Autism: Understanding the Complex Issues with Diagnosis - Part II

Although some medical scientists agreed upon the(regarded separately from intellectual development);
new features discovered and explained by Kanner,- Poor adaptation skills, stereotype behaviors and
others didn't accept his ideas, claiming that autisminsistence on routine.
couldn't be separated from other neurologicalWhile Kanner claimed that autism and intellectual
disorders. Many medical scientists disagreed withretardation should be regarded as two separate,
Kanner and completely refused to see autism as adistinctive units, Rutter revealed that the concept of
distinctive syndrome. This was due to the fact thatautism included some degree of intellectual
Kanner failed to clarify various aspects of autism,retardation. Rutter refused to accept that autism
leaving serious gaps in his research.should be diagnosed without measuring the levels of
By contrast, scientists who accepted Kanner's ideasperformance intelligence and proved that Kanner's
quickly began to apply his model of diagnosis in theirsyndrome and impaired cognitive functions went hand
psychiatric practice. However, considering the factin hand. While this fact may seem controversial and
that Kanner's concept of autism was confusing, mostcontradictory to Kanner's findings, the truth is that
medical scientists who adopted his theories appliedthe Austrian scientist failed to correctly measure the
the model of diagnosis too widely. Due toIQ levels of the subjects he studied. In fact, Kanner
misinterpretation of Kanner's ideas, more and moreonly discovered good memory and logical skills in his
people who suffered from neurological disorderssubjects, not accounting for other aspects of
were inappropriately diagnosed with autism.performance intelligence. Rutter explained that in spite
The concept of autism was finally clarified by Rutterof their good memory and good logical skills, most
in the late 70's. Rutter introduced new terminologiesautistics present some degree of impaired mental
and developed new theories that would adjust thejudgment.    
overall interpretation of autism. In an attempt toRutter's work had clarified many aspects of autism,
eliminate the confusion that surrounded the conceptenabling medical scientists to diagnose the syndrome
of autism, Rutter focused his work on improvingin a more precise and approachable manner. Rutter's
Kanner's model of diagnosis. Some of the new criteriaimproved model of diagnosis was a huge step
introduced by Rutter in the process of diagnosingforward in the practice of psychiatry, clarifying
autism were:certain aspects omitted by his predecessors.
- Onset of the syndrome in early childhood, by theAlthough there are still many uncertain aspects
age of 30 months;regarding the syndrome identified by Kanner,
- Abnormal social development (regarded separatelynowadays medical scientists are able to correctly
from intellectual development);diagnose children with autism.
- Slow and impaired development of speech