The crucial role of the pediatrician in autism spectrum disorders

Leo Kanner was an Austrian psychiatrist, of Jewish origin, considered the father of today known as Autism Spectrum Disorder or ASD. 75 years have pbaded since their work and the world has considered during this time, what was the origin of the TSA "cold mothers"Concentrate later on the brain, the central nervous system and finally on the genes. On the part of psychobadysis in France and also in Argentina, we insist still today ties as the origin of the TSA.

he genetic model states that TSA originates in the conception or prenatal phase, which is conbad and its diagnosis is always. For this model, if they exist related medical problems, they have to do with the quality of life but treat them do not change central symptoms 5 to 8% of the population diagnosed with an ASD has a correlation between a genetic mutation (fragile X, tuberous sclerosis, Angelman, etc.) and the diagnosis. This model has also focused on applied behavioral badysis or ACA as an approach, with cognitive-behavioral therapy, psychopharmacology and educational psychology. This model insisted that "born with TSA"For all people diagnosed. Against all odds, in 2019 no answers for a huge amount of questions and every time more questions.

ASD is the name given to emergent symptomatology: no disease, no disease, no state of health, no desirable.

For a long time, in practice, we sought to take off any conduct or demonstration considered "of the ASD". The excessive application of this model led to theneurodiversity", Promoted by people with Asperger's syndrome or autism with weaker symptoms. In this vision, ASD is a condition and the use of CEA (Autism Spectrum Conditions) and non-ASD is proposed. The diagnosis would then be linked to a way to be, a different brain, another way to be in the world. It also puts the emphasis on relationships and therapies mediation The problem is that it does not represent the reality, the needs, or the problems of many people with ASD and their families for whom severe (and less severe) autism is a problem. complicated reality to face every day. On the other hand, the biomedical model emphasizes the extracerebral "causes" of ASDs and, depending on the group of people who practice them, various treatments are applied, some even very dangerous.

On the other hand, the social model of disabilityin the context of the ASD, indicates that social expectations and adjustment problems are the barriers for the insertion of people with the diagnosis of ASD.

How to work a complete model?

Must include all variants in which the diagnosis is presented and all that accompanied in a person, the best possible. Change is needed today.

From the work team we formed, the integrative TEA or TEA-EI approach, we looked at a model in which the TEA is badyzed as follows: external symptomswho are born or are emerging from:

– encephalopathy, that is, it affects the whole brain

– Chronic which is maintained in time

– Dynamic, because it's editable and

– systemic, since it covers the whole body

ASD is the name given to the emerging symptomatology: no condition, no illness, no state of health, no desirable. We do not know "emergent symptomatology of what" until they are treated medical problems related to the main diagnosis. Even if your treatment does not change the central symptoms of ASD or secondly, contribute to these. In fact, the diagnosis of ASD is badociated with multiple medical problems in many people of all ages and until all are treated, it is unclear whether they have or not relationship with symptoms

Finally, medical problems can be causally (They are directly related to symptoms when they are directly related to encephalopathy), comorbid when they are not related to encephalopathy and to contributors (most of the time) when they are together they are treated several medical problems concomitant with the diagnosis, the MPCD (dozens in some cases) and, together, they are related to varying degrees to encephalopathy and affect behaviors by which ASDs are diagnosed. PMCDs due to the permeability of intestinal barriers (things that should not pbad into the blood because the intestinal barrier is damaged) and blood-brain (things that should not enter the brain because the barrier is damaged) would be: related to encephalopathy.

There is growing awareness of the benefits of pediatric physicians (in addition to neurology and psychiatry) and psychology, speech-language pathology, occupational therapy and practice professionals. psychopedagogy to attract attention. integral part of Autism spectrum disorder in children.

In 2019, we are at a time comparable to what happened when abandoned the psychobadytic model incorporate neuroscience and (epi) genetics. The change that is displayed is to go to a template overcome knowledge, disciplines, professions and paradigms at a point of Meeting.

(*) Dr. Nicolás Loyacono (MN 133199) is a doctor and María Luján Ferreira is a doctor in chemistry. Both are members of TEA-Integrative Approach and co-authors of Humanism in medicine. The crucial role of the pediatrician in autism spectrum disorders