“I would like to point out that this is not an article to blame mothers but a simple (non-technical) analysis, the result of personal experiences, therefore to be read in a narrative and non-scientific way, on the other hand I would not have the necessary qualifications.”
I am the father of three splendid boys, two of those born of a second marriage. One of the two youngest will turn twelve in four days, diagnosed in autism spectrum when he was 3 years old. The mother, never diagnosed (also because she refuses every test) in my opinion with deep teenage borderline wounds.
Borderline Personality Disorder (BPD)
Is a condition characterized by difficulties regulating emotion. This means that people who experience BPD feel emotions intensely and for extended periods of time, and it is harder for them to return to a stable baseline after an emotionally triggering event.
This difficulty can lead to impulsivity, poor self-image, stormy
relationships and intense emotional responses to stressors. Struggling
with self-regulation can also result in dangerous behaviors such as
self-harm (e.g. cutting).
It’s estimated that 1.4% of the adult U.S. population experiences BPD. Nearly 75% of people diagnosed with BPD are women. Recent research suggests that men may be equally affected by BPD, but are commonly misdiagnosed with PTSD or depression.
Autism is related to emotional disorder
I lived for more than 10 years with the mother of my 2 children and after the first apparently “normal” times, the borderline personality manifested itself. This led me to try to understand the reasons and the causes of all this, reading and informing myself, about this type of disorder that destroyed the relations of this woman at the same speed as everyone could fall in love with her.
Over time, I learned to recognize this kind of personality and at the same time for obvious reasons, I met parents of other autistic children. The thing that struck me at the beginning was that, the most part of the parents were single parents and those that were not, presented with evidence the presence of the man, subordinate to the woman. Clearly in the rare cases of couples, the man appeared as a second-rate figure. I wouldn’t want to bore you too much with this story, I promise you I’ll follow up on the next posts. Follow me!
Researchers urge continued screening for all toddlers, while recommending changes to M-CHAT screening method to improve accuracy, address disparities
Newswise — Philadelphia, September 27, 2019 –
In the first large, real-world study of universal screening for autism spectrum disorder (ASD) in toddlers, researchers at Children’s Hospital of Philadelphia (CHOP) have found that the most widely used and researched screening tool is less accurate than shown in previous studies conducted in research laboratory settings. The new study also revealed significant disparities in detecting early autism symptoms in minority, urban and low-income children. The findings were published online today in the journal Pediatrics.
American Academy of Pediatrics (AAP) recommends screening all toddlers
for ASD at their 18- and 24-month primary care check-ups using the
Modified Checklist for Autism in Toddlers with Follow-Up (M-CHAT/F), a
two-stage parent survey to determine whether a child may have autism,
with the follow-up designed to eliminate false positives. However, most
studies to evaluate the accuracy of the M-CHAT/F have been conducted in
research settings rather than in real-world clinical settings.
Therefore, very little was known about screening in the recommended
primary care setting, nor about longer-term outcomes for children who
screened negative on the M-CHAT/F. The CHOP study is the first to look
at outcomes of truly universal screening in a real-world primary care
“As part of a large pediatric network implementing
universal screening, we found ourselves in a unique position to find
answers to critical questions about the accuracy of the M-CHAT, and to
determine how many children are missed by early, universal screening,”
said lead author Whitney Guthrie, PhD, a clinical psychologist specializing in early diagnosis at CHOP’s Center for Autism Research.
“Early intervention has been shown to improve outcomes, potentially
into adulthood. We know that early and accurate screening and diagnosis
is the crucial first step in helping children access those effective,
The CHOP research team studied the
electronic health records (EHR) of 25,999 patients screened in primary
care using the M-CHAT/F between the ages of 16 and 26 months, and
systematically followed these children until 4 through 8 years of age
using the EHR. Ninety-one percent of these children were screened using
the M-CHAT/F, meaning that nearly universal screening of all children in
primary care was achieved.
The study showed that the M-CHAT/F
detected only about 40% of children who went on to be diagnosed with
ASD. However, children who screened positive were diagnosed seven months
earlier than those who screened negative, suggesting that early
screening may facilitate early intervention. Overall, 2.2% of children
in the study were ultimately diagnosed with ASD, which is consistent
with the Centers for Disease Control and Prevention (CDC) estimates
“Although our findings reveal significant shortcomings
in current screening tools, we want to be clear that we are not
recommending that pediatricians stop universal screening,” said Guthrie.
“Instead, clinicians should continue to screen using the M-CHAT/F,
while being aware that this screening tool does miss some children with
ASD. Any clinical or parental concerns should be taken seriously, and
warrant continued surveillance even if a child screens negative on the
M-CHAT/F. And of course, a screen positive on the M-CHAT/F warrants
referral so that children with ASD can be diagnosed and receive early
“Pediatricians should also be aware of disparities
in screening practices and results in children of color and from
The CHOP study found that the 9% of
children who did not receive screening at 18 or 24 months were
disproportionately from racial minority groups; from non-English
speaking households; and from households with lower median income and
who receive Medicaid. When screening was administered, these same
children were more likely to receive a false positive result. The M-CHAT
was also less accurate in girls than in boys.
and economic disparities in autism screening and diagnosis are a cause
for great concern, and are consistent with previous research showing
that black and Hispanic children tend to be diagnosed years later than
white children,” said co-author Kate Wallis, MD, MPH, a developmental pediatrician and researcher at CHOP’s PolicyLab
who is also studying disparities in referrals for autism services.
“This study revealed important limitations and provides us with new
knowledge that we can use to make critical improvements to autism
screening tools and screening processes, so pediatricians can properly
detect and support more children with autism and reduce disparities in
diagnosis and care.”
Guthrie et al, “Accuracy of Autism Screening in a Large Pediatric Network.” Pediatrics, online 27 September 2019. DOI: 10.1542/peds.2019-0925.
About Children’s Hospital of Philadelphia: Children’s
Hospital of Philadelphia was founded in 1855 as the nation’s first
pediatric hospital. Through its long-standing commitment to providing
exceptional patient care, training new generations of pediatric
healthcare professionals, and pioneering major research initiatives,
Children’s Hospital has fostered many discoveries that have benefited
children worldwide. Its pediatric research program is among the largest
in the country. In addition, its unique family-centered care and
public service programs have brought the 564-bed hospital recognition as
a leading advocate for children and adolescents. For more information,