WEBVTT 1 00:00:00.160 --> 00:00:06.480 The opinions expressed by Chayo Busquets are supported by his extensive experience as a family 2 00:00:06.879 --> 00:00:12.480 therapist and in the previous analysis of the cases presented here welcome. This is 3 00:00:12.480 --> 00:00:18.760 it, Chayo with you in jewel. We start very good afternoon to everyone 4 00:00:18.800 --> 00:00:25.719 how they are important week, strong week, week, because even with mixed 5 00:00:25.800 --> 00:00:30.079 emotions, because, for a luga, on the one hand, we are 6 00:00:30.199 --> 00:00:35.880 going to talk about many very important topics that move them soul wax to the 7 00:00:36.719 --> 00:00:41.039 depths, but also, on the other hand, very happy, because I 8 00:00:41.079 --> 00:00:48.560 will have many guests this week talking about all kinds of areas starting from tomorrow, 9 00:00:48.960 --> 00:00:52.600 everything that has to do with gender violence, with International Women' s 10 00:00:52.679 --> 00:00:59.679 Day next Friday eight. So you' re looking good. And today, 11 00:01:00.479 --> 00:01:04.239 the truth is that my guest was telling you this and he' s telling 12 00:01:04.959 --> 00:01:12.640 you that it' s too bad that we' re seven years away and 13 00:01:12.879 --> 00:01:19.439 many months away from chayo with you and it' s the first time that 14 00:01:19.480 --> 00:01:21.159 we' re going to dedicate the entire program to an issue like autism. 15 00:01:21.799 --> 00:01:23.640 Yesterday I announced that I was going to be on the show last week, 16 00:01:25.079 --> 00:01:30.879 that we were announcing, but last night, in particular, that I announced 17 00:01:30.879 --> 00:01:34.280 through networks. The amount of shares they gave to this made me realize I 18 00:01:34.400 --> 00:01:38.319 ' ve been late. It took me a while. But finally, today 19 00:01:38.400 --> 00:01:46.000 the subject is here. There' s a guest here who' s a 20 00:01:46.079 --> 00:01:48.719 specialist in this and I' m gonna introduce her to you real quick. 21 00:01:48.879 --> 00:01:53.280 This is Rebecca Sarfati. She is a graduate in human communication with more than 22 00:01:53.319 --> 00:01:57.079 fifteen years of experience in the subject of autism. So, as you will 23 00:01:57.079 --> 00:02:01.280 see, as we always bring you, people who are very well qualified and 24 00:02:01.359 --> 00:02:05.680 will hear me say becky because, well, I want you to sit at 25 00:02:05.680 --> 00:02:09.000 home. So welcome, Bekuy. Thank you very much. Nice to be 26 00:02:09.000 --> 00:02:16.000 here with you and your audience. And because an extremely interesting subject has regained 27 00:02:16.039 --> 00:02:21.719 a lot of strength in recent years, each day more visible, fortunately, 28 00:02:22.159 --> 00:02:27.960 the people more sensitized, more in conscience and, above all, a society 29 00:02:28.080 --> 00:02:32.639 trying to really get an inclusion in many ways and which, therefore, excites 30 00:02:32.639 --> 00:02:38.080 me and makes us work hard to get it done that nothing else is left 31 00:02:38.120 --> 00:02:40.599 in theory, certainly, without doubt and of equi because we start with ABC. 32 00:02:44.120 --> 00:02:50.000 What is autism. Of course he does. Autism is a different way 33 00:02:50.319 --> 00:02:53.719 of perceiving the world, that is, it is processed differently from information and 34 00:02:53.759 --> 00:03:00.840 it develops differently. This has logical neus donkey changes that affect certain areas, 35 00:03:01.479 --> 00:03:07.000 including the best known, social skills, communicative skills, sensory abilities, the 36 00:03:07.000 --> 00:03:14.479 part of mental flexibility, the part of symbolization. And this is a condition 37 00:03:14.520 --> 00:03:16.680 of life. And since the two thousand thirteen, more or less that it 38 00:03:16.719 --> 00:03:23.400 was changing the definition and that they were changing the diagnostic criteria, we spoke 39 00:03:23.400 --> 00:03:28.560 before there were different types of autism. Today everything that is within a fan, 40 00:03:28.840 --> 00:03:34.080 which are neurodevelopmental disorders, has come together. This means that there are 41 00:03:34.240 --> 00:03:38.840 different or different components that alter neurological development in the early years of life, 42 00:03:39.120 --> 00:03:43.520 which are not always seen in the early years of life, but when you 43 00:03:43.560 --> 00:03:47.439 see retrospectives, if you see which are some of these neurodevelopmental disorders, effidete 44 00:03:47.439 --> 00:03:53.199 attention, intellectual disability, motor disorders, autism spectrum disorder and attention dercis, 45 00:03:53.360 --> 00:04:01.840 language disorders. And all these share like all this beginning and autism. What 46 00:04:01.919 --> 00:04:08.400 has been given since two thousand thirteen or so are degrees. There are three 47 00:04:08.479 --> 00:04:13.439 different degrees that are focused not on severity, but on the level of help. 48 00:04:14.360 --> 00:04:17.519 Grade one is the least help you need. Grade two is with help 49 00:04:18.000 --> 00:04:25.399 a little more significant and grade thirteens with significant help wou ok Ok. That 50 00:04:25.519 --> 00:04:30.959 ' s why we talk about autistic spectrum. Of course, we talk about 51 00:04:30.000 --> 00:04:34.800 spectrum because we have also realized that, obviously, since we are all diverse, 52 00:04:35.439 --> 00:04:41.079 then they share many characteristics. You used to talk about guys because they 53 00:04:41.079 --> 00:04:43.879 said well, they share this, a little bit each. When we were 54 00:04:43.959 --> 00:04:48.160 talking about network, when we were talking about Asperger, when we were talking 55 00:04:48.160 --> 00:04:51.800 about pervasive disorder. And today there is talk of everyone sharing the majority. 56 00:04:53.560 --> 00:04:58.560 But it' s more like these grades. We' re talking about a 57 00:04:58.839 --> 00:05:02.759 linear diagnosis as far as you' re within the spectrum, but it' 58 00:05:02.800 --> 00:05:09.639 s not linear specifically, but depending on each of the areas you go, 59 00:05:10.160 --> 00:05:15.480 having a unique diagnosis, a unique jartlit. All right, we' re 60 00:05:15.519 --> 00:05:20.639 back here in Chayo with you, and we' re talking to Rebecca Zarfati 61 00:05:20.800 --> 00:05:27.920 today, an expert on autism, and we' re already focused on the 62 00:05:27.920 --> 00:05:35.360 subject. No, and I was telling you, there' s the spectrum 63 00:05:35.439 --> 00:05:39.879 that you answered and what happens then to the levels that you talked about. 64 00:05:39.920 --> 00:05:43.680 Level one, level two, level three. Sure look, as I said 65 00:05:43.839 --> 00:05:47.079 a few monuments, the levels come in and to what I say, because 66 00:05:47.279 --> 00:05:53.439 everything is based on this symptomatology that I told them in these circles or the 67 00:05:53.480 --> 00:05:57.920 treadas of what we are seeing, the social communication, the game and the 68 00:05:58.120 --> 00:06:01.959 circumscribed interests. Like anyone else, we have unique profiles. There aren' 69 00:06:02.000 --> 00:06:06.319 t even identical twins with the same profile. That' s why I tell 70 00:06:06.360 --> 00:06:10.759 you that the diagnosis was spoken as linear that it' s inside the spectrum 71 00:06:10.879 --> 00:06:14.279 is not out, but it' s not linear in that it' s 72 00:06:14.279 --> 00:06:16.480 little autistic or much autistic, but rather you' re going, having different 73 00:06:16.480 --> 00:06:19.639 levels. And today you talk more like a circular diagnosis or like a cobweb, 74 00:06:20.199 --> 00:06:23.680 where maybe in your social skills you' re a little bit lower, 75 00:06:23.959 --> 00:06:27.360 but in your gaming ability you' re a little bit higher, but in 76 00:06:27.399 --> 00:06:30.160 your language capacity you' re in half and your motor capacity is very good. 77 00:06:31.000 --> 00:06:35.920 And we all have areas of greater opportunity and greater strength. It' 78 00:06:36.079 --> 00:06:40.279 s exactly the same thing, and that' s how you' re doing 79 00:06:40.360 --> 00:06:43.240 the profile and that' s where the levels are. We can talk that 80 00:06:43.279 --> 00:06:49.319 those who need less help are those who have developed more areas or more skills 81 00:06:49.399 --> 00:06:56.360 and have also managed to compensate better, not necessarily have a very important deficit, 82 00:06:57.360 --> 00:07:00.319 that is to say in very crude words. A child or autistic is 83 00:07:00.360 --> 00:07:04.480 able to learn, of course, in all abilities, even in which he 84 00:07:04.519 --> 00:07:10.120 has difficulty. Complicated is that it comes to see the spectrum of autism. 85 00:07:10.879 --> 00:07:15.360 Not everyone has an intellectual disability. An intellectual disability is what was previously known 86 00:07:15.360 --> 00:07:19.639 as mental retardation. A low IQ is a big myth and it' s 87 00:07:19.839 --> 00:07:24.279 a great assumption that everyone does is that it' s within the spectrum. 88 00:07:25.120 --> 00:07:27.399 It' s brilliant, it' s outstanding, it' s genius. 89 00:07:27.920 --> 00:07:31.560 Not everyone exists within the spectrum who have an intellectual disability. There are those 90 00:07:31.600 --> 00:07:36.319 with average intelligence. There are those who also have superior intelligence, but not 91 00:07:36.480 --> 00:07:42.079 by having it already coexists with some other ok Ok. So, of course, 92 00:07:42.160 --> 00:07:46.160 they can learn, but it' s a different way, which is 93 00:07:46.240 --> 00:07:49.120 a little what it started out with, is the different way to process and 94 00:07:49.240 --> 00:07:55.319 respond to all stimuli and learning ok. One of the things that people tend 95 00:07:55.399 --> 00:08:01.800 to have as highly attributed to the autistic, is not these crises where they 96 00:08:01.920 --> 00:08:07.839 suddenly get upset in the face of some situation and have behaviors, because they 97 00:08:07.839 --> 00:08:11.360 are not the ones that people are used to, not where it can be 98 00:08:11.439 --> 00:08:18.639 like to put very very upset or the child to the butista person And suddenly 99 00:08:18.639 --> 00:08:22.720 those who are around do not know what is done, of course, because 100 00:08:22.720 --> 00:08:26.360 there is also the idea of not touching them, they do not like contact. 101 00:08:28.120 --> 00:08:33.120 It is true for all those in the autistic spectrum who do not like 102 00:08:33.159 --> 00:08:37.279 physical contact. No, this is very linked to something very specific you mention. 103 00:08:37.840 --> 00:08:41.039 As I told you, there are, like, several areas. One 104 00:08:41.080 --> 00:08:45.440 of the areas is the repetitive and stereotyped interests or pattern that are known theoretically 105 00:08:45.519 --> 00:08:50.039 as this and has a lot of connection with the part of sensory integration. 106 00:08:50.240 --> 00:08:56.080 Another big driver Ok is integration. Sensory integration is the ability to receive, 107 00:08:56.000 --> 00:09:03.440 process and respond adequately to all the stimuli we receive through the eight sensory systems 108 00:09:03.480 --> 00:09:09.799 or channels we have. What was said was that we only had five tanned, 109 00:09:09.720 --> 00:09:13.759 but they have realized through studies that there are eight, being the other 110 00:09:15.000 --> 00:09:20.200 three extremely important, even primary, for the second ones to be given, 111 00:09:20.279 --> 00:09:24.080 which are the vestibular part that has to do with movement, the proprioceptive part, 112 00:09:24.919 --> 00:09:28.639 that tells you how your body is, what is standing outside and how 113 00:09:28.960 --> 00:09:33.080 much strength and things I need to be able to do it. And also 114 00:09:33.360 --> 00:09:37.639 the interopceptive part, which is the answer to what our organs have, i 115 00:09:39.159 --> 00:09:41.679 e, uh, when I realize, when I' m sleepy, when 116 00:09:41.720 --> 00:09:46.559 I' m tired, when I want to go to the bathroom, uh, 117 00:09:46.919 --> 00:09:48.799 where I can' t modify that, but if I realize and respond 118 00:09:50.120 --> 00:09:54.320 to those stimuli, then when I have a sensory problem, I have a 119 00:09:54.320 --> 00:09:58.080 unique profile. I also want you to know that everyone, as people, 120 00:09:58.840 --> 00:10:01.679 has a sensory difficulty, but we compensate for it in the day to day, 121 00:10:03.200 --> 00:10:05.440 you will see those who chew gum all the time, those who die 122 00:10:05.519 --> 00:10:09.759 in the chairs, who have wheels, the one who is thundering his fingers, 123 00:10:09.039 --> 00:10:11.919 the one who is tiqui tiqui tiqui with the feathers. Yeah, that 124 00:10:11.000 --> 00:10:16.399 all does, but give functional answers and don' t interfere. The problem 125 00:10:16.440 --> 00:10:20.279 is when I get saturated, I get saturated and I don' t realize 126 00:10:20.279 --> 00:10:22.759 it. And that' s the difference between a tantrum and a sensory crisis. 127 00:10:24.519 --> 00:10:28.240 In the spectrum of autism there are many sensory crises. Who are the 128 00:10:28.360 --> 00:10:35.000 ones who do not tolerate being touched by those who have a hyper tactile responsibility, 129 00:10:35.440 --> 00:10:37.360 because when you touch them they feel too much. But there are people 130 00:10:37.480 --> 00:10:41.759 who have the opposite, a hiccups and look for a lot of contact and 131 00:10:41.759 --> 00:10:46.559 they are the ones who all day want hugs to papachos, hide among the 132 00:10:46.600 --> 00:10:50.840 furniture or places, as well as small corners. He likes you to crush 133 00:10:50.840 --> 00:10:54.919 him, he likes you in the game, tough push pull. So that 134 00:10:54.000 --> 00:10:56.440 ' s a granite, too. Not that they don' t like the 135 00:10:56.799 --> 00:11:01.240 Wau contact, one of the great ones is that you' re breaking me. 136 00:11:01.679 --> 00:11:07.879 It' s just that me at the outset ruled out that if someone 137 00:11:07.960 --> 00:11:09.600 liked the pope' s hug or put on you and says no, then 138 00:11:09.919 --> 00:11:13.559 you have to look for what. It' s but autistic, sure not 139 00:11:13.559 --> 00:11:18.240 and not true. No. Or I have to confess that I' m 140 00:11:18.279 --> 00:11:26.360 with the little open, because I' m surprised I don' t have 141 00:11:26.399 --> 00:11:28.799 that information that' s like the one you told us about physical contact. 142 00:11:30.159 --> 00:11:33.399 What other myths are there about autism. I told him there are so many 143 00:11:33.440 --> 00:11:35.039 myths and I' d like to throw away several of them. Yes, 144 00:11:35.320 --> 00:11:39.759 but please, the first is Autism is not a disease ok, it is 145 00:11:39.519 --> 00:11:45.080 not contagious and it does not give to a certain type of people. Autism 146 00:11:45.120 --> 00:11:48.679 is a condition of life. It is something that accompanies from birth to the 147 00:11:48.759 --> 00:11:52.720 last day in this life, but many times they do not realize at an 148 00:11:52.759 --> 00:11:58.960 early age until they see it in hindsight or until suddenly they begin to see 149 00:11:58.960 --> 00:12:01.759 that there are certain. Synosis, I feel more like hunting and I' 150 00:12:01.840 --> 00:12:05.919 ve been getting a lot of diagnosis lately in adult wou a lot. Another 151 00:12:05.000 --> 00:12:09.879 big myth is that, uh, that' s how they are and that 152 00:12:09.879 --> 00:12:09.720 ' s how they' re going to stay and there' s nothing to 153 00:12:09.720 --> 00:12:15.320 do. Of course not, of course not. We' re not gonna 154 00:12:15.399 --> 00:12:16.799 be able to get them out of the sperm. Autism, as I was 155 00:12:16.799 --> 00:12:20.000 saying, is a diagnosis, but diagnosis is not a label to put in 156 00:12:20.039 --> 00:12:22.240 the refrigerator. And, well, this one is like that. No labels 157 00:12:22.240 --> 00:12:28.360 are for products. Here what makes us is a guide. The diagnosis is 158 00:12:28.399 --> 00:12:31.799 made to have a guide and to know what conditions or characteristics can be modified, 159 00:12:31.879 --> 00:12:35.639 can be worked and what are we need to look for, how to 160 00:12:35.639 --> 00:12:39.320 adapt them. Or because what we' re looking for is real social inclusion. 161 00:12:39.559 --> 00:12:43.480 No. So, that' s another big myth that' s also 162 00:12:43.480 --> 00:12:43.840 this topic. I don' t know if it' s a myth or 163 00:12:43.840 --> 00:12:46.120 not. But this idea that they swing, that all autistic people swing, 164 00:12:46.519 --> 00:12:52.720 is true. Not all of them. It also has to do with the 165 00:12:52.720 --> 00:12:56.279 sensory profile. When you swing, you are activating the middle ear and are 166 00:12:56.279 --> 00:13:01.840 activating all that is vestibular esteem. Then you enter a movement, remember that 167 00:13:01.879 --> 00:13:05.679 the brain, function number one is to protect us. Then he' s 168 00:13:05.679 --> 00:13:11.399 going to ask you what he needs to protect you if he' s getting 169 00:13:11.480 --> 00:13:13.240 too little at the vestibular level of motion, he' s going to ask 170 00:13:13.240 --> 00:13:16.120 you to swipe it so he can do it. But it also has to 171 00:13:16.240 --> 00:13:18.879 do with that it helps us reach a level of attention, it gets us 172 00:13:20.039 --> 00:13:24.639 to have a level of focus. So in each person it' s completely 173 00:13:24.639 --> 00:13:28.840 different. Or another big myth is also that autistic people are extremely aggressive. 174 00:13:31.120 --> 00:13:35.240 No, of course not ok clear that like every person, there are times 175 00:13:35.320 --> 00:13:41.759 that they can react a little more, essentially inappropriate or intensely, but it 176 00:13:41.799 --> 00:13:45.960 is not because they are aggressive. And the other is they' re in 177 00:13:46.039 --> 00:13:48.799 their world and then they don' t like socializing. And because they are 178 00:13:48.960 --> 00:13:54.240 not in their world. There is only one world in this world, and 179 00:13:54.240 --> 00:13:58.840 we have to open them to this world, and therefore we also need to 180 00:13:58.919 --> 00:14:01.720 know how to make them sharers. And the most important thing is not only 181 00:14:03.399 --> 00:14:05.360 that they are in your world and they like to isolate themselves. They are 182 00:14:05.360 --> 00:14:09.200 not isolated because they do not know, do not have the tools of language 183 00:14:09.200 --> 00:14:13.440 or do not have the social tools to be included. So social interaction costs 184 00:14:13.519 --> 00:14:16.559 them a lot more work, but they don' t want to be. 185 00:14:18.559 --> 00:14:22.039 There are those who decide to be alone longer. There are others who decide 186 00:14:22.159 --> 00:14:28.200 to be or cost less work, to be in small groups or with certain 187 00:14:28.279 --> 00:14:31.879 peers or with certain people. And above all, they like to be with 188 00:14:31.879 --> 00:14:37.399 adults, because adults are extremely predictable and we help modify many things so that 189 00:14:37.679 --> 00:14:41.919 we can bring the inclusion of all people think about it with children. If 190 00:14:41.960 --> 00:14:46.720 the child fails to understand, then we make all the modifications we can to 191 00:14:46.759 --> 00:14:52.000 make him understand, and then we start pulling all the people in agreement. 192 00:14:52.200 --> 00:14:56.759 Now tell me something before we get out of this, what you said about 193 00:14:56.799 --> 00:15:01.039 the grades. You didn' t say. Grades s two, yes, 194 00:15:01.120 --> 00:15:05.279 ok, level one, level two, level three into which the Asperger enters, 195 00:15:05.039 --> 00:15:07.720 which is so well known and so dominated by all the world. Of 196 00:15:07.799 --> 00:15:13.519 course, before, when we talked about guys, there was Asperger as there 197 00:15:13.639 --> 00:15:16.519 were many others, as I told them, there was deep autism or canner 198 00:15:16.519 --> 00:15:20.240 autism. There was the aspergre, it was in his network name, the 199 00:15:20.240 --> 00:15:24.679 multiplex, the verbasive, the disintegrative of childhood. Today there is already talk 200 00:15:24.759 --> 00:15:30.320 of levels. Not all people have changed. Let' s say that of 201 00:15:30.519 --> 00:15:35.360 these terms, although commonly it should have migrated, because we are already talking 202 00:15:35.440 --> 00:15:37.840 that both the two manuals that are used for diagnosis, both the cie eleven, 203 00:15:37.960 --> 00:15:43.399 which is the one that is right now and that of that month five 204 00:15:43.440 --> 00:15:48.960 R that already enters into force, you have already degrees, that asberg is 205 00:15:48.039 --> 00:15:52.440 not as a capacity or as an apparent category, would be the ones of 206 00:15:52.519 --> 00:15:58.639 degree or level one that need the least help. Let' s say where 207 00:15:58.799 --> 00:16:03.200 the emphasis is most on the capacity of social interaction and this ability many times 208 00:16:03.240 --> 00:16:11.519 of flexibility. Let' s just say it' s the SS that has 209 00:16:11.519 --> 00:16:15.960 the asperge or you' re talking about autism in general, it' s 210 00:16:15.960 --> 00:16:18.840 where the symptoms are most pointed out. Let' s say by n each 211 00:16:18.879 --> 00:16:22.559 is focused differently. You remember that I said it' s a unique profile, 212 00:16:22.679 --> 00:16:26.360 which is from the one degree where it' s the function or the 213 00:16:26.440 --> 00:16:30.840 part of pragmatic language, the use of language, the part of social interaction, 214 00:16:30.159 --> 00:16:34.360 and this part sometimes of flexibility, which is where it manifests itself most 215 00:16:34.440 --> 00:16:38.519 in what was once known as Asperger and today is spectrum or condition of the 216 00:16:38.600 --> 00:16:42.399 expert automate at level one. Okay, uh, explain a little bit. 217 00:16:42.799 --> 00:16:45.679 Okay. I think we' re gonna have to go to some musical jewelry 218 00:16:45.759 --> 00:16:49.919 and come back and explain a little bit. You have mentioned flexible thinking several 219 00:16:49.960 --> 00:16:56.480 times and I would like to clarify it further so that the audience is clear 220 00:16:56.559 --> 00:17:00.600 about what flexible thinking is. I' m very rigid in life. How 221 00:17:00.639 --> 00:17:06.480 it turns out then I have Asperger or I have a tism. Not that 222 00:17:06.880 --> 00:17:12.880 I understand it' s the right way to tell everyone and before we follow 223 00:17:12.880 --> 00:17:18.000 each other, I' d like you to give details of how they can 224 00:17:18.000 --> 00:17:19.920 follow you, please, of course, delighted. On social networks we appear 225 00:17:21.039 --> 00:17:26.079 as arroba, center do to do and well, if there they can write 226 00:17:26.559 --> 00:17:29.880 us directly messages and others and if they want more information. In fifty- 227 00:17:30.359 --> 00:17:32.680 five, fifty- two, ninety- four, forty- seven, thirteen 228 00:17:32.880 --> 00:17:34.480 and fifty- five, fifty- two, ninety- four, eighty- 229 00:17:34.839 --> 00:17:37.799 four, fifteen, we will gladly be able to be just perfect. We 230 00:17:37.880 --> 00:17:42.400 ' re going to put them in networks as usual, but who' s 231 00:17:42.400 --> 00:17:48.200 going to look for it. In social networks center to be all followed, 232 00:17:48.599 --> 00:17:56.440 but the center to do with doing activity with the ch to be of being 233 00:17:56.599 --> 00:18:02.039 person, of being independent, of being then is center to be to be 234 00:18:02.799 --> 00:18:04.880 on Instagram and on Facebook, so that they follow her soon. Anyway, 235 00:18:06.160 --> 00:18:10.039 for those who can' t take notes right now it' s going to 236 00:18:10.920 --> 00:18:14.359 be on the nets ok TE said. I have mentioned the subject of flexible 237 00:18:14.480 --> 00:18:19.359 thinking several times, that what is that, how it is eaten clear, 238 00:18:21.400 --> 00:18:25.559 looks at broad features. I tell you how we can see this about the 239 00:18:25.599 --> 00:18:29.640 inflexibility of thought in autism. Everything that has to do with these restricted interests, 240 00:18:30.720 --> 00:18:33.799 that is, there is a very strong interest in a thing or a 241 00:18:33.880 --> 00:18:37.240 subject and they are very limited. They don' t offer each other, 242 00:18:37.440 --> 00:18:42.240 but they marry there. They have repetitive behaviors. It can be an insistence 243 00:18:42.359 --> 00:18:47.559 on these rituals, on this monotony, on doing everything the same. The 244 00:18:47.680 --> 00:18:52.160 changes cost them work. Most of the time they have a preference for a 245 00:18:52.319 --> 00:19:00.200 clear order, because everything is predictable stereotyped behaviors. You need to repeat, 246 00:19:02.000 --> 00:19:06.279 order to align, much need for anticipation. Everything that' s without prior 247 00:19:06.319 --> 00:19:11.960 notice and exceptions costs a lot of work, ok everything that causes an uncertainty 248 00:19:12.039 --> 00:19:15.440 that I don' t know how I have to answer, what I have 249 00:19:15.440 --> 00:19:19.960 to do. Exceptions of all rules cost a lot of work. There' 250 00:19:21.000 --> 00:19:22.079 s somewhere out there and tell me if it' s not a myth. 251 00:19:22.400 --> 00:19:26.799 But even I have the idea that everything has to be as very literal, 252 00:19:27.279 --> 00:19:33.079 that there is no, no, they don' t get the double meaning 253 00:19:33.079 --> 00:19:36.799 metaphor. That' s true, or I' m largely wrong. Yes, 254 00:19:37.160 --> 00:19:41.839 the thought is very concrete and I do not know it is acquired by 255 00:19:41.880 --> 00:19:45.799 a series of situations and conditions. One of them has to do with it 256 00:19:47.039 --> 00:19:49.920 It talks a lot about people with autism not being able to imitate, but 257 00:19:49.960 --> 00:19:52.680 it' s not that they don' t succeed in imitating completely, because 258 00:19:52.680 --> 00:19:57.640 they can imitate. What they fail to do is to abstract as the reading 259 00:19:57.720 --> 00:20:02.720 between lines and already and to replicate it in other contexts or to generalize it. 260 00:20:02.799 --> 00:20:04.359 And, as I repeat, not everything is in all cases and in 261 00:20:04.440 --> 00:20:07.440 all cases. But in most people it happens because there' s something called 262 00:20:07.440 --> 00:20:12.359 the theory of mirror neurons where the mirror neurons for which I don' t 263 00:20:12.359 --> 00:20:18.240 know. It' s those neurons in charge of imitation of being able to 264 00:20:18.279 --> 00:20:21.599 do exactly what you' re seeing. So when these kinds of neurons don 265 00:20:21.680 --> 00:20:25.480 ' t work properly. And there' s a lot of research behind all 266 00:20:25.480 --> 00:20:29.160 this, in the spectrum it' s talked about that teaching has to be 267 00:20:29.160 --> 00:20:33.559 much more direct. They won' t be able to do it empirically if 268 00:20:33.960 --> 00:20:36.400 you don' t teach them the rules with their exceptions. Now this, 269 00:20:37.119 --> 00:20:40.680 when they do, you say, they don' t all have it, 270 00:20:41.000 --> 00:20:45.559 but you can be frequent you learn to do, that is, they learn 271 00:20:45.559 --> 00:20:51.880 to abstract. Or it' s like a distinct disability. Where that possibility 272 00:20:51.960 --> 00:20:56.400 doesn' t exist. See, of course, that almost everything is teachable, 273 00:20:56.880 --> 00:21:00.759 ok almost everything is and for that are the therapies that the interre will 274 00:21:00.039 --> 00:21:06.920 solve most of the difficulties or several opportunities. But it is also a reality 275 00:21:07.079 --> 00:21:11.400 where, for example, in people who are on one level the social part 276 00:21:11.440 --> 00:21:15.680 or the part of inferences, that is, here in Mexico, so well 277 00:21:15.680 --> 00:21:19.759 known the albur the double sense, costs them a little work. They don 278 00:21:19.759 --> 00:21:23.440 ' t know if they' re laughing at them or at them. So 279 00:21:23.599 --> 00:21:26.599 there' s a slight deficit left. Not everyone, but most people. 280 00:21:27.720 --> 00:21:33.000 That part, yeah, okay, okay. Now all these characteristics that you 281 00:21:33.079 --> 00:21:41.839 ' re telling us, to see the spectrum, to see these levels, 282 00:21:42.359 --> 00:21:48.319 what are those symptoms that are going to be there, that doesn' t 283 00:21:48.440 --> 00:21:52.839 allow you to pull it out of the spectrum. You said the autistic, 284 00:21:52.319 --> 00:21:56.119 the level of autism I have. He' s not going to be taken 285 00:21:56.200 --> 00:21:56.319 away with that, he' s born and he' s going to die. 286 00:21:56.400 --> 00:22:00.640 He' s gonna learn millions of things on the way to power. 287 00:22:00.680 --> 00:22:03.799 I imagine, then, to adapt better and to function better. But there 288 00:22:04.359 --> 00:22:08.559 ' s a base that makes you autistic, doesn' t make you say 289 00:22:08.599 --> 00:22:11.200 no to the diagnosis is wrong. It' s not that you' re 290 00:22:11.920 --> 00:22:17.920 not autistic, it does make someone autistic. Look, let' s start 291 00:22:17.920 --> 00:22:21.920 with the diagnosis. Yeah, okay, the diagnosis makes it a clinical part, 292 00:22:22.160 --> 00:22:25.240 okay, I mean, there' s no medical study. You don 293 00:22:25.319 --> 00:22:27.039 ' t go to a cabinet and get blood out and they tell you that 294 00:22:27.039 --> 00:22:30.720 you already have autism, they don' t do an electro, there' 295 00:22:30.799 --> 00:22:36.359 s not a series of batteries or tests that can be done medically to do 296 00:22:36.400 --> 00:22:40.839 it, they' re done and because most of them are sent to do 297 00:22:41.119 --> 00:22:45.720 it to rule out some coexistence or morbidity, which some gastrointestinal problem that there 298 00:22:45.759 --> 00:22:48.240 was a question there at some point and we talked a little bit about this 299 00:22:48.240 --> 00:22:52.480 here on that side. Well, when you feel inflamed you are intolerant to 300 00:22:52.599 --> 00:22:56.079 some substance or some food, think of those who today so famous in lactose 301 00:22:56.160 --> 00:22:59.400 tolerance, you feel gasy, you feel inflamed, s s s NS mode 302 00:22:59.440 --> 00:23:03.079 and lower your attention. Many of the people within the spectrum have gastrointestinal gn 303 00:23:03.279 --> 00:23:08.480 problems. It' s quite a study and a great topic, but there 304 00:23:08.519 --> 00:23:12.240 are also epilepsy problems, there are convulsions problems, there are neurological immaturity problems. 305 00:23:12.519 --> 00:23:19.160 It can coexist with syndromes and then, obviously, in reality, by 306 00:23:19.200 --> 00:23:22.799 being a condition, if I am understanding you well, it can coexist with 307 00:23:22.880 --> 00:23:27.039 any other disease, like any of us who do not have autism and we 308 00:23:27.240 --> 00:23:30.880 can coexist with diseases of any kind, of course, and this is a 309 00:23:32.119 --> 00:23:36.200 condition of life already and then the diagnosis is made from the clinical side, 310 00:23:36.480 --> 00:23:40.359 ok because it has to do with behavioral situations that yes, as I told 311 00:23:40.440 --> 00:23:45.279 you, there are certain signs and certain specific symptoms in each of the areas 312 00:23:45.279 --> 00:23:48.200 that you have to do. Symptoms must be present, obviously, or not 313 00:23:48.480 --> 00:23:52.640 within the first thirty- six months of life. Many times we talk about 314 00:23:52.720 --> 00:23:56.240 visual contact, the response to the name, the delay, the language, 315 00:23:56.640 --> 00:24:00.079 this ability to play, symbolization, flexibility, thinking, that by age they 316 00:24:00.680 --> 00:24:07.680 have certain, certain criteria or certain signs that you have to go forward and 317 00:24:07.720 --> 00:24:12.519 that you start to give an agreement gap. How is it then that someone 318 00:24:12.599 --> 00:24:19.039 comes into adult life, just to find out that he is within the autistic 319 00:24:19.039 --> 00:24:23.279 aspect of the child. It' s a big question and it' s 320 00:24:23.599 --> 00:24:26.759 a big topic. Many times they have managed to make up very well. 321 00:24:27.160 --> 00:24:30.799 As I told you, therapy goes towards compensation, towards achieving then, to 322 00:24:30.799 --> 00:24:41.720 begin the diagnosis in women and now comes a great great great. Let' 323 00:24:41.839 --> 00:24:45.319 s say awareness of that and good those who have the opportunity to read in 324 00:24:45.319 --> 00:24:48.920 April. Over there, Lola Garrote and some authors who investigate this talk about 325 00:24:48.960 --> 00:24:56.039 the masking of symptoms, because women tend to mask more symptoms and then it 326 00:24:56.119 --> 00:25:02.839 is much more difficult. Women are also difficult. The tests are done for 327 00:25:02.960 --> 00:25:07.960 men and then there are certain things that cost more work and others because they 328 00:25:07.000 --> 00:25:12.759 have perceived different, but they never had a direct treatment, or they were 329 00:25:12.880 --> 00:25:18.440 never given so much attention and could cope with it in their own way of 330 00:25:18.440 --> 00:25:21.079 difference, because we are all different. That' s right, but let 331 00:25:21.200 --> 00:25:29.599 ' s say exactly and Beckin, with whom one is going to be diagnosed 332 00:25:29.599 --> 00:25:32.920 when if there are people who are listening to us say ay several of those 333 00:25:32.920 --> 00:25:34.319 things. It happens to my son, to my daughter or to me not, 334 00:25:34.400 --> 00:25:41.160 because after you said you diagnose adults, what, what where you' 335 00:25:41.240 --> 00:25:48.240 re going looks speciality. Of course, there' s no single specialty. 336 00:25:48.039 --> 00:25:52.759 It' s a multidisciplinary team here, as I told you. Obviously, 337 00:25:52.839 --> 00:25:56.480 the first one you go to is your pediatrician or a neuropediatrician, a neurologist, 338 00:25:56.559 --> 00:26:00.880 a pediatrician or because in Mexico we are used to going to the doctor 339 00:26:00.920 --> 00:26:04.400 and the person who sees the development of the children is the teacher OK. 340 00:26:04.480 --> 00:26:10.920 So the first signs or symptoms of delay that something is not right is what 341 00:26:11.759 --> 00:26:17.279 you turn to to rule out any other OK conditions. But if the symptoms 342 00:26:17.319 --> 00:26:21.400 go to and the language area obviously, if he told me because he is 343 00:26:21.440 --> 00:26:25.480 year and half two years old and still does not speak, one says certain 344 00:26:25.599 --> 00:26:29.759 words or had them and had a setback, because the right specialist is a 345 00:26:30.079 --> 00:26:33.880 speech therapist or language therapist or a balloon pedam ok a graduate in human communication. 346 00:26:34.200 --> 00:26:37.759 Okay, uh. If my symptoms go to the emotor part where suddenly 347 00:26:37.880 --> 00:26:42.079 if sometimes it communicates, but I see that it clashes with the things that 348 00:26:42.240 --> 00:26:48.920 it has been slowed down the milestones, it goes to a physical therapist or 349 00:26:48.039 --> 00:26:55.000 physical therapist or one of psychomotor neurodevelopment, an occupational therapist ok and especially if 350 00:26:55.279 --> 00:27:00.279 I start to see then there are these checklists are like degnos and symptoms by 351 00:27:00.279 --> 00:27:06.079 age and they already marry many signs and symptoms come to them with certified professionals 352 00:27:06.319 --> 00:27:11.599 or everything that has to do with the speck of autism. There is no 353 00:27:11.799 --> 00:27:18.880 autism therapy and there is not only that a person does everything or can diagnose 354 00:27:18.079 --> 00:27:23.519 everything. I think. Yes, there are certain official standardized tests, the 355 00:27:23.599 --> 00:27:29.640 ten relatos, but and you have to be certified in that not with a 356 00:27:29.640 --> 00:27:32.279 little trial. You don' t have it anymore or not because I, 357 00:27:32.599 --> 00:27:37.000 I have the test and applied it, but you have to have a lot 358 00:27:37.079 --> 00:27:40.279 of prior knowledge, you have to have the clinical eye and the clear preparation, 359 00:27:40.519 --> 00:27:41.640 because you have to put together what comes out numbers with what you really 360 00:27:41.640 --> 00:27:45.559 have to do. What is called the integration of the results, is nothing 361 00:27:45.599 --> 00:27:49.400 more than emptying the ah good has ten and cut point seven. That' 362 00:27:49.480 --> 00:27:55.160 s what it means, but rather to explain these things and, especially I 363 00:27:55.240 --> 00:28:00.799 always tell you when you already start to sound like mom, like dad and 364 00:28:00.880 --> 00:28:06.200 you' re not happy to approach a professional specialized in this area. If 365 00:28:06.559 --> 00:28:10.880 you rule out if something is scary, it' s ignorance, of course, 366 00:28:11.279 --> 00:28:12.240 because then it' s I' m not going to be and then 367 00:28:12.240 --> 00:28:15.000 you' re growing up. Then they told me not at all. No, 368 00:28:15.079 --> 00:28:18.839 if I see normal and then we begin to maximize what is common that 369 00:28:18.880 --> 00:28:22.200 if it presents nomente and the other areas are being left out. That, 370 00:28:22.279 --> 00:28:26.920 that, I think that' s super important. They' re asking me 371 00:28:26.920 --> 00:28:32.680 here, in Mexico City there' s some center of attention for people with 372 00:28:33.079 --> 00:28:37.119 autism, if there' s the Centro Autismo Teletón ok EH. There are 373 00:28:38.119 --> 00:28:45.880 a few hundred IMS and DIFF clinics that already have areas of care ok. 374 00:28:47.359 --> 00:28:51.079 I' ve seen it. For example, I' ve had to work 375 00:28:51.240 --> 00:28:52.039 collaboratively with one who' s in that one. I think it' s 376 00:28:52.119 --> 00:28:55.880 in kings, okay, so there' s already some. Ya e. 377 00:28:56.640 --> 00:29:02.440 The National Rehabilitation Institute also has its ate area OK is where you are clear, 378 00:29:02.839 --> 00:29:06.079 of course, we have snowy clinics. You' re center to be 379 00:29:06.559 --> 00:29:10.559 to make us located in Mexico City, ok perfect, of course. Well, 380 00:29:10.720 --> 00:29:14.039 all that data we' re going to pass on. We' re 381 00:29:14.039 --> 00:29:22.079 going to give them medicine. It is treated with medications, some of the 382 00:29:22.039 --> 00:29:27.480 levels, some of the characteristics or conditions or some of the symptoms, purely 383 00:29:27.599 --> 00:29:33.720 by autism, because you already told us, can coexist with many other things. 384 00:29:34.319 --> 00:29:37.680 Well, those other things are given you a stomach infection, because we 385 00:29:37.720 --> 00:29:41.319 ' re going to take you and give you your medication. But because of 386 00:29:41.359 --> 00:29:45.720 autism as such, no pharmacological treatment is given. Not for the simple fact 387 00:29:45.720 --> 00:29:48.279 of having a diagnosis of autism. It' s not given. I always 388 00:29:48.359 --> 00:29:52.480 tell you there is no magic pill, because there is no magic pill for 389 00:29:52.599 --> 00:29:56.000 anyone or for nothing. Okay, I mean, it gives you a flu 390 00:29:56.119 --> 00:29:59.599 and it also depends on where the flu is going. It' s the 391 00:29:59.680 --> 00:30:03.319 kind of doctors you take for a comparison. Yeah, so, if you 392 00:30:03.359 --> 00:30:07.160 ' re like this, you had upper respiratory, airway, lower respiratory systems. 393 00:30:07.519 --> 00:30:10.079 If you have more. I don' t know how to shiver. 394 00:30:10.720 --> 00:30:15.839 There are different treatments that the drug doesn' t give here a language therapist. 395 00:30:15.200 --> 00:30:22.480 It is not given by a psychologist by a specialist doctor, it is 396 00:30:22.640 --> 00:30:26.119 usually a country of psychiatrist, psychiatrist of children and adolescents, or a neuropediatrician 397 00:30:26.160 --> 00:30:30.680 or pediatrician ok yes, it is a doctor. We, as therapists, 398 00:30:30.799 --> 00:30:37.759 are not endorsed to agree. And it does not exist for autism, that 399 00:30:37.880 --> 00:30:41.000 is, it is given for this part of inflexibility, for this part of 400 00:30:41.000 --> 00:30:45.759 repetitive patterns. Remove a little these obsessions or these crazy inflexibilitys by symptoms, 401 00:30:45.920 --> 00:30:51.680 no, no, not by autism, as such exactly ok be here with 402 00:30:51.880 --> 00:30:56.400 what, what we stay with, what we close with and, without any 403 00:30:56.519 --> 00:31:00.799 doubt, with some suspensive points and pause, because we have to follow this 404 00:31:00.839 --> 00:31:07.039 program. Of course, I think here I would like to make as an 405 00:31:07.160 --> 00:31:11.839 important closure understand that, speaking of autism spectrum disorder. We talk from the 406 00:31:11.920 --> 00:31:18.359 person, in that there is not one equal in neurodiversity and how rich it 407 00:31:18.400 --> 00:31:22.480 is then each also has a unique profile where there are certain signs and symptoms 408 00:31:22.519 --> 00:31:26.799 that will lead us to a diagnosis, not in order to label and put 409 00:31:26.920 --> 00:31:32.359 or box, but rather to find a guide, to know the best way 410 00:31:32.400 --> 00:31:36.640 to support both the person and the whole family, because this comes to impact 411 00:31:36.759 --> 00:31:42.000 the whole system. And then it' s something super important that sometimes we 412 00:31:42.000 --> 00:31:45.119 say well, is that we' re just going to work with the kid. 413 00:31:45.440 --> 00:31:48.559 We don' t have to work with the child, with the parents, 414 00:31:48.559 --> 00:31:52.880 with the brothers and with the extended family in general, but also with 415 00:31:52.880 --> 00:31:56.880 society. And another very important part to understand that it is not disease, 416 00:31:56.039 --> 00:32:00.400 that it is not contagious, that there is not a single therapy that will 417 00:32:00.440 --> 00:32:05.799 work, that is, there is no autism therapy, neither is there a 418 00:32:05.920 --> 00:32:09.319 drug of autism or for autism. Everything is focused on the signs and symptoms 419 00:32:09.359 --> 00:32:14.200 of the unique profile of the person and that from that we have to know 420 00:32:14.240 --> 00:32:20.720 to which professional I usually tell them the first approach is given to a pediatrician, 421 00:32:20.880 --> 00:32:24.039 because he begins to notice that delay in the milestones of development, he 422 00:32:24.079 --> 00:32:29.319 begins to walk after or suddenly already if to certain things and he has lost 423 00:32:29.319 --> 00:32:34.519 skills, suddenly he has a delay of language, or develops it and then 424 00:32:34.559 --> 00:32:37.359 stops doing it, or it seems that he begins to learn slower. So 425 00:32:37.400 --> 00:32:45.160 there we have to go with a speech therapist, speech therapist, speech therapist, 426 00:32:45.160 --> 00:32:50.839 licensed in human communication. If I' m understanding what' s going 427 00:32:51.000 --> 00:32:52.559 on with you, it would be the symptoms, just like you said. 428 00:32:52.599 --> 00:32:54.759 For the medicine. It' s for therapy, of course. Of course, 429 00:32:54.759 --> 00:32:59.920 and that is why a multidisciplinary team is needed, because it cannot a 430 00:33:00.119 --> 00:33:04.319 terapor language, it cannot work, for example, the quotes of force and 431 00:33:04.880 --> 00:33:08.680 motority. If you don' t have a background in that, we' 432 00:33:08.680 --> 00:33:12.759 re not todologists. Then we have to make a great team to pull the 433 00:33:12.880 --> 00:33:15.880 rope together. And a question that all those who hear me are going to 434 00:33:15.960 --> 00:33:20.440 say today chayo of course that you had to do what happens with the limits. 435 00:33:20.920 --> 00:33:23.839 Of course they don' t get educated, they don' t, 436 00:33:24.319 --> 00:33:28.960 of course, get put on. Ok to see we understand and I always 437 00:33:29.079 --> 00:33:32.440 start with this we are people and, as people, to live in society 438 00:33:32.519 --> 00:33:35.759 we need to live with limits. Or because if we' re not going 439 00:33:35.799 --> 00:33:40.359 to live in the jungle, then if we live and want real inclusion, 440 00:33:42.039 --> 00:33:45.920 everyone needs boundaries. And, of course, disability and disability in this case 441 00:33:45.000 --> 00:33:50.160 that we are talking about autism, is not fought with the limits. Okay, 442 00:33:50.519 --> 00:33:54.160 well, moms don' t owe their son, so they don' 443 00:33:54.160 --> 00:33:59.319 t have to consent, they don' t have to overprotect. You have 444 00:33:59.319 --> 00:34:02.759 to educate and well know if there are moments, especially when they come to 445 00:34:02.839 --> 00:34:07.000 present some crisis, from the behavior of more than maybe it is worth making 446 00:34:07.559 --> 00:34:10.440 sure that they are not at risk, no danger and wait and watch how 447 00:34:10.480 --> 00:34:14.880 it recovers. So that gives you a line of how you intervene and don 448 00:34:14.920 --> 00:34:19.480 ' t increase the crisis. Of course, that' s where we' 449 00:34:19.480 --> 00:34:24.000 d say team son, we pause why you' re going to need to 450 00:34:24.079 --> 00:34:27.639 come back, because we have to track him. This is a show I 451 00:34:27.679 --> 00:34:30.360 owed you. I recognize it, I said it at first. I owed 452 00:34:30.360 --> 00:34:34.719 them and we go. We' ll follow him up. So ask your 453 00:34:34.760 --> 00:34:39.440 questions so that the next date you have with bequi we ask all the questions 454 00:34:39.440 --> 00:34:45.360 directly, from any doubts that arise to you. They' re already on 455 00:34:45.360 --> 00:34:52.360 social media, ways to contact her, how to locate her, how to 456 00:34:52.360 --> 00:34:54.840 follow her. And I have nothing left but to thank you, man. 457 00:34:54.840 --> 00:34:59.559 On the contrary, thank you very much to me and happy to have been 458 00:34:59.599 --> 00:35:01.239 here with you and with all the audience I am very pleased. And so 459 00:35:01.440 --> 00:35:08.400 long and you guys, well, tomorrow we start our week with the themes 460 00:35:08.840 --> 00:35:15.400 of Women' s Day. Tomorrow comes a forensic psychologist, Claudia Viascán, 461 00:35:16.280 --> 00:35:20.960 who is coming to talk about how we move from romantic love to femicide, 462 00:35:22.199 --> 00:35:28.000 what happened on the road we didn' t see so we start tomorrow with 463 00:35:28.119 --> 00:35:31.519 our Women' s Day week. I thank you very much. I' 464 00:35:31.559 --> 00:35:37.920 m Chayo Busquets. This was chayo with you until tomorrow. Audio Central.