MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London, UK.
Prog Brain Res. 2011;189:303-17. doi: 10.1016/B978-0-444-53884-0.00031-2.
Neural models of autism spectrum disorders (ASDs) have moved, in recent years, from a lesion model to a focus on abnormal connectivity. In this chapter, we review this work and summarize findings from our recent research comparing autism and agenesis of the corpus callosum (AgCC). We discuss our findings in the context of the "fractionable triad" account and highlight three main points. First, the social aspects of autism can be found in isolation, not accompanied by the nonsocial features of this disorder, supporting a view of autism as a "compound," rather than "monolithic," condition. Second, many young people with callosal agenesis show theory of mind- and emotion-processing deficits akin to those seen in autism. Diagnostic overshadowing may mean these people do not receive interventions that have proven beneficial in ASD. Last, study of AgCC shows that it is possible, in some cases, to develop good social cognitive skills in the absence of the corpus callosum, presenting a challenge to future connectivity models of autism.
自闭症谱系障碍 (ASD) 的神经模型近年来已从损伤模型转变为关注异常连接。在本章中,我们回顾了这项工作,并总结了我们最近比较自闭症和胼胝体发育不全 (AgCC) 的研究结果。我们在“可分三联体”的背景下讨论了我们的发现,并强调了三个要点。首先,自闭症的社交方面可以孤立存在,不伴有这种障碍的非社交特征,支持将自闭症视为一种“复合”而非“单一”的疾病。其次,许多胼胝体发育不全的年轻人表现出与自闭症相似的心理理论和情绪处理缺陷。诊断掩盖可能意味着这些人没有接受已经证明对 ASD 有益的干预措施。最后,对 AgCC 的研究表明,在某些情况下,即使没有胼胝体,也有可能发展出良好的社会认知技能,这对未来自闭症的连接模型提出了挑战。