Autism ADHD Doctor Mumbai india Dr SV Kondekar

The evidence against Facilitated Communication is among the strongest in autism intervention research. More than 30 years of controlled studies have consistently found that when the facilitator does not know the correct answer, the facilitated communicator is generally unable to produce it. This indicates that the messages originate from the facilitator, usually through unconscious influence (the ideomotor effect), rather than from the autistic individual. Key evidence : Study Design &Main Finding 1. Wheeler et al., 1993:  Double-blind message-passing  Correct responses occurred only when the facilitator knew the answer. 2. American Psychological Association (1994 Position Statement) Expert review Concluded there is no scientific evidence supporting FC. 3.American Academy of Child and Adolescent Psychiatry (1998; reaffirmed) Practice parameter  FC should not be used because of lack of evidence. 4.American Academy of Pediatrics Clinical Report Evidence review Advises...

The Principle of Developmental Opportunity Cost: A Theoretical Framework for Prioritizing Intervention in Autism and Neurodevelopmental Disorders Dr. Santosh V. Kondekar Abstract Childhood neurodevelopment occurs within biologically constrained periods of heightened neuroplasticity during which experience exerts maximal influence on brain organization. Every therapeutic decision during this period therefore carries an opportunity cost because time invested in one intervention simultaneously excludes alternative developmental experiences. This article introduces the Principle of Developmental Opportunity Cost, a theoretical framework proposing that ineffective intervention results in both failure to achieve expected developmental gains and loss of potentially superior developmental opportunities. Building upon this concept, the article proposes that intervention in autism spectrum disorder should prioritize the disorder's defining deficits—awareness, understanding, human connection ...

The 100-Day Stagnation Hypothesis: Why Every Learning, Therapy, and Developmental Program Requires Reassessment and Replanning After Approximately 100 Days Dr. Santosh V. Kondekar Abstract Every intervention is initiated with the expectation of measurable improvement. Whether the intervention involves neurodevelopmental therapy, medical treatment, education, rehabilitation, organizational management, or interpersonal relationships, progress must remain dynamic rather than repetitive. This article proposes the 100-Day Stagnation Hypothesis , which states that an intervention that fails to produce measurable improvement within approximately one hundred days, despite adequate implementation and compliance, is unlikely to produce substantially different outcomes merely by continuing unchanged. Beyond this period, repetition without progression promotes cognitive habituation, therapeutic stagnation, behavioral rigidity, diminishing returns, and reinforcement of non-functional routines. C...

ADHD Is Not Primarily a Sensory Disorder: Understanding Behavioural Composition, Executive Regulation, and the Limits of Sensory-Based Interventions Dr Santosh V. Kondekar's Conceptual Perspective on ADHD and Developmental Coordination Discordance ADHD IS NOT JUST A SENSORY DISORDER 1. ADHD is primarily a disorder of self-regulation and executive control. 2. The child often KNOWS what to do but struggles to DO it consistently. 3. ADHD is a problem of behavioural composition, not lack of intelligence. 4. Impulsivity is the hallmark of ADHD. 5. The child understands rules but finds it difficult to apply them in real time. 6. Restlessness does not automatically mean sensory dysfunction. 7. Occupational Therapy may help associated difficulties but is not a primary treatment for core ADHD symptoms (AAP Guidelines 2019). 8. ADHD hyperactivity is driven by impulsivity and poor inhibition. 9. Autism-related hyperkinetic behaviour is often linked to sensory differences, repetitive behaviour...