Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-19T03:52:03.723Z Has data issue: false hasContentIssue false

‘Obsessions' in children with autism or Asperger syndrome

Content analysis in terms of core domains of cognition

Published online by Cambridge University Press:  03 January 2018

Simon Baron-Cohen*
Affiliation:
Departments of Experimental Psychology and Psychiatry, University of Cambridge
Sally Wheelwright
Affiliation:
Departments of Experimental Psychology and Psychiatry, University of Cambridge
*
S. Baron-Cohen, Department of Experimental Psychology, University of Cambridge, Downing Street, Cambridge CB2 3EB

Abstract

Background

We report a survey of the content of obsessions in children with autism spectrum conditions. We use the term obsessions' narrowly, to indicate strong, repetitive interests. We predicted that obsessions would not cluster randomly, but rather would occur significantly more often in the domain of ‘folk physics' (an interest in how things work), and significantly less often in the domain of ‘folk psychology’ (an interest in how people work). These predictions were tested relative to a control group of 33 children with Tourette syndrome.

Aims

To examine the content of autistic obsessions, and to test the theory that these reflect an evolved cognitive style of good folk physics alongside impaired folk psychology.

Method

Ninety-two parents returned a questionnaire designed to determine the subject of their child's obsessional interests. The results were analysed in terms of core domains of cognition.

Results

Both predictions were confirmed.

Conclusions

These results suggest that impaired folk psychology and superior folk physics are part of the cognitive phenotype of autism. A content-free theory of obsessions is inadequate.

Type
Preliminary Report
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Declaration of interest

The authors were supported by the Medical Research Council during the period of this work.

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Bailey, T., Le Couteur, A., Gottesman, I., et al (1995) Autism as a strongly genetic disorder: evidence from a British twin study. Psychological Medicine, 25, 6377.Google Scholar
Baron-Cohen, S. (1989) Do autistic children have obsessions and compulsions? British Journal of Clinical Psychology. 28, 193200.CrossRefGoogle ScholarPubMed
Baron-Cohen, S. (1995) Mindblindness: An Essay On Autism and Theory of Mind. Boston, MA: MIT Press/Bradford Books.Google Scholar
Baron-Cohen, S. (1999) Autism: deficits in folk psychology exist alongside superiority in folk physics. In Understanding Other Minds, Volume 2 (eds Baron-Cohen, S., Tager Flusberg, H. & Cohen, D.). Oxford: Oxford University Press.Google Scholar
aron-Cohen, S., Leslie, A. M. & Frith, U. (1986) Mechanical, behavioural and intentional understanding of picture stories in autistic children. British Journal of Developmental Psychology, 4, 113125.Google Scholar
aron-Cohen, S. & Hammer, J. (1997) Parents of children with Asperger syndrome: what is the cognitive phenotype? Journal of Cognitive Neuroscience, 9, 548554.CrossRefGoogle Scholar
aron-Cohen, S., Wheelwright, S., Scott, C., et al (1997) Is there a link between engineering and autism? Autism: An International Journal of Research and Practice. 1, 153163.Google Scholar
aron-Cohen, S., Bolton, P., Wheelwright, S., et al (1998) Autism occurs more often in families of physicists, engineers, and mathematicians. Autism, 2, 296301.Google Scholar
aron-Cohen, S., Wheelwright, S., Stone, V., et al (1999) A mathematician, a physicist, and a computer scientist with Asperger syndrome: performance on folk psychology and folk physics test. Neurocase, in press.CrossRefGoogle Scholar
Berument, S. K., Rutter, M., Lord, C., et al (1999, this issue) Autism screening questionnaire: diagnostic validity. British Journal of Psychiotry, 175, 444451.CrossRefGoogle ScholarPubMed
Bettelheim, B. (1968) The Empty Fortress. Chicago. IL: The free Press.Google Scholar
Chelune, G., Ferguson, W., Koon, R., et al (1986) Frontal lobe disinhibition in attention deficit disorder. Child Psychiatry and Human Development. 16, 221234.Google Scholar
Christensen, K., Kim, S., Dyslaen, M., et al (1992) Neuropsychological performance in obsessive compulsive disorder, Biological Psychiatry 31, 418.Google Scholar
Elliot, R. & Sahakian, B. J. (1995) The neuropsychology of schizophrenia: relations with clinical and neurobiological dimensions. Psychological Mediane, 25, 581594.Google Scholar
Hart, C. (1989) Without Reason. New York: Harper & Row Google Scholar
Hatano, G. & Lnagald, K. (1994) Young children's naive theory of biology Cognition, 50, 171188.Google Scholar
Hughes, C., Russell, J. & Robbins, T. (1994) Specific planning deficit in autism: evidence of a central executive dysfunction. Neuropsychologia, 32, 477492.Google Scholar
Hutt, S. J. & Hutt, C. (1968) Stereotypy, arousal and autism. Human Development. 11, 277286.Google Scholar
Leekam, S. & Parner, J. (1991) Does the autistic child have a metarepresentational deficit? Cognition. 40, 203218.Google Scholar
Leslie, A. & Keeble, S. (1987) Do six-month old infants perceive causality? Cognition, 25, 265288.Google Scholar
Luria, A. (1969) Frontal lobe syndromes. In Handbook of Clinical Nurology, Volume 2 (eds Vinken, P. & Bruyn, G.), pp. 725757. Amsterdam: North Holland.Google Scholar
Owen, A., Roberts, A., Pollery, C., et al (1991) Extradimensional versus intradimensional set shifting performance following frontal lobe incisions, temporal lobe excisions, or amygdalo-hippocampectomy in man. Neuropsychologia, 10, 99106.Google Scholar
Pinker, S. (1997) How the Mind Works. London: Penguin.Google Scholar
Rachman, S. & Hodgson, R. (1980) Obsessions and Compulsions. Englewood Cliffs. NJ: Academic Press.Google Scholar
Rochat, P., Morgan, R. & Carpenter, M. (1997) Young infants' sensitivity to movement information specifying social causality Cognitive Development. 12, 537561.Google Scholar
Russel, J. (ed.) (1997) Autism as an Executive Disorder. Oxford; Oxford University Press.Google Scholar
Shallice, T. (1998) From Neuropsychology to Mental Structure. Cambridge: Cambridge University Press.Google Scholar
Wellman, H. (1990) Children's Theories of Mind. Bradford: MIT Press.Google Scholar
Wing, L. (1998) The autistic continuum. In Aspects of Autism: Biological Research (ed. Wing, L.), pp. vviii. London: Gaskell/Royal College of Psychiatrists.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.