvious delay in their cognitive development. Children with Asperger’s Syndrome can have problems with attention span and organization, but they usually have average intelligence.
What Causes Asperger’s Syndrome?
The causes of Asperger’s Syndrome are unknown. Genetics and brain abnormalities may be involved.
We do know that Asperger’s Syndrome is NOT the result of a child’s upbringing or poor parenting. Asperger’s Syndrome is a neurobiological disorder, meaning it is just a part of the child’s brain development, whose causes are not fully understood.
How is Asperger’s Syndrome Diagnosed?
As mentioned above, Asperger’s Syndrome is no longer diagnosed as a condition in and of itself. It is part of the range of conditions included in Autism Spectrum Disorder.
If a parent is concerned about a child’s social development, unusual language patterns, and odd behaviors, a pediatrician should be consulted.
The pediatrician can determine if the child should be seen by a specialist, such as a developmental pediatrician, psychologist, or other clinician who is familiar with ASD.
Testing and assessment usually involve a team of medical and psychological professionals. The specialists will ask the parent many questions about the child’s development and current skills and problems. They will also interact with the child and conduct assessments to evaluate what symptoms the child shows when interacting with others. They may also assess the child’s language and intellectual abilities. A medical doctor might ask questions or order tests to make sure there are no other medical concerns for the child.
Asperger’s Syndrome (also known as “Autism Spectrum Disorder - without intellectual or language impairment”) may be difficult to diagnose. Sometimes this condition can be confused with other conditions such as Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD) or Oppositional Defiant Disorder (ODD).
Making sure to evaluate the child’s social and communication skills, their patterns of behavior and thinking, and how these symptoms have developed over time will help the assessor provide the correct diagnosis.
How is Asperger’s Syndrome Treated?
Because each case is different, treatment plans must be built according to each child’s needs. They should be adjusted over time as those needs change.
Treatment of Asperger’s Syndrome usually includes:
- Social skills training
- Behavior supports
- Cognitive behavioral therapy
- Parent education and training
- Speech-language therapy
- Occupational therapy
- Special education classes
- Medication
At present, there is no “cure.” By learning to cope with the symptoms and pick up on social cues, a child can learn to overcome some of the challenges he faces. With help, parents can learn how to best support their child. People with Asperger’s Syndrome can do well in school and go on to be contributing members of their community.
When Should I Seek Help?
Treatment should be done while a child's brain is still developing. If you notice signs of Asperger’s Syndrome or any of the symptoms of Autism Spectrum Disorder in your child, see your pediatrician. She or he can refer you to a mental health expert who specializes in diagnosing this type of disorder.
Related Conditions
- Autism Spectrum Disorder
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Asperger Syndrome - Johns Hopkins All Children's Hospital
Home | Patients and Families | Health Library | Asperger Syndrome
- inappropriate or minimal social interactions
- conversations that almost always revolve 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 below-average nonverbal cognitive abilities, though verbal cognitive abilities are usually average to above-average
- awkward movements
- odd behaviors or mannerisms
- parent education and training
- specialized educational interventions
- social skills training
- language therapy
- for younger kids, sensory integration training. This usually involves occupational therapy, in which a child is desensitized to stimuli he or she is overly sensitive to
- psychotherapy or behavioral/cognitive therapy for older kids
- medicines
- Look into educational or training programs for parents. You're your child's first teacher and you'll continue to be the cornerstone in supporting his or her development.
- Teach your child self-help skills. Learning these skills helps kids achieve maximum independence.
- Because it's not always obvious that a child has AS, tell others that your child has special needs. As a parent, you may have to be an educator when dealing with teachers, medical personnel, and other caregivers.
- Find a treatment or intervention program tailored to your child's specific issues or areas of "deficiency." The Autism Society of America (ASA) recommends talking with the program's director to be sure that it can meet your child's needs.
- Choose special programs or treatments that focus on long-term goals and are suited to your child's developmental level.
- Remember that your child is part of a family, and that his or her needs should be balanced with those of other family members.
- Get support for yourself and other family members. You can't help your child if you're not meeting your own emotional and physical needs. Your community may have support groups at a local hospital or mental health center. Government-sponsored services and other programs vary from state to state.
Asperger syndrome (AS) is a type of autism.
Autism affects how a person interprets language, communicates, and socializes.
AS used to be considered its own condition, with its own diagnosis, but that changed in 2013. That's when the guidebook that doctors use (The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, commonly called DSM-5) changed the classification of AS. Now, kids who show signs of AS are diagnosed with autism and are considered "on the autism spectrum."
"On the Autism Spectrum"
The term "autism spectrum" refers to a wide range of developmental disabilities. These disabilities can appear in different combinations with varying degrees of severity: two children with the same diagnosis, though they may share certain patterns of behavior, can have a wide range of skills and abilities. As a result, general terms such as "low-functioning," "high-functioning," "autistic tendencies," "pervasive developmental disorder," and others are often used to describe children whose behaviors fall on the autism spectrum.
Kids with AS are generally considered to be on the "high-functioning" end of the autism spectrum. Boys are three to four times more likely than girls to have AS. The incidence seems to be increasing, but this might be because milder cases are being identified more frequently.
Although Asperger syndrome is no longer considered to be a diagnosis all on its own, many parents and people in the medical community still use the term.
About Asperger Syndrome
The disorder is named after Hans Asperger, a Viennese pediatrician who, in 1944, first described a set of behavior patterns apparent in some of his patients, mostly males. Asperger noticed that although these boys had normal intelligence and language development, they had severely impaired social skills, couldn't communicate well with others, and had poor coordination.
According to the Asperger Syndrome Coalition of the United States, the onset of AS may be later than what is typical in autism — or at least is recognized later.
Many kids are diagnosed after age 3, with most diagnosed between the ages of 5 and 9.
AS is characterized by poor social interactions, obsessions, odd speech patterns, few facial expressions, and other peculiar mannerisms. Often, kids with AS have trouble reading the body language of others. They might engage in obsessive routines and show an unusual sensitivity to sensory stimuli — for example, they may be bothered by a light that no one else notices; they may cover their ears to block out sounds in the environment; or they might prefer to wear clothing made only of a certain material.
Overall, kids and teens with AS can function in everyday life, but tend to be somewhat socially immature, relate better to adults than peers, and may be seen by others as odd or eccentric.
Other characteristics of AS can include motor delays, clumsiness, limited interests, and peculiar preoccupations. Adults with AS have trouble showing 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 increase and decrease over time, and early intervention services can be helpful.
Signs and Symptoms
Because the signs of AS can be similar to those of other behavioral problems, it's best to let a doctor or other health professional evaluate a child's symptoms. Many kids are diagnosed with attention deficit hyperactivity disorder (ADHD) before a diagnosis of AS is made later.
A child with AS might have these signs and symptoms:
It's important to note that, unlike kids with autism, those with AS might show no delays in language development; they usually have good grammar skills and an advanced vocabulary at an early age.
However, many do have a language disorder — for instance, a child might be very literal and have trouble using language in a social context.
Often there are no obvious delays in cognitive development. Kids with AS can have problems with attention span and organization, or skills that seem well developed in some areas and lacking in others, but they usually have average and sometimes above-average intelligence.
What Causes Asperger Syndrome?
Researchers and mental health experts are still investigating the causes of autism and AS. Brain abnormalities are thought to be one possible cause of AS, because structural and functional differences have been seen with advanced brain imaging.
Genetics might play a role, and research indicates that some cases of AS may be associated with other mental health problems such as depression and bipolar disorder.
AS is not caused by emotional deprivation or the way a child was brought up. Because some behaviors seen in AS may be thought of as intentionally rude by others, 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 — kids with AS become adults with AS. But many lead full and happy lives, and their chances of doing so are helped by appropriate education, support, and resources.
Diagnosing Asperger Syndrome
Asperger syndrome can be very difficult to diagnose. Children with AS function well in most aspects of life, so it can be easy to attribute their strange behaviors to just being "different."
Experts say that early intervention involving educational and social training, done while a child's brain is still developing, is very important for kids with AS.
If your child shows some of the symptoms and behaviors that are typical of AS, it's critical to seek help from your doctor. He or she can refer you to a mental health professional or other specialist for further evaluation.
A specialist will do a thorough "psychosocial" evaluation of your child.
This includes a careful history of when symptoms were first noticed, the development of motor skills and language patterns, and other aspects of personality and behavior (including favorite activities, unusual habits, preoccupations, etc.).
Particular focus is placed on social development, including past and present problems in social interaction and development of friendships. A psychological evaluation and assessment of communication skills usually are done to see which might be lacking.
Treating Asperger Syndrome
AS behaviors and problems can differ widely from child to child, so there isn't a "typical" or prescribed treatment. But, depending on what their strengths and weaknesses are (or what their development history is), kids may benefit from:
Many people can help your child, so it's important to involve all caregivers.
For instance, every health professional caring for your child should know what the others are doing. And teachers, babysitters, other family members, close friends, and anyone else who cares for your child should be involved.
Finding the right program is key, as is getting help for your child early. Kids with AS can and do have great gains with the proper treatment and education.
Helping Your Child
AS brings challenges for kids and their parents, but you can help your child adjust and offer support in many ways:
Your Child's Future
Few facilities are dedicated to providing for the needs of kids with AS. Some children attend mainstream schools where their progress depends on the support and encouragement of parents, caregivers, teachers, and classmates.
Others go to special schools for kids with autism or learning disabilities.
Many people with AS manage well in most aspects of life, so the condition does not have to prevent your child from succeeding academically and socially.
You may feel overwhelmed and discouraged if your child is diagnosed with AS. Remember that the treatment team can provide enormous support and encouragement for your child — and your family.
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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What to do if a child is diagnosed with ASD? The mother of a boy with Asperger's syndrome tells
…Um, dois, três, quatro – in a spacious gym, a boy changes fighting stances at the coach's expense, practicing kicks.
On command, he starts pushing up from the floor. Then he himself counts to ten, switching from Portuguese to English, and simultaneously performs evasions. The boy's name is Timothy, he is 8 years old. In May, he will be certified for the first belt in Capoeira, a Brazilian martial art with elements of acrobatics and dance.
Timofey and his coach / Photo by Roman Lukyanchikov
Timofey is the most ordinary child: he likes "Star Wars" and "Harry Potter", he is fond of robotics, drawing, music and even played in the children's theater. With grades at school, he is also all right, but he has almost no friends. It is difficult for a boy to make contact with peers and he cannot study in a standard class of 30 people.
Timofey has Asperger's syndrome. It's high-functioning autism is a mental condition in which it is difficult for a person to communicate with others, distinguish hints in speech and show empathy.
People with autism spectrum disorder (ASD) may seem withdrawn or uncommunicative, but due to the peculiarity of the psyche, it is really difficult for them to talk to a stranger, ask for help, or stay in crowded places for a long time.
See also: "You can do everything". What are the forms of autism and how do people with this disorder live?
He needs help to share with another child
"Timofey is friends, but he never asks to call one of the children home. He communicates with them in a common area, for example, at school. We go to the theater, there are boys and girls, he communicates with them there and that's it, - says the mother of the child Ekaterina Simchuk.
Ekaterina is a mother of two children. Almost every day of hers is scheduled by the hour: in addition to school, the eldest son has many additional classes aimed at developing the skills he needs, including social interaction.
Ekaterina Simchuk / Photo by Roman Lukyanchikov
"Now Timofey is older and says, 'I don't want these children to play with my toys.
' He has his own territory. He doesn't always share even what he brings to school. He needs help to share with another child. We still have this problem, it is very difficult to deal with it. Even when Timofey comes to the playground, and there are new children, he hardly approaches them and does not know how to behave. Instead of saying "give me please, look at your toy", he will say "give me a toy". That is, he does not follow the rules of the relationship that children are waiting for. He will not take someone else's without permission, but he cannot say any words that evoke positive emotions in children so that they go with him to contact".
Timofey goes to a private school, there are only 10 people in his class. Classes in a large team will not suit him, the child is just learning to perceive general instructions. At the same time, the boy has no problems with academic performance , he often solves tests in mathematics faster than anyone else. In addition, Timofey is a perfectionist, he likes his toys and things to lie neatly in their places.
If someone breaks the order, the boy may become very nervous, but then he will restore everything as it was.
Ekaterina with children / Photo by Roman Lukyanchikov
" He memorizes very quickly if explained to him individually. Accordingly, if Timofey flew in the clouds at school, the teacher asks me to work on topics with him at home. It is difficult for him to understand when they say: "I did not repeat anything during the holidays and forgot everything ". Tima doesn’t have this, if you explain something to him once, he will remember forever. But as soon as he sees that no one is paying attention to him, he will go about his business, "says Ekaterina.
Timofey trains three times a week at the center of the Kazakhstan Capoeira Federation. The boy is engaged individually with a trainer and attends group classes. In training, the child not only develops physically, but also regularly leaves the comfort zone, performing dynamic tasks in a different order.
At the very beginning, he was afraid of heights, but the coach's commands are uncompromising, and Timofey hangs on the horizontal bar or practices blows while standing on cubes.
Diagnosis and correction
Autism spectrum disorder comes in many forms, the dependence on which is expressed in a tendency to the same type of actions, increased excitability, isolation, outbursts of anger, poor learning and problems with coordination. Moreover, each case is individual, and it needs to be correctly diagnosed, which is still a problem in the post-Soviet space. Doctors sometimes confuse autism with cerebral palsy, developmental delay, and more.
Read also: Who works with children with autism in Kazakhstan and how? Methods, approaches, diagnostics
" Until the age of three, Timofey had no problems. He developed normally, everything was on schedule, like ordinary children. But when we sent him to kindergarten, and he found himself in a society of peers, the teacher told me that he plays by himself, does not give his toys to anyone and does not want to make contact with anyone.
Even when the teacher approached him and asked for something, he did not answer, although he knew how to speak. She was even surprised when she saw how we were talking to him and said she didn't know our child could talk.0047 The change of scenery was shocking for Timofey , and then all his problems came out. Before that, he was mostly surrounded by adults who did everything for him. And then he came to kindergarten, where the children asked him about something and tried to involve him in the game. Accordingly, he did not know what to do," recalls Ekaterina.
Timofey in training / Photo by Roman Lukyanchikov
After that incident, Ekaterina began to take her son to doctors, mainly to neurologists, but they could not really say anything. The reception at the Institute of the Brain in St. Petersburg was also unsuccessful. Communicating with adults, Timofey calmly answered questions, demonstrating his knowledge, and the doctors said that everything was fine with him.
Observing Timofey in a small group of children would help to notice changes in his behavior, but the hospital does not provide for such an option. For the first time, Timofey was diagnosed with autism in Ukraine.
"We underwent a comprehensive examination in a special center. Timofey's IQ level was determined, we did an MRI and an EEG. We were told that his academic skills are overestimated, and he knows more than another child at his age. But his social sphere is like a five-year-old child, maybe even a four-year-old, - says Ekaterina, - In kindergarten , we were told that the child was unusual, and he needed to be transferred to home schooling or to some specialized kindergarten . But familiar experts, on the contrary, said that he did not have an aggressive behavior and he is, simply speaking, a positive person who only develops a little differently. He needs to go into society, and the more people, the more he will see behavior patterns that he can adopt and implement in life.
"
Remember? Do
Timofey's family moved to Almaty from St. Petersburg, and before that they lived in Nizhny Novgorod. Relocations are connected with the work of Catherine's wife. The family lives in Kazakhstan for two years. Ekaterina began looking for a developing center for the boy as soon as she arrived in Almaty. There were few options, mostly paid centers where they only work with small children. In St. Petersburg, Timofey went to individual classes in ABA therapy, a behavioral technique for correcting autism, but he lacked training in society.
Photo by Roman Lukyanchikov
"When we found the contacts of the Asyl Miras center on the Internet and signed up there, we were invited for diagnostics. We talked about our learning needs, and we were offered social classes where several children gather. In fact, this was the addition that "We didn't have enough. The center takes children of any age," says Ekaterina, "In "Asyl Miras" Timofey was invited to the theater.
He was given a role in the familiar fairy tale about "Kolobok". Remembering how the characters behave in it, he gave such a result, as if he had been studying acting for years. It turns out that it was laid in him, but we, as parents, simply didn’t feel it. We prepared him in every possible way, played the script, where you need to sing, in what place to tell the verse or dance. "
In addition to the theatrical circle at the development center at the Bulat Utemuratov Foundation, Timofey became interested in drawing. In the center hang two of his paintings, which were included in the exhibition. The boy's other passion is music. At the music school, the parents were told that the child had an excellent ear, and he quickly picked up a melody on the piano . The only thing he needs to learn is perseverance.
What should parents do when they find out that their child has autism?
Having found out that her son has Asperger's syndrome, Ekaterina began to search for information about autism on the Internet, but articles with a general description of all the signs of ASD only confused her.
They said that such children do not talk, or it was about more complex forms of autism spectrum disorders. Then Ukrainian experts advised Ekaterina to take special courses for parents of children with autism, for example, Yulia Erts. But they are paid0011 although some is freely available .
"You can go to Asyl Miras, they also have introductory courses. For example, in order to get to social classes now, parents studied for two weeks. In the classroom, experts tell what autism is and why it is not a disease , explain that this is a feature of the development of the child, and it is impossible to simply give a pill and cure the child. He remains like this until the end of his life and there is nothing wrong with that. He is different, he has a different development, thinking. I would say that high-functioning autists even have a higher level of thinking in terms of assimilation of information than an ordinary person. I not only watched my child, but also other children in the center.
You need to understand that we will not make them the same as we are, but we can bring them to such a level that they can interact with this the world."
Timofey with his mother / Photo by Roman Lukyanchikov
According to Ekaterina, it is important from the very beginning to explain to yourself and family members that a child with ASD is not an outcast and not a bad person, just that a little more effort is needed for his development. In this case, patience, work and the desire to help your child will give results.
"I saw children with various forms of autistic disorders, and they reached a very good level. The most important thing is to teach the child to live independently in this world, to go buy bread on his own or call an ambulance if he feels bad. He needs to be explained that he must solve everyday problems and, accordingly, be the same ordinary person as everyone else.
How to communicate with a child with ASD?
Children with autism spectrum disorders may be irritated by harsh sounds or the touch of strangers.
Such children do not like being hugged by strangers, and you should not scream in front of them. It is most important. In fact, a child with ASD is no different from any other child, even if we are talking about more complex forms of the disorder than Asperger's, it just needs to be approached.
See also: 5 rules for dealing with people with autism spectrum disorders
"Imagine that such a child is lost. How to communicate with him? It is enough just to sit down at his level, look into his face, just do not try to forcefully look into his eyes, and ask what happened, where he came from. Calmly, quietly and friendly. Seeing you and realizing that you are contacting him, he will make contact.And if you start to pull the child or try to force him somewhere, he may close in. And even if he talks, he will not say his name and where he lives. In general, such children are first of all taught to memorize their home address and phone number, their parents' names and where they can be found," says Ekaterina.
Photo by Roman Lukyanchikov
Autism spectrum disorders were difficult to diagnose, there were no common methods, no doctors who would like to do this and understand how. The situation has changed, and now parents, noticing "strangeness" in a child, can help him much faster than 10 or 20 years ago. The main thing is to do it as early as possible, as well as gain a little strength and patience.
Asperger's Syndrome | Autism FRC
Asperger's syndrome - , like Kanner's syndrome, belongs to non-procedural, dysontogenetic forms of RDA. Recently, it has been referred to as a constitutional pathology of the autistic type.
1) As with other types of autism, the condition in Asperger's syndrome is determined by communication disorders, underestimation of reality, a limited and peculiar, stereotypical range of interests, which distinguishes such children from their peers.
2) Violation of social interaction can manifest itself in the following forms:
- extreme egocentrism – inability to interact with peers;
- peer interaction is possible but not attractive, meaningful or highly valued;
- social and emotional inadequacy of communication.
3) The child gives the impression of being old-fashioned, a “little old man”, perceived by other children as an eccentric professor. Lives in his own world with narrow, unusual interests. Demonstrates unusual tendencies (collecting). Collects facts related to certain events, but does not always understand the meaning (reads encyclopedias about dinosaurs - remembers everything (they often have a good mechanical memory), but they may not understand what an era is).
4) Some children show an early ability for an unusual, non-standard understanding of themselves and others. Logical thinking is preserved or even well developed, but knowledge is difficult to reproduce and extremely uneven.
5) A child can be surprisingly successful at one thing and unsuccessful at another. For example, he is fluent in the language, but finds it difficult to adapt to the social context and various hearings (it is difficult for him to conduct a dialogue). There are difficulties in understanding the figurative meaning of metaphors (which is not related to the level of intelligence).
6). Active and passive attention are unstable, but individual autistic goals are achieved with great energy.
7) There is a deviant, unusual style of communication:
- the communicative function of speech is weakened. Speech - formal, pedantic, boring, poor intonation, unusually modulated, peculiar in melody, rhythm and tempo (robot-like, slightly modulated language, the child speaks as if in different voices), the voice sounds either quiet or cuts the ear and in general speech is often similar to recitation. There is a tendency to word creation, which sometimes persists after puberty. The child often involuntarily makes various sounds “clears his throat”, laughs;
- problems of non-verbal communication are revealed: inability to use gestures, clumsiness, limited mimic expression,
- an unusual style of eye contact (very gazing or gaze avoidance) is noted.
8) Children with Asperger's syndrome have reduced empathy (reduced ability to understand the feelings of other people and adapt to them).
Attachment to the house, and not to relatives, is characteristic.
9) They have no close friends. They are often offended. At the same time, the child wants to communicate, to be socialized, but it is extremely difficult for him to do this. He can be with other children, but only if these children adjust to him. There is an attraction to autistic games. Team games are difficult because the autistic child is only interested in his own score, not the score of the team.
10) In appearance, the detached expression of the face attracts attention, which gives it “prettyness”, the facial expressions are frozen, the gaze is turned into emptiness, the fixation on the faces is fleeting. There are few expressive facial movements (minimal expression), gesticulation is depleted. Sometimes the facial expression is concentrated and self-deep, the gaze is directed “inward”.
11) Behavior is determined by impulsiveness, contrasting affects, desires, ideas (often behavior lacks internal logic).
