WISC-R subtest but no overall VIQ-PIQ difference in Dutch children with PDD-NOS

VIQ-PIQ differences have been studied in children with autism and Asperger syndrome but have not been studied in a separate group of children with PDD-NO, although, PDD-NOS has a much higher prevalence rate than autism and deficits in communication and social interaction are severe. The Wechsler Intelligence Scale for Children-Revised (WISC-R) was administered to 100 children, aged 6-12 years, with PDD-NOS (n = 76), autism (n = 13), and Asperger syndrome (n = 11). PDD-NOS was diagnosed using explicit research criteria. No overall differences between VIQ and PIQ were found in PDD-NOS and autism. Peaks in the subtest scores on Information, Similarities, Picture Arrangement, and Mazes, and troughs in the subtest scores on Comprehension, Digit Span, and Coding were demonstrated in children with PDD-NOS. Their score on the Freedom from Distractibility factor was lower than the scores on the Verbal Comprehension factor and the Perceptual Organization factor. Children with PDD-NOS seemed to have a similar VIQ-PIQ profile as children with autism, and on the subtest level children with PDD-NOS showed some similarities to children with Asperger syndrome or autism. It was not possible to distinguish PDD-NOS from autism or Asperger syndrome by using IQ scores.     

WISC-R Subtest But No Overall VIQ–PIQ Difference in Dutch Children with PDD-NOS

VIQ–PIQ differences have been studied in children with autism and Asperger syndrome but have not been studied in a separate group of children with PDD-NO, although, PDD-NOS has a much higher prevalence rate than autism and deficits in communication and social interaction are severe. The Wechsler Intelligence Scale for Children-Revised (WISC-R) was administered to 100 children, aged 6–12 years, with PDD-NOS (n = 76), autism (n = 13), and Asperger syndrome (n = 11). PDD-NOS was diagnosed using explicit research criteria. No overall differences between VIQ and PIQ were found in PDD-NOS and autism. Peaks in the subtest scores on Information, Similarities, Picture Arrangement, and Mazes, and troughs in the subtest scores on Comprehension, Digit Span, and Coding were demonstrated in children with PDD-NOS. Their score on the Freedom from Distractibility factor was lower than the scores on the Verbal Comprehension factor and the Perceptual Organization factor. Children with PDD-NOS seemed to have a similar VIQ–PIQ profile as children with autism, and on the subtest level children with PDD-NOS showed some similarities to children with Asperger syndrome or autism. It was not possible to distinguish PDD-NOS from autism or Asperger syndrome by using IQ scores.     

Teaching children with autism to mand for social information

We replicated Shillingsburg et al. (2018) by teaching children with autism to mand for social information while analyzing the variables influencing the emission of mands. We presented questions about a social partner that were known and observable (e.g., “What is Robin doing?”), known but unobservable (i.e., questions for which an intraverbal response had previously been taught, such as, “Where does Robin work?”), or unknown (e.g., “What is Robin's favorite food?”). Correct answers were reinforced across all conditions. During treatment, we prompted children to mand for information from the social partner following only unknown questions. All children acquired mands for social information and answered previously unknown questions correctly after manding for social information and 3 of 4 participants emitted mands to novel social partners, including a peer with autism.     

The non-specificity of theory of mind deficits: Evidence from children with communicative disabilities

The aim of the present paper was to investigate the performance on theory of mind tasks of four different clinical groups: children with deficits in attention, motor control and perception (DAMP), children with autism, children with Asperger syndrome, and non-vocal cerebral-palsied children. The children with DAMP performed on the same level as the comparison group on the first and second order theory of mind task. The children with autism and Asperger syndrome performed somewhat lower than the children with DAMP and the comparison group. However, in respect of the specifcity issue, only 6 out of 14 of the non-vocal participants successfully solved the first order theory of mind task, while 13 out of 14 children in a comparison group did. The children were matched for chronological age and IQ. The findings suggest that deficits in theory of mind are not specific to the autistic continuum, but can be found in other groups with communicative disabilities, implying that linguistic and communicative skills are important precursors in the development of theory of mind. The study also shows that severe dysfunction in attention, motor control, and perception is not associated with any theory of mind difficulties.     

Creative potential and the sociometric status of children

The social adaptation problems of highly creative children were first discussed by Torrance (1961a, 1961b), but there is still no clear consensus as to whether or not creative children suffer from social rejection. The social status of these children in classroom groups deserves attention because of the educational and developmental importance of sociometric position. The present study utilized a multivariate approach to sociometric status (exploratory principal‐components analysis). The principal components were subjected to cluster analysis, which produced a clear sociometric taxonomy, comprising “neglected,”; “popular,”; “academic,”; and “rejected”; groups. Most of the highly creative children were in the neglected group. Further exploration using path analysis demonstrated that the child's self‐perceived social distance from other group members represents an intervening variable which is related to creative potential and is negatively associated with popularity in classroom groups.     

The role of specific consequences in the maintenance of three types of questions

This research replicated and extended a study by Williams, Donley, and Keller (2000). In that study, children with autism received a box with an object inside and learned to ask “What's that?,” “Can I see it?,” and “Can I have it?” to have the name of the object, to see the object, and to get the object, respectively. The purpose of the present research was to determine if the three questions (a) were three independent repertoires of behavior, (b) constituted three instances of a single functional response class, or (c) belonged to a chain of behavior. The 3 boys with autism who participated responded independently to each question when the consequences for each question were altered. This indicates that the three target responses were three independent repertoires of behavior, each one reinforced and maintained with its specific consequences. Thus, this procedure serves to teach children with autism to ask questions with flexibility according to a variable context.     

Visual form-processing deficits in autism

People with autism have a number of reported deficits in object recognition and global processing. Is there a low-level spatial integration deficit associated with this? We measured spatial-form-coherence detection thresholds using a Glass stimulus in a field of random dots, and compared performance to a similar motion-coherence task. A coherent visual patch was depicted by dots separated by a rotational transformation in space (form) or space-time (motion). To measure parallel visual integration, stimuli were presented for only 250 ms. We compared detection thresholds for children with autism, children with Asperger syndrome, and a matched control group. Children with autism showed a significant form-coherence deficit and a significant motion-coherence deficit, while the performance of the children with Asperger syndrome did not differ significantly from that of controls on either task.     

Cognitive Behavioral Treatment of Comorbid Anxiety Disorders and Social Difficulties in Children with High-Functioning Autism: A Case Report

A substantial proportion of children with high-functioning autism (HFA) or Asperger syndrome (AS) have one or more comorbid anxiety disorders. Because anxiety disorders exacerbate the social difficulties and other functional impairments caused by an autism spectrum disorder (ASD), there is a need for efficacious treatments to address the clinical needs of youth with this comorbid presentation. This article describes an evidence-based cognitive behavioral therapy (CBT) treatment manual enhanced to address the unique characteristics and clinical needs of children with ASD. A case study is presented in which CBT was utilized in the successful treatment of an 11-year-old girl with HFA. The intervention was effective in reducing anxiety and improving social and adaptive functioning. These findings suggest that an enhanced CBT approach may be a viable intervention for children with comorbid HFA and anxiety disorders that should be further evaluated.     

Theory of Mind in Infants and Young Children: A Review

Theory of mind, or mindreading, refers to our uniquely human capacity to infer what is in other people's minds. Recent research suggests that “implicit” elements of this ability can be seen as early as the second year of life, in infants’ spontaneous helping, communicative, and eye‐gaze behaviours. More “explicit” verbally mediated mindreading skills emerge in the preschool period, and these are positively linked to social competence. Research with typically developing children as well as those with autism spectrum disorders suggests that exposure to conversation about mental states promotes theory of mind development.     

Self-esteem Among Ethnic Minorities and Three Principles of Self-esteem Formation: Turkish Children in The Netherlands

This study explores the importance of reflected appraisal, social comparison and self-attribution as sources of “academic” self-esteem among ethnic minority children. Turkish children in The Netherlands scored significantly lower on a standardized test of Dutch language command but did not have lower academic self-esteem in comparison with Dutch classmates. Self-attributed performance was the only important source of self-esteem among the Dutch. It was also an important source among the Turkish children in addition, however, to the perceived appraisal of Dutch classmates. These results indicate that to understand the level of self-esteem among different groups it seems necessary to concentrate on the processes of self-esteem formation and the way they operate in these groups. It is suggested that minority position and culture can affect the importance attached to different sources of self-esteem.     

Do individuals with autism and Asperger’s syndrome utilize prior knowledge when pairing stimuli?

While several studies suggest that individuals with autism use prior knowledge appropriately, others have found that this may be a particular area of weakness. The aim of the current study was to investigate whether individuals with autism and Asperger’s syndrome utilize prior knowledge when pairing objects with colours. Participants were presented with cards illustrating common objects and asked to pair them with one of two colour patches. Some target objects were coloured inappropriately (e.g. blue banana), allowing a participant to pair it either with blue or yellow. Results indicated that a majority of participants chose the associated in preference to the surface colour. This suggests that prior knowledge governed pairing in many individuals with autism and Asperger’s syndrome as it did in comparison groups, except in typically developing children aged 5 years. However, those with autism and moderate learning difficulties were less affected by prior knowledge than some of the other groups.     

Subgroups of autistic children based on social behavior display distinct patterns of brain activity

Two questions were addressed in the present study: (1) Do autistic and normally developing children exhibit regionally specific differences in electroencephalographic (EEG) activity? (2) Do subgroups of autistic children classified according to Wing and Gould's (1979) system which emphasizes degree of social impairment exhibit distinct patterns of EEG activity? Twenty-eight children with autism (5 to 18 years of age) and two groups of normally developing children (one matched on chronological age and the other on receptive language level) participated. EEG was recorded from left and right frontal, temporal, and parietal regions during an alert baseline condition. Compared to normally developing children, autistic children exhibited reduced EEG power in the frontal and temporal regions, but not in the parietal region. Differences were more prominent in the left than the right hemisphere. Furthermore, subgroups of autistic children based on Wing and Gould's system displayed distinct patterns of brain activity. Compared to autistic children classified as “active-but-odd,” “passive” autistic children displayed reduced alpha EEG power in the frontal region.     

Teaching children with autism to ask questions about hidden objects

We taught 2 4‐year‐old children with autism to ask questions of an adult who held a closed box with a toy inside. The treatment package (modeling, prompting, and reinforcement) was evaluated with a multiple baseline design across the three question forms during training, generalization, and follow‐up evaluations. The first question form (“What's that?”) produced the name of the hidden item. The second form (“Can I see it?”) produced sight of it, and the third form (“Can I have it?”) produced the item itself. Both children learned to ask questions about hidden objects.     

Attitudes Toward Autism Spectrum Disorders Among Students of Allied Health Professions

The prevalence of autism has increased dramatically. The objectives of this study were to explore attitudes toward prenatal diagnosis to detect autism prenatally and avoid having an affected child and to understand social acceptability of these disorders among students of allied health professions. In this study, college students of nursing and health systems management answered a structured self-report questionnaire (n?=?305). The first part addressed the respondent’s personal data. The second part targeted the respondent’s attitudes toward prenatal diagnosis of non-life-threatening disorders, including autism spectrum disorders. We found that almost two thirds of the students responded that they would not proceed with a pregnancy if the child were diagnosed with autism, and more than half thought that they would not continue with a pregnancy if the fetus were diagnosed with Asperger’s. Age, level of religiosity, and years of education were influential. This study is limited in scope; however, the positive attitude of the students toward prenatal diagnosis to avoid having an affected child might also reflect a negative view of autism spectrum disorders in future health care professionals. Further research of attitudes and the social acceptability of autism spectrum disorders, particularly among health care professionals, is required.     

自闭症儿童能否痊愈?——来自谱系个体“最佳结果”及剩余缺陷研究的证据分析

自闭症谱系障碍预后效果不佳, 通常被认为是一种伴随终生的疾病。不过随着研究的拓展和深入, 部分早期被诊断为自闭症的儿童, 随着年龄增长和相关干预措施的介入, 其认知、适应性等方面均可达到正常发展水平, 并且不再符合自闭症的诊断标准, 即达到了“最佳结果”。但多数个体仍然存在不同程度的剩余缺陷。本文以自闭症预后结果评定和“最佳结果”定义演变为切入点, 分析“最佳结果”个体剩余缺陷的具体表现, 并梳理此类群体的个体特征与结果预测因素, 以期能为自闭症个体的系统干预提供有效依据。     

Effects of textual prompts and feedback on social niceties of adolescents with autism spectrum disorder in a simulated workplace

Previous research demonstrates the efficacy of behavioral skills training with a textual prompt to establish greetings and conversational skills. This study examined the efficacy of a brief intervention of textual prompts with performance feedback for increasing social niceties of adolescents and young adults with autism spectrum disorder in a simulated workplace. Target social niceties included “Do you have a minute?” when a participant initiated an interaction and “Thank you for your time” when a participant ended the interaction. Results revealed this intervention was effective for 7 of 9 participants. This study expands upon previous studies by showing the efficacy of a resource-efficient training on acquisition and generalization of social niceties by people with autism spectrum disorder.     

A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children

ABSTRACT

Background: It has been widely suggested that over 80% of transgender children will come to identify as cisgender (i.e., desist) as they mature, with the assumption that for this 80%, the trans identity was a temporary “phase.” This statistic is used as the scientific rationale for discouraging social transition for pre-pubertal children. This article is a critical commentary on the limitations of this research and a caution against using these studies to develop care recommendations for gender-nonconforming children.

Methods: A critical review methodology is employed to systematically interpret four frequently-cited studies that sought to document identity outcomes for gender-nonconforming children (often referred to as “desistance” research).

Results: Methodological, theoretical, ethical, and interpretive concerns regarding four “desistance” studies are presented. The authors clarify the historical and clinical contexts within which these studies were conducted to deconstruct assumptions in interpretations of the results. The discussion makes distinctions between the specific evidence provided by these studies versus the assumptions that have shaped recommendations for care. The affirmative model is presented as a way to move away from the question of, “How should children's gender identities develop over time?” toward a more useful question: “How should children best be supported as their gender identity develops?”

Conclusion: The tethering of childhood gender diversity to the framework of “desistance” or “persistence” has stifled advancements in our understanding of children's gender in all its complexity. These follow-up studies fall short in helping us understand what children need. As work begins on the 8th version of the Standards of Care by the World Professional Association for Transgender Health, we call for a more inclusive conceptual framework that takes children's voices seriously. Listening to children's experiences will enable a more comprehensive understanding of the needs of gender-nonconforming children and provide guidance to scientific and lay communities.