The questioner then proceeded to inquire about the following:
I have carefully reviewed your statements and am able to comprehend the concerns you have articulated.
You have expressed significant concern regarding the hereditary nature of autism and its potential impact on future generations, as well as its implications for your marital life and relationship.
It is first necessary to gain an understanding of autism before making any further plans.
The term "autism" is a colloquialism for a specific developmental disorder.
It is a relatively serious developmental disorder. In China, the male-to-female ratio of autism is 6:1. Autism typically manifests before the age of three, although it may also become apparent between the ages of five and six.
The primary symptoms of autism are as follows:
The primary social impairment is characterized by an absence of communication or communication skills with others, as well as a lack of secure attachment to parents.
This is typically evidenced by a deficiency in communication or communication skills with others, as well as a lack of secure attachment to parents and other caregivers.
Secondly, there is a language communication disorder.
Delayed language development, regression after normal language development, or language that lacks a communicative nature.
Thirdly, repetitive stereotyped behaviour is to be considered.
Stereotyped behavior is defined as a repetitive, fixed behavior that lacks a discernible meaning. This category of behavior encompasses a range of repetitive actions, including
One example of stereotyped language is the repetition of a sentence.
Stereotyped movements include, but are not limited to, the following: repeatedly shaking hands, repeatedly playing with fingers, spinning, running and jumping, repeatedly shaking the body, hitting the head and injuring oneself, and other stereotyped physical movements.
For example, stereotyped thinking may manifest as a preference for building blocks in a particular manner, such as requiring them to be constructed in a straight line.
Abnormal Sensation
Such manifestations may include an insensitivity to pain, a particular fear or fondness for certain sounds or images, and so forth.
It is a common misconception that autism is a mental illness. In fact, autism is a developmental disorder that affects how a person communicates and interacts with others.
I previously sought the counsel of a psychiatrist regarding a child in my care who exhibited indications of autism. I subsequently consulted with an online medical professional who asserted that autism is not a mental illness.
I will present his statements, which encompass the following points:
1. The etiology of the disease is multifactorial.
The causes of autism are numerous and complex. They include genetic factors, congenital abnormalities of brain structure and function, and maternal radiation exposure during pregnancy.
Mental illness may also be caused by congenital factors, but the majority of cases are attributed to long-term life stressors, traumatic experiences during childhood, or external factors such as intense stimuli.
2. Different ages of onset
Autism spectrum disorder (ASD) is primarily diagnosed in infants and young children.
Mental illness can manifest at any age, but is most commonly observed in adolescents and young adults.
3. Different Symptoms
Individuals with autism exhibit clear intellectual deficiencies, inattentiveness, diminished learning abilities, and impaired language function.
Individuals diagnosed with a mental illness may retain a basic level of intelligence following the onset of the disease. Additionally, there is no evidence of developmental disorders in speech and movement.
4. Diverse treatment modalities
The treatment of autism primarily entails professional rehabilitation training, which is ideally initiated during the early developmental stages. The first four years of life represent a critical window of opportunity for such training.
Mental illness is typically treated with a combination of pharmacological and psychotherapeutic interventions.
While the precise nature of your boyfriend's sister's condition remains uncertain, it is imperative to be prepared for the underlying cause, which I will now proceed to describe.
Cause of Illness
The first factor is genetic.
A substantial body of evidence indicates that genetic factors are closely associated with autism, contributing to a significant proportion of cases, estimated to be between 80 and 90 percent.
Children with autism exhibit abnormalities in brain structure and function. These include cerebellar hypoplasia, brainstem atrophy, amygdala shrinkage, corpus callosum shrinkage, hippocampal shrinkage, lateral cingulate shrinkage, and early brain volume enlargement.
The parents in question have been diagnosed with a range of mental and psychological disorders, including depression, anxiety, obsessive-compulsive disorder, and autism.
Environmental factors also play a role in the development of autism.
Furthermore, prolonged exposure to a closed or monotonous environment has also been linked to an increased risk of autism in children.
The third factor is the incorrect upbringing of the child.
In childhood, parents' inappropriate parenting methods, such as shock education and neglecting children, can result in children being unable to receive love from their parents. This can also increase the risk of autism.
In conclusion, autism is not a frightening condition. It is not a mental illness, and clinical evidence demonstrates that it is not a genetic disease either. Rather, it is a social disorder. While genetic factors account for half of the condition, it is not completely inherited by future generations. One can observe the condition in one's boyfriend. Has he inherited it? One can observe it.
It is possible that the influence of this situation may have an impact on the character of future generations. However, as long as the appropriate care is taken to raise and treat future generations in an appropriate manner, the likelihood of a negative influence is minimal.
Should concerns be raised regarding the potential impact of the boyfriend's sister on the married life and relationship, it may be beneficial to engage in communication with the boyfriend to ascertain a plan of action for the future.
It is recommended that the decision not be made independently. Should his parents be unable to care for him, it would have an impact on your own family. It would be advisable to discuss your concerns with your boyfriend. Given that you love each other, it would be beneficial to communicate openly and honestly.
Communication is the optimal method for resolving issues, as it can address emotional concerns and clarify misunderstandings. Effective communication can also alleviate internal anxieties.
If you find him agreeable and perceive him to possess admirable character and personality traits, you may wish to consider relinquishing your concerns. It is not a common occurrence for a woman to encounter a man who exhibits such positive attributes.
In the contemporary era, there is a preponderance of individuals with reprehensible character and personality traits. It is therefore imperative to capitalize on the opportunity at hand and to avoid any subsequent remorse.
If you are certain that you do not love him deeply and lack the courage to confront the challenges that lie ahead with him due to his sister's autism, and you wish to terminate the relationship, you may also raise the issue with him and engage in a direct conversation about your thoughts and feelings.
It seems reasonable to posit that the other person will also comprehend your thoughts, given that you have indicated that he has a bad temper but is a very nice person. Consequently, if he truly loves you, he will respect your decision to terminate the relationship.
In the event of encountering a challenging situation, it is advisable to refrain from dwelling on the matter. Instead, it is beneficial to engage in self-reflection to ascertain one's true desires. This entails asking oneself whether the desire is to terminate the relationship, and whether one is prepared to confront the potential difficulties that may arise in the future.
One may also consider writing their questions on a piece of paper, which is equivalent to talking to one's inner self and asking themselves what they want. The answer is hidden in one's subconscious mind and must be discovered independently.
This is the conclusion of my response, and it is my hope that it will provide some inspiration.
It is my sincere hope that you will soon extricate yourself from this unfortunate situation. I am Monarchess, and I am here to serve as your listening partner.
A person who is willing to listen to another's concerns and provide feedback in a constructive manner.


Comments
I can understand your concerns about the future and how it might be impacted by your boyfriend's sister's autism. It's important to remember that while there can be a genetic component to autism, it doesn't necessarily mean your children would inherit it. You should consider speaking with a genetic counselor to get a better understanding of the risks.
It sounds like you're facing a lot of pressure from different directions, including from your family to get married. It's crucial to make decisions based on what feels right for you, not just to meet external expectations. Have you had an open conversation with your boyfriend about these worries? It could help to know how he envisions supporting his sister and how that might affect your life together.
Your feelings towards your boyfriend seem positive despite some reservations. Perhaps you could focus on the qualities you admire in him and discuss with him how you both can prepare for the challenges that may come with his sister's care. It's also worth considering how you can build a support network to help manage any potential burdens.
It's understandable to feel uncertain when faced with such a significant decision. Maybe this is a moment to take a step back and evaluate what truly matters to you in a relationship and in your life. Think about what kind of support system you'd need if you decide to stay with him, and explore resources that could assist you both in caring for his sister.
Feeling overwhelmed by the situation is completely normal. It might help to talk to a therapist or a counselor who can provide professional guidance and help you sort through your feelings. They can offer tools to cope with the stress and anxiety related to this decision, and they can also assist you in communicating effectively with your boyfriend about your concerns.