Artigas J
Unidad de Neuropediatría, Hospital de Sabadell, Corporació Sanitària Parc Taulí, Barcelona, España.
Rev Neurol. 1999 Feb;28 Suppl 2:S118-23.
Autism is a developmental disorder affecting social relationships, communication and flexibility of thought. These three basic aspects of autism may present in many different forms and degrees. Therefore autism should be considered to be a spectrum of autistic disorders rather than a single strictly defined condition. The spectrum of autistic disorders extends from intelligent individuals with acceptable social integration, to severely retarded patients with scarcely any social interaction. Language is almost always affected either in its formal aspects or in its usage. Autistic linguistic disorders form a specific language disorder (developmental dysphasia) and a pragmatic disorder linked both to the primary language problem and to the social cognitive deficit. We discuss the different linguistic syndromes observed in autistic patients with special emphasis on the semantic-pragmatic disorder.
自闭症是一种影响社会关系、沟通和思维灵活性的发育障碍。自闭症的这三个基本方面可能以多种不同的形式和程度表现出来。因此,自闭症应被视为一系列自闭症谱系障碍,而不是单一的严格定义的病症。自闭症谱系障碍涵盖了从具有可接受的社会融合能力的智力正常个体,到几乎没有任何社会互动的重度智力迟钝患者。语言几乎总是在其形式方面或使用方面受到影响。自闭症语言障碍形成了一种特定的语言障碍(发育性语言障碍)以及一种与主要语言问题和社会认知缺陷相关的语用障碍。我们将讨论在自闭症患者中观察到的不同语言综合征,特别强调语义 - 语用障碍。