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A family has one  child  diagnosed with autism.  Then they have a second child.  Siblings of autistic children have a 25 times greater  likelihood than average also developing autism.
Can parents reduce likelihood of autism in child #2? Possibly and certainly worth the try. One avenue: what are ways to increase gaze between parent and child which is unprompted?
DSM IV 299.0 Autistic Disorder is characterized by three kinds of difficulties: the hardest to “fix” are the non-verbal social communication problems (poor eye contact, not ‘reading’ facial clues, low social and emotional reciprocity).
It is possible to identify children at risk of autism quite early. Interestingly, when and to whom a child gazes is an early marker. To me that suggests why not figure out all sorts of ways that babies can do something to prompt adults for gaze. The baby is not seeking gaze but by doing something they in fact increase gaze.
Might it not be the total gazing and human interactions that gaze provides that assists children to learn all sorts of non-verbal clues?
 Per article below, at six months, siblings do less gazing at parents when not prompted than children who do not have a autistic sibling.
So what might be some ways to encourage siblings of autistics to increase non-prompted gazing at parents and caregivers? Below are some ideas and why not share your ideas?
 Place the infant in non-prone positions where it is easy to see mom/ caregiver readily. Set up ways for child to engage in activities — wiggle toes, wave hand — that trigger a noise so parent responds with gaze.
What about mirrors? Mirrors might work. One mirror could be set up so another mirror shows mom/ caregiver. Another way might be a joy stick or pull toy that when pulled by child makes a noise which triggers parent/ caregiver to respond. The goal is to make it easy for the child to initiate actions that cause mother/caregiver to respond with gaze.
Kennedy Krieger Institute announced today new study results showing an early marker for later communication and social delays in infants at a higher-risk for autism may be infrequent gazing at other people when unprompted. Published in the September issue of the Journal of Child Psychology and Psychiatry, the study also found that six-month-old high-risk infants demonstrated the same level of cause and effect learning skills when compared to low-risk infants of the same age.
Researchers found that, like the low risk group, the high-risk siblings exhibited typical levels of social gazing when their caregivers actively engaged them, such as pointing at the toy and expressing excitement. However, high-risk sibs spent less time looking to their caregivers and more time fixated on the non-social stimuli (toy or joystick) when the caregiver was not engaging them, which could indicate a disruption in development related to joint attention. Joint attention is often a core deficit for children with autism.
“My colleagues and I wanted to create a task that would involve learning something novel and would give babies an opportunity to pay attention to either an object or their caregiver,†said Dr. Rebecca Landa, corresponding study author and director of Kennedy Krieger’s Center for Autism and Related Disorders. “This study shows that there is a particular vulnerability in high-risk siblings at six months of age. They are not as socially interactive and engaged on their own as their peers, but still respond typically when engaged by their caregivers, making for a subtle difference that could be easily overlooked by both parents and some professionals.â€
The study also showed no evidence of impaired associative learning in the high-risk siblings. Both groups demonstrated cause and effect learning abilities; once the infants learned that pulling the joystick activated the toy, they increased how often they pulled on the joystick to activate the toy’s music. This finding supports past research demonstrating that associative learning is a relative strength in older individuals with autism and may help to explain why children with autism respond well to teaching approaches that utilize a predictable reward system when children exhibit desired behaviors.
“Babies in both groups of the study learned the multi-stimuli task to the same degree,†said Dr. Landa. “While the high-risk siblings are at a higher risk for developing autism later in life, they still have the capacity to learn cause and effect as well as their low-risk peers at this young age.â€
Implications from the overall study findings reveal that like older children, infants at high risk for autism may benefit from frequent exposure to simple cause and effect learning opportunities to aid in their development. For example, Landa recommends using simple songs paired with easy, predictable gestures to promote language and social learning, rather than using electronic toys that children can enjoy and operate without engaging with their peers or caregivers.
It is expected that about 20 percent of the high-risk infants in this study will receive a diagnosis of autism. While participants in this study have not yet reached their third birthday, the age at which the research diagnoses are confirmed, the study findings help to highlight the vulnerability of developing social initiation skills in high-risk infants. This study is the first of its kind, and a follow-up will soon be published from the Center for Autism and Related Disorders at Kennedy Krieger Institute.
The research study was supported by grants from the National Institutes of Mental Health.
About Autism
Autism spectrum disorders (ASD) is the nation’s fastest growing developmental disorder, with current incidence rates estimated at 1 in 110 children. This year more children will be diagnosed with autism than AIDS, diabetes and cancer combined, yet profound gaps remain in our understanding of both the causes and cures of the disorder. Continued research and education about developmental disruptions in individuals with ASD is crucial, as early detection and intervention can lead to improved outcomes in individuals with ASD.
About the Kennedy Krieger Institute
Internationally recognized for improving the lives of children and adolescents with disorders and injuries of the brain and spinal cord, the Kennedy Krieger Institute in Baltimore, MD serves more than 13,000 individuals each year through inpatient and outpatient clinics, home and community services and school-based programs. Kennedy Krieger provides a wide range of services for children with developmental concerns mild to severe, and is home to a team of investigators who are contributing to the understanding of how disorders develop while pioneering new interventions and earlier diagnosis. For more information on Kennedy Krieger Institute, visit www.kennedykrieger.org.
Colleen Butz
202-955-6222
cbutz@spectrumscience.com