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Journal of Consulting and Clinical Psychology Copyright 1983 by the

1983, Vol. 51, No. 5, 683-692 American Psychological Association, Inc.

The Personality and Family-Interaction Characteristics


of Parents of Autistic Children
Robert L. Koegel Laura Schreibman
University of California, Santa Barbara Claremont McKenna College
Robert E. O'Nefll, and John C. Burke
University of California,,Santa Barbara
The purpose of the present investigation was twofold: first, to extend research
assessing the personality and family-interaction characteristics of parents of autistic
children, using a battery of standardized empirical tests, and to compare the results
with established normative data; and second, to investigate the possible occurrence
of a higher level of general parental stress in reaction to their autistic child's ab-
normality. The results showed the following: (a) Parents of autistic children tended
to score in the normal range on the Minnesota Multiphasic Personality Inventory
and did not differ from a comparison group of families with only normal children;
(b) the "autism" parents exhibited the same level of marital happiness as a normative
group of happily married couples and showed considerably better marital adjustment
than a normative group of divorced couples; (c) the "autism" parents did not differ
by more than one standard deviation from normal families when assessing inter-
personal relationships among family members; (d) biological and stepparents of
autistic children showed essentially identical results on all of the measures used;
and (e) no higher level of general stress occurred for parents of autistic children
as compared to established normative data, although the periodic occurrence of
situation-specific stresses remains plausible. These results are all counter to the
concept of any general psychological characteristics for parents of autistic children
with respect to either a parental cause of the disorder or with respect to a general
stress reaction to the disorder.

One of the most hotly contested and emo- man & Koegel, 1975; Wing, 1966). Even with
tionally laden issues in the area of autism in the initiation of empirical research, which
the last few decades has been the concept of consistently showed no direct support for the
a parental causation of the disorder. Whereas parental-causation hypothesis (e.g., Byassee &
some authors have argued in support of this Murrell, 1975; Creak & Ini, 1960; Kolvin,
hypothesis (e.g., Bettelheim, 1967; Meyers & Ounsted, Richardson, & Garside, 1971; Pit-
Goldfarb, 1961; Putnam, 1955; Rank, 1949, field & Oppenheim, 1964; McAdoo & DeMyer,
1955; Ruttenberg, 1971) numerous other au- 1978; Rutter, 1971; and Schopler & Loftin,
thors have argued strongly against the notion 1969), the idea of autistic children's parents
of a parental causation of autism (Cantwell, exhibiting pathological behavior continued to
Baker, & Rutter, 1978, 1979; DeMyer, 1979; linger on.
Egel, Koegel, & Schreibman, 1980; Schreib- Since infantile autism was first described as
a syndrome by Leo Kanner (1943), a number
; of theories have been proposed to explain the
This research was supported by U.S. Public Health Ser- etiology of the disorder. Kanner, basing his
vice. Research Grants MH28231 and MH282IO from the inferences on clinicai interviews, initially pos-
^^1^i£S£Z^£S£ tulated that the children suffered from innate
Contract 300-82-0362, inabilities, which might have been made worse
The authors are grateful to Ray E. Hosford, Scott Moss, by their parents, who were described as cold,
Andrew Egel, and Jack Mills for their assistance in earlier intelligent, detached, and emotionally unre-
portions of this study. snonsive (Desnert 1951- Eisenberc 19561
Requests for reprints should be sent to Robert L. Koegel, ^ ,^, P:«V, ^V Elsen°erS. V^0'
Social Process Research Institute, University of California, Kanner, 1943, 1949). These characteristics
Santa Barbara, California 93106. were attributed to both mothers and fathers
683
684 KOEGEL, SCHREIBMAN, O'NEILL, AND BURKE

(Eisenberg, 1957). Most professionals in the there being no statistical differences between
1940s and 1950s focused on the parental per- parents of autistic children and their "normal
sonality factor of Kanner's hypothesis and, us- counterparts," there seems to be a tendency
ing subjective clinical measures, reported more for some authors to also mention that the di-
general psychopathology in parents of autistic rection of the results was consistent with the
children versus control parents (e.g., Block, parental stress-reaction hypothesis (e.g.,
1969; Esman, Kohn, & Nyman, 1959). McAdoo & DeMyer, 1978; Wolff & Morris,
The most elaborate theory of direct parental 1971). This hypothesis states that parents with
causation was developed by Bettelheim (1967). autistic children are in a general state of psy-
Basing his ideas heavily on subjective impres- chological stress because of having a handi-
sions, he placed emphasis on a hypothesized capped child and that this stress would be re-
abnormal mother-child bond. The mothers of flected in their personality. However, instead
autistic children supposedly were inadequate of interpreting these trends as support for the
in displaying care and responsiveness, which stress-reaction hypothesis, it may be important
resulted in rage, hostility, and autistic with- to acknowledge that they were (a) not statis-
drawal by the child. The child's abnormal be- tically significant and (b) primarily based upon
haviors (e.g., self-stimulation, echolalia) were one measure (the MMPI).
seen as a defensive reaction to a hostile en- In light of the importance of thoroughly
vironment (Bettelheim, 1967). investigating the possibility that parents of au-
Psychogenic theories such as Bettelheim's tistic and other disordered children may exhibit
have been based primarily on subjective data more pathological behavior and/or a higher
and theory and suffer from a lack of empirical level of general stress, researchers such as Haf-
substantiation. Empirical research using a va- ner, Butcher, Hall, & Quast (1969) have argued
riety of nonstandardized measures has pro- in favor of using multiple measures (as opposed
duced no evidence that autistic children have to the MMPI only) of family adjustment. The
been subjected to rejection by cold, hostile purpose of the present study was to use a bat-
parents (Allen, DeMyer, Norton, Pontius & tery of standardized tests to (a) measure var-
Yang, 1971; Cox, Rutter, Newman, & Bartak, ious key characteristics of families with an
1975; Creak & Ini, 1960; Klebanoff, 1959; autistic child and to compare these results with
Kolvinetal., 197 l;McAdoo& DeMyer, 1978; established normative data and (b) investigate
Pitfield & Oppenheim, 1964; Rutter, 1971), the possible occurrence of a higher level of
or that parents of autistic children differ from general stress for parents of autistic children
parents of normal children (Byassee & Mur- across numerous aspects of family functioning.
rell, 1975; Schopler & Loftin, 1969). Certain Specifically, the tests employed were the MMPI
investigators (e.g., McAdoo & DeMyer, 1978; for personality assessment, the Spanier Dyadic
Wolff & Morris, 1971) have also conducted Adjustment Scale for the assessment of marital
some initial research using a standardized em- adjustment, and the Moos Family Environ-
pirical measure (the Minnesota Multiphasic ment Scale for the assessment of the dimen-
Personality Inventory, MMPI), and their re- sions of interpersonal relationships within a
sults also showed that there was no evidence family.
of greater pathology in parents of autistic chil-
dren. For example, McAdoo and DeMyer Method
(1978) conducted a comparison of MMPI
profiles of parents of autistic children and par- Subjects
ents of children with other types of disorders
(e.g., mental retardation, specific learning dis- Forty-nine parents of autistic children participated in
this research. They represented 26 families with autistic
abilities, neurological disorders). The overall children from the pool of children referred (by schools,
results of their research showed that these development centers, and regional agencies serving the de-
groups of parents did not differ from each velopmentally disabled) to our research projects during a
other, and each presented profiles showing no 24-month period between 1977 and 1979. All of the fam-
ilies referred who had children with a reliable diagnosis
psychopathology. of autism were included in this investigation. All diagnoses
Although the central conclusion of the var- were made by two independent outside agencies, using the
ious studies reported above could be stated as United States National Society for Autistic Children criteria
PARENTS OF AUTISTIC CHILDREN 685

for the diagnosis of autism (Ritvo & Freeman, 1978). Systems (Minnesota), a widely used computer scoring
These criteria parallel those listed in the Diagnostic and company. In addition to a general analysis, the MMPI
Statistical Manual of Mental Disorders (DSM-III; Amer- (and other measures listed below) also offered a number
ican Psychiatric Association, 1980). The children were all of opportunities for subitem analyses that relate directly
accepted for subsequent (after completion of this exper- to the parental-causation hypothesis (see Results section,
iment) treatment in the experimental autism clinics at below).
either the University of California, Santa Barbara,' or Dyadic Adjustment Scale. In order to assess whether
Claremont McKenna College. or not there was a general strain in the marital relationship,
The children ranged in age from 2.1 years to 9.75 years the Dyadic Adjustment Scale (Spanier, 1976) was employed
(M - 5.75 years). They represented a broad range in terms to measure each partner's happiness and satisfaction within
of the severity of their handicaps. Social age scores on the the marital relationship. It was chosen because it is based
Vineland Social Maturity Scale ranged from .9 years to on an empirical composite of the most widely used mea-
5.8 years (M = 2.7 years). The children all had severe sures of marital adjustment (e.g., Burgess & Cottrell, 1939;
language handicaps, were either nonverbal or echolalic, Locke & Wallace, 1959; Nye & McDougall, 1959; Orden
and displayed minimal appropriate social and self-help & Bradburn, 1968. For a list of the test item-selection
behaviors. Most of the children were excessively tantru- procedures, see Spanier, 1976). The measure has been
mous and exhibited frequent self-stimulatory behaviors shown to have good validity and high scale reliability. It
(e.g., body rocking, hand, finger, and arm flapping). is very brief and can be administered in a minimum
The demographic characteristics of the parents in this amount of time (Spanier, 1976).
study were similar, to those of autistic parents described Family Environment Scale (FES). The FES (Moos,
in the literature in general. An assessment of the educational Insel, & Humphrey, 1974) was administered to obtain an
level of the parents indicated that only 4% of the mothers indication of the atmosphere of the general family system.
and only 4% of the fathers had less than a high school True and false items, such as "Family members really help
education; 73% of the mothers and 40% of the fathers had and support one another," and "We fight a lot in our
graduated only from high school; and 23% of the mothers family," attempt to address numerous specific aspects of
and 56% of the fathers were college graduates. Looking the family atmosphere, including the amount of cohesion,
at marital status, 78% of the parents were married; only conflict, and so forth. The 10 subscales include Cohesion,
6% were divorced or separated; 16% were stepparents; and Expressiveness, Conflict, Independence, Achievement
8% were original parents remarried. The fathers were in- Orientation, Intellectual-Cultural Orientation, Active
volved in a broad range of careers, such as management, Recreational Orientation, Moral-Religious Emphasis, Or-
sales, carpentry, and the sciences. A few mothers worked ganization, and Control. The FES focuses on the mea-
outside the home, but most were full-time homemakers. surement and description of the interpersonal relationships
Most of the families were at or above the national median among family members, on the directions of personal
income for their family size according to government sta- growth that are emphasized in the family, and on the basic
tistics (U.S. Bureau of the Census, 1980). organizational structure of the family. The long form (Form
Forty-one of the 49 parents were the original biological R, 90 questions) of the FES was used, and scores were
parents of their children and the remaining 8 were step- obtained for all 10 FES subscales. In addition, from the
parents. These nonbiological parents served as a small FES subscale raw scores we calculated a family incongru-
natural control group. Since the parental-causation theory ence score for each family, providing information on the
proposes an early onset, one would expect the original extent of agreement or disagreement between the parents
biological parents to be pathological and the prime cause on various characteristics of the family's social milieu.
of the disorder. Therefore, from the perspective of the The family incongruence score for each family represents
parental-causation hypothesis, the results for the two the sum of the differences between the parents' scores
subgroups would be expected to be quite different. On the across the 10 subscales.
other hand, from the perspective of a nonparental-causation
hypothesis, one would expect minimal differences between Procedure
the biological and nonbiological parents. These group
comparisons will be discussed in the Results section. All of the 49 parents completed the MMPI and the
FES. Twenty-two of the 26 families contained a married
couple, and these couples completed the Dyadic Adjust-
Description of Measures ment Scale. The three tests were individually administered
to the parents under standard conditions, as prescribed
Minnesota Multiphasic Personality Inventory. The pa-
by the test authors, to control for experimenter bias and
rental-causation hypothesis suggests that severe disturbance
possible demand characteristics.
in parental personality characteristics would be necessary
for the parents to have caused a disorder as profound as
autism so early in life (Rutter, 1978). To measure the Results
personality characteristics of our parents we used the
MMPI (booklet form). It was chosen because the MMPI MMPI Results
is one of the most widely used and empirically investigated
measures of psychological adjustment currently available. The MMPI data (K corrections added) for
The MMPI response sheets were numerically coded and
scored for the three validity scales (L, F, K), the eight the parents who participated in the present
major clinical scales and the Masculinity-Femininity and study (autism group) and the data from a
Social Introversion interest scales by National Computer comparison group are shown in Figure 1. The
686 KOEGEL, SCHREIBMAN, O'NEILL, AND BURKE

MOTHERS
80
70

60
50
40

30

20
F K Hs D Hy Pd Mf Pa Pt Sc Ma Si
Autism Group—
Normal Comparison
FATHERS
80
70
60 s* . , -f
_-^ >*vx
• , ~ -^^ XX -
*s ^*^ sj--^_^^S^
50 r^ ^ ^^ ^
V^
40

30

on \ \ 1 1 1 1 1 1 1 1 1 1 1

L F K Hs D Hy Pd Mf Pa Pt Sc Ma Si
1. Results of a comparison between the autism parents and Miller and Keirn's (1978) normal
comparison group on the Minnesota Multiphasic Personality Inventory. (Abbreviations are as follows: Hy-
pochondriasis, Depression, Hysteria, Psychopathic Deviate, Masculinity-Femininity, Paranoia, Psychasthenia,
Schizophrenia, Hypomania, and Social Introversion.)

normal comparison-group data were taken normal mothers, M = 14.5; "autism" mothers,
from Miller and Keirn (1978). This group was M = 13.6).
chosen from the literature for the following As can be seen, Figure 1 shows that the
reasons: (a) The sample was drawn from the MMPI data for both the mothers and fathers
southern California region, as was ours; (b) in the two groups (autism and normal com-
the children in the comparison-group families parison) were almost identical and were well
were in a similar age range (M = 6.9 years) within the normal range (30 to 70). Data for
to the children in the present study (M - 5.8 the biological and nonbiological autism par-
years); (c) the normal comparison children in ents are essentially the same, with the biolog-
Miller and Keirn's families had a similar ical group actually being more similar (al-
number of siblings (M = 1.8), as did the autistic though not significantly so) to the normative
children in our sample (M = 1.6); (d) both comparison group.
the normal comparison sample and our fam-
ilies were generally in the middle to upper Marital Adjustment
middle socioeconomic status range; and (e)
the parents in both samples were nearly equal The Dyadic Adjustment Scale and the fam-
in their number of years of education (normal ily incongruence score of the FES were used
fathers, M= 15.9; "autism" fathers, M= 16.4; as indicators of the extent of satisfactory mar-
PARENTS OF AUTISTIC CHILDREN 687

140r autism group were significantly different from


130
the normative group scores. As with the other
measures, the results for the biological
120
subgroup of autism parents were almost iden-
110 tical to the normative group and were not sig-
nificantly different from the nonbiological
100-
subgroup of autism parents.
90

80
Additional Item Analyses
70
One might also ask questions concerning a
hypothesis that the parents might be cold and
60
Normative Autism rejecting even though they are not psychotic.
Group
ffiffi The 'data from several of the subscales of the
Group
tests employed relate to this point and suggest
Figure 2. Dyadic Adjustment Scale results (a comparison that the parents are not cold and rejecting.
' between the autism group and Spanier's, 1976, normative
groups).
For example, the parents responded to items
on the MMPI Warmth scale (Finney, 1965)
in a direction that has been shown to indicate
warmth in personality style. Also, most parents
ital adjustment. Figure 2 contains the data for in this study answered the FES Cohesion sub-
the autism parents, as well as Spanier's (1976) scale questions (e.g., Family members really
data for married and divorced normative help and support one another—true) in a di-
groups. The autism parents are clearly very, rection to show high family cohesion. Simi-
similar to the normative married group (au- larly, their responses on the FES Conflict sub-
tism parents, M = 119.7; normative married scale (e.g., Family members often criticize each
group, M = 114.8) and are well above the other—false) indicated a low level of conflict.
normative divorced group (M = 70.7). A sim- A cold personality style also seems inconsistent
ilar result is seen in Figure 3, with the autism
group and normal comparison group scoring
very alike on the family incongruence score 50r
obtained from the FES, indicating similar and
minimal extents of disagreement (autism
group parents M = 14.00; FES normative
40
group, M = 16.74). As with the MMPI, the
results for the two autism subgroups (biological
and nonbiological) on the marital-adjustment
measures were essentially the same. 30

Family Environment Scale


20
The data for the FES subscales for both the I
autism group and the FES normative families
(Moos et al., 1974) are presented in Figure 4. H
Means and standard deviations are shown for • 10
each group on the ordinate; subscales are
shown on the abscissa. As with the previous
data, results for the autism parents are almost 0 -
identical to the scores of the normative group, Autism FES
Normative
Group
with only one of the 10 scales for the autism Qroup
group being even as far as one standard de- Figure 3. Family Incongruence score results (means and
viation away from the normative scale scores. standard deviations for the autism group and FES nor-
None of the scores on the 10 scales for the mative group).
688 KOEGEL, SCHREIBMAN, O'NEILL, AND BURKE

9- —

8—
o —
7— 0 " r
•—
1-

<1
— 1 •
r
1
4 1 O
6- """*

<» (1
(
' T' I 1
1 1
5-
11
O
o 1
1
o T'| i i
o 11 < i
4-
1 1 j_ 0

O __
(,_ - J_
2— — —

1— —

0
I I 1 1
13

Figure 4. FES subscale results (means and standard deviations for the autism group and FES normative
group).

with the high degree of positive answers the empirical testing instruments, including the
parents provided on the Spanier Dyadic Ad- MMPI, the Dyadic Adjustment Scale, and the
justment Scale items dealing with demonstra- FES. Overall, the results suggest that parents
tion of affection, low amount of fighting, and of autistic children are very similar to parents
above-average happiness with the marital re- in general in their personality characteristics,
lationship. Taken together, the data from all marital adjustment, and family interactions.
of these relevant subscales are inconsistent with The main results from this study are con-
the idea of a cold, hostile, and rejecting per- sistent with other initial studies using empirical
sonality style. This finding is also consistent (although not standardized) measures (e.g.,
with that of Cox et al. (1975), who found no Creak & Ini, 1960; Kolvin et al., 1971; Pitfield
difference between parents of autistic children &Oppenheim, 1964;Schopler&Loftin, 1969;
versus parents of dysphasic children in terms Rutter, 1971). Similarly, McAdoo and DeMyer
of parental warmth. (1978), who employed the MMPI, formed
conclusions highly consistent with our own
(i.e., that parents of autistic children are not
Discussion
abnormal).
Although there has been considerable re- Although the results of the present inves-
search on family variables as possible causative tigation provide considerable evidence against
agents relating to other types of psychological the notion of parental psychopathology, one
disorders (cf. Bateson, Jackson, Haley, & additional question might be raised concerning
Weakland, 1956; Garmezy, 1974; Goldstein the possibility that the parents may have ex-
& Rodnick, 1975; Singer & Wynne, 1965; hibited psychopathology when their children
Watzlawick, Beavin, & Jackson, 1967), there were infants and then subsequently became
has not been a great deal of empirical and normal. It seemed highly unlikely that this
systematic research on this topic in the area could have happened; nevertheless, we ex-
of autism. The present study compared data amined our data for any possible trends across
obtained from parents of autistic children with the parents that might correlate with the ages
normative data on a battery of standardized of their autistic children at the time of the
PARENTS OF AUTISTIC CHILDREN 689

present study. The fact that we found no sys- other attempt to investigate how and to what
tematic differences across age of the child lends degree the autistic child's symptoms affect the
support to the idea that the parents were not family, DeMyer (1979) employed a parental-
previously pathological. report questionnaire measure. DeMyer found
We also conducted some additional analyses that although parents reported great upheavals
aimed at assessing whether there were any re- in the lives of their families, when asked a
lationships between parent MMPI results and direct question concerning the child's effect
the children's IQ or verbal characteristics. on the family they usually indicated a "mea-
These analyses found no identifiable relation- ger" effect or a "denial of any serious effect."
ships between either the children's IQ level She concluded that the parents in her study
and their parents' MMPI results or between had not "pulled together their thoughts" con-
their verbal level and the parents' MMPI re- cerning how the autistic child affected them.
sults. (It may, however, be important to note Rather than conceptualizing these types of
that there were relatively few children in our nonsignificant trends as being a possible sup-
sample who had functional speech at the time port for the occurrence of a higher level of
of the pretreatment assessments, because general stress, one could alternatively place
functional speech typically precludes a diag- emphasis on the fact that to date no investi-
nosis of autism.) gations have reported statistically significant
evidence of a general level of parental stress.
However, several investigations have sug-
Parental Stress-Reaction Hypothesis gested that there is a likelihood of situation-
specific stress. For example, Schopler and Lof-
By closely analyzing the data obtained from tin (1969) investigated the possibility that
the battery of standardized tests presently em- thought disorders in parents of psychotic chil-
ployed one can observe that there was, no sta- dren may be a function of test anxiety. Using
tistical support (or even marginally significant the Object Sorting Test (OST), they found that
trends) for the parental stress-reaction hy- when parents were tested in the same clinic
pothesis. In addition, the present data show in which they were involved in conjoint psy-
no one single global area (marital happiness, chotherapy with their "psychotic" child, they
parents' personality characteristics, or familial scored significantly higher than control parents
social system) as being more affected by the of normal children. Instead of interpreting
presence of the autistic child in the family. their results as evidence for a formal thought
This lack of significant differences is consistent disorder, they hypothesized that the parents'
with previous investigations (e.g., McAdoo & impaired thinking was a function of test anx-
DeMyer, 1978) that employed only one mea- iety. They tested this hypothesis by interview-
sure (MMPI). One difference between our re- ing a second group of parents (who had a psy-
sults and those of McAdoo & DeMyer is that chotic child) in regard to their normal child
they found slightly elevated MMPI profiles for before being tested, giving the parents a test-
the parents they studied. Although the ele- taking set toward successful child rearing.
vations were not significant, they hypothesized Their data showed that the mothers in this
that they may nevertheless have related to the group demonstrated less impairment than the
stress incurred by having an abnormal child mothers in the group tested in the setting as-
in the family. sociated with their "psychotic" child. Fur-
If a higher level of stress existed for parents thermore, the parents in the second group
due to a reaction to their disabled child, it failed to score significantly differently from
seems highly likely that the level of stress the normal control group. Similarly, numerous
should vary according to the degree of severity parents involved in our own research programs
of the child's disorder. Previous research in have anecdotally reported feeling more stress
this area, however, has produced inconsistent when placed in certain types of situations
results (e.g., Cox et al., 1975; Holroyd, Brown, (shopping with a tantrumous child, taking their
Wilder, & Simmons, 1975; McAdoo and child to a hospital to be diagnosed, etc.). In
DeMyer, 1978; Wolff & Morris, 1971). In an- contrast, parents report feeling less stress in
690 KOEGEL, SCHREIBMAN, O'NEILL, AND BURKE

other kinds of situations. For example, Lapin paper-and-pencil measures (cf. Farina &
and Lapin (1976) discuss the importance of Holzberg, 1967).
finding a professional who will provide long-
term intensive treatment. It may be notable References
that (as described above in the Subjects sec- Allen, J., DeMyer, M., Norton, J., Pontius, W., & Yang,
tion), the children of the parents in the present G. Intellectuality in parents of psychotic, subnormal
study had just been accepted for subsequent and normal children. Journal of Autism and Childhood
participation in a long-term intensive treat- Schizophrenia, 1911, 1, 311-326.
ment program. Therefore, at the time of the Bateson, G., Jackson, D. D., Haley, J., & Weakland, J.
Toward a theory of schizophrenia. Behavioral Science,
present experiment, it is possible that the par- 1956, 1, 251-264.
ents in the present study may have felt less Bettelheim, B. The empty fortress. New York: Collier-Mac-
stress. Similarly, one could speculate that the millan, 1967.
growing availability of such programs may be Blackstock, E. Cerebral asymmetry and the development
contributing to a generally lower level of stress of early infantile autism. Journal of Autism and Child-
hood Schizophrenia, 1978, 8, 339-353.
in families with autistic children. Block, J. Parents of schizophrenic, neurotic, asthmatic,
and congenitally ill children. Archives of General Psy-
Conclusions and Implications chiatry. 1969, 20, 659-674.
Burgess, E. W,, & Cottrell, L. Jr. Predicting success or
Overall, the results of this study suggest that failure in marriage. New York: Prentice Hall, 1939.
the cause of the children's disorder is probably Byassee, J. E., & Murrell, S. A. Interaction patterns in
families of autistic, disturbed, and normal children.
unrelated to the psychological characteristics American Journal of Orthopsychiatry, 1975, 45, 473-
of their parents. This finding has several im- 478.
plications. First, it suggests that perhaps less Cantwell, D. P., Baker, L., & Rutter, M. Family factors.
effort should be devoted to parental-causation In M. Rutter & E. Schopler (Eds.), Autism: A reappraisal
hypotheses of the etiology of autism, with rel- of concepts and treatment. New "Vbrk: Plenum Press,
1978.
atively more emphasis given to research into Cantwell, D. P., Baker, L., & Rutter, M. Families of autistic
other hypotheses concerning the etiology. For and dysphasic children: I. Family life and interaction
example, numerous researchers have hypoth- patterns. Archives of General Psychiatry, 1979,36,682-
esized possible neurophysiological and bio- 687.
chemical bases for the disorder (e.g., Black- Coleman, M. Studies of the autistic syndromes. In R.
Katzman (Ed.), Congenital and acquired cognitive dis-
stock, 1978; Coleman, 1979; Damasio & orders. New York: Raven Press, 1979.
Maurer, 1978; Hauser, DeLong, & Rosman, Cox, A., Rutter, M., Newman, S., & Bartak, L. A com-
1975; Hier, LeMay, & Rosenberger, 1979; Or- parative study of infantile autism and specific devel-
nitz, 1978; Ornitz & Ritvo, 1976; Ritvo, Ra- opmental receptive language disorder: II. Parental char-
acteristics. British Journal of Psychiatry, 1915,126,146-
bin, Yuwiler, Freeman, & Geller, 1978; Rutter 159.
& Bartak, 1971; Schopler & Reichler, 1971; Creak, M., & Ini, S. Families of psychotic children. Journal
Student & Sohmer, 1978; Tanguay, 1976; of Child Psychology and Psychiatry, 1960, 7, 156-175.
Wetherby, Koegel, & Mendel, 1981). Damasio, A., & Maurer, R. A neurological model for
childhood autism. Archives of Neurology, 1978,35, 777-
A second implication of the present findings 786.
is that by placing a high value on nonsignificant DeMyer, M. K. Parents and children in autism. Washington,
trends, many previous investigators may have D.C.: Winston, 1979.
been somewhat misled to "feel" that there may Despert, J. Some considerations relating to the genesis of
exist a higher level of general parental stress. autistic behavior in children. American Journal of Or-
thopsychiatry, 1951, 21, 335-350.
In opposition to this notion, the present in- Egel, A. L., Koegel, R. L., & Schreibman, L. A review of
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(Series P-60, No. 123, Money income of families and Received January 31, 1983

Kazdin Appointed Editor, 1985-1990

The Publications and Communications Board of the American Psychological Asso-


ciation announces the appointment of Alan E. Kazdin, Western Psychiatric Institute
and Clinic, University of Pittsburgh School of Medicine, as Editor of the Journal of
Consulting and Clinical Psychology for a 6-year term beginning in 1985. As of January
1, 1984, manuscripts should be directed to:
Alan E. Kazdin
Western Psychiatric Institute and (Clinic
University of Pittsburgh School of Medicine
3811 O'Hara Street
Pittsburgh, Pennsylvania 15213
Manuscript submission patterns for the Journal of Consulting and Clinical Psychology
make the precise date of completion of the 1984 volume uncertain. Therefore, authors
should note that although the current editor, Sol L. Garfield, will receive and consider
manuscripts until December 31, 1983, should the 1984 volume be completed before
that date, Garfield will redirect manuscripts to Kazdin for consideration in the 1985
volume.

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