This article may require cleanup to meet Wikipedia's quality standards. The specific problem is: Does not abide by Wikipedia's standards, including WP:MEDMOS and WP:MEDRS.(January 2024) |
Autistic meltdown describes an intense, often uncontrollable response to an overwhelming situation experienced by some autistic individuals. Irritability or tantrum is the term used historically to describe the behavior.
Angry outbursts in autistic people have been referred to as meltdowns that manifest as an intense reaction, [1] but such outbursts are different to true meltdowns, which always take some time to recover from. [2] They often decrease in number and intensity with age but may escalate with age in some cases. [3]
There is no scientifically agreed upon distinction between a meltdown and a tantrum. In the literature, the terms are often used interchangeably or depending on the population being studied. [1] [ page needed ] [4] [ page needed ] [5] [6] Temper tantrums are developmentally normal, but for neurotypical children, their frequency decreases as the child ages; in autistic children, however, meltdowns can persist longer, and in a third of cases, they worsen as the child ages. [3]
Luke Beardon states that an autistic meltdown is an "intense response to overwhelm". [7] The distinction between a tantrum and a meltdown as tantrums being primarily vocal (screaming, crying) and meltdowns having a physical component (such as aggression), is not broadly agreed upon. [8] [9] Autistic meltdowns are not manipulative and arise from acute distress. [10] Autistic people often forget details of what happened during their meltdowns. [11]
Meltdowns can be misunderstood by first responders and law enforcement, potentially leading to situation escalation. Recognizing the difference between meltdowns and typical tantrums is crucial for appropriate response and support. [7] : 2033–2034
Asperger syndrome (AS), also known as Asperger's syndrome or Asperger's, is a term formerly used to describe a neurodevelopmental condition characterized by significant difficulties in social interaction and nonverbal communication, along with restricted, repetitive patterns of behavior and interests. Asperger syndrome has been merged with other conditions into autism spectrum disorder (ASD) and is no longer considered a diagnosis. It was considered milder than other diagnoses which were merged into ASD due to relatively unimpaired spoken language and intelligence.
Hyperlexia is a syndrome characterized by a child's precocious ability to read. It was initially identified by Norman E. Silberberg and Margaret C. Silberberg (1967), who defined it as the precocious ability to read words without prior training in learning to read, typically before the age of five. They indicated that children with hyperlexia have a significantly higher word-decoding ability than their reading comprehension levels. Children with hyperlexia also present with an intense fascination for written material at a very early age.
Diagnoses of autism have become more frequent since the 1980s, which has led to various controversies about both the cause of autism and the nature of the diagnoses themselves. Whether autism has mainly a genetic or developmental cause, and the degree of coincidence between autism and intellectual disability, are all matters of current scientific controversy as well as inquiry. There is also more sociopolitical debate as to whether autism should be considered a disability on its own.
A tantrum, angry outburst, temper tantrum, lash out, meltdown, fit, or hissy fit is an emotional outburst, usually associated with those in emotional distress. It is typically characterized by stubbornness, crying, screaming, violence, defiance, angry ranting, a resistance to attempts at pacification, and, in some cases, hitting and other physically violent behavior. Physical control may be lost; the person may be unable to remain still; and even if the "goal" of the person is met, they may not be calmed. Throwing a temper tantrum can lead to a child getting detention or being suspended from school for older school age children, and can result in a timeout or grounding, complete with room or corner time, at home. A tantrum may be expressed in a tirade: a protracted, angry speech.
In psychology and sociology, masking is a defensive behavior in which an individual conceals their natural personality or behavior in response to social pressure, abuse, or harassment. Masking can be strongly influenced by environmental factors such as authoritarian parents, autism, rejection, and emotional, physical, or sexual abuse. Masking can be a behavior individuals adopt subconsciously as coping mechanisms or a trauma response, or it can be a conscious behavior an individual adopts to fit in within perceived societal norms. Masking is interconnected with maintaining performative behavior within social structures and cultures.
Irritability is the excitatory ability that living organisms have to respond to changes in their environment. The term is used for both the physiological reaction to stimuli and for the pathological, abnormal or excessive sensitivity to stimuli.
Autism therapies include a wide variety of therapies that help people with autism, or their families. Such methods of therapy seek to aid autistic people in dealing with difficulties and increase their functional independence.
Self-stimulatory behavior, also known as "stimming" and self-stimulation, is the repetition of physical movements, sounds, words, moving objects, or other behaviors. Such behaviors are found to some degree in all people, especially those with developmental disabilities such as ADHD, as well as autistic people. People diagnosed with sensory processing disorder are also known to potentially exhibit stimming behaviors.
Social Stories were devised as a tool to help autistic individuals better understand the nuances of interpersonal communication so that they could "interact in an effective and appropriate manner". Although the prescribed format was meant for high functioning people with basic communication skills, the format was adapted substantially to suit individuals with poor communication skills and low level functioning. The evidence shows that there has been minimal improvement in social interaction skills. However, it is difficult to assess whether the concept would have been successful if it had been carried out as designed.
Classic autism, also known as childhood autism, autistic disorder, (early) infantile autism, infantile psychosis, Kanner's autism, Kanner's syndrome, or (formerly) just autism, is a neurodevelopmental condition first described by Leo Kanner in 1943. It is characterized by atypical and impaired development in social interaction and communication as well as restricted, repetitive behaviors, activities, and interests. These symptoms first appear in early childhood and persist throughout life.
Autism, also called autism spectrum disorder (ASD), is a neurodevelopmental disorder characterized by symptoms of deficient reciprocal social communication and the presence of restricted, repetitive, and inflexible patterns of behavior. Autism generally affects a person's ability to understand and connect with others, as well as their adaptability to everyday situations, with its severity and support needs varying widely across the spectrum. For example, some are nonspeaking, while others have very proficient spoken language.
Disruptive mood dysregulation disorder (DMDD) is a mental disorder in children and adolescents characterized by a persistently irritable or angry mood and frequent temper outbursts that are disproportionate to the situation and significantly more severe than the typical reaction of same-aged peers. DMDD was added to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) as a type of depressive disorder diagnosis for youths. The symptoms of DMDD resemble many other disorders, thus a differential includes attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), anxiety disorders, and childhood bipolar disorder, intermittent explosive disorder (IED), major depressive disorder (MDD), and conduct disorder.
Diagnosis, treatment, and experiences of autism varies globally. Although the diagnosis of autism is rising in post-industrial nations, diagnosis rates are much lower in developing nations.
Sex and gender differences in autism exist regarding prevalence, presentation, and diagnosis.
Social (pragmatic) communication disorder (SPCD), also known as pragmatic language impairment (PLI), is a neurodevelopmental disorder characterized by difficulties in the social use of verbal and nonverbal communication. Individuals who are defined by the acronym "SPCD" struggle to effectively indulge in social interactions, interpret social cues, and may struggle to use words appropriately in social contexts.
Autistic masking, also referred to as camouflaging or, more broadly, neurodivergent masking, is the conscious or subconscious suppression of autistic behaviors and compensation of difficulties in social interaction by autistic people with the goal of being perceived as neurotypical. Masking is a learned coping strategy that can be successful from the perspective of autistic people, but can also lead to adverse mental health outcomes.
Critical autism studies (CAS) is an interdisciplinary research field within autism studies led by autistic people.
Various connections have been made between violence and autism within social narratives. According to public opinion, violent behavior is common for autistic individuals, but evidence does not support autism spectrum disorder (ASD) as a predisposition to delinquency or crime. Autistic people are likely to be victims of bullying, abuse and other violence.
The diagnosis of autism is based on a person's reported and directly observed behavior. There are no known biomarkers for autism spectrum conditions that allow for a conclusive diagnosis.
The pathophysiology of autism is the study of the physiological processes that cause or are otherwise associated with autism spectrum disorders.
Historically, the term irritability was used in ASD literature as an umbrella category for severe disruptive behaviors including temper tantrums, aggression, and non-compliance ... anger outbursts in ASD have been described as 'immature' with labels such as 'meltdowns' being used to reflect the uncontrollable nature of these behaviors.
The intensity and number of tantrums tend to decrease with age although typically developing children continue to outwardly display anger and frustration, behaviors that parents often label as tantrums. This decrease in the frequency of temper tantrums as children age is paralleled by the development of emotion regulation skills and the acquisition of socially appropriate ways to express anger (Blanchard-Fields and Coats 2008). In children with ASD, if temper tantrums and disruptive behavior are present in childhood, they are likely to persist and may escalate in up to one third of adolescents (Shattuck et al. 2007; Simonoff et al. 2013).
"Rage attacks" or "temper outbursts" are mostly used for older children or adults with Gilles de la Tourette syndrome or Obsessive-Compulsive Disorder ... "meltdown" is more frequent for autistic children in lay literature, and "temper tantrums" is more universally used for young neurotypical children ... The difference between normal and abnormal tantrums is ill defined ...
Many autistic people experience meltdowns. The public often finds it hard to tell meltdowns and temper tantrums apart, but they are different things. A meltdown is an intense response to a situation an autistic person finds overwhelming. To cope with such a situation, the autistic person may need to engage in repetitive body movements (stimming). Interrupting this may increase levels of anxiety, exacerbating the situation.