DR PARKER: Austin is an 8-year-old boy diagnosed
as having autism at age 2½ years. He has improved substantially in
cognition and speech but still struggles with social interactions. This is
his first year in a public school with his peers, and his parents wonder what
the future holds. They live in a suburb of Boston, and Austin's medical care
is covered by managed care insurance.
Austin weighed 8 lb 10 oz at birth, after a normal pregnancy and delivery.
He appeared alert and normal in all respects. The parents noted normal early
development, but at 12 months Austin began to box his ears at loud noises
and cry for no apparent reason. Friends and family told the parents not to
worry. At 18 months, Austin spoke only a few words (eg, "Mama, Daddy, juice"),
yet these few words soon disappeared from his speech. The pediatrician reassured
the concerned parents and advised them not to compare Austin with his older
Thank you for submitting a comment on this article. It will be reviewed by JAMA editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 4
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.