I think the gold standard is a clinical diagnosis, that an astute clinician interacting with a child, interviewing the parents, talking with teachers makes the diagnosis based on some standard tests and also on clinical impression and skill.
Gerald FischbachAutism is a developmental disorder characterized by two main components: an inability to interact socially with other people with joint attention to understand other people's thoughts.
Gerald FischbachI think my own bias is that there may be something wrong with the timing and the connectivity between regions rather than pointing to one particular spot in the brain.
Gerald FischbachAutism reaches out in many different directions. It can be associated with language delays. It can be associated with epilepsy. It can be associated with some degree of intellectual disability, but the two core features of autism, I see, is impairments and social cognition, understanding and in restricted interests and repetitive behaviors.
Gerald FischbachAs the diagnosis of autism is increasing the diagnosis of mental retardation is decreasing. And more and more on the other end, the high end, more children who are just a little bit off, who ordinarily you would not single out now are being described as perhaps Aspergerโs syndrome or on the high end of the autism spectrum, so I donโt believe there is an epidemic.
Gerald FischbachThe brain immediately confronts us with its great complexity. The human brain weighs only three to four pounds but contains about 100 billion neurons. Although that extraordinary number is of the same order of magnitude as the number of stars in the Milky Way, it cannot account for the complexity of the brain. The liver probably contains 100 million cells, but 1,000 livers do not add up to a rich inner life.
Gerald Fischbach