scholarly journals Inclusion and Wellbeing for People with Autism and the Role of Built Environment

10.29007/ljxc ◽  
2018 ◽  
Author(s):  
Andrei Pomana

Autism Spectrum Conditions (ASC) are neurological disorders which make inclusion in society very difficult for the affected individuals. The main challenges that people with autism face are related to sensory processing disorders, communication difficulties and restricted repetitive patterns of behaviour. Current methods for integrating people with autism focus primarily on equipping autistic individuals with the tools to tolerate circumstances that they might find uncomfortable in social day-to-day situations. The society’s response on accommodating the condition is usually restricted to improving access to selected spaces which often have limited functionality and give the autistic narrow margins for physical and intellectual development. The paper shows the preliminary results of a qualitative meta-analysis of the extant literature relating to the balance between the cost that society needs to pay for the inclusion of people with autism versus the benefits that it can receive in the economical, social and human rights context. Also, employing the same methodology, the study explores the way in which built environment can have a contribution to the integration of people with autism and the degree to which inclusive physical space represents a positive factor to an autistic individual’s subjective wellbeing and quality of life.

2019 ◽  
Vol 40 (6) ◽  
pp. 1421-1454 ◽  
Author(s):  
Tamar Kalandadze ◽  
Valentina Bambini ◽  
Kari-Anne B. Næss

AbstractIndividuals with autism spectrum disorder (ASD) often experience difficulty in comprehending metaphors compared to individuals with typical development (TD). However, there is a large variation in the results across studies, possibly related to the properties of the metaphor tasks. This preregistered systematic review and meta-analysis (a) explored the properties of the metaphor tasks used in ASD research, and (b) investigated the group difference between individuals with ASD and TD on metaphor comprehension, as well as the relationship between the task properties and any between-study variation. A systematic search was undertaken in seven relevant databases. Fourteen studies fulfilled our predetermined inclusion criteria. Across tasks, we detected four types of response format and a great variety of metaphors in terms of familiarity, syntactic structure, and linguistic context. Individuals with TD outperformed individuals with ASD on metaphor comprehension (Hedges’ g = −0.63). Verbal explanation response format was utilized in the study showing the largest effect size in the group comparison. However, due to the sparse experimental manipulations, the role of task properties could not be established. Future studies should consider and report task properties to determine their role in metaphor comprehension, and to inform experimental paradigms as well as educational assessment.


Author(s):  
Silvia Alemany ◽  
Claudia Avella-García ◽  
Zeyan Liew ◽  
Raquel García-Esteban ◽  
Kosuke Inoue ◽  
...  

AbstractThe potential etiological role of early acetaminophen exposure on Autism Spectrum Conditions (ASC) and Attention-Deficit/Hyperactivity Disorder (ADHD) is inconclusive. We aimed to study this association in a collaborative study of six European population-based birth/child cohorts. A total of 73,881 mother–child pairs were included in the study. Prenatal and postnatal (up to 18 months) acetaminophen exposure was assessed through maternal questionnaires or interviews. ASC and ADHD symptoms were assessed at 4–12 years of age using validated instruments. Children were classified as having borderline/clinical symptoms using recommended cutoffs for each instrument. Hospital diagnoses were also available in one cohort. Analyses were adjusted for child and maternal characteristics along with indications for acetaminophen use. Adjusted cohort-specific effect estimates were combined using random-effects meta-analysis. The proportion of children having borderline/clinical symptoms ranged between 0.9 and 12.9% for ASC and between 1.2 and 12.2% for ADHD. Results indicated that children prenatally exposed to acetaminophen were 19% and 21% more likely to subsequently have borderline or clinical ASC (OR = 1.19, 95% CI 1.07–1.33) and ADHD symptoms (OR = 1.21, 95% CI 1.07–1.36) compared to non-exposed children. Boys and girls showed higher odds for ASC and ADHD symptoms after prenatal exposure, though these associations were slightly stronger among boys. Postnatal exposure to acetaminophen was not associated with ASC or ADHD symptoms. These results replicate previous work and support providing clear information to pregnant women and their partners about potential long-term risks of acetaminophen use.


2020 ◽  
Author(s):  
Bahar Tunçgenç ◽  
Carolyn Koch ◽  
Amira Herstic ◽  
Inge-Marie Eigsti ◽  
Stewart Mostofsky

AbstractMimicry facilitates social bonding throughout the lifespan. Mimicry impairments in autism spectrum conditions (ASC) are widely reported, including differentiation of the brain networks associated with its social bonding and learning functions. This study examined associations between volumes of brain regions associated with social bonding versus procedural skill learning, and mimicry of gestures during a naturalistic interaction in ASC and neurotypical (NT) children. Consistent with predictions, results revealed reduced mimicry in ASC relative to the NT children. Mimicry frequency was negatively associated with autism symptom severity. Mimicry was predicted predominantly by the volume of procedural skill learning regions in ASC, and by bonding regions in NT. Further, bonding regions contributed significantly less to mimicry in ASC than in NT, while the contribution of learning regions was not different across groups. These findings suggest that associating mimicry with skill learning, rather than social bonding, may partially explain observed communication difficulties in ASC.


2016 ◽  
pp. 79-108 ◽  
Author(s):  
Konrad Matyjaszek

The rules of the reservation. On the book Jewish Poland Revisited by Erica Lehrer The paper offers a review of Erica Lehrer’s Jewish Poland Revisited, a publication presenting outcomes of an anthropological research on Jewish-Polish memory projects in Cracow's former Jewish district of Kazimierz. In a discussion of the book's theses, the author critically analyses Lehrer's postulate of 'ethnography of possibility' and the resultant strategy of approval for contemporary Kazimierz as a 'space of encounter' alongside with its rules of participation, imposed by the Polish proprietors of the district on its visitors.The article focuses on two such rules that condition a visitor’s possibility of participation in shrinking public spaces of Kazimierz. First of these laws is discussed as an imperative of abandoning the immediacy of district's physical space and its histories signified by the surviving built environment. Instead, Lehrer introduces a conceptual division of "social" and "physical" spaces, which leads to silencing of otherwise immediately present evidence of the violent past. The second rule is analyzed as a requirement of accepting the contemporary Polish owners’ role of 'brokers" and "purveyors" of Jewish heritage, consequential with an approval of a doubtful legal and moral title to the appropriated spaces.Through focusing on these rules of participation that determine and perpetuate the conditionality of Jewish presence in the space of Kazimierz, the author argues for a necessity of questioning and re-defining the traditional divisions of disciplines that establish conceptual separations of "social" and "built" spaces, as well as for a necessity of a critical outlook on contemporary Central European understandings of "heritage". Such an inquiry is discussed as conditional for overcoming the largely avoided yet still present "heritages" in the history of Polish-Jewish relations: the traditions of violence and exclusion, either social and spatial. Regulamin rezerwatu. O książce Jewish Poland Revisited Eriki LehrerArtykuł stanowi recenzję książki Jewish Poland Revisited Eriki Lehrer, prezentującej wyniki antropologicznych badań na temat żydowsko-polskich projektów pamięci realizowanych w byłej dzielnicy żydowskiej na krakowskim Kazimierzu. Omawiając tezy pracy, autor poddaje krytycznej analizie proponowany przez Lehrer projekt etnografii możliwości i wynikającą z niego strategię akceptacji współczesnego Kazimierza jako przestrzeni spotkania, za którą idzie akceptacja zasad uczestnictwa narzuconych gościom przez polskich zarządców Kazimierza.W artykule rozpatrywane są dwie takie zasady, warunkujące możliwość uczestnictwa gościa w kurczącej się przestrzeni publicznej Kazimierza. Pierwszą z nich autor opisuje jako nakaz porzucenia bezpośrednio dostępnej, fizycznej przestrzeni dzielnicy i niesionych przez nią historii, których znakiem jest ocalała zabudowa. W to miejsce Lehrer wprowadza podział na przestrzeń społeczną i fizyczną, skutkiem czego stłumione zostają ślady brutalnej przeszłości, w przeciwnym razie bezpośrednio obecne. Drugą zasadę autor odtwarza jako wymóg akceptacji roli współczesnych polskich właścicieli jako brokerów i pośredników żydowskiego dziedzictwa, co w konsekwencji pociąga za sobą akceptację ich wątpliwych prawnie i moralnie roszczeń do zawłaszczonej przestrzeni.Skupienie uwagi na regulaminie uczestnictwa, który ustanawia i utrzymuje warunkowy charakter żydowskiej obecności w przestrzeni Kazimierza, prowadzi autora do wniosku o konieczności rewaluacji i redefinicji tradycyjnego rozdziału dyscyplin, który tworzy konceptualny podział na społeczne przestrzenie i architektoniczne obiekty, oraz do krytycznego namysłu nad obowiązującym obecnie w Europie Środkowo-Wschodniej rozumieniem pojęcia „dziedzictwo”. Tego rodzaju poszukiwanie uznaje autor za warunek przezwyciężenia ignorowanego zwykle, choć mimo wszystko obecnego w polsko-żydowskich stosunkach „dziedzictwa”: tradycji przemocy i wykluczenia, tak społecznego, jak i przestrzennego. 


2011 ◽  
Vol 7 (1) ◽  
pp. 85-97 ◽  
Author(s):  
Izumi Maezawa ◽  
Marco Calafiore ◽  
Heike Wulff ◽  
Lee-Way Jin

Autism spectrum disorders (ASDs) including classic autism is a group of complex developmental disabilities with core deficits of impaired social interactions, communication difficulties and repetitive behaviors. Although the neurobiology of ASDs has attracted much attention in the last two decades, the role of microglia has been ignored. Existing data are focused on their recognized role in neuroinflammation, which only covers a small part of the pathological repertoire of microglia. This review highlights recent findings on the broader roles of microglia, including their active surveillance of brain microenvironments and regulation of synaptic connectivity, maturation of brain circuitry and neurogenesis. Emerging evidence suggests that microglia respond to pre- and postnatal environmental stimuli through epigenetic interface to change gene expression, thus acting as effectors of experience-dependent synaptic plasticity. Impairments of these microglial functions could substantially contribute to several major etiological factors of autism, such as environmental toxins and cortical underconnectivity. Our recent study on Rett syndrome, a syndromic autistic disorder, provides an example that intrinsic microglial dysfunction due to genetic and epigenetic aberrations could detrimentally affect the developmental trajectory without evoking neuroinflammation. We propose that ASDs provide excellent opportunities to study the influence of microglia on neurodevelopment, and this knowledge could lead to novel therapies.


2017 ◽  
Vol 47 (3) ◽  
pp. 714-727 ◽  
Author(s):  
Edita Poljac ◽  
Vincent Hoofs ◽  
Myrthe M. Princen ◽  
Ervin Poljac

2014 ◽  
Vol 26 (4pt1) ◽  
pp. 933-945 ◽  
Author(s):  
Leah M. Lozier ◽  
John W. Vanmeter ◽  
Abigail A. Marsh

AbstractAutism spectrum disorders (ASDs) are characterized by social impairments, including inappropriate responses to affective stimuli and nonverbal cues, which may extend to poor face-emotion recognition. However, the results of empirical studies of face-emotion recognition in individuals with ASD have yielded inconsistent findings that occlude understanding the role of face-emotion recognition deficits in the development of ASD. The goal of this meta-analysis was to address three as-yet unanswered questions. Are ASDs associated with consistent face-emotion recognition deficits? Do deficits generalize across multiple emotional expressions or are they limited to specific emotions? Do age or cognitive intelligence affect the magnitude of identified deficits? The results indicate that ASDs are associated with face-emotion recognition deficits across multiple expressions and that the magnitude of these deficits increases with age and cannot be accounted for by intelligence. These findings suggest that, whereas neurodevelopmental processes and social experience produce improvements in general face-emotion recognition abilities over time during typical development, children with ASD may experience disruptions in these processes, which suggested distributed functional impairment in the neural architecture that subserves face-emotion processing, an effect with downstream developmental consequences.


2020 ◽  
Vol 76 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Navya Bezawada ◽  
Tze Hui Phang ◽  
Georgina L. Hold ◽  
Richard Hansen

Introduction: Differences in microbiota composition in children with autism spectrum disorder (ASD) compared to unaffected siblings and healthy controls have been reported in various studies. This study aims to systematically review the existing literature concerning the role of the gut microbiota in ASD. Methods: An extensive literature search was conducted using MEDLINE and EMBASE databases to identify studies (January 1966 through July 2019). Results: A total of 28 papers were included. The studies ranged from 12 to 104 participants who were aged between 2 and 18 years from various geographical areas. Majority of studies included faecal samples; however, 4 studies examined mucosal biopsies from different sites. The heterogeneity in ASD diagnostic methodology, gut site sampled and laboratory methods used made meta-analysis inappropriate. Species reported to be significantly higher in abundance in autistic children included Clostridium, Sutterella, Desulfovibrio and Lactobacillus. The findings are however inconsistent across studies. In addition, ­potential confounding effects of antimicrobial use, gastrointestinal symptoms and diet on the gut microbiota are unclear due to generally poor assessment of these factors. Conclusion: It is clear that the gut microbiota is altered in ASD, although further exploration is needed on whether this is a cause or an effect of the condition.


2017 ◽  
Vol 30 (3-5) ◽  
pp. 391-408 ◽  
Author(s):  
James E. A. Hughes ◽  
Julia Simner ◽  
Simon Baron-Cohen ◽  
Darold A. Treffert ◽  
Jamie Ward

Savant syndrome is a condition where prodigious talent co-occurs with developmental difficulties such as autism spectrum conditions (ASC). To better understand savant skills, we previously proposed a link with synaesthesia: that savant syndrome may arise in ASC individuals who also happen to have synaesthesia. A second, unrelated claim is that people with autism may have higher rates of synaesthesia. Here we ask whether synaesthesia is indeed found more often in autism per se, or only in cases where autism co-occurs with savant skills. People with autism in previous studies when tested for synaesthesia were not differentiated into those with and without savant abilities. Here we tested three groups: people with autism who also have savant skills (), people with autism without savant skills (), and controls without autism (). We used a validated test to diagnose grapheme–colour synaesthesia. Results show a significantly higher prevalence of synaesthesia in people with ASC, but only those who also have savant skills. This suggests that synaesthesia in autism is linked to those with savant abilities rather than autism per se. We discuss the role of synaesthesia in the development of prodigious talent.


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