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Changing Concepts and Findings on Autism

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Abstract

New research findings provide major challenges regarding our understanding of the concept of autism. These are critically discussed in relation to research relevant to classification, genetics, environmental risk factors, gene-environment interplay, animal models, biomarkers, clinical features, neuropathology, pharmacotherapy, behavioral treatments, and functioning in adult life. It is concluded that, although there have been major research advances; there is a need for a reconceptualization and an avoidance of claims that go beyond the evidence.

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References

  • Amaral, D. (2011). The promise and the pitfalls of autism research: An introductory note for new autism researchers. Brain Research, 1380, 3–9.

    Article  PubMed  Google Scholar 

  • Amir, R., Van den Veyver, I., Wan, M., Tran, C., Francke, U., & Zoghbi, H. (1999). Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl-CpG-binding protein 2. Nature Genetics, 23(2), 185–188.

    Article  PubMed  Google Scholar 

  • Arndt, T., Stodgell, C., & Rodier, P. (2005). The teratology of autism. International Journal of Developmental Neuroscience, 23, 189–199. doi:10.1016/j.ijdevneu.2004.11.001.

    Article  PubMed  Google Scholar 

  • Association, American Psychiatric. (2000). Diagnostic and statistical manual of mental disorders, 4th Edition: DSM-IV. Washington: American Psychiatric Publishing, Inc.

    Google Scholar 

  • Atladóttir, H., Parner, E., Schendel, D., Dalsgaard, S., Thomsen, P., & Thorsen, P. (2007). Time trends in reported diagnoses of childhood neuropsychiatric disorders: A danish cohort study. Archives of Pediatric and Adolescent Medicine, 161, 193–198.

    Article  Google Scholar 

  • Bauman, M., & Amaral, D. (2011). Nonhuman primate models of autism. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 963–980). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Bauman, M., & Kemper, T. (1985). Histoanatomic observations of the brain in early infantile autism. Neurology, 35, 866–874.

    Google Scholar 

  • Biedermann, F., Frajo-Apor, B., & Hofer, A. (2012). Theory of mind and its relevance in schizophrenia. Current Opinion in Psychiatry, 25, 71–75.

    Article  PubMed  Google Scholar 

  • Bolton, P., Carcani-Rathwell, I., Hutton, J., Goode, S., Howlin, P., & Rutter, M. (2011). Epilepsy in autism: Features and correlates. British Journal of Psychiatry, 198, 289–294. doi:10.1192/bjp.bp.109.076877.

    Article  PubMed  Google Scholar 

  • Casanova, M., El-Baz, A., Vanbogaert, E., Narahari, P., & Switala, A. (2010). A topographic study of mini columnar core width by lamina comparison between autistic subjects and controls: Possible mini columnar disruption due to an anatomical element in-common to multiple laminae. Brain Pathology, 20, 451–458.

    Article  PubMed  Google Scholar 

  • Chawarska, K., Campbell, D., Chen, L., Shic, F., Klin, A., & Chang, J. (2011). Early generalized overgrowth in boys with autism. Archives of General Psychiatry, 68, 1021–1031.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Corrales, M., & Herbert, M. (2011). Autism and environmental genomics: Synergistic systems approaches to autism complexity. In D. Amaral, G. Dawson, & D. Geschwind (Eds.), Autism spectrum disorders (pp. 875–892). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Courchesne, E., Webb, S., & Schumann, C. (2011). From toddlers to adults: The changing landscape of the brain in autism. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorder (pp. 611–631). New York: Oxford University Press.pp.

    Chapter  Google Scholar 

  • Dawson, G., Estes, A., Munson, J., Schellenberg, G., Bernier, R., & Abbott, R. (2007). Quantitative assessment of autism symptom-related traits in probands and parents: Broader phenotype autism symptom scale. Journal of Autism and Developmental Disorders, 37, 523–536.

    Article  PubMed  Google Scholar 

  • Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125, e17–e23.

    Article  PubMed  Google Scholar 

  • Ecker, C., Marquand, A., Mourão-Miranda, J., Johnston, P., Daly, E., Brammer, M., & et al. (2010). Describing the brain in autism in five dimensions–magnetic resonance imaging-assisted diagnosis of autism spectrum disorder using a multiparameter classification approach. The Journal of Neuroscience, 30, 10612–10623.

    Google Scholar 

  • Elsabbagh, M., & Johnson, M. (2010). Getting answers from babies about autism. Trends in Cognitive Sciences, 14, 81–87.

    Article  PubMed  Google Scholar 

  • Erickson, C., Stigler, K., Posey, D., & McDougle, C. (2011). Antipsychotics. In E. Hollander, A. Kolevzon, & J. T. Coyle (Eds.), Textbook of autism spectrum disorders (pp. 467–477). Washington DC & London: American Psychiatric Publishing.

    Google Scholar 

  • Federow, V., & Fombonne, E. (2005). Metabolic side effects of atypical antipsychotics in children: A literature review. Journal of Psychopharmacology, 19, 533–550.

    Article  Google Scholar 

  • Frith, U. (1989). Autism: Explaining the enigma. Malden, Mass: Blackwell Publishing.

    Google Scholar 

  • Frith, C., & Frith, U. (2008). What can we learn from structural and functional brain imaging? In M. Rutter, D. Bishop, D. Pine, S. Scott, J. Stevenson, E. Taylor, & A. Thapar (Eds.), Rutter’s child and adolescent psychiatry (5th ed., pp. 134–144). Oxford: Blackwell.

    Chapter  Google Scholar 

  • Geschwind, D. (2011). Autism genetics and genomics: A brief overview and synthesis. In D. Amaral, G. Dawson, & D. Geschwind (Eds.), Autism spectrum disorders (pp. 812–826). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Giacometti, E., Luikenhuis, S., Beard, C., & Jaenisch, R. (2007). Partial rescue of MECP2 deficiency by postnatal activation of MeCP2. Proceedings of the National Academy of Science U S A, 104, 1931–1936. doi:10.1073/pnas.0610593104.

    Article  Google Scholar 

  • Gillberg, C. (1987). Autistic symptoms in Rett syndrome: The first two years according to mother reports. Brain and Development, 9, 499–501.

    Article  PubMed  Google Scholar 

  • Girirajan, S., Brkanac, Z., Coe, B., Baker, C., Vives, L., et al. (2011). Relative burden of large CNVs on a range of neuro developmental phenotypes. PLoS Genetics, 7, e1002334.

    Article  PubMed  Google Scholar 

  • Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., et al. (2010). Parent-mediated communication-focused treatment in children with autism (PACT): A randomised controlled trial. The Lancet, 375, 2152–2160.

    Article  Google Scholar 

  • Guy, J., Gan, J., Selfridge, J., Cobb, S., & Bird, A. (2007). Reversal of neurological defects in a mouse model of Rett syndrome. Science, 315, 1143–1147.

    Article  PubMed  Google Scholar 

  • Guy, J., Hendrich, B., Holmes, M., Martin, J., & Bird, A. (2001). A mouse MECP2-null mutation causes neurological symptoms that mimic Rett syndrome. Nature Genetics, 27, 322–326.

    Article  PubMed  Google Scholar 

  • Halladay, A., Amaral, D., Aschner, M., Bolivar, V., Bowman, A., & DiCicco-Bloom, E. (2009). Animal models of autism spectrum disorders: Information for neuro toxicologists. Neurotoxicology, 30, 811–821.

    Article  PubMed  Google Scholar 

  • Hallmayer, J., Cleveland, S., Torres, A., Phillips, J., Cohen, B., Torigoe, T., et al. (2011). Genetiic heritability and shared environmental factors among twin pairs with autism. Archives of General Psychiatry, 68, 1905.

    Article  Google Scholar 

  • Happé, F. (2003). Cognition in autism: One deficit or many? Novartis foundation symposium 251. In G. Bock & J. Goode (Eds.), Autism: Neural basis and treatment possibilities (pp. 198–212). Chichester: John Wiley.

    Chapter  Google Scholar 

  • Happé, F., & Frith, U. (1996). The neuropsychology of autism. Brain, 119(4), 1377–1400.

    Article  PubMed  Google Scholar 

  • Happé, F., & Ronald, A. (2008). The ‘fractionable autism triad’: A review of evidence from behavioural, genetic, cognitive and neural research. Neuropsychological Review, 18, 287–304. doi:10.1007/s11065-008-9076-8.

    Article  Google Scholar 

  • Hertz-Picciotto, I. (2011). Environmental risk factors in autism: Results from large-scale epidemiologic studies. In D. G. Amaral, G. Dawson, & D. Geschwind (Eds.), Autism spectrum disorders (pp. 827–862). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Honda, H., Shimizu, Y., & Rutter, M. (2005). No effect of MMR withdrawal on the incidence of autism: A total population study. Journal of Child Psychology and Psychiatry, 46, 572–579. doi:10.1111/j.1469-7610.2005.01425.x.

    Article  PubMed  Google Scholar 

  • Howlin, P. (2005). Outcomes in autism spectrum disorders. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (pp. 201–220). Hoboken, NJ and Canada: John Wiley & Sons Inc.

    Google Scholar 

  • Howlin, P., Alcock, J., & Burkin, C. (2005). An 8 year follow-up of a specialist supported employment service for high-ability adults with autism or As perger syndrome. Autism, 9, 533–549. doi:10.1177/1362361305057871.

    Article  PubMed  Google Scholar 

  • Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45, 212–229.

    Article  PubMed  Google Scholar 

  • Hultman, C., Sandin, S., Levine, S., Lichtenstein, P., & Reichenberg, A. (2011). Advancing paternal age and risk of autism: New evidence from a population-based study and a meta-analysis of epidemiological studies. Molecular Psychiatry, 16, 1203–1212.

    Article  PubMed  Google Scholar 

  • Kaymakçalan, J., & State, M. (2011). Rare genetic variants and autism spectrum disorders. In D. Amaral, G. Dawson, & D. Geschwind (Eds.), Autism spectrum disorders (pp. 722–736). New York: Oxford University Press.pp.

    Chapter  Google Scholar 

  • Klin, A., Jones, W., Schultz, R., & Volkmar, F. (2005). The enactive mind—from actions to cognition: Lessons from autism. In F. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 1, pp. 682–703). Hoboken, NJ &Canada: John Wiley & Sons Inc.

    Google Scholar 

  • Kong, A., Frigge, M., Masson, G., Besenbacher, S., Sulem, P., Magnusson, G., et al. (2012). Rate of de novo mutations and the importance of father’s age to disease risk. Nature, 488, 471–475.

    Article  PubMed  Google Scholar 

  • Landrigan, P. (2011). Environment and autism. In E. Hollander, A. Kolevzon, & J. T. Coyle (Eds.), Textbook of autism spectrum disorders (pp. 247–264). Washington DC: American Psychiatric Publishing.

    Google Scholar 

  • Leekam, S., Prior, M., & Uljarevic, M. (2011). Restricted and repetitive behaviours in autism spectrum disorders: A review of research in the last decade. Psychological Bulletin, 137, 562–593.

    Article  PubMed  Google Scholar 

  • Lichtenstein, P., Carlström, E., Råstam, M., Gillberg, C., & Anckarsäter, H. (2010). The genetics of autism spectrum disorders and related neuropsychiatric disorders in childhood. American Journal of Psychiatry, 167, 1357–1363.

    Article  PubMed  Google Scholar 

  • Lovaas, O. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.

    Article  PubMed  Google Scholar 

  • Luyster, R., Wagner, J., Vogel-Farley, V., Tager-Flusberg, H., & Nelson, C. (2011). Neural correlates of familiar and unfamiliar face processing in infants at risk for autism spectrum disorders. Brain Topography, 24, 220–228.

    Article  PubMed  Google Scholar 

  • Machado, C., & Bachevalier, J. (2003). Non-human primate models of childhood psychopathology: The promise and the limitations. Journal of Child Psychology and Psychiatry, 44, 64–87.

    Article  PubMed  Google Scholar 

  • Mayes, S., Calhoun, S., Mayes, R., & Molitoris, S. (2011). Autism and ADHD: Overlapping and discriminating symptoms. Research in Autism Spectrum Disorders, 6, 277–285.

    Article  Google Scholar 

  • McCracken, J. (2011). Pharmacotherapy for autism spectrum disorders. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 1309–1322). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Mundy, P. (2011). The social behaviour of autism: A parallel and distributed information processing perspective. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorder (pp. 149–171). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Mundy, P., & Burnette, C. (2005). Joint attention and neuro developmental models of autism. In F. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 1, pp. 650–681). New Jersey: John Wiley & Sons.

    Google Scholar 

  • Neul, J. (2011). Rett syndrome and MECP2-related disorders. In D. Amaral, G. Dawson, & D. Geschwind (Eds.), Autism spectrum disorders (pp. 776–800). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Ozonoff, S., Heung, K., & Thompson, M. (2011). Regression and other patterns of onset. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 60–74). New York: Oxford University Press.

    Google Scholar 

  • Pardo, C., Vargas, D., & Zimmerman, A. (2005). Immunity, neuroglia and neuro inflammation in autism. International Review of Psychiatry, 17, 485–495.

    Article  PubMed  Google Scholar 

  • Pickles, A., Simonoff, E., Conti-Ramsden, G., Falcaro, M., Simkin, Z., Charman, T., et al. (2009). Loss of language in early development of autism and specific language impairment. Journal of Child Psychology and Psychiatry, 50, 843–852.

    Article  PubMed  Google Scholar 

  • Pourcain, B., Mandy, W., Heron, J., Golding, J., Davey Smith, G., & Skuse, D. (2011). Links between co-occurring social-communication and hyperactive-inattentive trait trajectories. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 892–902.

    Article  Google Scholar 

  • Rapin, I. (2011). Introduction: Autism turns 65: A neurologist’s bird’s eye view. In D. Amaral, D. Geschwind, & G. Dawson (Eds.), Autism spectrum disorders (pp. 3–14). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Reichenberg, A., Gross, R., Kolevzon, A., & Susser, E. (2011). Parental and perinatal risk factors for autism. In E. Hollander, A. Kolevzon, & J. Coyle (Eds.), Textbook of autism spectrum disorders (pp. 239–246). Washington: American Psychiatric Publishing Inc.

    Google Scholar 

  • Rogers, S., & Wallace, K. (2011). Intervention for infants and toddlers with autism spectrum disorders. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 1081–1094). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Rommelse, N., Franke, B., Geurts, H., Hartman, C., & Buitelaar, J. (2010). Shared heritability of attention-deficit/hyperactivity disorder and autism spectrum disorder. European Child and Adolescent Psychiatry, 19, 281–295.

    Article  PubMed  Google Scholar 

  • Ronald, A., Butcher, L. M., Docherty, S., Davis, O. S. P., Schalkwyk, L. C., Craig, I. W., et al. (2010). A genome-wide association study of social and non-social autistic-like traits in the general population using pooled DNA, 500 K SNP microarrays and both community and diagnosed autism replication samples. Behavior Genetics, 40, 31–45.

    Article  PubMed  Google Scholar 

  • Rutter, M. (1972). Relationships between child and adult psychiatric disorders. Some research considerations. Acta Psychiatrica Scandinavica, 48, 3–21.

    Article  PubMed  Google Scholar 

  • Rutter, M. (2005). Incidence of autism spectrum disorders: Changes over time and their meaning. Acta Paediatrica, 94, 2–15.

    Article  PubMed  Google Scholar 

  • Rutter, M. (2011a). Autism spectrum disorders: Looking backward and looking forward. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 17–29). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Rutter, M. (2011b). Progress in understanding autism: 2007–2010. Journal of Autism and Developmental Disorders, 41, 395–404.

    Article  PubMed  Google Scholar 

  • Rutter, M. (2011c). A selective scientific history of autism. In E. Hollander, A. Kolevzon, & J. Coyle (Eds.), Textbook of autism spectrum disorders (pp. 5–21). Washington, DC & London: American Psychiatric Publishing, Inc.

    Google Scholar 

  • Rutter, M. (In press). Biomarkers: potential and challenges. In I. Singh, W.Sinnott-Armstrong & J. Savulescu (Eds.), BioPrediction of Bad Behavior: Scientific, Ethical and Legal Challenges. Oxford: Oxford University Press.

  • Rutter M, Simonoff E (2007) Autism spectrum disorders (including Rett syndrome). In: DL Rimoin, JM Connor, RE Pyeritz, BR Korf (Eds.), Emery & Rimoin’s Principles and Practice of Medical Genetics, 5th Edition.Vol. 3. Philadelphia: Churchill Livingstone–Elsevier. pp. 2576–2584.

  • Rutter, M., & Sonuga-Barke, E.J. (2010). Deprivation-specific psychological patterns: Effects of institutional deprivation. Monographs of the Society for Research in Child Development, 75(1).

  • Rutter M., & Uher, R. (In press). Classification issues and challenges in child and adolescent psychopathology. International Review of Psychiatry.

  • Sandin, S., Hultman, C. M., Kolevzon, A., Gross, R., MacCabe, J. H., & Reichenberg, A. (2012). Advancing maternal age is associated with increasing risk for autism: A review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 477–486.

    Article  PubMed  Google Scholar 

  • Savla, G., Vella, L., Armstrong, C., Penn, D., & Twamley, E. (2012). Deficits in domains of social cognition in schizophrenia: A meta-analysis of the empirical evidence. Schizophrenia Bulletin, Published online September 4,. doi:10.1093/schbul/sbs080.

  • Schultz, R., & Robins, D. (2005). Functional neuroimaging studies of autism spectrum disorders. In F. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (pp. 515–533). Hoboken, NJ and Canada: John Wiley & Sons Inc.

    Google Scholar 

  • Schumann, C., Noctor, S., & Amaral, D. (2011). Neuropathology of autism spectrum disorders: Post mortem studies. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 539–565). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Sebat, J., Lakshmi, B., Malhotra, D., Troge, J., Lese-Martin, C., & Walsh, T. (2007). Strong association of de novo copy number mutations with autism. Science, 316, 445–449.

    Article  PubMed  Google Scholar 

  • Shahbazian, M., & Zoghbi, H. (2002). Rett syndrome and MeCP2: Linking epigenetics and neuronal function. American Journal of Human Genetics, 71, 1259–1272.

    Article  PubMed  Google Scholar 

  • Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 921–929.

    Article  PubMed  Google Scholar 

  • Smith, T. (2011). Applied behaviour analysis and early intensive behaviorial intervention. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 1037–1055). New York: Oxford University Press.

    Google Scholar 

  • Sprong, M., Schothorst, P., Vos, E., Hox, J., & Van Engeland, H. (2007). Theory of mind in schizophrenia: Meta-analysis. The British Journal of Psychiatry, 191(1), 5–13.

    Article  PubMed  Google Scholar 

  • Stigler, K., Potenza, M., Posey, D., & McDougle, C. (2004). Weight gain associated with atypical antipsychotic use in children and adolescents: Prevalence, clinical relevance, and management. Pediatric Drugs, 6, 33–44.

    Article  PubMed  Google Scholar 

  • Stoltenberg, C., Schjølberg, S., Bresnahan, M., Hornig, M., Hirtz, D., & Dahl, C. (2010). The autism birth cohort: A paradigm for gene–environment–timing research. Molecular Psychiatry, 15, 676–680.

    Article  PubMed  Google Scholar 

  • The International Schizophrenia Consortium. (2008). Rare chromosomal deletions and duplications increase risk of schizophrenia. Nature, 455(7210), 237–241.

    Article  Google Scholar 

  • Tuchman, R. (2011). Epilepsy and electroencephalography in autism spectrum disorders. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 381–394). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Uher, R. (2009). The role of genetic variation in the causation of mental illness: An evolution-informed framework. Molecular Psychiatry, 14, 1072–1082.

    Article  PubMed  Google Scholar 

  • Van Acker, R., Loncola, J., & Van Acker, E. (2005). Rett syndrome: A pervasive developmental disorder. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (3rd ed., pp. 126–164). Hoboken, N.J: John Wiley & Sons.

    Google Scholar 

  • Veltman, J., & Brunner, H. (2012). De novo mutations in human genetic disease. Nature Reviews Genetics, 13, 565–575.

    Article  PubMed  Google Scholar 

  • Volkmar, F., & Cohen, D. (1991). Comorbid association of autism and schizophrenia. American Journal of Psychiatry, 148, 1705–1707.

    Google Scholar 

  • Williams, N., Zaharieva, I., Martin, A., Langley, K., Mantripragada, K., Fossdal, R., et al. (2010). Rare chromosomal deletions and duplications in attention-deficit hyperactivity disorder: A genome-wide analysis. The Lancet, 376, 1401–1408. doi:10.1016/s0140-6736(10)61109-9.

    Article  Google Scholar 

  • World Health Organization. (1992). The ICD-10 Classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.

    Google Scholar 

  • Yang, M., Scattoni, M., Chadman, K., Silverman, J., & Crawley, J. (2011). Behavioral evaluation of genetic mouse models of autism. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 906–934). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Yirmiya, N., & Charman, T. (2010). The prodrome of autism: Early behaviorial and biological signs, regression, peri-and post-natal development and genetics. Journal of Child Psychology and Psychiatry, 51, 432–458.

    Article  PubMed  Google Scholar 

  • Yoshimasu, K., Barbaresi, W. J., Colligan, R. C., Voigt, R. G., Killian, J. M., Weaver, A. L., et al. (2012). Childhood ADHD is strongly associated with a broad range of psychiatric disorders during adolescence: A population-based birth cohort study. Journal of Child Psychology and Psychiatry, 53, 1036–1043.

    Article  PubMed  Google Scholar 

  • Zoghbi, H. (2003). Postnatal neuro developmental disorders: Meeting at the synapse? Science Signalling, 302, 826–830.

    Google Scholar 

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Acknowledgments

Based on a keynote lecture given at the First International Conference on Innovative Technologies and Autism Spectrum Disorders, held in Valencia, July 6–8, 2012.

Conflict of interest

Michael Rutter Chairs the ICD-11 working party dealing with child and adolescent psychopathology.

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Rutter, M. Changing Concepts and Findings on Autism. J Autism Dev Disord 43, 1749–1757 (2013). https://doi.org/10.1007/s10803-012-1713-7

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