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In search of a better comprehension
of this disorder called Austim, we strongly recommend the reading of the
book "Autism - Explaining the Enigma", by Uta
Frith.
We have transcribed excerpts
from this book which we consider elucidative about that subject.
"Autism
is not a modern problem, even though it has only been recognized in
modern times. In view of the short history of psychiatry, and the even
shorter history of child psychiatry, we know that a disorder recently described
is not necessarily a recent disorder. An increase in diagnosed cases does
not necessarily means an increase in cases. (...)"
Page
16 of "Autism - Explaining the Enigma" (1989) by Uta
Frith.
"How
Autism was First Recognized
Any
treatment of the topic of childhood Autism must start with the pioneers
Leo Kaner and Hans Asperger who, independently of each other, first published
accounts of this disorder. These publications, Kannerss in 1943 and Aspergers
in 1944, contained detailed case descriptions and also offered the first
theoretical attempts to explain the disorder. Both authorities believed
that there was present from birth a fundamental disturbance which gave
rise to highly characteristic problems.
It
seems a remarkable coincidence that both choose the word autisticin order
to characterize the nature of the underlying disturbance. In fact, it is
not really a coincidence, since the label had already been introduced by
the eminent psychiatrist Eugen Bleuler in 1911. It originally referred
to a basic disturbance in schizophrenia (another term coined by Bleuler),
namely the narrowing of relationships to people and to the outside world,
a narrowing so extreme that it seemed to exclude everything except the
persons own self. This narrowing could be described as a withdrawal from
the fabric of social life into the self. Hence the words autistic and
autism, from the Greek word autos meaning self. Today they are applied
almost exclusively to the developmental disorder that we here call Autism,
with a capital A. I prefer to use the Autism rather than early infantile
autism or childhood autism, terms which imply some contrast to adult
autism, and may wrongly suggest that one can grow out of it.
Both
Kanner, working in Baltimore, and Asperger, working in Vienna, saw cases
of strange children who has in common some fascinating features. Above
all the children seemed to be unable to entertain normal affective relationships
with people. In contrast to Bleulers schizophrenia the disturbance appeared
to have been there from the beginning.
Kanners
paper has become the most quoted in the whole literatureon Autism, Aspergers
paper, written in German, and published during the Second World War, was
largely ignored. The belief has grown that Asperger described quite a different
type of child, not to be confused with the one Kanner described. This belief
has no basis, as we see when we look at the original papers. Aspergers
definition of Autism or, as he called it, autistic psychopathy is far
wider than Kanners.Asperger included cases that showed severeorganic damage
and those that shaded into normality. Nowadays, the label Aspergers syndrome
tends to be reserved for the rare intelligent and highly verbal, near-normal
autistic child.This is clearly not what Asperger intended, but having this
special category has proved clinically useful. Kanners syndromeis nowadays
often used to indicate the child with a constellation of classic, nuclear
features, resembling in astonishing detail features that Kanner identified
in his first,inspired description. Again, the category is clinically useful
since it communicates a prototypical pattern.(...)"
Pages
7 and 8 of "Autism - Explaining the Enigma" (1989) by Uta
Frith.
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