|
In a world where autism spectrum disorder (ASD) affects nearly 2.5% of the global population, families and caregivers continue to struggle with finding effective interventions. Despite increased awareness and numerous therapy options, many children with autism fail to see meaningful improvements in their quality of life. Dr. Samir H Dalwai, a leading developmental behavioural paediatrician, argues that this failure stems from a fundamental misunderstanding of autism itself.
"The current approach to autism is largely symptom-driven. We focus too much on speech delays, repetitive behaviours, or sensory sensitivities, rather than addressing the underlying issue—the lack of natural human engagement," says Dr Dalwai.
Dr. Dalwai explains that children with autism tend to be overly engaged with objects instead of human interactions. This results in an absence of critical developmental milestones, such as eye contact, social smiles, and responding to their names. Over time, this gap expands, affecting non-verbal gestures, speech development, and academic abilities.
"Instead of treating autism as a collection of disconnected symptoms, we need a structured approach that targets the root cause—social engagement," he asserts.
Dr. Dalwai's team at New Horizons has pioneered the New Horizons Theory of Social Engagement and the Social Behaviour and Communication Sequence (NH-SBCS). This evidence-based framework prioritizes social behaviour and communication before academic milestones.
Caregivers must create meaningful interactions that encourage children to maintain eye contact, respond to their name, and acknowledge gestures.
Non-verbal communication, such as pointing, nodding, or shared attention, is crucial for later speech development.
Traditional rote learning methods can reinforce repetitive behaviours. Instead, children should learn through natural interactions, such as using games or songs to teach counting.
Autism care must extend beyond the immediate family. Teachers, relatives, shopkeepers, and even neighbours play a role in exposing children to diverse social interactions.
"Parental involvement is key. We encourage routine monitoring and constant adjustments to strategies based on each child's progress," says Dr. Dalwai.
“Despite advancements in autism research, many Indian therapies remain outdated. "Most interventions focus on rigid, repetitive activities that do not foster real-world social skills. Instead, we need individualized, evidence-based, outcome-oriented approaches," he stated.
Social stigma further isolates families, preventing children from gaining necessary social exposure. "Society must step up to create an inclusive environment. Autism is not a disease or a defect. With the right strategies, children can make remarkable progress," urges Dr. Dalwai.
The science behind autism treatment is evolving, and early interventions prove that meaningful progress is possible. However, systemic changes in therapy methods, community support, and public perception are necessary.
"Autism is not an enigma. If we shift our focus from symptoms to social engagement, we can unlock the true potential of every child. It’s time for families, professionals, and society to come together and change the narrative," concludes Dr. Dalwai.
|