History
In 1943 Leo Kanner at Johns Hopkins described 11 children who focused on objects rather than people and insisted on sameness. He called the condition "early infantile autism." A year later Hans Asperger in Vienna described children with intact language and intelligence but awkward social skills. In the 1960s the "refrigerator mother" theory blamed cold parenting, until a 1977 twin study showed strong heritability. DSM-5 merged autistic disorder, Asperger's disorder, and related diagnoses into a single spectrum in 2013.
Diagnosis and early signs
Diagnosis looks at two domains. The first is social communication: difficulty with eye contact, gestures, back-and-forth conversation, and peer relationships. The second is restricted, repetitive behavior: repeated movements, strong resistance to changes in routine, intense focused interests, and over- or under-reactivity to sound or touch. Talk to a pediatrician if a 12–18-month-old rarely responds to their name, doesn't point, or isn't babbling. A language delay alone doesn't mean autism.
Causes and support
Twin studies put heritability at about 80%. Hundreds of genes are involved, along with factors such as older parental age and preterm birth. Autism can also accompany single-gene conditions like fragile X syndrome. Andrew Wakefield's 1998 claim linking the MMR vaccine to autism was retracted as fraudulent, and large studies have found no link. There is no cure, but early intervention improves communication and daily functioning. Options include applied behavior analysis (ABA) and speech and occupational therapy. The neurodiversity movement emphasizes respecting autistic differences.
FAQ
- Do vaccines cause autism?
- No. The 1998 paper was fraudulent and retracted; studies of millions of children found no link.
- Is Asperger's still a diagnosis?
- Since DSM-5 it is part of autism spectrum disorder rather than a separate diagnosis.
Sources reviewed: 2026-10-26
References
- American Psychiatric Association. (2022). DSM-5-TR.
- Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.
- Maenner, M. J., et al. (2023). Prevalence of autism spectrum disorder among children aged 8 years. MMWR Surveillance Summaries, 72(2).
