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Australian and New Zealand Journal of
Psychiatry
Volume 36 Issue 6 Page 762 - December 2002 |
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| A clinical and
neurobehavioural review of high-functioning autism and Asperger's
disorder |
| Nicole J. Rinehart, John
L. Bradshaw, Avril V. Brereton, Bruce J. Tonge |
| Objective: To compare,
contrast and review clinical and neuropsychological studies of
high-functioning autism and Asperger's disorder. Method: This
paper reviews past and contemporary conceptualizations of autism and
Asperger's disorder, together with epidemiological information,
genetic and neurobehavioural findings. This paper focuses on
neurobehavioural studies, in particular, executive functioning,
lateralization, visual-perceptual and motor processing, which have
provided an important source of information about the potential
neurobiological dissociation that may exist between autism and
Asperger's disorder.
Results: The clinical profiles of autism and Asperger's
disorder contain a mixture of psychiatric and neurological symptoms:
for example, movement abnormalities (i.e. stereotyped behaviours, hand
flapping, toe walking, whole-body movements), atypical processing of
parts and wholes, verbal and non-verbal deficits,
ritualistic/compulsive behaviour, disturbances in reciprocal social
interaction and associated depression and anxiety. The considerable
clinical overlap between autism and Asperger's disorder has led many
to question whether Asperger's disorder is merely a mild form of
autism, or whether it should be considered as a separate clinical
entity.
Conclusion: In light of the growing body of epidemiological
information, genetic, and neurobehavioural evidence that distinguishes
autism from Asperger's disorder, it is premature to rule out the
possibility that these disorders may be clinically, and possibly
neurobiologically separate. |
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Correspondence |
Nicole J. Rinehart, Lecturer and Research
Fellow (Correspondence); Avril V. Brereton, Research Officer; Bruce J.
Tonge, Professor and Head
School of Psychology, Psychiatry, and Psychological Medicine,
Monash University, PO Box 197, Caulfield East, 3145, Victoria,
Australia. Email:.
nicole.rinehart@med.monash.edu.au
John L. Bradshaw, Professor
Neuropsychology Research Unit, Monash University, Melbourne,
Australia |
To cite this article
Rinehart, Nicole J., Bradshaw, John L.,
Brereton, Avril V. & Tonge, Bruce J.
A clinical and neurobehavioural review of high-functioning autism and
Asperger's disorder.
Australian and New Zealand Journal of Psychiatry 36 (6), 762-770.
doi: 10.1046/
j.1440-1614.2002.01097.x |
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