Autism – an evolving concept

Berney, T. P.

doi:10.1192/bjp.176.1.20

Cited by 82Autism Spectrum Disorder ResearchGenetics and Neurodevelopmental DisordersChild Nutrition and Feeding Issues

Autism – an evolving concept

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Berney, T. P.·2000·British Journal of Psychiatry

DOI 10.1192/bjp.176.1.20

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Abstract

Background: The rapid increase in research endeavour has not kept pace with the advent of well-publicised theories and treatments for autism. Aims: To explore some of the newer developments in biological research into autism. Method: A review of recent publications and presentations. Results: The concept is shifting from the narrow perception of aloof autism, described by Kanner, to a wider one that includes a spectrum extending to a broader, subclinical phenotype. The genetic basis has been established; now we need to discover the location and interaction of the relevant sites. There is considerable interest in the bowel as a pathogenetic agent, particularly in the effects of exogenous opioids and multiple viral infection (the latter posing a public health problem). Also of concern is the role of (potentially treatable) epilepsy, analogous to the Laudau-Kleffner syndrome. Conclusions: In the absence of a cure, the implementation of ideas will continue to outstrip factual evidence. Clinicians are challenged by the availability of information (and misinformation), particularly on the internet.

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At times of stress, individuals with autism may present with transient psychotic-like symptoms such as anxiety, thought disorder and persecutory ideas.
“At times of stress, individuals with autism may also present with transient psychoticlike symptoms such as anxiety, thought disorder and persecutory ideas, particularly if they are asked to stop an activity that they are engaged in or asked to begin a new activity (Berney 2000).”
From Interventions for challenging behaviour in intellectual disability (2014) · cites this paper as Berney 2000
The Differential Diagnosis section says psychotic symptoms in people with autism may occur transiently as part of an adjustment reaction, supporting the central point. It does not specify anxiety, thought disorder or persecutory ideas, or say that being asked to stop or start an activity is a particular trigger. (LLM, conf=0.86)
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Authors: Berney, T. P.
Affiliations: Prudhoe Hospital (GB)
Corresponding author: Berney, T. P.
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2000-01
Volume: 176
Issue: 1
Pages: 20-25
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.176.1.20
OpenAlex: W2102518297
Cited by: 82
References: 75
Citations by year: 2026: 2 · 2024: 1 · 2022: 2 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 2
FWCI: 0.64
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 6576 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: autism spectrum disorder, autism genetics, gut microbiota, gastrointestinal dysfunction, exogenous opioids, multiple viral infections, epilepsy, autism treatment
MeSH terms: Autistic Disorder, Diagnosis, Differential, Epilepsy, Humans, Schizophrenia, Comorbidity

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