Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy.
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Eur Child Adolesc Psychiatry. 2021 Aug;30(8):1273-1280. doi: 10.1007/s00787-020-01622-4. Epub 2020 Aug 27.
This paper aims to propose that the psychiatrist George Frankl had more than a marginal role in the early history of autism. Frankl's conception of autism as characterized by a lack of affective language has influenced both Asperger and Kanner. First, this proposal is historically supported; second it is corroborated by Frankl's unpublished manuscript on Autism. We found that Frankl's perspective about autism was, and still can be, considered innovative for multiple reasons. Specifically, Frankl proposed that autism could cover a spectrum of conditions; that it is a state of mind that is not necessarily abnormal; and that it is a neurobiological condition, which primarily needs to be understood by others. Finally, Frankl's concepts of affective contact and affective language are reconsidered with reference to contemporary neuropsychology from which autism emerges not as a higher-order cognitive deficit, but as a result of an impairment of primordial ability to process low level sensory, motor and perceptual information gained through experiencing other persons.
本文旨在提出,精神科医生乔治·弗兰克(George Frankl)在自闭症的早期历史中扮演了不仅仅是边缘角色。弗兰克将自闭症的特征描述为缺乏情感语言,这影响了阿斯伯格和坎纳。首先,这个提议在历史上是有依据的;其次,弗兰克关于自闭症的未发表手稿也证实了这一点。我们发现,弗兰克对自闭症的看法在当时和现在都可以被认为是具有创新性的,原因有多个。具体来说,弗兰克提出自闭症可能涵盖一系列病症;自闭症是一种心态,不一定是异常的;自闭症是一种神经生物学状况,主要需要被他人理解。最后,我们重新考虑了弗兰克的情感接触和情感语言的概念,参考了当代神经心理学,自闭症不是一种高级认知缺陷,而是由于处理通过体验他人获得的低水平感官、运动和感知信息的原始能力受损而产生的。