Case 5

Autism
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Slide 1: Woordweb
GeneeskundeWOStudiejaar 3

In deze les zitten 21 slides, met interactieve quizzen en tekstslides.

Onderdelen in deze les

Autism

Slide 1 - Woordweb

What explanatory theory for autism is meant here?: "the (in)ability to understand context/ see the big picture"
A
Executive dysfunction
B
Central coherence theory
C
Theory of mind

Slide 2 - Quizvraag

Central coherence theory
Central coherence= ability to understand context/ see big picture
Information processing
All information equally important

Slide 3 - Tekstslide

Consequences
Inability to choose (everything equally good/important)
Social rules applied too literally
Concretism
Remembers details without overview

Slide 4 - Tekstslide

Symptom: inability to handle multiple tasks at the same time
Which model explains this symptom?
A
Executive dysfunction
B
Central coherence theory
C
Theory of mind

Slide 5 - Quizvraag

Executive dysfunction
Less working memory
Fewer strategies for planning
Less flexible in thinking process

Slide 6 - Tekstslide

Slide 7 - Tekstslide

Consequences
Planning and organising (thinking ahead, creating structure)
Suppressing impulses
Inflexible 
Multiple tasks at same time (serial thinking)

Slide 8 - Tekstslide

Theory of Mind
Understand other people by ascribing mental states to them

Slide 9 - Tekstslide

What kind of risk factor is "new unknown (social) situations"?
A
Predisposing
B
Triggering
C
Sustaining

Slide 10 - Quizvraag

Predisposing

Triggering
- Advanced parental age
- Low birth weight
- Fetal exposure to valproate
- Genetic predisposition
- Chromosomal abnormalities
- Psychological requirements during early development
- New unknown (social) situations)
- Migration, (sexual) abuse, minority, urban upbringing, cannabis/ alcohol use
- Dysfunctional upbringing (e.g. extreme neglect)
Sustaining
- Intelligence (goes together with language development)

Slide 11 - Tekstslide

What is the approximate prevalence of autism?
A
0.01%
B
0.1%
C
1%
D
10%

Slide 12 - Quizvraag

Epidemiology
Prevalence ~ 1%
Sex: ♂ > ♀ (different presentation in girls!)
Age: 2-3 years

Slide 13 - Tekstslide

x% of people with ASD have at least 1 comorbid mental disorder
A
10%
B
20%
C
50%
D
70%

Slide 14 - Quizvraag

Comorbidity
- Intellectual impairment, language disorder
- ADHD, developmental coordination disorder, anxiety disorders, depressive disorders
- Epilepsy, sleep problems, constipation

Slide 15 - Tekstslide

People with which cluster personality disorder are described as "dramatic, emotional and erratic"?
A
Cluster A
B
Cluster B
C
Cluster C

Slide 16 - Quizvraag

To what cluster does paranoid personality disorder belong?
A
Cluster A
B
Cluster B
C
Cluster C

Slide 17 - Quizvraag

Slide 18 - Tekstslide

Cluster A + psychosis
Paranoid: paranoid delusion
Schizoid: social withdrawal
Schizotypal: ideas of reference, delusional thoughts, bodily illusions, paranoid ideation

Slide 19 - Tekstslide

Cluster A + autism
Schizoid personality disorder
Withdrawal ~ social deficits
Age of diagnosis

Slide 20 - Tekstslide

Books: The Rosie Project
Graeme Simsion
Short movie: Mind my mind

Slide 21 - Tekstslide