clinical description, historical overview
For the first time in 1911, Bleuler (Swiss psychiatrist) uses the term "autism" to refer to the core symptom of a specific illness, schizophrenia. This term is composed of two Greek words autos (self) and ISMOS (targeting) etymologically means "was addressed to himself," This term
the Swiss psychiatrist would indicate strong retreat into themselves, detachment from reality with absolute predominance of inner life. Cito
Bleuler:
"... the most serious schizophrenic no longer have any relationship with the environment, living in a world that belongs only to them. We are locked up, so to speak, with their deideri who imagine made, or suffering resulting from the persecution of which you believe autism victims ... We call this detachment from reality accompanied by relative or absolute supremacy of the inner life .... (Bleuler, 1911).
In 1943 Leo Kanner use the term autism to describe a syndrome spercifica related to childhood, which he called early infantile autism as distinct from mental impairment innate.
He considered pathognomonic clinical picture of this some typical behaviors:
-tendency to isolation with avoidance of interpersonal relationships
-impaired development of speech-
presence of stereotyped behaviors
-obsessive concern for the preservation of the immutability of the environment
While presenting this clinical picture, the children described by Kanner had good performance at the cognitive level in some specific fields (construction puzzle, memory of figures and poems), this was in sharp contrast with powertools developmental delay.
In 1944, the Austrian pediatrician Hans Aspenger described a disorder he called "autistic psychopathy" with features of early infantile autism comunni (Kanner). The children studied by
Aspenger had in common with those studied by Kanner, the following characteristics: social adaptation
1.difficoltÃ
2.marcata resistance to change
3.stereotipie motor and language
However, there were at least three important areas that worked differently in the two groups of children:
1. Language: Patients Aspenger of the speech was fluent, while those of Kanner or was not present or was used in a non-communicative
2. Configuration: in patients Aspenger were both fine motor difficulties in the complex, while those of Kanner had difficulty only in the motor complex.
3. ability to learn: Aspenger considered his patients in the "abstract thinkers," while Kanner's patients seemed to learn in a mechanical, almost automatic.
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