1. Benson PR, Daley D, Karlof KL, Robison D. {{Assessing expressed emotion in mothers of children with autism: The Autism-Specific Five Minute Speech Sample}}. {Autism} (Jul 29)
Background: Expressed emotion (EE) is a measure of family emotional climate found to be predictive of symptom levels in a range of psychiatric, medical, and developmental disorders, including autism. Method: Employing data from 104 mothers of children with autism, this study examines the Autism-Specific Five Minute Speech Sample (AFMSS), a modified EE coding system based on the widely used Five Minute Speech Sample (Magana et al., 1986). Findings: With the exception of one EE component, emotional over-involvement, the revised coding system demonstrated adequate internal consistency and good to excellent inter-rater and code-recode reliability. It also demonstrated acceptable validity, based on its significant correlations with factors linked to EE in previous research. Regression analyses also indicated AFMSS-EE to be a significant predictor of child social competence, but not child problem behaviors. Discussion: While further testing is required, the AFMSS appears to be a useful method of assessing EE within the context of parenting children with autism and related disorders.
2. Gutman SA, Raphael EI, Ceder LM, Khan A, Timp KM, Salvant S. {{The Effect of a motor-based, social skills intervention for adolescents with high-functioning autism: two single-subject design cases}}. {Occup Ther Int} (Jul 29)
The purpose of this study was to assess the effect of a motor-based, social skills intervention for two adolescents with high-functioning autism (HFA) using single-subject design. A description of the intervention is provided as a first step in the manualization process. The intervention was provided as a 7-week after-school program, once weekly to the paired participants. Intervention consisted of role-play methods in which motor behaviours were linked with their cognitive and emotional meanings. Baseline, intervention and 3-month probe data collection periods were carried out and then compared using visual inspection of graphed data, paired t-tests and a three-standard-deviation-band approach. Both participants displayed a statistically significant increase in targeted social skills behaviours from baseline to intervention and maintained this level at a 3-month post-intervention probe. These single-subject design cases illustrate that motor-based, social skills interventions may be effective for adolescents with HFA and warrant further testing. Copyright (c) 2010 John Wiley & Sons, Ltd.
3. Hoglund Carlsson L, Gillberg C, Lannero E, Blennow M. {{Autism: Screening toddlers with CHAT in a child health care programme did not improve early identification}}. {Acta Paediatr} (Jul 28)
4. Lind S. {{Memory and the self in autism: A review and theoretical framework}}. {Autism} (Jul 29)
This article reviews research on (a) autobiographical episodic and semantic memory, (b) the self-reference effect, (c) memory for the actions of self versus other (the self-enactment effect), and (d) non-autobiographical episodic memory in autism spectrum disorder (ASD), and provides a theoretical framework to account for the bi-directional relationship between memory and the self in ASD. It is argued that individuals with ASD have diminished psychological self-knowledge (as a consequence of diagnostic social and communication impairments), alongside intact physical self-knowledge, resulting in an under-elaborated self-concept. Consequently, individuals with ASD show impaired autobiographical episodic memory and a reduced self-reference effect (which may each rely on psychological aspects of the self-concept) but do not show specific impairments in memory for their own rather than others’ actions (which may rely on physical aspects of the self-concept). However, it is also argued that memory impairments in ASD (e.g., in non-autobiographical episodic memory) may not be entirely accounted for in terms of self-related processes. Other factors, such as deficits in memory binding, may also play a role. Finally, it is argued that deficits in autobiographical episodic memory and future thinking may result in a diminished temporally extended self-concept in ASD.
5. Stark Z, Bruno DL, Mountford H, Lockhart PJ, Amor DJ. {{De novo 325 kb microdeletion in chromosome band 10q25.3 including ATRNL1 in a boy with cognitive impairment, autism and dysmorphic features}}. {Eur J Med Genet} (Jul 26)
We provide the first description of a patient with a heterozygous deletion of the Attractin-like (ATRNL1) gene. The patient presented with a novel and distinctive phenotype comprising dysmorphic facial appearance, ventricular septal defect, toe syndactyly, radioulnar synostosis, post-natal growth retardation, cognitive impairment with autistic features, and ataxia. A 325kb de novo deletion in ATRNL1 was demonstrated using SNP microarray and confirmed by FISH analysis using BAC probes. Sequence analysis of the undeleted allele did not identify any alterations, suggesting that the phenotype was the result of haploinusfficiency. ATRNL1 and its paralog ATRN are highly conserved transmembrane proteins thought to be involved in cell adhesion and signalling events. The phenotype of mice with homozygous Atrn mutations overlaps considerably with the features observed in our patient. We therefore postulate that our patient’s phenotype is caused by the deletion of ATRNL1, and provide further insight into the role of ATRNL1 in human development.
6. Walsh P. {{Asperger syndrome and the supposed obligation not to bring disabled lives into the world}}. {J Med Ethics} (Jul 31)
Asperger syndrome (AS) is an autistic spectrum condition that shares the range of social impairments associated with classic autism widely regarded as disabling, while also often giving rise to high levels of ability in areas such as maths, science, engineering and music. The nature of this striking duality of disability and ability is examined, along with its implications for our thinking about disability and the relevance of levels and kinds of disability to reproductive choices. In particular, it may be seen as posing a challenge to John Harris’s influential position in reproductive ethics relating to disability. The paper argues that if, as Harris maintains, there is a quite general moral obligation to avoid bringing disabled lives into the world regardless of the level of disability, then AS must be seen as having a strong claim to be exempt from such an obligation. However, a broader critique of Harris’s position leads to the conclusion that, in fact, this putative obligation does not exist.
