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The Autistic Continuum (features most often used in diagnosis)*

support document

1 Tend to be seen in the most severely handicapped/retarded

Manifestations**

4 Tend to be seen in the least severely handicapped/retarded

Social Interaction

1 Aloof and indiferent

2 Approaches for physical needs only 

3 Passively accepts approaches

4  Makes bizarre one-sided approaches

Social communication (verbal and non-verbal)

1 No communication

2 Needs only

3 Replies if approached

4 Spontaneous, but repetitive, one-sided, odd

Social imagination

1 No imagination

2 Copies others mechanically

3 Uses dolls, toys correctly but limited, uncreative, repetitive

4 Acts out one theme (e,g. batman) repetitively; may use other children as "mechanical aids"

Repetitive pattern of self-chosen activities

1 Simple, bodily-directed (e.g. face-tapping, self-injury)

2 Simple, object-directed (e.g. taps, spins, switches lights)

3 Complex routines, manipulation of objects, or movements (e.g. bedtime ritual, lining up objects, attachment to objects, whole-body movements)

4 Verbal, abstract (e.g. timetables, movements of planets, repetitive questioning)

Language - formal system

1 No language

2 Limited - mostly echolalic

3 Incorrect use of pronouns, prepositions; idiosyncratic use of words/phrases; odd constructions

4 Grammatical but longwinded, repetitive, literal interpretations

Responses to sensory stimuli (oversensitive to sound, fascinated by lights, touches, tastes, self-spinning; smells objects or people; indifferenr to pain, heat, cold, etc)

1 Very marked

2 Marked

3 Occasional

4 Minimal or absent

Movements (flaps, jumps, rocks, tiptoe walking, odd hand postures etc.)

1 Very marked 

2 Marked

3 Occasional

4 Minimal or absent

Special skills (manipulation or mechanical objects; music; drawing; mathematics; rote memory; constructional skills etc.)

1 No special skills

2 One skill better than others but all below chronological age

3 One skill around chronological age - rest well below

4 One skill at high level well above chronological age, very different from other abilities

* There are other clinical features seen in disorders in the autistic continuum, but they are not listed here because they are noy mentioned in the various sets of criteria considered essential for disgnosis

**The manifestations of each item (numbered 1 to 4 under each heading) are arbitrarily chosen points along a continuum. In reality, each shades into the next without any clear divisions



 

Development by:
SIMBIOSE

SOCRATES Programme - Adult Education
Transnational Cooperation Project SIDE by SIDE
Application 109911-CP-1-2003-1-PT-GRUNDTVIG-G1

APPDA-Lisboa
Associação Portuguesa para as Perturbações do Desenvolvimento e Autismo

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