Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification

Abstract

The prevalence, in children aged under 15, of severe impairments of social interaction, language abnormalities, and repetitive stereotyped behaviors was investigated in an area of London. A “socially impaired” group (more than half of whom were severely retarded) and a comparison group of “sociable severely mentally retarded” children were identified. Mutism or echolalia, and repetitive stereotyped behaviors were found in almost all the socially impaired children, but to a less marked extent in a minority of the sociable severely retarded. Certain organic conditions were found more often in the socially impaired group. A subgroup with a history of Kanner's early childhood autism could be identified reliably but shared many abnormalities with other socially impaired children. The relationships between mental retardation, typical autism, and other conditions involving social impairment were discussed, and a system of classification based on quality of social interaction was considered.

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References

  1. Anthony, E. J. An experimental approach to the psychopathology of childhood autism.British Journal of Medical Psychology, 1958,21, 211–225. (a)

    Google Scholar 

  2. Anthony, E. J. An etiological approach to the diagnosis of psychosis in childhood.Revue de Psychiatrie Infantile, 1958,25, 89–96. (b)

    Google Scholar 

  3. Anthony, E. J. Low grade psychosis in childhood.Proceedings of the London Conference Scientific Study of Mental Deficiency (Vol. 2). London: May & Baker, 1962.

    Google Scholar 

  4. Asperger, H. Die autistischen Psychopathen im kindersalter.Archiv für Psychiatrie und Nervenkrankheiten, 1944,117, 76–136.

    Google Scholar 

  5. Asperger, H. Infections and mental retardation. In P. Bowman & H. Mautner (Eds.),Mental Retardation: Proceedings of the First International Medical Conference, Portland, Maine. New York: Grune and Stratton, 1960. (a)

    Google Scholar 

  6. Asperger, H. Behavior problems and mental retardation. In P. Bowman & H. Mautner (Eds.),Mental Retardation: Proceedings of the First International Medical Conference, Portland, Maine. New York: Grune & Stratton, 1960. (b)

    Google Scholar 

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

    PubMed  Google Scholar 

  8. Brask, B. H. A prevalence investigation of childhood psychosis. InThe 16th Scandinavian Congress of Psychiatry, 1970.

  9. Chess, S. Autism in children with congenital rubella.Journal of Autism and Childhood Schizophrenia, 1971,1, 33–47.

    PubMed  Google Scholar 

  10. Chess, S. Follow-up report on autism in congenital rubella.Journal of Autism and Childhood Schizophrenia, 1977,7, 69–81.

    PubMed  Google Scholar 

  11. Corbett, J. A., Harris, R., & Robinson, R. G. Epilepsy. In J. Wortis (Ed.),Mental retardation and developmental disabilities (Vol. 7). New York: Brunner/Mazel, 1975.

    Google Scholar 

  12. Critchley, M., & Earl, C. J. C. Tuberose sclerosis and allied conditions.Brain, 1932,55, 311–346.

    Google Scholar 

  13. DeMyer, M. Motor, perceptual-motor and intellectual disabilities of autistic children. In L. Wing (Ed.),Early childhood autism. (2nd ed.). Oxford: Pergamon, 1976.

    Google Scholar 

  14. De Sanctis, S. Sopra alcune varietà della demenza precoce.Rivista Sperimentale de Freniatria e di Medicina Legale, 1906,32, 141–165.

    Google Scholar 

  15. De Sanctis, S. Dementia praecocissima catatonica oder katatonie des früheren kindesalters?Folia Neurobiologica, 1908,2, 9–12.

    Google Scholar 

  16. Earl, C. J. C. The primitive catatonic psychosis of idiocy.British Journal of Medical Psychology, 1934,14, 230–253.

    Google Scholar 

  17. Folstein, S., & Rutter, M. Infantile autism: A genetic study of 21 twin pairs.Journal of Child Psychology and Psychiatry, 1977,18, 297–322.

    PubMed  Google Scholar 

  18. Freedman, D. A. Congenital and perinatal sensory deprivation: Some studies in early development.American Journal of Psychiatry, 1971,127, 1539–1545.

    PubMed  Google Scholar 

  19. Gould, J. Language development and non-verbal skills in severely retarded children: An epidemiological study.Journal of Mental Deficiency Research, 1976,20, 129–146.

    PubMed  Google Scholar 

  20. Greenebaum, J. V., & Lurie, L. A. Encephalitis as a causative factor in behavior disorders in children: Analysis of 78 cases.Journal of the American Medical Association, 1948,136, 923–930.

    Google Scholar 

  21. Haracopos, D., & Kelstrup, A. Psychotic behavior in children under the institutions for the mentally retarded in Denmark.Journal of Autism and Childhood Schizophrenia, 1978,8, 1–12.

    PubMed  Google Scholar 

  22. Hulse, W. C. Dementia infantilis.Journal of Nervous and Mental Diseases, 1954,119, 471–477.

    Google Scholar 

  23. Jervis, G. A. The clinical picture. In F. L. Lyman (Ed.),Phenylketonuria. Springfield, Illinois: Charles C Thomas, 1963.

    Google Scholar 

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

    Google Scholar 

  25. Kanner, L. Irrelevant and metaphorical language in early infantile autism.American Journal of Psychiatry, 1946,103, 242–246.

    Google Scholar 

  26. Kanner, L.Childhood psychosis: Initial studies and new insights Washington: Winston, 1973.

    Google Scholar 

  27. Kanner, L., & Eisenberg, L. Early infantile autism: 1943–1955.American Journal of Orthopsychiatry, 1956,26, 55–65.

    Google Scholar 

  28. Keeler, W. R. Autistic patterns and defective communication in blind children with retrolental fibroplasia. In P. H. Hoch & J. Zubin (Eds.),Psychopathology of communication. New York: Grune and Stratton, 1958.

    Google Scholar 

  29. Kolvin, I. Studies in the childhood psychoses. I. Diagnostic criteria and classification.British Journal of Psychiatry, 1971,118, 381–384.

    PubMed  Google Scholar 

  30. Kolvin, I., Humphrey, M., & McNay, A. Cognitive factors in childhood psychoses.British Journal of Psychiatry, 1971,118, 415–421.

    PubMed  Google Scholar 

  31. Lotter, V. Epidemiology of autistic conditions in young children. I. Prevalence.Social Psychiatry, 1966,1, 124–137.

    Google Scholar 

  32. 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 

  33. Mahler, M. S. On child psychoses and schizophrenia: Autistic and symbiotic infantile psychoses.Psychoanalytic Study of the Child, 1952,7, 286–305.

    Google Scholar 

  34. Ricks, D. M., & Wing, L. Language, communication and the use of symbols in normal and autistic children.Journal of Autism and Childhood Schizophrenia, 1975,3, 191–221.

    Google Scholar 

  35. Rutter, M. Autistic children: Infancy to adulthood.Seminars in Psychiatry, 1970,2, 435–450.

    PubMed  Google Scholar 

  36. Rutter, M. Childhood schizophrenia reconsidered.Journal of Autism and Childhood Schizophrenia, 1972,2, 315–337.

    PubMed  Google Scholar 

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

    Google Scholar 

  38. Rutter, M., Shaffer, D., & Sturge, C.A guide to a multi-axial classification scheme for psychiatric disorders in childhood and adolescence. London: Institute of Psychiatry, 1975.

    Google Scholar 

  39. Schaffer, H. R. Early social behaviour and the study of reciprocity.Bulletin of the British Psychological Society, 1974,27, 209–216.

    Google Scholar 

  40. Taft, L. T., & Cohen, H. J. Hypsarrhythmia and childhood autism: A clinical report.Journal of Autism and Childhood Schizophrenia, 1971,1, 327–336.

    PubMed  Google Scholar 

  41. Trevarthen, C. Conversations with a two-month old.New Scientist, 1974,62, 230–235.

    Google Scholar 

  42. Van Krevelen, D. A. Early infantile autism and autistic psychopathy.Journal of Autism and Childhood Schizophrenia, 1971,1, 82–86.

    PubMed  Google Scholar 

  43. Wing, J. K., & Hailey, A. (Eds.).Evaluating a community psychiatric service: The Camberwell Register 1964–77. London: Oxford University Press, 1972.

    Google Scholar 

  44. Wing, L. The handicaps of autistic children—a comparative study.Journal of Child Psychology and Psychiatry, 1969,10, 1–40.

    PubMed  Google Scholar 

  45. Wing, L. Perceptual and language development in autistic children: A comparative study. In M. Rutter (Ed.),Infantile autism: Concepts, characteristics and treatment. London: Churchill, 1971.

    Google Scholar 

  46. Wing, L., & Gould, J. Systematic recording of behaviors and skills of retarded and psychotic children.Journal of Autism and Childhood Schizophrenia. 1978,8, 79–97.

    PubMed  Google Scholar 

  47. Wing, L., Gould, J., Yeates, S. R., & Brierley, L. M. Symbolic play in severely mentally retarded and in autistic children.Journal of Child Psychology and Psychiatry, 1977,18, 167–178.

    PubMed  Google Scholar 

  48. Wing, L., Yeates, S. R., Brierley, L. M., & Gould, J. The prevalence of early childhood autism: Comparison of administrative and epidemiological studies.Psychological Medicine, 1976,6, 89–100.

    PubMed  Google Scholar 

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Wing, L., Gould, J. Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. J Autism Dev Disord 9, 11–29 (1979). https://doi.org/10.1007/BF01531288

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Keywords

  • Social Interaction
  • Comparison Group
  • Early Childhood
  • Mental Retardation
  • Mutism