scholarly journals Challenges faced in homoeopathic treatment in autism – A case series

2021 ◽  
Vol 4 ◽  
pp. 29-36 ◽  
Author(s):  
Swapna Kamath

Objectives: Autism spectrum disorder (ASD) is one of the most puzzling and complex of the neurodevelopmental disorders, especially regarding its diagnosis and management. The objective of this study was to achieve an in-depth understanding of the various challenges faced by a homoeopath and how homoeopathy is to be used conjointly with other ancillary measures in managing ASD. The case series highlights these and presents an integrated understanding of various concepts required by a homoeopath in effectively managing children with ASD. Materials and Methods: Detailed histories of the two cases were taken from the caregivers. Both patients were also observed in their day-to-day functioning, at school and during therapies. This further contributed to the early detection and diagnosis, planning appropriate management strategies, assessing the action of the selected remedy and deriving inferences. Homoeopathic treatment was used along with the required ancillary measures. Results: The challenges in managing the cases were mainly with respect to formulating a diagnosis, understanding the importance of disease evolution, differentiating between the common and the characteristic symptoms of the disease, application of homoeopathic principles and arriving at a similimum. On reflection, it showed the value of using the bio-psychosocial model to highlight the relationships among the different forces, determine the evolution in individual cases and emphasise the need for holistic intervention. The importance of a sound knowledge of the principles of homoeopathy and their correct application to arrive at a similimum was also learnt through reviewing the results of intervention. Further, the results showed that homoeopathy along with ancillary measures helped to bring about a significant change in functioning on all fronts and a better adaptation of the children to their environments. Conclusion: Homoeopathic intervention in children with autism holds a promise. Integration with ancillary measures enhances the outcome. Homoeopaths would need to train themselves in applying the bio-psychosocial model and integrating it with homoeopathic principles to ensure a favourable outcome. The findings of this study can provide important leads for professionals involved in the care of children with ASD and the affected families.

2005 ◽  
Vol 18 (3) ◽  
pp. 200-211 ◽  
Author(s):  
Suniti Chakrabarti ◽  
Christine Haubus ◽  
Sally Dugmore ◽  
Gill Orgill ◽  
Frank Devine

2020 ◽  
Vol 9 (6) ◽  
pp. 1978
Author(s):  
Enise Yavuz-Kodat ◽  
Eve Reynaud ◽  
Marie-Maude Geoffray ◽  
Nadège Limousin ◽  
Patricia Franco ◽  
...  

Sleep disorders are among the most common comorbidities in children with Autism Spectrum Disorder (ASD), and subjectively defined sleep disturbances have been related to ASD symptom severity. However, no study has investigated the differential impact of objectively measured sleep and circadian rhythm disturbances on behavioral difficulties in this population. Fifty-two children with ASD aged 3–10 years underwent assessments of sleep and circadian rest–activity rhythms objectively with actigraphy and subjectively with the Children’s Sleep Habits Questionnaire. Behavioral difficulties were assessed using the ABC-C. Group comparison analyses were used to compare sleep and circadian rhythm parameters of children with higher and lower behavioral difficulties and dominance analysis to rank predictors and address multicollinearity. Children with high irritability had a shorter continuous sleep period compared to those with lower irritability (−60 min, p = 0.04), as well as those with high stereotypic behaviors compared to children with less stereotypies (−75 min, p = 0.006). Objective circadian and sleep disturbances accounted together for, respectively, 17%, 18% and 36% of the variance in social withdrawal, irritability and stereotypic behaviors. The identification of both sleep and circadian rhythm disturbances as explanatory factors for behavioral difficulties warrants their inclusion in the existing behavioral management strategies for children with ASD.


2020 ◽  
Vol 3 ◽  
pp. 43-50 ◽  
Author(s):  
Sunita Bhanudas Nikumbh

Objectives: Autism spectrum disorder (ASD), a neurodevelopmental disorder, is one of the several developmental disorders observed in children. The current prevalence of ASD among those under 18 years of age is 0.09 and 0.11 in an urban and rural area, respectively. Being a developmental disorder, it starts showing signs in the first 3 years of life and is present for the rest of the individual’s life. Studies have identified genetic predominance and a disturbed mental state in the mother during pregnancy in the genesis of disease. Modern medicinal interventions target only some specific and uncontrolled behaviours in ASD children; hence, the management is focused mainly on self-sustenance with integrated care with the help of ancillary therapies. Homoeopathically, these factors carry considerable importance as they contribute to the fundamental or miasmatic load, based on which the totality is formulated to select homeopathic simillimum. This paper studies the miasm in ASD cases treated in the Child Psychiatry OPD at Dr. M. L. Dhawale Memorial Homoeopathic Institute, Palghar (2015–2018) by studying miasmatic load in detail. Materials and Methods: ASD cases diagnosed according to ICD-10 criteria were studied in detail with evolutionary data collected from parents in terms of current complaints and illnesses (past, personal and family) in both families and were analysed for miasmatic load. The fundamental and dominant miasm derived from the disease expressions and history of family illnesses. Homoeopathic simillimum selected based on the predominant miasm/s along with the totality erected as per the available characteristic expressions in the cases. Results: Administration of simillimum healed the patient at the constitutional and miasmatic level and resulted insignificant improvement in the characteristic expressions in the patients. Timely identification and intervention yield a quicker response. Conclusion: Selecting homoeopathic remedies that cover the miasmatic background yields good results in children with ASD.


2020 ◽  
Vol 29 (1) ◽  
pp. 327-334 ◽  
Author(s):  
Allison Gladfelter ◽  
Cassidy VanZuiden

Purpose Although repetitive speech is a hallmark characteristic of autism spectrum disorder (ASD), the contributing factors that influence repetitive speech use remain unknown. The purpose of this exploratory study was to determine if the language context impacts the amount and type of repetitive speech produced by children with ASD. Method As part of a broader word-learning study, 11 school-age children with ASD participated in two different language contexts: storytelling and play. Previously collected language samples were transcribed and coded for four types of repetitive speech: immediate echolalia, delayed echolalia, verbal stereotypy, and vocal stereotypy. The rates and proportions of repetitive speech were compared across the two language contexts using Wilcoxon signed-ranks tests. Individual characteristics were further explored using Spearman correlations. Results The children produced lower rates of repetitive speech during the storytelling context than the play-based context. Only immediate echolalia differed between the two contexts based on rate and approached significance based on proportion, with more immediate echolalia produced in the play-based context than in the storytelling context. There were no significant correlations between repetitive speech and measures of social responsiveness, expressive or receptive vocabulary, or nonverbal intelligence. Conclusions The children with ASD produced less immediate echolalia in the storytelling context than in the play-based context. Immediate echolalia use was not related to social skills, vocabulary, or nonverbal IQ scores. These findings offer valuable insights into better understanding repetitive speech use in children with ASD.


2020 ◽  
Vol 5 (1) ◽  
pp. 314-325
Author(s):  
Kimberly F. Frazier ◽  
Jessica Collier ◽  
Rachel Glade

Background The aim of this study was to determine the clinical efficacy of combining self-management strategies and a social thinking approach to address the social performance and executive function of an adolescent female with autism spectrum disorder. Method This research examined the effects of a social knowledge training program, “Think Social,” as well as strategies to improve higher order cognitive abilities. Results and Conclusion Although quantitative improvement was not found, several qualitative gains in behavior were noted for the participants of this study, suggesting a benefit from using structured environmental cues of self-management strategies, as well as improved social understanding through social cognitive training.


2010 ◽  
Vol 20 (2) ◽  
pp. 42-50 ◽  
Author(s):  
Laura W. Plexico ◽  
Julie E. Cleary ◽  
Ashlynn McAlpine ◽  
Allison M. Plumb

This descriptive study evaluates the speech disfluencies of 8 verbal children between 3 and 5 years of age with autism spectrum disorders (ASD). Speech samples were collected for each child during standardized interactions. Percentage and types of disfluencies observed during speech samples are discussed. Although they did not have a clinical diagnosis of stuttering, all of the young children with ASD in this study produced disfluencies. In addition to stuttering-like disfluencies and other typical disfluencies, the children with ASD also produced atypical disfluencies, which usually are not observed in children with typically developing speech or developmental stuttering. (Yairi & Ambrose, 2005).


2008 ◽  
Vol 15 (2) ◽  
pp. 50-59 ◽  
Author(s):  
Amy Philofsky

AbstractRecent prevalence estimates for autism have been alarming as a function of the notable increase. Speech-language pathologists play a critical role in screening, assessment and intervention for children with autism. This article reviews signs that may be indicative of autism at different stages of language development, and discusses the importance of several psychometric properties—sensitivity and specificity—in utilizing screening measures for children with autism. Critical components of assessment for children with autism are reviewed. This article concludes with examples of intervention targets for children with ASD at various levels of language development.


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