Lessons that Linger: A 40-Year Follow-Along Note About a Boy with Autism Taught to Communicate by Gestures when Aged Six.

We draw on an article published in 1973 in this journal. We described how we taught "Geoff," a 6-year old boy with autism, an elementary form of sign language during the course of 24 one-hour sessions held over a 12-week period (Webster et al. in J Autism Child Schizophr 3:337-346, 1973; Fruchter in Autism: new directions in research and education, pp 184-186, 1980).

Effects of temperament, symptom severity and level of functioning on maternal stress in Greek children and youth with ASD.

This study examined the effect of child temperament, symptom severity, verbal ability and level of functioning on maternal stress in 43 Greek mothers of children and young people with autism spectrum disorder. Symptom severity was assessed by the CARS, level of functioning by the PEP, temperament by the Dimensions of Temperament Scale (DOTS-R) and maternal stress by the Clarke Modification of Holroyd's Questionnaire on Resources and Stress (QRS). Lower-functioning children and those with high activity level, low flexibility and low mood scores were perceived to be more stressful.

Symbolic play in children with autism spectrum disorder.

The relationship between symbolic play and other domains, such as degree of autistic symptomatology, nonverbal cognitive ability, receptive language, expressive language, and social development, was investigated. The assessment files of 101 children with Autism Spectrum Disorder were studied. Nonverbal cognitive ability and expressive language were both significantly and uniquely related to symbolic play, although receptive language was not.

Affect regulation and temperament in children with Autism Spectrum Disorder.

Affect regulation (AR) and temperament were examined in children with Autism Spectrum Disorder (ASD). To determine AR, children were exposed to a mildly frustrating situation. Temperament was assessed by the Children's Behavior Questionnaire (CBQ).

A comparison of the behavioural and emotional characteristics of Alzheimer's dementia in individuals with and without Down syndrome.

The behavioural and emotional changes associated with Alzheimer's disease (AD) are compared for individuals with Down syndrome and AD and individuals with AD from the general population (AD-only). The primary caregivers of 30 people with Down syndrome and AD and 30 people with AD-only completed the BEHAVE-AD and the Apathy subscale of the CERAD. As well, behavioural observations at adult day programs were undertaken with selected participants (n = 26).

Clomipramine versus haloperidol in the treatment of autistic disorder: a double-blind, placebo-controlled, crossover study.

Clomipramine, haloperidol, and placebo were compared with baseline in the treatment of autism, and overall outcome, specific symptoms, and side effects were examined. It was hypothesized that clomipramine would be better tolerated than haloperidol and prove superior on a measure of stereotypy. Individuals with a DSM-IV diagnosis of autistic disorder (mean age, 16.

Autistic disorder and schizophrenia: diagnostic overlaps.

Data on 14 males with autism and 14 with schizophrenia were collected to examine symptom overlap. The Structured Clinical Interview (SCID), the schedule for positive symptoms (SAPS) and the schedule for negative symptoms (SANS) of schizophrenia, the Childhood Autism Rating Scale (CARS), and the DSM-III-R were administered. On the SCID, none of the men with paranoid schizophrenia met criteria for autism while 7 of those with autism met criteria for schizophrenia, disorganized type, showing negative symptoms.

Preschoolers perceptions of the unfairness of maternal disciplinary practices.

Objective: The aim of this study was to examine preschoolers' perceptions of maternal discipline's unfairness. The participants' gender, age, SES, family intactness and sibship size were examined for their possible relevance to such perceptions.

Method: Five vignettes, describing forms of discipline the literature suggests constitute psychological maltreatment, were presented to 57 preschoolers (27 boys and 30 girls).

Alzheimer dementia in Down's syndrome: the relevance of cognitive ability.

More years of education have been found to be associated with a lower rate of Alzheimer disease (AD) in individuals without intellectual disability. It has been proposed that education reflects greater 'synaptic reserve' and that greater synaptic reserve may defer the development of AD. The present study compared individuals with Down's syndrome (DS) who were found to have symptoms of dementia with those who remained symptom-free to determine if the two groups differed in their level of education, employment, recreational activities, years in an institution or overall level of cognitive functioning.

Chromosomal abnormalities in a series of children with autistic disorder.

In a series of 127 children diagnosed with autistic disorder the karyotypes of 8, on whom data were available, showed the following chromosomal abnormalities: breakage, a 47 XY pattern, trisomy 13, inversion-duplication of chromosome 15, 47 XY, +der (15) (pter q15: p11 pter), 47 XXY and 46 XY, inv (2) (p11:q13pat, 3q+). Compared to those who were not karyotyped or had normal karyotypes, the children with abnormalities, although cognitively more delayed, were not rated as more severely autistic. Facial dysmorphias and minor physical anomalies tended to be more frequent in the chromosomally deviant subgroup.

Child involvement and stress in Greek mothers of deaf children.

Forty-two mothers of Greek deaf children reported their level of stress, availability of support, duration and frequency of involvement with their children, and affective tone of involvement, using an adaptation of Hill's ABCX model of stress and support (1949). Data on the interaction among six caregiving categories were collected over a 2-day period. Mothers of younger children and of boys, as well as mothers reporting greater stress, had longer and more frequent involvement.

Allegations of sexual abuse by nonverbal autistic people via facilitated communication: testing of validity.

Objective: The aim of the paper is to offer a comprehensive approach to establishing the validity of allegations of sexual abuse by nonverbal autistic children and adults produced through facilitated communication (FC). This approach is offered as an alternative to existing methodology that relies exclusively on the "message passing" task, and has been used to advantage in the courts.

Method: Three components to the battery are included: (a) specialized psychometric testing; (b) a variant of the message passing task; and (c) systematic analysis of the allegations themselves.

Sociosexual knowledge, experience, attitudes, and interests of individuals with autistic disorder and developmental delay.

Thirty-one individuals, 15 with autistic disorder and 16 with developmental delay, male and female, were asked to select from a series of drawings depicting sexually relevant activities and to define them. In addition they were asked to describe their sexual experiences, attitudes, and interests, using a semistructured interview format. Ability to select through pointing out sexually relevant body parts or activities was not different by level of functioning, group, or gender.

Stress in Greek mothers with deaf children. Effects of child characteristics, family resources and cognitive set.

In an effort to understand the impact of their children's deafness on Greek mothers, demographic, disability-related and stress characteristics were examined with 42 hearing mothers and their deaf children. The work was based on Hill's ABCX model and Bronfenbrenner's social ecology model, entailing a microsystem, mesosystem, ecosystem, and macrosystem. In addition to child history obtained from school records, Rotter's locus of control scale, Coopersmith's self-esteem inventory and the Clarke questionnaire on resources and stress were given to mothers.

Assessing resources and stress in parents of severely dysfunctional children through the Clarke modification of Holroyd's Questionnaire on Resources and Stress.

The Holroyd (1974) Questionnaire on Resources and Stress (QRS) although clinically useful may be too inclusive and not exclusively relevant to severely dysfunctional individuals. Hitherto, efforts at shortening and psychometrically validating the QRS have met with some success: the shorter forms however still target both mentally and physically handicapped children and are clinically not as useful as the original instrument. The 78-item Clarke modification of the QRS, mainly a subset of the original, was an attempt to remedy these problems.

Effects of developmental disorder on parents: theoretical and applied considerations.

Only recently have we begun to examine systematically the effect of dysfunctional children on other family members. This article addresses several issues: (1) It presents two models of family stress, the ABCX and the social ecology model, and discusses how they can be employed for a systematic mapping of known key variables that, in complex interplay, appear to influence the family's ability to cope with a dysfunctional child. (2) It reviews evidence from our own work and research by others related to the main elements of the ABCX model of family stress.

Why families of children with biological deficits require a systems approach.

A number of assumptions related to the systemic therapists' view of family functioning in the case of biological deficit in the child are presented and challenged. The families' behavior, it is argued, may not be primarily responsible for the difficulties of their biologically impaired offspring. Severity of handicap need not be directly linked to stress in these families, nor is avoiding an individual diagnosis helpful to them.

Adaption of recent Soviet Jewish immigrants and their children to Toronto.

This retrospective study examined the prevalence of depression and psychosomatic disorders among Soviet Jewish immigrants, and how such problems might have affected their children's adaptation. A 36-item English and Russian questionnaire was sent to 452 Soviet Jewish immigrants, requesting information on possible problems they or their children had had during the first three years after immigration. Ninety people responded, 78% of whom had children.

After diagnosis, what? Some of the possible problems around diagnostic assessments.

Psychopathologies of low frequency of occurrence, such as autistic disorder, constitute a challenge because of the diagnosticians' relatively low familiarity with both the presenting symptoms and, particularly, effective intervention strategies for them. This paper highlights the key potential pitfalls in the assessment of such rare conditions as autism. It then offers some suggestions as to what should be included in a diagnostic assessment of severely and chronically dysfunctional individuals.

Assessing child symptom severity and stress in parents of autistic children.

Parents of 44 autistic children rated their children's symptom severity and their own stress on a 14-item symptom scale. Thirteen child and family characteristics were also examined to assess how they affected symptom perception and stress. Preschoolers were rated less symptomatic by their parents than by clinicians.

Parental perception of learning-disabled children's adjustment problems and related stress.

Mothers and fathers of learning-disabled (LD) children rated their children's problems on the Child Behavior Checklist (CBCL) and the stress they experienced as a result of each problem. Data were examined as a function of (a) the child's sex, age, birth order, IQ, discrepancy IQ, and degree of LD, (b) the parents' age, locus of control, and self-concept, and (c) family SES, family size, and mother's working status. Both parents rated externalizing behaviors higher than internalizing.

Maternal speech to verbal and higher functioning versus nonverbal and lower functioning autistic children.

The relationship between autistic children's level of functioning and maternal speech to children was examined. Ten higher functioning verbal and 10 lower functioning nonverbal children were videotaped in a 15-minute interaction with their mothers. Results revealed that mothers of the higher functioning verbal children asked more questions, used more language modeling, gave more reinforcement for language, and answered more children-initiated questions than did mothers of the lower functioning nonverbal children.

Ear infections in autistic and normal children.

The frequency of ear infections, ear tube drainage, and deafness was examined through parental reports in autistic and yoke-matched, normal children. For the autistic group these difficulties were additionally examined as a function of the children's cognitive and communication abilities, verbal versus nonverbal status, sex, and degree of autistic symptomatology. Autistic children had a greater incidence of ear infections than matched normal peers.

Parent and professional evaluations of family stress associated with characteristics of autism.

This study assessed the impact of various individual symptoms of autism on mothers and fathers, and professionals' accuracy in estimating parents' perceived stress levels. Mothers and fathers of 20 autistic children, and 20 therapists working with those children, independently rated the severity of common symptoms of autism in their child, and how stressful they found each symptom; therapists estimated parental stress. The autistic child's language and cognitive impairment were judged by all raters as most severe and stressful.