Childhood autism is characterized by social withdrawal, impairment in
communication and bizarre responses to the environment. It has been fo
r a long time considered that this syndrome and its difficulties in re
lating to others can be imputed to conscious or inconscious errors of
the mother. Epidemiological and neurobiological researches showing ass
ociation of autistic syndromes with well known genetic and/or metaboli
c diseases, as well as clinical works exhibiting very early symptoms s
upport the hypothesis of a developmental disorder of the nervous syste
m. Cartography and imagery cerebral examinations demonstrated difficul
ties in the modulation of perceptive responses, in the stabilisation o
f cross-modal associative responses and in the reactivity of the left
hemisphere to auditive stimulations. Abnormalities in monoamines and e
ndorphines metabolism were also observed. Recent studies comparing gro
ups of autistic with groups of normal children showed some peculiariti
es in a gene (Harvey-Ras) involved in the regulation of neurotransmiss
ion and cells development. These preliminary results have no therapeut
ical consequences. On the opposite, physiological data on cerebral fun
ctioning can guide the <<exchange and development therapies>> educatio
nal psychotherapies which contribute to the improvement of these child
ren.