Chapter One
Introduction: autism the challenges
ahead
Michael Rutter
Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry,
De Crespigny Park, Denmark Hill, London SE5 8AF, UK
There have been many important advances in research into the nature of autism
and, as a result, our concepts of autism have undergone a radical change (Rutter
1999). At one time, the prevailing view was that autism was an unusually early
variety of schizophrenia that had been caused, in large part, by so called
refrigerator parenting. It became clear that that was a wholly mistaken concept
and that, instead, autism constitutes a neurodevelopmental disorder with a rather
distinctive pattern of cognitive deficits, and that it is strongly genetically
influenced.
Nevertheless, we are a long way from understanding the basic pathophysiology,
and numerous puzzles and paradoxes remain. The aim of this symposium is to
grapple with these issues, tackling the challenges from a range of differ ...
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