Diagnosis: Autism
Latest Weapons Are Early Detection And Treatment
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Play CBS Video Video Stahl's Reporter's Notebook Only On The Web: Lesley Stahl talks about her upcoming "60 Minutes" report on how some scientists believe they can change an autistic child's brain development if autism is caught early.
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Video Preview: Diagnosing Autism Behavioral scientists believe if autism is caught early, they can change the way a child's brain develops. Lesley Stahl reports Sunday, Feb. 18, at 7 p.m. ET/PT.
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Video Detecting Autism Before Age 2 In Full: Early treatment of autism has allowed many children to lead easier lives. Lesley Stahl reports on what scientists are studying while the debate over autism's cause rages on.
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(AP)
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Interactive Breaking The Silence Find out more about autism, and where to get help for someone who may have this neurological disorder.
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She says she is aiming for a diagnosis age of 12 months. Ozonoff is tracking 200 babies from birth, like Gabe, a normal 12-month-old, being tested for his reactions to a new toy.
"He's very interested in it. And he communicates that to her with that great look, big eyebrows raising, smile. And then he asks for it without language—he’s 'Ah, I want that,'" Ozonoff observes.
This behavior, Ozonoff says, is typical of a healthy one-year-old.
But when a boy named Jacob is shown the same toy, he stares at it in silence, never reaching for it, never looking up at the examiner.
"There's no communication at all with the woman," Stahl remarks.
"That’s right. It's as if she isn't there. Like she’s an object-handing machine," Ozonoff says.
Jacob was later diagnosed with autism.
Ozonoff also uses high tech methods, like eye tracking. A normal baby looks right in mom’s eyes when she talks to him. But children who are autistic avoid eye contact, looking more at the mouth.
Like most autism researchers, Ozonoff believes children are born with the disorder. She went into her study convinced she would spot the symptoms as early as six months.
But so far, researchers have not been able to see the symptoms at such an early age.
Diagnosing one year olds has proved just as perplexing. Repetitive behavior, like the way Jacob plays with a lid for example, looks like a clear symptom.
"All he's doing is the picking up and watching it wobble, over and over again," Ozonoff observes.
But Ozonoff has found that not all one year olds who do this end up with autism. Her "most reliable" test so far is surprisingly simple.
"Starting about six months maybe even a bit earlier, if you say a child's name, they quickly turn and look at you. And you’ll see this with Gabe," Ozonoff explains. "Say his name, his head whips around…makes eye contact and smiles."
When the same experiment was done with Jacob, the result was different.
"The experimenter's gonna walk behind him. Call his name three times at normal volume," Ozonoff explains.
Jacob didn't respond to his name.
But even with this test, only half the children who fail it end up having autism. Haydn was six months old when he was first evaluated and, to Valerie's relief, he tested on par with children his age.
On one of her visits last year, Ozonoff gave Valerie a copy of her book on Asperger’s syndrome, a high-functioning form of autism.
"So I was reading this book. And through the whole book I just cried because I felt like I was reading this book about Michael," Valerie remembers.
Michael is her nine-year-old. Through years of speech and occupational therapy, no one had ever suggested that his problems, including his struggle to make and keep friends, could be Asperger's, until Valerie began asking questions.
"So now you're basically told you have two sons with autism," Stahl remarks.
Valerie admits she was reeling. "I was. You feel like you should, you should have pulled your genes out of the gene pool a little sooner you know, at that point," she says.
And there was still the question of Haydn: his 12-month visit a half-year later was distressing. He wasn’t smiling anymore and he seemed to be regressing into his own world. And then, he stopped responding to his name.
"I knew my son wasn’t hearing me. Everyone around me was saying, 'Oh, he’s just stubborn. He doesn’t want to listen to you.' But I knew that wasn’t it," Valerie recalls. She says she knew it wasn't a hearing issue.
Despite Haydn's symptoms, Ozonoff felt it was still too early to tell.
"I would hate to cause the pain…and anguish of having another child diagnosed on the spectrum and then be completely wrong," she explains.
Produced By Karen M. Sughrue
© MMVII, CBS Interactive Inc. All Rights Reserved.

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See all 189 CommentsAlison
Los Angeles, CA
www.freewebs.com/writingindependence/main.htm
Psychologists tend to treat autism based on old theories. Please interview the parents of recovered children, and their journey on how they got there. I encourage you to learn more about what is known about the biological problems in autism from Defeat Autism Now, and give hope to the 1 in 150 families affected today.
What I do know is that im totaly stumped as what to do to help make my son's life easier in the "Schooling" department.
After years of trying/fighting to do the "Right Thing" for/by him, i'm left mentally and emotionately drained and feeling as lost as I did on day I first started searching.
1) "Normal" - please define "normal" when referring to children, autistic or not. Better wording would be "typically developing child"
2) "Healthy" - my son is very healthy. He has a brain abnormality. Don't assume that children with neurological issues are "sick", or not healthy.
3) Most importantly- the approach of getting down to the child's level and interacting and playing with them as much as possible is often the best type of therapy -however, it doesn't always work, even for children who are NOT severely affected. Your segment seemed to imply otherwise. Wow - what a miracle. Now everyone out there may think..."Why don't Johnny's parents just get down on the floor and play and interact with him more...then he'd be fine". If it only it were that simple. By the way, this (floor time) approach that seemed to be credited to the dr. in your segment actually belongs to Dr. Stanley Greenspan and has been around for many years.
Please,,,,Ms. Stahl,,,,tell us something we don't know and haven't tried.
Cyndi
Jackon, MI
Posted by KjMcMahon59 at 12:04 PM : Feb 20, 2007], let me tell you, you don't get vaccinations and you'll see other epidemics rise. You throw around this tagline "safety" in regard to the minute amounts in the few inoculations children will receive; when its motor-neurotoxicity has only been confirmed in dietary loading from industrial pollution. The cerebellum controls the motor neural coordination, located underneath and the posterior of the cerebellum where our cognitive impairments would register. What safety screening has ever been applied to the lunacy of fluoridation while poison control center warning information is provided on every tube of fluoide toothpaste..."pea sized amounts" dangerous for beginning brushers to swallow. What safety then in letting people drink it up all the time, whatever age--as in the ingestion of the well catalogued toxin?
Thanks to gluten-, casein-, soy-, artificial-, preservative-, chemical-free diet and water, digestive enzymes, probiotics, and nutritional supplementation she emerged from the shell of autism. Thanks to intensive (30+ hours/week) Applied Behavioral Analysis using Positive Behavioral Support and Verbal Behavior and a private school that welcomes her therapists (public schools told me educating her the same as her age-peers would be providing a "Cadillac whereas (they) are only required to provide a Kia."), she is virtually indistinguishable from her "typical" peers in health, play, academics, sleeping and eating.
7 and working hard learning how to learn from her environment, her future looks brighter each day.
ARE YOU SAYING YOU CAN CURE AUTISM?
As a parent of a child who has been "lumped" into this diagnosis, I am criticized on a constant basis by doctors, therapists, and even people on the street who saw a show and now think they are experts because my son is not in a "program" I am doing home therapy/schooling with him because he was not making any progress. No one was able to get my son to communicate. As an audiologist, I believed that my son, who has global apraxia and auditory processing disorder, would benefit from total communication (signing with speech), but every therapist disagreed. My son can communicate with over 200 signs, and orally say more that 30 words, and most importantly he is progressing every day.
Until there is a therapy that is shown in multiple studies to produce SIGNIFICANT improvement in MOST children with autism, therapy should be presented as what it is, a means of POSSIBLY improving communication and behavior It should not be recommended as a necessity for every child, no matter how severe, as a means of possibly overcoming autism.
Thank you again Lesley Stahl!!
means. I have been trying for years with no luck to get him the Proper Schooling he needs to no avail. The schools Of Course dont want to lose a student (which equals $$$ to them) but i am scared beyond belief that my son will end up in Juvy due to them NOT accepting the fact he IS different...he's Autistic and he doesnt understand things the way you and I do!!!!
Someone, anyone, please help me to find a school
here in Orlando Florida, I have had no luck at all!It's so very hard, stressful and disheartning for a parent like myself to feel like there is no were to turn, no one to turn to, to help there child.I do so pray that someone reads this, can offer some help or even just words of incouagement that I so desperately could use.
A Desperate, Stressed, Worried, Loving Mother
SuzanneJ
suzanne.johnson@ryerson.com
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