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Diagnostic Issues in High-Functioning Autism

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High-Functioning Individuals with Autism

Part of the book series: Current Issues in Autism ((CIAM))

Abstract

Ever since Kanner (1943) published his first description of autism, views of its etiology and nature have evolved and changed. During the past four decades, in spite of the significant advances in the understanding of autism, disagreements over its validity and definition have never ceased. Lay people are confused by changes of the diagnostic terms and criteria for autism; they worry that different authorities are talking about different disorders when they talk about autistic people. This is particularly true in the borderline cases with near-normal functioning (i.e., high-functioning autism).

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References

  • American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.-Revised). Washington, DC: Author.

    Google Scholar 

  • Asarnow, R. F., Tanguay, P. E., Bott, L., & Freeman, B. J. (1987). Patterns of intellectual functioning in non-retarded autistic and schizophrenic children. Journal of Child Psychology and Psychiatry, 28(2), 273–280.

    Article  PubMed  Google Scholar 

  • Asperger, H. (1944). Die “Autistischen psychopathen” im Kindesalter. Archiv für Psychiatrie und Nervenkrankheiten, 117, 76–136.

    Article  Google Scholar 

  • Asperger, H. (1979). Problems of infantile autism. Communication, 13, 45–52.

    Google Scholar 

  • Bakwin, H. (1954). Early infantile autism. Pediatrics, 45, 492–497.

    Article  Google Scholar 

  • Barabas, G., & Matthews, W. S. (1983). Coincident infantile autism and Tourette syndrome: A case report. Journal of Developmental Pediatrics, 4, 280–281.

    Google Scholar 

  • Baron, I. S. (1987, February). The childhood presentation of social-emotional learning disabilities: On the continuum of Asperger’s syndrome. Paper presented at the 15th annual International Neuropsychological Society meeting, Washington, DC.

    Google Scholar 

  • Bartak, L., & Rutter, M. (1976). Differences between mentally retarded and normally intelligent autistic children. Journal of Autism and Childhood Schizophrenia, 6, 109–120.

    Article  PubMed  Google Scholar 

  • Bartak, L., Rutter, M., & Cox, A. (1975). A comparative study of infantile autism and specific developmental receptive language disorder. I. The children. British Journal of Psychiatry, 126, 127–145.

    Article  PubMed  Google Scholar 

  • Bender, L. (1956). Schizophrenia in childhood—its recognition, description, and treatment. American Journal of Orthopsychiatry, 26, 499–506.

    Article  PubMed  Google Scholar 

  • Bleuler, E. (1950). Dementia Praecox on the Group of Schizophrenias (J. Zinkin, Trans.). New York: International University Press. (Original work published 1911)

    Google Scholar 

  • Burd, L., Fisher, W. W., Kerbeshian, J., & Arnold, M. E. (1987). Is development of Tourette disorder a marker for improvement in patients with autism and other pervasive developmental disorders? Journal of American Academy of Child and Adolescent Psychiatry, 26(2), 162–165.

    Article  Google Scholar 

  • Cantwell, D., Baker, L., Rutter, M., & Mawhood, L. (1989). Infantile autism and developmental receptive dysphasia: A comparative follow-up into middle childhood. Journal of Autism and Developmental Disorders, 19, 19–31.

    Article  PubMed  Google Scholar 

  • Courchesne, E., Lincoln, A. J., Yeung-Courchesne, R., Elmasian, R., & Grillon, C. (1989). Pathophysiologic findings in nonretarded autism and receptive developmental language disorder. Journal of Autism and Developmental Disorders, 19, 1–17.

    Article  PubMed  Google Scholar 

  • DeMyer, M. K. (1982). Infantile autism: Patients and their families. Current Problems in Pediatrics, 12(4), 1–52.

    PubMed  Google Scholar 

  • DeMyer, M. K., Barton, S., DeMyer, W., Norton, J. A., Allen, J., & Steele, R. (1973). Prognosis in autism: A follow-up study. Journal Of Autism and Childhood Schizophrenia, 3(3), 199–246.

    Article  PubMed  Google Scholar 

  • Despert, J. L. (1951). Some considerations relating to the genesis of autistic behavior in children. American Journal of Orthopsychiatry, 21, 335–350.

    Article  PubMed  Google Scholar 

  • Dewey, M. A., & Everard, M. P. (1974). The near-normal autistic adolescent. Journal of Autism and Childhood Schizophrenia, 4, 347–356.

    Article  PubMed  Google Scholar 

  • Eggers, C. (1978). Course and prognosis of childhood schizophrenia. Journal of Autism and Childhood Schizophrenia, 8, 21–36.

    Article  PubMed  Google Scholar 

  • Ekstein, R., & Wallerstein, J. (1954). Observations on the psychology of borderline and psychotic children. Psychoanalytic Study of the Child (vol. 9). New York: International University Press.

    Google Scholar 

  • Everard, M. P. (1976, July). Mildly autistic young people and their problems. Paper presented at the International Symposium on Autism, St. Gallen, Switzerland.

    Google Scholar 

  • Freeman, B. J., Lucas, J. C., Forness, S. R., & Ritvo, E. R. (1985). Cognitive processing of high-functioning autistic children: Comparing the K-ABC and the WISC-R. Journal of Psychoeducational Assessment, 4, 357–362.

    Article  Google Scholar 

  • Gaffney, G. R., & Tsai, L. Y. (1987). Magnetic resonance imaging of high level autism. Journal of Autism and Developmental Disorders, 17, 433–438.

    Article  PubMed  Google Scholar 

  • Gillberg, C. (1985). Asperger’s syndrome and recurrent psychosis—a neuropsychiatric case study. Journal of Autism and Developmental Disorders, 15, 389–398.

    Article  PubMed  Google Scholar 

  • Gillberg, C., Steffenburg, S., & Jakobsson, G. (1987). Neurobiological findings in 20 relatively gifted children with Kanner-type autism or Asperger’s syndrome. Developmental Medicine and Child Neurology, 29, 641–649.

    Article  PubMed  Google Scholar 

  • Factor, D. C., Freeman, N. L., & Kardash, A. (1989). A comparison of DSM-III and DSM-III-R criteria for autism. Journal of Autism and Developmental Disorders, 19, 637–640.

    Article  PubMed  Google Scholar 

  • Freeman, B. J., Ritvo, E. R., Schroth, P. C., Tonick, I., Guthrie, D., & Wake, L. (1981). Behavioral characteristics of high-and low-IQ autistic children. American Journal of Psychiatry, 138, 25–29.

    PubMed  Google Scholar 

  • Hertzig, M. E., Snow, M. E., New, E., & Shapiro, T. (1990). DSM-III and DSM-III-R diagnosis of autism and pervasive developmental disorder in nursery school children. Journal of American Academy of Child and Adolescent Psychiatry, 29(1), 123–126.

    Article  Google Scholar 

  • Howells, J. G., & Guirguis, W. R. (1984). Childhood schizophrenia 20 years later. Archives of General Psychiatry, 41, 123–128.

    Article  PubMed  Google Scholar 

  • Interagency Committee on Learning Disabilities. (1987). Recommendations of the Committee. In Learning disabilities: A report to the U.S. Congress (pp. 219–232). Washington, DC: Department of Health and Human Services.

    Google Scholar 

  • Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.

    Google Scholar 

  • Kerbeshian, J., & Burd, L. (1986). Asperger’s syndrome and Tourette syndrome: The case of the pinball wizard. British Journal of Psychiatry, 148, 731–736.

    Article  PubMed  Google Scholar 

  • Kolvin, I., Ounsted, C., Humphrey, M., & McNay, A. (1971). Studies in the childhood psychoses. II. The phenomenology of childhood psychoses. British Journal of Psychiatry, 118, 385–395.

    Article  PubMed  Google Scholar 

  • Lotter, V. (1978). Follow-up studies. In M. Rutter & E. Schopler (Eds.), Autism: A reappraisal of concepts and treatment (pp. 475–495). New York: Plenum.

    Google Scholar 

  • Mahler, M. (1952). On child psychosis and schizophrenia. Autistic and symbiotic psychoses. In Psychoanalytic study of the child (vol. 7). New York: International University Press.

    Google Scholar 

  • Mesibov, G. B., & Shea, V. (1980, March). Social and interpersonal problems of autistic adolescents and adults. Paper presented at the meeting of the Southeastern Psychological Association, Washington, DC.

    Google Scholar 

  • National Society for Autistic Children. (1978). National Society for Autistic Children definition of the syndrome of autism. Journal of Autism and Developmental Disorders, 8, 162–167.

    Article  Google Scholar 

  • Petty, L. K., Ornitz, E. M., Michelman, J. D., & Zimmerman, E. G. (1984). Autistic children who become schizophrenic. Archives of General Psychiatry, 41, 129–135.

    Article  PubMed  Google Scholar 

  • Realmuto, G. M., & Main, B. (1982). Coincidence of Tourette’s disorder and infantile autism. Journal of Autism and Developmental Disorders, 12, 367–372.

    Article  PubMed  Google Scholar 

  • Renzulli, J. S. (1978, November). What makes giftedness? Reexamining a definition. Phi Delta Kappan, 180-184.

    Google Scholar 

  • Rumsey, J. M., Rapoport, J. L., & Sceery, W. R. (1985). Autistic children as adults: Psychiatric, social and behavioral outcomes. Journal of the American Academy of Child Psychiatry, 24, 465–473.

    Article  PubMed  Google Scholar 

  • Rutter, M. (1968). Concepts of autism: A review of research. Journal of Child Psychology and Psychiatry, 9, 1–25.

    Article  PubMed  Google Scholar 

  • Rutter, M. (1970). Autistic children: Infancy to adulthood. British Journal of Psychiatry, 2, 435–450.

    Google Scholar 

  • Rutter, M. (1977). Infantile autism and other child psychoses. In M. Rutter & L. Henson (Eds.)., Child psychiatry: Modern approach (pp. 717–747). Oxford: Blackwell.

    Google Scholar 

  • Rutter, M., & Gould, M. (1985).Classification. In M. Rutter & L. Hersov (Eds.), Child and adolescent psychiatry: Modern approach (pp. 304–321). Oxford: Blackwell.

    Google Scholar 

  • Rutter, M., LeCouteur, A., Lord, C., MacDonald, H., Rios, P., & Folstein, S. (1988).Diagnosis and subclassification of autism—concepts and instrument development. In E. Schopler & G. B. Mesibov (Eds.), Diagnosis and assessment in autism (pp. 239–259). New York: Plenum.

    Google Scholar 

  • Rutter, M., & Lockyer, L. (1967). A five-to fifteen-year follow-up study of infantile psychosis. I. Description of sample. British Journal of Psychiatry, 113, 1169–1182.

    Article  PubMed  Google Scholar 

  • Rutter, M., & Schopler, E. (1987). Autism and pervasive developmental disorders: Concept and diagnostic issues. Journal of Autism and Developmental Disorders, 17, 159–186.

    Article  PubMed  Google Scholar 

  • Schopler, E. (1985). Editorial: convergence of learning disability, higher-level autism, and Asperger’s syndrome. Journal of Autism and Developmental Disorders, 15, 359–360.

    Article  Google Scholar 

  • Schopler, E., & Mesibov, G. B. (Eds.). (1988). Diagnosis and assessment in autism. New York: Plenum.

    Google Scholar 

  • Shea, V., & Mesibov, G. B. (1985). The relationship of learning disabilities and higher-level autism. Journal of Autism and Developmental Disorders, 15, 425–435.

    Article  PubMed  Google Scholar 

  • Sparrow, S., Balla, D., & Cicchetti, D. (1985). Vineland Adaptive Behavior Scales (classroom edition). Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Szatmari, P., Bartolucci, G., & Bremner, R. (1989). Asperger’s syndrome and autism: Comparisons on early history and outcome. Journal of Developmental Medicine and Child Neurology, 31, 709–720.

    Article  Google Scholar 

  • Szatmari, P., Bremner, R., & Nagy, J. (1989). Asperger’s syndrome: A review of clinical features. Canadian Journal of Psychiatry, 34, 554–560.

    Google Scholar 

  • Szatmari, P., Tuff, L., Finlayson, M. A. J., & Bartolucci, G. (1990). Asperger’s syndrome and autism: Neurocognitive aspects. Journal of American Academy of Child and Adolescent Psychiatry, 29(1), 130–136.

    Article  Google Scholar 

  • Tsai, L. Y., & Scott-Miller, D. (1988). Higher-functioning autistic disorder. Focus on Autistic Behavior, 2(6), 1–8.

    Google Scholar 

  • U. S. Department of Health and Human Services. (1980). International classification of disease, 9th revision, clinical modification. Washington, DC: Author.

    Google Scholar 

  • Van Bourgondien, M. E., & Mesibov, G. B. (1987). Humor in high-functioning autistic adults. Journal of Autism and Developmental Disorders, 17, 417–424.

    Article  PubMed  Google Scholar 

  • Van Krevelen, D. A. (1952). Early infantile autism. Acta Paedopsychiatrica, 91, 81–97.

    Google Scholar 

  • Volkmar, F. R., Bregman, J., Cohen, D. J., & Cicchetti, D. V. (1988). DSM-III and DSM-III-R diagnosis of autism. American Journal of Psychiatry, 145, 1404–1408.

    PubMed  Google Scholar 

  • Weintraub, S., & Mesulam, M. M. (1983). Developmental learning disabilities of the right hemisphere—emotional, interpersonal, and cognitive components. Archives of Neurology, 40, 463–468.

    Article  PubMed  Google Scholar 

  • Wing, L. (1981). Asperger’s syndrome: A clinical account. Psychological Medicine, 11, 115–129.

    Article  PubMed  Google Scholar 

  • Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. Journal of Autism and Developmental Disorders, 9, 11–29.

    Article  PubMed  Google Scholar 

  • Wolff, S., & Barlow, A. (1979). Schizoid personality in childhood: A comparative study of schizoid, autistic and normal children. Journal of Child Psychology and Psychiatry, 20, 19–46.

    Article  Google Scholar 

  • Wolff, S., & Chick, J. (1980). Schizoid personality in childhood: A controlled follow-up study. Psychological Medicine, 10, 85–100.

    Article  PubMed  Google Scholar 

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© 1992 Springer Science+Business Media New York

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Tsai, L.Y. (1992). Diagnostic Issues in High-Functioning Autism. In: Schopler, E., Mesibov, G.B. (eds) High-Functioning Individuals with Autism. Current Issues in Autism. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2456-8_2

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  • DOI: https://doi.org/10.1007/978-1-4899-2456-8_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-2458-2

  • Online ISBN: 978-1-4899-2456-8

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