Savant syndrome and autism, I think, are not disorders of brain structure, but they're disorders of brain function.

We have to be careful that we don't keep multiplying disorders and diluting them. I think there is a difference. People talk about Asperger's as high-functioning autism, which I think it is. But it does have some of its own characteristics, like the preservation of language, particularly, which may be right brain dysfunction instead of left brain dysfunction, and we lose something in that, as things lose their specificity, and we keep diluting things. I'm not sure that's helpful.

Now I realize, and I acknowledge, that the right brain/left brain distinction is a tremendous oversimplification. We don't come neatly divided into right and left hemispheres, but the fact is that the two hemispheres of the brain do specialize in certain functions.

Savant syndrome, characteristically, consists of left hemisphere dysfunction coupled with right hemisphere emergence, and what you see in the savant are basically right brain skills.

When I met my first savant in 1962, I was impressed by the abilities in these youngsters who had severe disabilities. They appeared to me to be islands of genius in the sea of disability. So I've maintained that word picture since that time, of these islands of genius that are so striking and so jarring when you see them, especially in people who have severe disability.

Originally when we talked about language disorder it was a catastrophic language disorder. It's substantial, and from a treatment standpoint it's okay to keep diluting that term, but from a research standpoint we need to be much more precise. I wish somebody would take up the mantle of just that particular task.

When we come to research, if we want to find out the cause of autism, we're going to have to be much more specific, and that's why when it comes to research, I'm fairly strict with respect to criteria. When it comes to treatment, I'm much more open to not making that differentiation.