Do autistic children come from upper-middle-class parents?

  • Eric Schopler
  • Carol E. Andrews
  • Karen Strupp


Most studies have reported autistic children as coming from upper social economic status (SES) families. A few studies have not found any such social class bias. In order to resolve these contradictory findings, an empirical study was conducted on a statewide sample of families with autistic children. It was hypothesized that autistic children from high SES families would be associated with seven social class selection factors: (1) early age of onset, (2) early age of treatment admission, (3) normal cognitive potential, (4) complex rituals with maintenance of sameness, (5) long distance traveled for treatment, (6) limited availability of services, and (7) very detailed child history. Factors 1, 5, 6, and 7 distinguished high SES from low SES families in the predicted direction. Implications for research and treatment are discussed.


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  1. Abromowicz, H. K., & Richardson, S. A. Epidemiology of severe mental retardation in children: Community studies.American Journal of Mental Deficiency, 1975,80, 18–39.PubMedGoogle Scholar
  2. Annell, A. L. The prognosis of psychotic syndromes in childhood: A follow-up study of 115 cases.Acta Psychiatrica Scandinavica, 1963,39, 235–297.PubMedGoogle Scholar
  3. Anthony, J. An experimental approach to the psychopathology of childhood: Autism.British Journal of Medical Psychology, 1958,31, 211–225.PubMedGoogle Scholar
  4. Bender, L., & Grugett, A. E. A study of certain epidemiological factors in a group of children with childhood schizophrenia.American Journal of Orthopsychiatry, 1956,26, 131–145.PubMedGoogle Scholar
  5. Bettelheim, B.The empty fortress: Infantile autism and the birth of the self. New York: Free Press, 1967.Google Scholar
  6. Brown, C. F. Parents' perceptions of experiences associated with seeking community services for their preschool age mentally retarded child.Dissertations Abstracts International, 1973,34 (2-A), 865.Google Scholar
  7. Campbell, M., Hardesty, A., & Burdock, E. Demographic and perinatal profile of 105 autistic children: A preliminary report.Psychopharmacology Bulletin, 1978,14, 36–39.PubMedGoogle Scholar
  8. Creak, M. Schizophrenic syndrome in childhood: Further progress of a working party.Developmental Medicine and Child Neurology, 1964,6, 530–535.Google Scholar
  9. Creak, M., & Ini, S. Families of psychotic children.Journal of Child Psychology and Child Psychiatry, 1960,1, 156–175.Google Scholar
  10. Eisenberg, L., & Kanner, L. Childhood schizophrenia symposium, 1955, early infantile autism 1943–55.American Journal of Orthopsychiatry, 1956,26, 556–566.PubMedGoogle Scholar
  11. Goldfarb, W.Growth and change of schizophrenic children: A longitudinal study. Washington, D.C.: V. H. Winston, 1974.Google Scholar
  12. Heber, R.Epidemiology of mental retardation. Springfield, Illinois: Charles C Thomas, 1970.Google Scholar
  13. Hollingshead, A., & Redlich, F.Social class and mental illness. New York: Wiley, 1958.Google Scholar
  14. Kanner, L. Autistic disturbances of affective contact.Nervous Child, 1943,2, 217–250.Google Scholar
  15. Kanner, L. Early infantile autism revisited. In G. Usdin (Ed.),The psychiatric forum. New York: Brunner/Mazel, 1973.Google Scholar
  16. Kolvin, I., Ounsted, C., Richardson, M., & Garside, R. F. The family and social background in childhood psychoses.British Journal of Psychiatry, 1971,118, 396–402.PubMedGoogle Scholar
  17. Lansing, M., & Schopler, E. Individualized education: A public school model. In M. Rutter & E. Schopler (Eds.),Autism: A reappraisal of concepts and treatment. New York: Plenum, 1978. Pp. 439–452.Google Scholar
  18. Lotter, V. Epidemiology of autistic conditions in young children. II. Some characteristics of the parents and children.Social Psychiatry, 1967,1, 163–173.Google Scholar
  19. Lowe, L. H. Families of children with early childhood schizophrenia. Selected demographic, information.Archives of General Psychiatry, 1966,14, 25–30.Google Scholar
  20. McDermott, J. F., Harrison, D. L., Schrager, J., Lindy, J., & Killins, E. Social class and mental illness in children—the question of childhood psychosis.American Journal of Orthopsychiatry, 1967,37, 548–557.PubMedGoogle Scholar
  21. Pittfield, M., & Oppenheim, A. Child rearing attitudes of mothers of psychotic children.Journal of Child Psychology and Child Psychiatry, 1964,5, 52–57.Google Scholar
  22. Prior, M., Gajzago, C., & Knox, D. An epidemiology study of autistic and psychotic children in the four eastern states of Australia.Australian and New Zealand Journal of Psychiatry, 1976,10, 173–184.PubMedGoogle Scholar
  23. Reichler, R. J., & Schopler, E. Observations on the nature of human relatedness.Journal of Autism and Childhood Schizophrenia, 1971,1, 283–296.PubMedGoogle Scholar
  24. Reichler, R. J., & Schopler, E. Developmental therapy: A program model for providing individual services in the community. In E. Schopler & R. J. Reichler (Eds.),Psychopathology and child development: Research and treatment. New York: Plenum, 1976. Pp. 347–372.Google Scholar
  25. Rimland, B.Infantile autism. New York: Appleton-Century-Crofts, 1964.Google Scholar
  26. Ritvo, E., Cantwell, D., Johnson, E., Clements, M., Benbrook, F., Slagle, S., Kelly, P., & Ritz, M. Social class factors in autism.Journal of Autism and Childhood Schizophrenia, 1971,1, 297–310.PubMedGoogle Scholar
  27. Rutter, M. Diagnosis and definition of childhood autism.Journal of Autism and Childhood Schizophrenia, 1978,8, 139–161.PubMedGoogle Scholar
  28. Rutter, M., & Lockyer, L. A. Five to fifteen year follow-up study of infantile psychosis. I. Description of sample.British Journal of Psychiatry, 1967,113, 1169–1182.PubMedGoogle Scholar
  29. Schain, R. J., & Yannet, H. Infantile autism: An analysis of fifty cases and a consideration of certain neurophysiologic concepts.Journal of Pediatrics, 1960,57, 560–567.PubMedGoogle Scholar
  30. Schopler, E., Daly, K., Bentz, E., & Reichler, R.J.A rating scale for autistic children. In preparation.Google Scholar
  31. Schopler, E., & Reichler, R. J. How well do parents understand their own psychotic child?Journal of Autism and Childhood Schizophrenia, 1972,2, 387–400.PubMedGoogle Scholar
  32. Treffert, D. Epidemiology of infantile autism.Archives of General Psychiatry, 1970,22, 431–438.PubMedGoogle Scholar
  33. Von Brauchitsch, H. K., & Kirk, W. E. Childhood schizophrenia and social class.American Journal of Orthopsychiatry, 1967,37, 400.Google Scholar
  34. Ward, T. F., & Hoddinott, B. A. A study of childhood schizophrenia and early infantile autism. I. Description of the sample.Canadian Psychiatric Association Journal, 1965,10, 377–386.PubMedGoogle Scholar
  35. Wolff, S., & Chess, S. A behavioral study of schizophrenic children.Acta Psychiatrica Scandinavica, 1964,40, 438–466.PubMedGoogle Scholar
  36. Wortis, J. W., & Wortis, H. Who comes to a retardation clinic? Implications for social planning.American Journal of Public Health, 1968,58, 1746–1752.Google Scholar

Copyright information

© Plenum Publishing Corporation 1979

Authors and Affiliations

  • Eric Schopler
    • 1
  • Carol E. Andrews
    • 1
  • Karen Strupp
    • 1
  1. 1.The University of North Carolina at Chapel HillUSA

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