I think one of the problems with the definition of autism is we keep expanding it. It started as "early infantile autism", and then it became "autism", and now it's "autism spectrum disorder". I'm not opposed to that from the standpoint of trying to broaden our vistas, and so forth. But from a research point of view, the term autism is lost in specificity.

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.

There is such a thing as genius, and these are people who do not have a formal disability, DSM-IV-type. They may have liberal eccentricities or quirks in their personality, but they don't rise to the level of a disability.

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.

I think one of the problems with the definition of autism is we keep expanding it. It started as "early infantile autism", and then it became "autism", and now it's "autism spectrum disorder". I'm not opposed to that from the standpoint of trying to broaden our vistas, and so forth. But from a research point of view, the term autism is lost in specificity.

There are people at the extremes who aren't able to do anything musically, and then others sort of fall in the middle. And the same thing with math, and the same thing with art. You'll find people who are geniuses, or prodigies at the far end of the bell shaped curve, and I think you will find some of the acquired savants in that category who happened to have been endowed with that kind of talent, which explains why not everyone becomes an acquired savant.

There are some cases that have come to my attention where there's been a head injury, or getting struck by lightning and surviving, with really no disability or residual. So there are cases that I'm aware of where there's been some incident which triggered the acquired savant ability, but is not associated with long term disability, so that can occur. But I think that's probably the exception rather than the rule in that I think many of the acquired savants do end up with some residual disability.