The Autism Diagnostic Interview-Revised (ADI-R) is a semi-structured interview that
contains approximately 100 items and is conducted with a caregiver. It consists of four
main factors--communication, social interaction, repetitive behaviors, and age-of-onset
symptoms. The interview was completed with CHILD's mother and father.
CHILD's parents reported that they first became concerned about his development when
he was 8 months old and was not crawling. Regarding CHILD's communication
development, he was reported to use first words meaningfully at approximately 18
months of age. CHILD is not yet using phrase speech. CHILD's parents reported that he
can follow predictable one-step directions (e.g., "get your shoes") but cannot follow
directions when the outcome is unexpected. CHILD reportedly attends to his parents
when they walk into a room and start talking to him. CHILD's parents report that he
occasionally will place their hand on objects to get help, but will typically look at them or
try to communicate vocally at the same time. CHILD reportedly points to objects at a
distance and will look at both the object and the person he is communicating with.
CHILD regularly uses communicative gestures including, nodding his head yes, shaking
his head no, clapping, blowing a kiss, and waving.
CHILD was reported to consistently use eye contact when communicating with others.
He reportedly shows objects to others to express interest, will occasionally offer to share
items with others (e.g., cars, crayons), and seeks to share his enjoyment of things with a
range of people. CHILD's parents report that he uses a variety of facial expressions
including happy, sad, angry, and guilty. CHILD was reported to offer comfort to others by
bringing them blankets or giving hugs when he notices they are upset. CHILD's parents
reported that he shows interest in other children and will often approach them to initiate
play, although he is better at this with familiar children (e.g., siblings, cousins).
In relation to play and interests, CHILD was reported to enjoy activities such as coloring,
and playing with cars/trains. CHILD's parents reported that he prefers to play alone and
sometimes is more interested in parts of objects including lining up his cars/trains, and
turning the wheels on cars. CHILD's parents reported that he shows a slight sensitivity to
noise including requesting to leave social gatherings when the noise level gets too loud.
CHILD is reportedly aggressive towards children outside of the family and will hit others
if they get in his space. CHILD occasionally engages in self-injurious behavior including
hitting himself in the head when he is upset.
