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[Autisms that 'cure themselves'].

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Summary
This summary is machine-generated.

Approximately 20% of children diagnosed with autism spectrum disorder (ASD) no longer meet diagnostic criteria and achieve good social and occupational outcomes. Favorable factors include normal intelligence and language skills, not necessarily early interventions. The concept of neurodiversity emphasizes individual capacity development.

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Area of Science:

  • Developmental Psychology
  • Neurodevelopmental Disorders
  • Clinical Psychology

Background:

  • Autism spectrum disorder (ASD) research has primarily focused on epidemiology, clinical features, cognition, and etiology, often using the categorical Diagnostic and Statistical Manual of Mental Disorders (DSM) model.
  • Limited attention has been given to developmental trajectories, which are crucial for long-term prognosis in ASD.

Purpose of the Study:

  • To review the developmental trajectories of children diagnosed with ASD who, despite retaining some autistic traits, achieve satisfactory social and occupational adaptation.
  • To investigate cases where individuals no longer meet the initial diagnostic criteria for ASD.

Main Methods:

  • A comprehensive literature review of autism was conducted, analyzing the evolution of clinical manifestations and their impact from early childhood to adulthood.
  • Conceptual aspects of autism were examined to understand developmental patterns and outcomes.

Main Results:

  • Around 20% of children initially diagnosed with ASD no longer meet diagnostic criteria and achieve positive social and occupational adjustment.
  • Favorable prognostic factors identified include normal intelligence, good language abilities, and a low incidence of comorbidities.
  • Early and intensive therapeutic interventions were not consistently identified as determining factors for recovery in the reviewed literature.

Conclusions:

  • A significant minority of individuals diagnosed with ASD can achieve remission and positive life outcomes.
  • The concept of neurodiversity highlights the importance of fostering an individual's strengths and capacities within a supportive environment.
  • Understanding developmental trajectories is key to improving long-term prognosis and support for individuals with ASD.