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Wednesday, November 14, 2007
Thomas Sowell :: Townhall.com Columnist
Crusades Versus Caution: Part II
by Thomas Sowell
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The recently launched crusade to have every child tested for autism before the age of two has as its reason an opportunity for "early intervention" to treat the condition.

Dr. Scott Myers, a pediatrician, has been quoted by Reuters news service as saying that autistic children who get earlier treatment "do better in the long run."

That may be true if the children are genuinely autistic. But the dangers of false diagnoses of toddlers and preschoolers have been pointed out by Professor Stephen Camarata of Vanderbilt University, who has tested and treated children with autism for more than 20 years and has encountered many cases of inaccurate diagnoses.

A prudent trade-off, as distinguished from a crusade, would weigh the dangers of false diagnoses against the benefits of "early intervention."

There is already considerable evidence of false diagnoses of preschool children as autistic, and the treatments inflicted on them can be abusive, with incalculable negative effects on their development.

What about the positive effects of "early intervention"?

According to Professor Camarata, those children "with true autism" are "very difficult to treat and may never say 'mommy' or learn to take care of themselves without Herculean efforts by their parents and teachers."

The limitations of what can be achieved with even early intervention mean that there can be real heartbreak, whether a toddler or preschooler is either falsely or correctly diagnosed as being autistic.

Much has been made of statistics showing a sharp increase in diagnoses of autism in recent years.

What has gotten much less attention is the changing definition of autism, which raises the question whether there has been an actual change in the real world or simply a change in the way words are used when collecting statistics.

People today are often spoken of as being "on the autistic spectrum," rather than as having autism. Continued...

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About The Author
Thomas Sowell is a senior fellow at the Hoover Institute and author of The Housing Boom and Bust.
 
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Crusades?
Cautions against crusades, I can agree with. However, I'm compelled to confront these short-sighted comments.

Citing comments from Professors like Camarata doesn't add any credence at all. Having a son with Aspergers I'm learning that the real experts are taking their cues from parents and children that deal with this disability all day every day and in every way.

While I agree, the abuse for false diagnosis and over-medication needs to be researched and confronted. The painful costs of delaying intervention have been personally felt as well.

Also, I'd like to know what is meant by "true autism". Whenever I meantion my son's autism, they immediately think either "Rain Man" (played by Dustin Hoffman) or the person rocking in the corner rapidly flapping his hands rapidly. There are many forms of autism and levels of severity just as there is with many illnesses such as cancer. The Autism Spectrum has been applied because there are many disorders such as Aspergers Syndrom, Pervasive Development Disorders, etc. that share the same characteristics as autism and to a degree benefit from similar therapy and methods of intervention. Being stuck on "true autism" puts the progress that society has made in this field of study back another 50 years.

Crusades?
Cautions against crusades, I can agree with. However, I'm compelled to confront these short-sighted comments.

Citing comments from Professors like Camarata doesn't add any credence at all. Having a son with Aspergers I'm learning that the real experts are taking their cues from parents and children that deal with this disability all day every day and in every way.

While I agree, the abuse for false diagnosis and over-medication needs to be researched and confronted. The painful costs of delaying intervention have been personally felt as well.

Also, I'd like to know what is meant by "true autism". Whenever I meantion my son's autism, they immediately think either "Rain Man" (played by Dustin Hoffman) or the person rocking in the corner rapidly flapping his hands rapidly. There are many forms of autism and levels of severity just as there is with many illnesses such as cancer. The Autism Spectrum has been applied because there are many disorders such as Aspergers Syndrom, Pervasive Development Disorders, etc. that share the same characteristics as autism and to a degree benefit from similar therapy and methods of intervention. Being stuck on "true autism" puts the progress that society has made in this field of study back another 50 years.
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