IMPACT OF THE SOMATIC ASPECTS ON THE BEHAVIOR OF TEENAGERS WITH AUTISM SPECTRUM DISEASES: IMPORTANCE OF THE DIALOGUE BETWEEN THE CHILD PSYCHIATRIST AND THE SOMATIC DOCTOR

Abstract

When become the growing, hormonal and instinctual
modifications classically related to adolescence, the
grid of reading of the semiology of subjects affected
of an Autism Spectrum Disorder at this transitional
age places the doctor in front of an interpretation of
particularly complex somatic signs. The deficit of the
communication of these subjects scrambles its clinical
analysis. It has unceasingly to cope, in front apparently
irrational behavioral problems, with an attempt at decoding of the complaint of its patient and his educational or family environment. To think that a behavioral
problem can find its origin in a situation of discomfort,
at a subject which does not communicate spontaneously on its discomfort, and which, by definition is hypo
sensitive to the pain, hypersensitive to some sensory
stimuli does not go from oneself. The autism does not
affect only the central nervous system and its motor,
intellectual, cerebellar and attention functions, but also
the vegetative nervous system, influenced by the emotions; in this way, as in any human being, anxiety can
be psychosomatically expressed. At this point in time
all its importance the open and essential dialog between
psychiatrists and somatic physicians takes.