{"id":3762,"date":"2019-05-08T12:30:03","date_gmt":"2019-05-08T12:30:03","guid":{"rendered":"http:\/\/snpcar.ro\/?p=3762"},"modified":"2019-05-08T12:33:35","modified_gmt":"2019-05-08T12:33:35","slug":"terapia-multifocala-la-copilul-autist","status":"publish","type":"post","link":"https:\/\/snpcar.ro\/en\/terapia-multifocala-la-copilul-autist\/","title":{"rendered":"Multifocal Therapy in a Child with Autism"},"content":{"rendered":"<p>SUMMARY<br \/>\nThis is a case study regarding a child with autism who has been monitored and assessed since his biological age of 3, untill now, when his biological age is<br \/>\n17.\tThe pupil is currently attending the 9th grade at a Technological High School.<br \/>\nThe article presents the psycho &#8211; pedagogical notes together with annexed charts dating from kinder garden and primary school.<br \/>\nKeywords: autism, therapy, child<\/p>\n<p>Anamnestic data<br \/>\nBoy of 3 years and a half, diagnosed with early infant autism, severe form, according to DSM \u2013 5 [1].<br \/>\n\u2013\tFamily structure: 3 members, being the only child. The family members have never suffered from chronic diseases or other disabilities. Language disorders have never been present in the family.<br \/>\n\u2013\tFamily relationships: it is a family with strong ties, protective, concerned with the child, affective, which succeeded in overcoming the denial and self guilt phases.<br \/>\nMother will be directly involved in the therapy, whereas the father, after 8 months of participating, is more involved in the family solving problems, in order to give mother the chance the spend more time with the child.<br \/>\n\u2013\tGood social-economic status in the city, both parents university graduates.<br \/>\n\u2013\tFull \u2013 term pregnancy, weigh: 3800 gr and Apgar: 9, C-section birth.<br \/>\nInformation on hearing and language:<br \/>\n\uf09f\tBaby talk \u2013 at around 6 months.<br \/>\n\uf09f\tLanguage progress \u2013 canonic lallation, at 8 months<br \/>\n\u2013 first word: after 1 year, mother, and afterwards: water, father, syllables. Slowly, the words transformed into sharp sounds.<br \/>\nSomatic and functional examination<br \/>\nSomatic aspect &#8211; no malformation of the head<br \/>\nExamination of the phone-articulating system:<br \/>\n\u2013\tlips \u2013 intact<br \/>\n\u2013\tlongue \u2013 normal size<br \/>\n\u2013\tteeth \u2013 normal<br \/>\n\u2013\tpalate \u2013 normal<br \/>\n\u2013\tmotility: insufficiently developed<br \/>\n\u2013\thearing acuity: normal, E.N.T. examination<br \/>\n\u2013\thearing: insufficiently developed<br \/>\n\u2013\tvoice tonality: high<br \/>\n\u2013\trespiration type: mouth<br \/>\n\u2013\tgeneral motricity: deficient<br \/>\n\u2013\ttime \u2013 space orientation<br \/>\nSpeech Therapy Diagnosis: delay in language development, early sign of autism.<br \/>\nThe therapy program is complemented every two months with Lithiu Carbonate, Clopixol and Biocebral. The answer appeared after 9 month of therapy.The family members take part to the program, in the morning. At noon, the boy takes a nap and in the afternoon, the parents start again practicing the exercises. The therapy is applied together with the routine regarding fine motion development.<br \/>\nAfter 4 months, the boy improved the coloring activity. He is happy if the image is smaller or if there is only one element on the paper. Before, he used to get upset and refuse color pencils, hitting the table with his hand and screaming.<br \/>\nFor instance, he received a paper with fruits, vegetables, animals and birds. When he had to color an apple, he had an apple in front of him, on the table. After two months, he agreed to color two apples while there was a green and a red apple on the table. First, he was told how to solve the exercise, pointing out the instruction also: \u201cI say one, you say many\u201d; \u201cI say one apple and you say many apples\u201d. The whole time, the parents\u2019 role was decisive. They used materials with graphic signs from different books [2, 3].<br \/>\nEnrichment and usage of active \u2013 passive vocabulary was a psychological obstacle for the boy. Several materials were used: Lego, small cars of different colors and sizes, train, plain. Different games were created in order to involve parents in the therapy. After imitating the typical sound of a car\/ plain\/ train we worked with different commends for space orientation: we put the car on the table, under the table. The space orientation exercises lasted 3 \u2013 4 months until they were practiced properly.<br \/>\nBy using the geometry shapes of LOGI II, the boy could learn the shapes and draw using them in his first drawings. Below, you can see one made by him after 6 months of therapy and after overcoming several failed attempts.<br \/>\nAfter graphic signs: horizontal line, vertical line, skew line, hook, sticks, chain mail, circle, square, rectangle, oval, opened curved line, spiral, twisted line, loop, little bridge, they passed to number writing specific to age 5 \u2013 6 years. Once the names and their writing technique, they first used the points and then the little squares, typical to the chart used in the kinder garden. Afterwards they used the Math note book.<br \/>\nThe affection and the emotion attitudes are mostly orientated towards mother. Father\u2019s presence is rarer, only for certain relaxing activities. The sexual component is maintained under control by regular tests run by the endocrinologist.<br \/>\nCONCLUSIONS:<br \/>\nCharts 1 and 2 show he understood the geometry shapes at the biological age of 6 years and 2 months. A particular interest was raised by his esthetic and artistic contribution brought to completing and combining the geometry shapes. When he was asked \u201cWhat can we draw by using a circle? Or vertical and skew line?\u201d he answered by drawing a sun and a child.<br \/>\nCharts 3, 4 and 5 made at 6 years and 9 months were combined, at the request of the speech therapist and of the teacher: geometry shapes with graphic signs. They were the assessing forms of the final year in the kinder garden.<br \/>\nCharts 6 and 7 were made in the 1st grade at school, at the biological age of 8 years and 9 months. The boy attended the primary school and currently is finishing the secondary school accompanied by mother.<br \/>\nThe emotional support offered by her together with her incentives made him easier to absorb information and pass the training \u2013 educational objectives.<br \/>\nCurrently, the boy is under drug treatment: CLOPIXOL, PURE DHA, LECITHIN 120 mg SCOM KAL, TONOTIL.<br \/>\nFrom time to time, he experiences hand tensions. Due to heavy schedule, 5 \u2013 6 hours a day, he bites his left hand, as a stereotype.<br \/>\n<img decoding=\"async\" src=\"http:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-1-2.jpg\" alt=\"\" width=\"826\" height=\"348\" class=\"alignnone size-full wp-image-3765\" srcset=\"https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-1-2.jpg 826w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-1-2-300x126.jpg 300w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-1-2-768x324.jpg 768w\" sizes=\"(max-width: 826px) 100vw, 826px\" \/><\/p>\n<p><img decoding=\"async\" src=\"http:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-3-5.png\" alt=\"\" width=\"830\" height=\"588\" class=\"alignnone size-full wp-image-3766\" srcset=\"https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-3-5.png 830w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-3-5-300x213.png 300w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-3-5-768x544.png 768w\" sizes=\"(max-width: 830px) 100vw, 830px\" \/><\/p>\n<p><img decoding=\"async\" src=\"http:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-4-1.jpg\" alt=\"\" width=\"416\" height=\"562\" class=\"alignnone size-full wp-image-3767\" srcset=\"https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-4-1.jpg 416w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-4-1-222x300.jpg 222w\" sizes=\"(max-width: 416px) 100vw, 416px\" \/><\/p>\n<p><img decoding=\"async\" src=\"http:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-6-7.jpg\" alt=\"\" width=\"795\" height=\"615\" class=\"alignnone size-full wp-image-3768\" srcset=\"https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-6-7.jpg 795w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-6-7-300x232.jpg 300w, https:\/\/snpcar.ro\/wp-content\/uploads\/2019\/05\/fig-6-7-768x594.jpg 768w\" sizes=\"(max-width: 795px) 100vw, 795px\" \/><br \/>\nBIBLIOGRAPHY:<br \/>\n1.\tAmerican Psychiatric Association Diagnostic and Statistic Manual of Mental Disorders Fifth Edition, (D. S. M. \u2013 5TM) American Psychiatric Association, Washington D.C. 2013;<br \/>\n2.\tLaura Hardalau, Culegere de Jocuri Logopedice (Speech Therapy Games), Primus Publishing House, Oradea 2011;<br \/>\n3.\tViorica Paraiala, Dumitru D. Paraiala, Cristian \u2013 George Paraiala, Abecedar &#8211; Caietul Elevului \u2013 Scrierea clasa I, Euristica Publishing House, Ia\u0219i 2010.<\/p>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>SUMMARY This is a case study regarding a child with autism who has been monitored and assessed since his biological age of 3, untill now, when his biological age is 17. The pupil is currently attending the 9th grade at a Technological High School. The article presents the psycho &#8211; pedagogical notes together with annexed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[463,459],"tags":[85],"class_list":["post-3762","post","type-post","status-publish","format-standard","hentry","category-numar-4-vol-2018","category-vol-2018","tag-ionela-ciocan-stanescu"],"_links":{"self":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts\/3762","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/comments?post=3762"}],"version-history":[{"count":3,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts\/3762\/revisions"}],"predecessor-version":[{"id":3769,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts\/3762\/revisions\/3769"}],"wp:attachment":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/media?parent=3762"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/categories?post=3762"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/tags?post=3762"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}