{"id":1249,"date":"2017-08-11T12:01:54","date_gmt":"2017-08-11T12:01:54","guid":{"rendered":"http:\/\/blogs.cardiff.ac.uk\/mental-health\/?p=1249"},"modified":"2017-08-11T12:03:18","modified_gmt":"2017-08-11T12:03:18","slug":"increase-understanding-of-autism-and-stop-wrongly-blaming-parents","status":"publish","type":"post","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/increase-understanding-of-autism-and-stop-wrongly-blaming-parents\/","title":{"rendered":"Increase understanding of autism and stop wrongly blaming parents"},"content":{"rendered":"<p>Sue Leekam and Catherine R.G. Jones<\/p>\n<p>As many as 1.1% of the population of the UK has autism spectrum disorder (ASD), making it a relatively common condition. Yet ASD can still go undetected and be misunderstood. In some children the signs of ASD are obvious while in others the signs present in more subtle and in less traditional ways. Lack of understanding about the ways that ASD presents may mean that the signs are missed, or are incorrectly attributed to a different cause. This misattribution and misunderstanding can have significant negative consequences for autistic people and their families.<\/p>\n<p>In the BBC Wales article on 26<sup>th<\/sup> July 2017, the outcome of failure to understand ASD was highlighted. A mother described her fears that her autistic child\u2019s behaviour may be interpreted as parental neglect and be reported to social services, while a solicitor said that parents were often blamed for inadequate parenting when their autistic children showed meltdowns and sensory overload. Such misconceptions must be tackled. The myth of parental blame for ASD was introduced in the middle of the last century and was dispelled by research evidence in the UK within a few decades.<\/p>\n<p>Therefore we ask the BBC and other media to join the campaign to move public understanding forward by focusing on research evidence. <a href=\"https:\/\/www.researchgate.net\/publication\/249341980_Maternal_Parenting_Behavior_and_Child_Behavior_Problems_in_Families_of_Children_and_Adolescents_with_Autism_Spectrum_Disorder\">Research evidence<\/a> makes clear that parents of children with ASD as a group are not in any way selectively reduced in their parenting but may adjust their parenting to meet their <a href=\"https:\/\/www.researchgate.net\/publication\/317799078_Parenting_a_Child_with_ASD_Comparison_of_Parenting_Style_Between_ASD_Anxiety_and_Typical_Development\">child\u2019s specific needs<\/a>.<\/p>\n<p>Although this BBC news article brought us a focus on blaming, it also brought the important good news that a new <a href=\"http:\/\/www.asdinfowales.co.uk\/strategy.\">Integrated Autism Service<\/a> has been launched throughout Wales by the Welsh Local Government Association. \u00a0The service is dedicated to ensuring that professionals in health, education and social care will receive new resources and training to increase awareness and reduce misconceptions about ASD. \u00a0The goal is that professionals become skilled and vigilant to detect a range of behaviours that are \u2018on the autism spectrum\u2019 and to respond with appropriate support for individuals and their families. A wealth of <a href=\"http:\/\/www.asdinfowales.co.uk\">information and resources<\/a> is already available.<\/p>\n<p><a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S1750946714002347?via%3Dihub\">Research evidence<\/a> from Cardiff University\u2019s Wales Autism Research Centre on the signposting of ASD<sup> \u00a0\u00a0<\/sup>contributes to these resources. For example a <a href=\"http:\/\/www.asdinfowales.co.uk\/autismchildsigns\/\">freely downloadable film<\/a> is now available which provides training on the signs of ASD for professionals and families. <a href=\"http:\/\/sites.cardiff.ac.uk\/warc\/signs-and-diagnosis\/signs\/learning-project\/\">A project in schools has also been launched<\/a>.<\/p>\n<p>ASD a lifelong neurodevelopmental condition that is diagnosed when there are difficulties in social interaction and communication, which co-occur with inflexibility in thinking and behaviour. There is a spectrum of behaviour across these different dimensions. The symptoms develop in the early years of life and ASD runs in families as one of the most heritable of neurodevelopmental conditions.\u00a0 It affects individuals of all abilities; while some individuals also have intellectual disabilities, others do not. ASD is also commonly found alongside other neurodevelopmental conditions such as ADHD, dyspraxia and language impairments.<\/p>\n<p>Symptoms of ASD are frequently seen alongside associated difficulties. These include emotional difficulties (e.g. anxiety, anger), behavioural problems (e.g. meltdowns), and \u2018functional\u2019 problems (e.g. \u00a0difficulties sleeping, eating or toileting). In fact, as many as <a href=\"https:\/\/kclpure.kcl.ac.uk\/portal\/en\/publications\/emotional-and-behavioural-problems-in-young-children-with-autism-spectrum-disorder(6cf95e5e-3e9c-4e6d-b836-2816a2c0247b).html\">three quarters of all children<\/a> with ASD also have these kinds of related difficulties. \u00a0Interpreting these behaviours without recognising or understanding a child\u2019s autism can lead to misunderstanding and inappropriate advice. Therefore, critical to effective support for these additional difficulties is to understand their complex links with autism symptoms.\u00a0 For example, the National Institute of Clinical Excellence impress the need for ASD-appropriate <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg170\">support and interventions to reduce challenging behaviours<\/a>.<\/p>\n<p>With respect to emotional difficulties, it is important to remember that ASD is not a mental illness. However, those with ASD have a significantly <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4407021\/pdf\/nihms665167.pdf\">increased risk of developing clinical anxiety or depression<\/a> and it is crucial to understand the connection between mental health issues and the individual\u2019s ASD symptom profile. For example there is evidence that ASD repetitive behaviour symptoms are <a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S1750946713001979?via%3Dihub\">associated with both anxiety<\/a> <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10803-017-3105-5\">and quality of life outcomes<\/a>, indicating that individuals need very specific support to promote their well-being.<\/p>\n<p>The Welsh Local Government Association autism services bring unique opportunities for improvement. Let us use these opportunities to prevent families from being disadvantaged by misconceptions and a focus on blaming. By supporting professionals to increase their understanding they will be in a better place to help individuals with ASD and their families. Training, information and resources, and an evidence-based approach are all ways in which the collective understanding of ASD can be improved, bringing benefits for all those affected by ASD.<\/p>\n","protected":false},"excerpt":{"rendered":"Sue Leekam and Catherine R.G. Jones As many as 1.1% of the population of the UK has autism spectrum disorder (ASD), making it a relatively common condition. Yet ASD can [&hellip;]","protected":false},"author":1390,"featured_media":1253,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[67],"tags":[],"class_list":["post-1249","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-autism-spectrum-conditions"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7swiU-k9","jetpack-related-posts":[{"id":1266,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/shedding-light-on-epilepsy-in-22q11-2-deletion-syndrome\/","url_meta":{"origin":1249,"position":0},"title":"Shedding light on epilepsy in 22q11.2 Deletion Syndrome","author":"Christopher Eaton","date":"30 August 2017","format":false,"excerpt":"Imagine being the parent of a child with a rare genetic disorder that affects heart, mind and brain. Then imagine that this \u2018rare\u2019 disorder in fact effects up to fifteen thousand people in the UK and Ireland, with around 200 babies being born with the disorder every year. How can\u2026","rel":"","context":"In &quot;epilepsy&quot;","block_context":{"text":"epilepsy","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/epilepsy\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/08\/dna-1903319_1920.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/08\/dna-1903319_1920.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/08\/dna-1903319_1920.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/08\/dna-1903319_1920.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/08\/dna-1903319_1920.jpg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/08\/dna-1903319_1920.jpg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":1293,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/mindds-a-pan-european-network-for-neurodevelopmental-disorder-research\/","url_meta":{"origin":1249,"position":1},"title":"MINDDS \u2013 a pan-European network for Neurodevelopmental Disorder research","author":"Professor Adrian Harwood","date":"9 October 2017","format":"image","excerpt":"When we talk about \u2018neurodevelopmental disorders\u2019 (NDD), we refer to a wide range of mental health conditions united by an overlapping biology that arises from disrupted brain development. \u00a0It is only through international collaboration and gaining a deeper understanding of what causes NDD that we can hope to develop effective\u2026","rel":"","context":"In &quot;Adult mental health&quot;","block_context":{"text":"Adult mental health","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/adult-mental-health\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/GettyImages-523496466.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/GettyImages-523496466.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/GettyImages-523496466.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/GettyImages-523496466.jpg?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":634,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/oxford-sleep-and-circadian-neuroscience-summer-school\/","url_meta":{"origin":1249,"position":2},"title":"Oxford Sleep and Circadian Neuroscience Summer School","author":"Hayley Moulding","date":"15 August 2016","format":false,"excerpt":"The inherent association between sleep and mental health is one that has been dissed and dismissed in the past. Comments, anecdotes, alongside investigation and research has eluded to the role that sleep may play in mental health, and vice versa how mental health can play a role in sleep. I\u2026","rel":"","context":"In &quot;Adult mental health&quot;","block_context":{"text":"Adult mental health","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/adult-mental-health\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/08\/All-Souls-College.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/08\/All-Souls-College.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/08\/All-Souls-College.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/08\/All-Souls-College.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/08\/All-Souls-College.jpg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/08\/All-Souls-College.jpg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":1680,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/meet-the-researcher-professor-jeremy-hall\/","url_meta":{"origin":1249,"position":3},"title":"Meet the Researcher &#8211; Professor Jeremy Hall","author":"Professor Jeremy Hall","date":"10 June 2019","format":false,"excerpt":"Why did you choose to do research into mental health? 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I was also convinced that this was the area of medicine\u2026","rel":"","context":"In &quot;autism spectrum conditions&quot;","block_context":{"text":"autism spectrum conditions","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/autism-spectrum-conditions\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2016\/07\/Jeremy_Hall_200x200_new.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":1505,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/better-awareness-for-childrens-mental-health\/","url_meta":{"origin":1249,"position":4},"title":"Better awareness for children\u2019s mental health","author":"Dr Frances Rice","date":"10 May 2018","format":false,"excerpt":"Many children and young people experience feelings of worry and sadness or have difficulty in concentrating on school work. 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It\u2019s increasingly understood that these sorts of difficulties can develop into mental\u2026","rel":"","context":"In &quot;Adult mental health&quot;","block_context":{"text":"Adult mental health","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/adult-mental-health\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2018\/05\/GettyImages-859413400.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2018\/05\/GettyImages-859413400.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2018\/05\/GettyImages-859413400.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2018\/05\/GettyImages-859413400.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2018\/05\/GettyImages-859413400.jpg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2018\/05\/GettyImages-859413400.jpg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":1323,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/mental-health-research-the-future-beckons\/","url_meta":{"origin":1249,"position":5},"title":"Mental Health research \u2013 the future beckons","author":"Professor Jeremy Hall","date":"16 October 2017","format":false,"excerpt":"Mental ill health \u2013 a national emergency Mental ill health is a national crisis. 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