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A Five to Fifteen Year Follow-Up Study of Infantile Psychosis

II. Social and Behavioural Outcome

Published online by Cambridge University Press:  29 January 2018

Michael Rutter
Affiliation:
Institute of Psychiatry and Maudsley Hospital, London, S.E.5
David Greenfeld
Affiliation:
Institute of Psychiatry
Linda Lockyer
Affiliation:
Institute of Psychiatry, Maudsley Hospital, London, S.E.5; now at Hospital for Sick Children, Toronto, Canada

Extract

The two major follow-up studies of children suffering from infantile psychosis, that of Kanner's cases (Kanner, 1943 and 1949; Kanner and Eisenberg, 1955; Eisenberg and Kanner, 1956; Eisenberg, 1956; Kanner and Lesser, 1958) and that of psychotic children seen by Creak (1962, 1963a and b) have shown the generally poor prognosis for these children. In both studies about half the children were in full-time residential care (usually mental sub-normality hospitals) at follow-up, and only 5 per cent. to 17 per cent. could be said to be well adjusted. Similar findings have been reported in the other published studies (reviewed in Rutter, 1966a). Kanner and Eisenberg have described the course of the characteristics of aloneness or autism shown by all or nearly all children with infantile psychosis (Kanner, 1943; Kanner and Eisenberg, 1955; Eisenberg and Kanner, 1956). Although some psychotic children emerge from their solitude to a greater or lesser extent, a lack of social perceptiveness usually remains even in adolescence or early adult life.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1967 

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References

Annell, A. L. (1963). “The prognosis of psychotic syndromes in children: a follow-up study of 115 cases.” Acta psychiat. Scand., 39, 235297.Google ScholarPubMed
Birch, H. G. (ed.) (1964). Brain Damage in Children: the Biological and Social Aspects. Baltimore: Williams & Wilkins.Google Scholar
Brown, J. L. (1960). “Prognosis from presenting symptoms of pre-school children with atypical development.” Amer. J. Orthopsychiatry, 30, 382390.CrossRefGoogle ScholarPubMed
Creak, M. (1962). “Juvenile psychosis and mental deficiency.” In: Richards, B. W. (ed.) Proc. London Conf. Scient. Stud. ment. Def., Vol. 2. Dagenham: May & Baker.Google Scholar
Creak, M. (1963a). “Schizophrenia in early childhood.” Acta paedopsychiat., 30, 4247.Google ScholarPubMed
Creak, M. (1963b). “Childhood psychosis: a review of 100 cases.” Brit. J. Psychiat., 109, 8489.CrossRefGoogle ScholarPubMed
Eisenberg, L. (1956). “The autistic child in adolescence.” Amer. J. Psychiat., 112, 607612.CrossRefGoogle ScholarPubMed
Eisenberg, L. and Kanner, L. (1956). “Early infantile autism, 1943–55.” Amer. J. Orthopsychiat., 26, 556566.Google Scholar
Graham, P. J., and Rutter, M. L. (1968). “The reliability and validity of the psychiatric assessment of the child: II. interview with parents.” Brit. J. Psychiat., 114. (In the press.)CrossRefGoogle Scholar
Kanner, L. (1943). “Autistic disturbances of affective contact.” New. Child., 2, 217250.Google Scholar
Kanner, L. (1949). “Problems of nosology and psychodynamics of early infantile autism.” Amer. J. Orthopsychiat., 19, 416426.CrossRefGoogle ScholarPubMed
Kanner, L. and Eisenberg, L. (1955). “Notes on the follow-up studies of autistic children.” In: Hoch, P. H., and Zubin, J. (eds.) Psychopathology of Childhood. New York: Grune and Stratton.Google Scholar
Kanner, L. and Lesser, L. I. (1958). “Early infantile autism.” Ped. Clin. N. America, 5, 711730.CrossRefGoogle ScholarPubMed
Lockyer, L., and Rutter, M. (1967). “A five to fifteen year follow-up study of infantile psychosis. III. Psychological and educational outcome.” (In preparation.)Google Scholar
Mittler, P., Gillies, S., and Jukes, E. (1966). “Prognosis in psychotic children: report of a follow-up study.” J. ment. Def. Res., 10, 7383.Google ScholarPubMed
Rutter, M. L. (1965). “The influence of organic and emotional factors on the origins, nature and outcome of childhood psychosis.” Develop. Med. Child. Neurol., 7, 518528.CrossRefGoogle ScholarPubMed
Rutter, M. L. (1966a). “Prognosis: psychotic children in adolescence and early adult life.” In: Wing, J. K. (ed.) Childhood Autism: Clinical, Educational and Social Aspects. London: Pergamon Press.Google Scholar
Rutter, M. L. (1966b). “Behavioural and cognitive characteristics of a series of psychotic children.” In: Wing, J. K. (ed.) Childhood Autism: Clinical, Educational and Social Aspects. London: Pergamon Press.Google Scholar
Rutter, M. L. (1967). “Schooling and the ‘autistic’ child.” Special Education, 16, 1924.Google Scholar
Rutter, M. L., and Graham, P. J. (1968). “The reliability and validity of the psychiatric assessment of the child. I. Interview with the child.” Brit. J. Psychiat., 114. (In the press.)CrossRefGoogle ScholarPubMed
Rutter, M. L., and Graham, P. J. and Lockyer, L. (1967). “A five to fifteen year follow-up study of infantile psychosis. I. Description of sample.” Brit. J. Psychiat., 113, 11691182.Google Scholar
Tizard, J. (1965). Community Services for the Mentally Handicapped. London: Oxford University Press.Google Scholar
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