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Phenomenology and classification of the childhood psychoses

Published online by Cambridge University Press:  09 July 2009

Fred R. Volkmar*
Affiliation:
Child Study Center, Yale University, New Haven, Connecticut, USA, Fukushima Medical College, Fukushima, Japan
Donald J. Cohen
Affiliation:
Child Study Center, Yale University, New Haven, Connecticut, USA, Fukushima Medical College, Fukushima, Japan
Yoshihiko Hoshino
Affiliation:
Child Study Center, Yale University, New Haven, Connecticut, USA, Fukushima Medical College, Fukushima, Japan
Richard D. Rende
Affiliation:
Child Study Center, Yale University, New Haven, Connecticut, USA, Fukushima Medical College, Fukushima, Japan
Rhea Paul
Affiliation:
Child Study Center, Yale University, New Haven, Connecticut, USA, Fukushima Medical College, Fukushima, Japan
*
11Address for correspondence: Dr F. R. Volkmar, Child Study Center, PO Box 3333, New Haven, CT 06510, USA.

Synopsis

Two hundred and twenty-eight cases of children with final clinical diagnoses of childhood psychosis were reviewed using a standard coding scheme; cases were grouped in three broad categories on the basis of clinical diagnosis (autistic, atypical and schizophreniform). These three groups differed significantly in many respects, although the ‘atypical’ group more closely resembled the autistic group. While it was possible meaningfully to differentiate diagnostic groups using DSM-III criteria, some cases were difficult to classify. Childhood schizophrenia, as strictly defined, was far less common than childhood autism. The development of diagnostic schemes for those children whose disorders are difficult to classify is an important topic for future research.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1988

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References

American Psychiatric Association, (1980). Diagnostic and Statistical Manual DSM-III, 3rd edn. APA: Washington, D.C.Google Scholar
Brown, J. (1960). Prognosis from presenting symptoms of preschool children with atypical development. American Journal of Orthopsychiatry 30, 382390.CrossRefGoogle ScholarPubMed
Cantor, S., Evans, J. & Pezzot-Pearce, P. (1982) Childhood schizophrenia: present but not accounted for. American Journal of Psychiatry 139, 758762.Google Scholar
Chess, S., Fernandez, P. & Korn, S. (1974). Behavioral consequences of congenital rubella. Journal of Pediatrics 93, 699712CrossRefGoogle Scholar
Cicchetti, D. V. & Sparrow, S. S. (1981). Developing criteria for establishing the interrater reliability of specific items in a given inventory. American Journal of Mental Deficiency 86, 127137Google Scholar
Cohen, D. J., Caparulo, B. & Shaywitz, B. (1978) Neurochemical and developmental models of childhood autism. In Cognitive Defects in the Development of Mental Illness (ed. Serban, G.), pp. 66100, Brunner/Mazel New York.Google Scholar
Cohen, D. J., Volkmar, F. R. & Paul, R., (1986 a). Issues in the classification of pervasive developmental disorders and associated conditions: history and current status of nosology. Journal of the American Academy of Child Psychiatry 25, 158161.CrossRefGoogle Scholar
Cohen, D. J., Paul, R. & Volkmar, F. R. (1986 b). Issues in the classification of Pervasive Developmental Disorders and associated conditions: towards DSM-IV. Journal of the American Academy of Child Psychiatry 25, 213220.CrossRefGoogle Scholar
Dahl, K., Cohen, D. J. & Provence, S. (1986). Developmental disorders evaluated in early childhood: clinical and multivariate approaches to nosology of PDD. Journal of the American Academy of Child Psychiatry 25, 170180.CrossRefGoogle Scholar
Fein, D., Pennington, B., Markowtix, P., Braverman, M. & Waterhouse, L. (1986). Towards a neuropsychological model of infantile autism: are the social deficits primary? Journal of the American Academy of Child Psychiatry 25, 198212.CrossRefGoogle Scholar
Fish, B. (1986) Antecedents of an acute schizophrenic break. Journal of the American Academy of Child Psychiatry 25, 595600.CrossRefGoogle ScholarPubMed
Fish, B. & Ritvo, E (1979). Psychoses of childhood. In Basic Handbook of Child Psychiatry (ed. Noshpitz, J.), pp 249304. Basic Books: New York.Google Scholar
Fleiss, J L. (1981). Statistical Methods for Rates and Proportions. Wiley: New York.Google Scholar
Green, W H., Campbell, M., Hardesty, A. S., Grega, D. M., Padron-Gayol, M., Shell, J. & Erelenmeyere-Kimling, L. (1984) A comparison of schizophrenic and autistic children. Journal of the American Academy of Child Psychiatry 23, 399409.CrossRefGoogle ScholarPubMed
Hollingshead, A. B. (1957). Two Factor Index of Social Position. Privately printed: New Haven CT.Google Scholar
Kanner, L (1943). Autistic disturbances of affective contact. Nervous Child 2, 217250.Google Scholar
Kolvin, I. (1971). Studies in the childhood psychoses. I. Diagnostic criteria and classification. British Journal of Psychiatry 118, 381384.CrossRefGoogle ScholarPubMed
Kolvin, I., Ounsted, C., Humphrey, M. & McNay, A. (1971 a). Studies in the childhood psychoses. II. The phenomenology of childhood psychoses. British Journal of Psychiatry 118, 385395.CrossRefGoogle ScholarPubMed
Kolvin, I., Ounsted, C., Richardson, L. M. & Garside, R. F. (1971 b). Studies in the childhood psychoses. III. The family and social background in childhood psychoses. British Journal of Psychiatry 118, 396402.CrossRefGoogle Scholar
Kolvin, I, Ounsted, C. & Roth, M. (1971 c) Cerebral dysfunction and childhood psychoses. British Journal of Psychiatry 118, 407413.CrossRefGoogle ScholarPubMed
Makita, K. (1966). The age of onset of childhood schizophrenia. Folia Psychiatrica Neurological Japonica 20, 111121.Google ScholarPubMed
Petty, K. K., Ornitz, E. M., Michelman, J. D. & Zimmerman, E. G. (1984). Autistic children who become schizophrenic. Archives of General Psychiatry 41, 129135.CrossRefGoogle ScholarPubMed
Rank, B. (1949). Adaptation of the psychoanalytic technique for the treatment of young children with atypical development. American Journal of Orthopsychiatry 19, 130139.CrossRefGoogle ScholarPubMed
Rank, B. (1955). Intensive study and treatment of preschool children who show marked personality deviations or ‘atypical development ’ and their parents. In Emotional Problems of Early Childhood (ed. Caplan, G.), pp. 491501. Basic Books: New York.Google Scholar
Rutter, M. (1970). Autistic children: infancy to adulthood. Seminars in Psychiatry 2, 435450.Google ScholarPubMed
Rutter, M. (1972). Childhood schizophrenia reconsidered. Journal of Autism and Childhood Schizophrenia 2, 315338.CrossRefGoogle ScholarPubMed
Rutter, M., Shaffer, D. & Shepherd, M. (1975). A Multiaxial Classification of Child Psychiatric Disorders. World Health Organization: Geneva.Google Scholar
Schopler, E., Andrews, C. E. & Strupp, K. (1979). Do autistic children come from upper-middle-class parents? Journal of Autism and Developmental Disorders 9, 139152.CrossRefGoogle ScholarPubMed
Sparrow, S., Rescorla, L. A, Provence, S., Condion, S., Goudreau, D. & Cicchetti, D. V. (1986). Follow-up of ‘atypical’ children – a brief report. Journal of the American Academy of Child Psychiatry 25, 181185.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Endicott, J. E. & Robins, E. (1978). Research diagnostic criteria. Archives of General Psychiatry 35, 773782.CrossRefGoogle ScholarPubMed
Tanguay, P. & Asarnow, R. (1985). Schizophrenia in children. In Psychiatry (ed. Michaels, J.). Lippincott: Philadelphia.Google Scholar
Volkmar, F. R. & Cohen, D. J. (1985). The experience of infantile autism: a first person account by Tony W. Journal of Autism and Developmental Disorders 15, 4754.CrossRefGoogle ScholarPubMed
Volkmar, F R, Slier, D. M. & Cohen, D. J. (1985). Age of recognition of pervasive developmental disorder. American Journal of Psychiatry 142, 14501452.Google ScholarPubMed
Volkmar, F. R, Cohen, D. J. & Paul, R. (1986). An evaluation of DSM-I11 criteria for infantile autism. Journal of the American Academy of Child Psychiatry 25, 190197.CrossRefGoogle ScholarPubMed
Volkmar, F. R., Sparrow, S. A., Goudreau, D., Cicchetti, D. V., Paul, R. & Cohen, D. J. (1987). Social deficits in autism: an operational approach using the Vineland Adaptive Behavior Scales. Journal of the American Academy of Child Psychiatry 26, 156161.CrossRefGoogle ScholarPubMed
Wing, L. (1981). Sex ratios in early childhood autism and related conditions. Psychiatry Research 5, 129137.CrossRefGoogle ScholarPubMed
Wolff, S. & Barlow, A. (1979). Schizoid personality in childhood: a comparative study of schizoid, autistic, and normal children. Journal of Child Psychology and Psychiatry 20, 2946.CrossRefGoogle ScholarPubMed
Wolff, S. & Chick, J. (1980). Schizoid personality in childhood, a controlled follow-up study. Psychological Medicine 10, 85100.CrossRefGoogle ScholarPubMed