April is Autism Acceptance Month

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Jordan’s image is part of an exhibition currently at the Museum of Work and Culture in Providence, RI celebrating Autism Awareness Month. The exhibition is a collaboration of Rick Guidotti, Positive Exposure and PRISMA (Precision Medicine in Autism) group. The collaboration began as a multidisciplinary effort at Bradley Hospital and Brown University and has since expanded to the University of Alberta in Canada, bringing together genetic counselors, child, adolescent, and adult psychiatrists, and other clinicians and researchers, under the direction of Dr. Daniel Moreno De Luca.

The PRISMA group works closely with individuals living with a diagnosis of autism or neurodevelopmental conditions who visit the clinic in the context of mental health needs, often helping to identify an underlying genetic diagnosis.

April Feature

The Case for Profound Autism

by Rick Rader, MD, Editor in chief

It’s long been understood, described and accepted that autism is a spectrum disorder. In his 2002 article in The Psychiatric Clinics of North America, "Spectrum Concepts in Major Mental Disorders,” Jack Maser offers:

A spectrum disorder is a disorder that includes a range of linked conditions, sometimes also extending to include singular symptoms and traits. The different elements of a spectrum either have a similar appearance or are thought to be caused by the same underlying mechanism. In either case, a spectrum approach is taken because there appears to be "not a unitary disorder but rather a syndrome composed of subgroups". The spectrum may represent a range of severity, comprising relatively "severe" mental disorders through to relatively "mild and nonclinical deficits".

In some cases, a spectrum approach joins conditions that were previously considered separately. A notable example of this trend is the autism spectrum, where conditions on this spectrum may now all be referred to as autism spectrum disorders. A spectrum approach may also expand the type or severity included issues, which may lessen the gap with other diagnoses or what is considered normal. Proponents of this approach argue that it is in line with evidence of gradations in the type or severity of symptoms in the general population.

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