9780198796343

The Psychiatry of Adult Autism and Asperger Syndrome A practical guide

by
  • ISBN13:

    9780198796343

  • ISBN10:

    019879634X

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2018-03-18
  • Publisher: Oxford University Press
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Summary

Autism, including Asperger syndrome, is a strongly heritable condition that can usually be diagnosed in children by the age of two or three years. Although autism is more common in the less intellectually able child, in the more able child the condition is often overlooked until adulthood. Epidemiological research has shown that most adults in the general population meeting the criteria for autism are unrecognized and undiagnosed. There is a growing pressure on psychiatrists to be able to recognize autism and to consider its effects on their adult patients, particularly when they are also showing signs of another mental disorder, such as psychosis, personality disorder, or chronic depression.

The Psychiatry of Adult Autism and Asperger Syndrome: A practical guide introduces adult psychiatrists, including sub-specialist psychiatrists, to autism and Asperger syndrome. It covers recognition and diagnosis and the psychiatrist's role in treating patients with co-morbid mental disorder whilst taking account of the autism component. It explores the process of sign-posting patients with autism to appropriate care and support as family involvement diminishes or ceases.

While there are a number of books written on how to cope with autism as an adult, The Psychiatry of Adult Autism and Asperger Syndrome: A practical guide is aimed at the practising adult psychiatrist. The book describes normal and pathological functioning and then guides the reader through assessment and post diagnostic intervention issues. The use of fictionalized clinical examples helps to illustrate autism and its presentation in adulthood, and illustrate the issues psychiatrists often raise in training workshops.

Author Biography


Traolach S. Brugha, Professor of Psychiatry and Consultant Psychiatrist, University of Leicester, and Leicestershire Partnership NHS Trust, Leicester, UK

Traolach S. Brugha is Professor of Psychiatry at University of Leicester and Consultant Psychiatrist at Leicestershire Partnership NHS Trust, Leicester, UK

Table of Contents


PART I. INTRODUCTION AND BACKGROUND
1. History and development of the concept of autism
2. Awareness of autism in adulthood
3. Development of behaviour and functioning (with hindsight)
4. Autism as a lived experience
PART II. THE CLINICAL ASSESSMENT AND DIAGNOSTIC PATHWAY
5. Obtaining an assessment
6. Initial assessment ('Triage')
7. Full assessment: the developmental history
8. Full assessment: interviewing the patient and autistic phenomenology
9. Full assessment: direct observation and the signs of autism
10. Comorbidity assessment
11. Detailed needs assessment
PART III. CARE AND INTERVENTION AFTER DIAGNOSIS
12. Approaches to treatment and care
13. Social Care, the personal passport and reasonable adjustments
14. Caring communities and caring societies
15. Choices in life and the awareness, knowledge and skills to support them
References
Appendices
1. Epidemiology Methods
2. The author's experiences in epidemiology and in policy development
3. Development of a new approach to interviewing adults about their experiences of autism based on the Schedules for Clinical Assessment in Neuropsychiatry (Chapter 8)
4. Independent evaluation of the ADOS in community populations
Index

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