Abstract
A scheme for the treatment of young preschool autistic children is described in which behavioral modification techniques in a developmental context are applied to problems involving failures in social development as well as in the development of language, a tendency to develop rigid and stereotyped behavior patterns, and the emergence of maladaptive and disruptive behavior. Emphasis is placed on the combination of behavioral modification with parent counseling and social work. Also noted are other aspects of treatment such as counseling, practical social services, medical and dental care, and care in nursery schools. The methods are subjected to a systematic evaluation in an ongoing investigation.
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Bowlby, J.Attachment and loss, Vol. 1. London: Hogarth Press, 1969.
Evans, I. M. Theoretical and experimental aspects of the behaviour modification approach to autistic children. In M. Rutter (Ed.),Infantile autism: Concepts, characteristics and treatment. London: Churchill, 1971.
Friedlander, B. Z. Receptive language development in infancy: Issues and problems.Merrill-Palmer Quarterly, 1970,16, 7–52.
Frith, U. Spontaneous patterns produced by autistic, normal and subnormal children. In M. Rutter (Ed.),Infantile autism: Concepts, characteristics and treatment. London: Churchill, 1971.
Goldfarb, W. Childhood psychosis. In P. H. Mussen (Ed.),Carmichael's manual of child psychology. (3rd ed.) New York: Wiley, 1970.
Hammond, J. Hearing and response in the newborn.Developmental Medicine and Child Neurology, 1970,12, 3–5.
Kanner, L. Autistic disturbances of affective contact.Nervous Child, 1943,2, 217–250.
Laufer, M. W., & Gair, D. G. Childhood schizophrenia. In L. Bellak and L. Loeb (Eds.),The schizophrenic syndrome. New York: Grune & Stratton, 1969.
Leff, R. Behaviour modification and the psychoses of childhood.Psychological Bulletin, 1968,69, 396–409.
Lovaas, O. I. A program for the establishment of speech in psychotic children. In J. K. Wing (Ed.),Early childhood autism: Clinical, educational and social aspects. Oxford: Pergamon, 1966.
Lovaas, O. I. A behaviour therapy approach to the treatment of child schizophrenia. In J. P. Hill (Ed.), Minnesota Symposium on Child Psychology, Vol. 1. University of Minnesota Press, 1967.
Lovaas, O. I., Freitas, L., Nelson, K., & Whalen, C. The establishment of imitation and its use for the development of complex behaviour in schizophrenic children.Behaviour Research and Therapy, 1967,5, 171–181.
Maccoby, E. E., & Masters, J. C. Attachment and dependency. In P. H. Müssen (Ed.),Carmichael's manual of child psychology. (3rd ed.) New York: Wiley, 1970.
Risley, T., & Wolf, M. Establishing functional speech in echolalic children.Behaviour Research and Therapy, 1967,5, 73–88.
Robson, K. S. The role of eye-to-eye contact in maternal-infant attachment.Journal of Child Psychology and Psychiatry, 1967,8, 13–25.
Rutter, M. Psychotic disorders in early childhood. In A. J. Coppen and A. Walk (Eds.),Recent developments in schizophrenia: A symposium. R.M.P.A.: London, 1967.
Rutter, M. Concepts of autism: A review of research.Journal of Child Psychology and Psychiatry, 1968,9, 1–25.
Rutter, M. The description and classification of infantile autism. In D. W. Churchill, G. D. Alpern, and M. K. DeMyer (Eds.),Infantile autism: Proceedings of the Indiana University colloquium. Springfield, Ill.: Charles C Thomas, 1971. (a)
Rutter, M. Psychiatric disorder and mental retardation in childhood. In J. Wortis (Ed.),Mental retardation: An annual review: III. New York: Grune & Stratton, 1971. (b)
Rutter, M.Pathogenesis of infantile autism. Paper presented at the Fifth World Congress of Psychiatry, Mexico City, 1971.
Rutter, M.Maternal deprivation. Harmondsworth: Penguin Books, 1972, in press.
Rutter, M. Assessment of language disorders in the young child. In M. Rutter and J. A. M. Martin (Eds.),Young children with delayed speech. London: Spastics International Medical Publications, 1972, in press.
Rutter, M., & Bartak, L. Causes of infantile autism: Some considerations from recent research.Journal of Autism and Childhood Schizophrenia, 1971,1, 20–32.
Rutter, M., Graham, P., & Yule, W. A neuropsychiatric study in childhood.Clinics in developmental medicine No. 35/36. London: Spastics International Medical Publications & Wm. Heinemann, 1970.
Rutter, M., Greenfeld, D., & Lockyer, L. A five- to fifteen-year follow-up study of infantile psychosis: II. Social and behavioural outcome.British Journal of Psychiatry, 1967,113, 1183–1199.
Rutter, M., & Mittler, P. Environmental influences on language development. In M. Rutter and J. A. M. Martin (Eds.),Young children with delayed speech. London: Spastics International Medical Publications, 1972, in press.
Rutter, M., Tizard, J., & Whitmore, K. (Eds.),Education, health and behaviour. London: Longman's, 1970.
Savage, V. An approach to treatment in the young autistic child. In M. Rutter (Ed.),Infantile autism: Concepts, characteristics and treatment. London: Churchill, 1971.
Schopler, E., Brehm, S. S., Kinsbourne, M., & Reichler, R. J. Effect of treatment structure on development in autistic children.Archives of General Psychiatry, 1971,24, 415–421.
Schopler, E., & Reichler, R. J. Parents as cotherapists in the treatment of psychotic children.Journal of Autism and Childhood Schizophrenia, 1971,1, 87–102.
Tizard, J., & Grad, J. C.The mentally handicapped and their families. Maudsley Monograph No. 7. London: Oxford University Press, 1961.
Wing, L.Autistic children. London: National Association for Mental Health, 1964.
Wolff, P. H. Observations on the early development of smiling. In B. M. Foss (Ed.),Determinants of infant behaviour. London: Methuen, 1963.
Yule, W., & Berger, M. Applications of behaviour modification procedures to speech and language disorders. In M. Rutter and J. A. M. Martin (Eds.),Young children with delayed speech. London: Spastics International Medical Publications, 1972, in press.
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The methods described in this paper form a part of a wider investigation into the behavioral treatment of autistic children undertaken in conjunction with Mr. M. Berger, Dr. L. Hersov, Mr. W. Yule, Mrs. P. Howlin, and Miss R. Marchant. The authors are very much indebted to these colleagues and particularly to Mr. Michael Berger who has worked for some years as a member of our clinical team. The study is supported by a grant from the Department of Health and Social Security.
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Rurrer, M., Sussenwein, F. A developmental and behavioral approach to the treatment of preschool autistic children. J Autism Dev Disord 1, 376–397 (1971). https://doi.org/10.1007/BF01540530
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DOI: https://doi.org/10.1007/BF01540530