Recent data suggest that a disturbance in the development of joint attention skills is a specific characteristic of young autistic children. This observation may have both theoretical and clinical significance. However, many pertinent issues remain to be addressed with regard to the parameters of joint attention disturbance in children with autism. This study attempted to address several of these issues. The study examines the effects of mental age and IQ on the joint attention skills of children with autism, mental retardation, and normal development. The study also examined the relation of joint attention behaviors to the parent's report of symptoms presented by children with autism. The results suggested that, differences in IQ and mental age may be related to differences in the type of joint attention skill deficits displayed by children with autism. The results also suggested that joint attention disturbance is associated with a circumscribed, but social cluster of symptoms observed among young autistic children by their parents. The implications of these findings for developmental models of autism are discussed.

Several authors have recently suggested that imitation may be a developmental “precursor” of a theory of mind and have linked impaired imitation in children with autism to their failure to develop a theory of mind. The present study investigated early-emerging procedural and gestural imitation abilities in children with autism. Children with autism were found to have intact basic-level gestural and procedural imitation. We discuss these results in terms of their relation to a specific developmental delay hypothesis of autism and re-assess the status of imitation as a developmental precursor of a theory of mind.

Both executive function and theory of mind impairment have been suggested as primary deficits of autism. One test of the primacy of a deficit is its persistence and stability throughout development. This longitudinal study examined development of executive function and theory of mind abilities over a 3-year time period, comparing nonretarded autistic adolescents with learning-disabled controls matched on age, IQ, gender, and socioeconomic status (SES). Results indicate that both executive function and theory of mind abilities are seriously deficient in autistic individuals, improve little with development, may never reach normal functioning levels, and appear to eventually hit a developmental ceiling. Developmental variables showed little relationship to overall task performance or improvement in either cognitive domain. The similar developmental trajectories of executive function and theory of mind performance found in this investigation suggest that these skills may be related and interdependent, rather than independent modules of cognitive function. Implications for the neurological basis of autism and intervention are also discussed.

This study examined elicited (posed) affective expressions in children, adolescents, and young adults with autism (N = 18) or Down's syndrome (N = 24). Subjects were asked to (a) imitate five modeled expressions (Imitation task) and (b) produce five labeled expressions (Expression task). Subjects with autism produced recognizable expressions in both tasks, but they produced fewer than did subjects with Down's syndrome when target emotions were labeled but not modeled (Expression). Imitation and Expression tasks were equally difficult for subjects with autism, but subjects with Down's syndrome performed better in Expression than in Imitation. In both tasks, the responses of subjects with autism contained many unusual behaviors, such as bizarre expressions and those that looked “mechanical.” Results suggest that producing elicited affective expressions is more difficult for persons with autism than for persons with Down's syndrome of similar chronological age, mental age, and IQ.

Although spanking of children is almost universal in U.S. society, its effects are not well understood. We examined the longitudinal relation between parental spanking and other physical punishment of preschool children and children's aggressive behavior toward peers later in kindergarten. A total of 273 boys and girls from diverse backgrounds served as subjects. The findings were consistent with a socialization model in which higher levels of severity in parental punishment practices are associated with higher levels of children's subsequent aggression toward peers. Findings indicated that children who had been spanked evidenced levels of aggression that were higher than those who had not been spanked, and children who had been the objects of violent discipline became the most aggressive of all groups. Patterns were qualified by the sexes of the parent and child and subtypes of child aggression (reactive, bullying, and instrumental). The findings suggest that in spite of parents' goals, spanking fails to promote prosocial development and, instead, is associated with higher rates of aggression toward peers.

This article is about the course of depressive symptoms during a classroom-based randomized preventive field trial aimed at improving reading achievement among first-grade children in an urban population of mixed ethnicity and lower middle to low socioeconomic status. In the fall, children reported high levels of depressive symptoms, a risk factor for major depressive disorder. There was a linear relationship in the fall between depressive symptoms and achievement test scores. Among male children in intervention classrooms whose gain in achievement was at least the national average, depression from fall to spring was decreased, compared to those whose achievement gain was lower. Among female children both in the control and in the intervention classrooms, there was also a significant relationship between gain in achievement and the course of depression.

The purpose of the present study was to compare the depression profile of four subtypes of peer-rejected children and a group of neglected children to a normative sample and evaluate whether or not these subgroups showed distinctive patterns. A total of 140 children were selected on the basis of peer status and peer assessment of social behavior. Depressed mood was evaluated by self-reports and peer assessments. As expected, withdrawn-rejected children expressed stronger feelings of depression, both generally (i.e., higher Child Depression Inventory [CDI] scores) and specifically (i.e., energy/interest), as well as more loneliness and social dissatisfaction than the normative group. They were also seen by their peers as being sadder. The aggressive-withdrawn-rejected children displayed results that were very similar to those of withdrawn-rejected children. They manifested stronger feelings of depression both generally (i.e., higher CDI scores) and specifically (i.e., mood/affect) and expressed more loneliness and social dissatisfaction than the normative group. They were also nominated more often as getting their feelings hurt easily and as being usually sad. Contrary to expectations, aggressive-rejected children were also found to differ from the normative children but only on a general index of depression, not on the more specific measures nor on loneliness and social dissatisfaction. Also, they did not differ from the normative sample on the peer assessment items. The neglected children did not differ from the normative sample on any of the self-report or peer assessment measures. The results concerning withdrawn-rejected and aggressive-withdrawn-rejected children suggest that peer rejection could play a mediating role with respect to feelings of distress and confirm that these children are at risk for internalizing problems. The pattern of results for aggressive-rejected children suggests that peer rejection may not play such a role.

Based on findings that, like schizophrenic children, children with complex partial seizure disorder have illogical thinking, this study examined whether or not these same epileptic subjects had other thought processing impairments found in schizophrenic children. Compared to normal children (N = 38), both the epileptic (N = 27) and schizophrenic children (N = 31) underutilized discourse (cohesive) devices that make speech coherent. The severity of the discourse deficits and formal thought disorder of the schizophrenic children was associated with age, but not with IQ scores. Age, IQ, and seizure-related, not behavioral variables, were associated, however, with the severity of the discourse deficits of the epileptic subjects. The study' findings suggest that measures of impaired thought processing and communication in schizophrenic children could be a model to study the developmental impact of complex partial seizure disorder in middle childhood. The clinical implications of the study's findings are discussed.

This study examined the relationship of psychiatric diagnoses to gender, IQ, and ego development level in an inpatient sample of 269 adolescents. It was found that adolescents with an affective disorder diagnosis, in contrast to those with a diagnosis of conduct or mixed affective-conduct disorder, were more likely to (a) be female, (b) have higher IQ scores, and (c) have higher ego development levels. No significant age differences were found between groups. Comparisons between the single diagnosis and mixed disorder groups indicated that the mixed disorder group is characterized by the most severe symptoms found in each of the pure affective and conduct disordered groups. A relationship between type of DSM-III diagnosis and ego development level in adolescence was demonstrated after controlling for the effects of age, gender, and IQ. These results are offered as an explication of the developmental dimensions inherent in DSM-III psychiatric diagnoses.