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A Follow-Up Study of Autistic and Autistic-Like Children
Autism is a lifelong handicapping disorder that occurs on a continuum of severity. Children who show mild autistic behaviors but do not meet the criteria for a diagnosis of autism are often called autistic-like, but it is not known if their development and functioning are similar to that of autistic children. A follow-up study was done on 35 autistic and autistic-like children who were an average of 3 years of age when initially seen. Initial test scores indicated that the children were similar on measures of intellectual/developmental functioning, receptive vocabulary, and adaptive functioning. Approximately 4 years later they were evaluated again. Using the Childhood Autism Rating Scale, the children were divided at follow-up into three groups: nonautistic, mildly/moderately autistic, and severely autistic. Most children made gains on intelligence tests and displayed a diminishing number of autistic symptoms. Changes in nonverbal intelligence, adaptive functioning and receptive vocabulary scores depended on group membership. The results are discussed in relation to the reported stability of cognitive functioning in young autistic children and the implications for clinical practice, early intervention, and research on attachment. The nature of the syndrome of autism is also discussed, particularly in its relation to the milder, atypical children. The superior follow-up status of the autistic-like as compared to the autistic children raises serious questions about including the two groups in the same syndrome.
Hypothesis Testing Behaviors of Children with Attention-Deficit Hyperactivity Disorder
The hypothesis testing behaviors of 50 boys with Attention-Deficit Hyperactivity Disorder (ADHD) were compared to those of 50 boys without ADHD. The two groups were randomly assigned to one of two feedback conditions: a) boys in the "instruction and rule" condition learned additional strategies to aid their performance on the Wisconsin Card Sorting Test (WCST); b) children in the "verbal only" condition learned no additional strategies. There were no significant group or condition differences between the boys on the primary dependent measures used. The results from the WCST were also evaluated according to five aspects of problem solving: (a) selective attention, (b) stimulus differentiation, (c) response generation, (d) response execution, and (e) responding appropriately to feedback. The study showed a tendency for the children with ADHD to respond according to a position or hypothesis set. Similarly, children in the "verbal only" condition tended to respond to feedback less appropriately than did children in the instruction and rule condition. These tendencies however, did not differentiate between the boys with ADHD and boys without ADHD.
Siblings of Autistic Children: a Supportive Intervention Program Assessing Self-Report and Parent Measures of Coping
This research project was designed to demonstrate the usefulness of a supportive intervention program for 17 nine to 14 year old siblings of autistic children. Current clinical practice has begun most recently to include the siblings of handicapped children in treatment services as a preventive measure to help maximize families' coping abilities and to increase the chances that they will be strengthened by their unique circumstances. Although research evidence suggests that most siblings are not at risk for serious psychopathology, it seems reasonable to assume that few remain unaffected by living with a handicapped brother or sister. Siblings report that they have increased responsibilities, many unanswered questions, and parents who typically are caught up in the stresses of caring for a handicapped child and have limited time to attend to their needs. It was hypothesized that an intervention program providing information about the handicapping condition, autism, and offering support through participation in a discussion group with other siblings of autistic children would effect improved coping in the participants. Three time-limited interventions (information plus support, information plus activity, and activity control) were compared under controlled conditions. Sibling coping was measured by a) a battery of self-report and parent ratings of behavior and attitudes, b) clinical observations, and c) sibling and parent anecdotal accounts. Descriptive behavioral and attitudinal data on the total sibling sample indicated more deviant individual profiles than would be expected in the normal population. Consistent with previous research and clinical practice with this subject population, children who were identified with problems were those generally thought to be at greatest risk such as older female and younger male siblings who have assumed extensive caretaking responsibilities for the autistic child. Specific group changes following intervention were confounded by individual subject reactions to the various procedures. Qualitative aspects of the siblings' participation …
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