P. Howlin et J. Clements, IS IT POSSIBLE TO ASSESS THE IMPACT OF ABUSE ON CHILDREN WITH PERVASIVE DEVELOPMENTAL DISORDERS, Journal of autism and developmental disorders, 25(4), 1995, pp. 337-354
Although it is now recognized that children may exhibit widespread sym
ptoms of stress following exposure to abuse or neglect, the impact of
traumatic experiences on children with pervasive developmental disorde
rs has received little attention. The present paper describes a strate
gy devised to assess the long-term effects of abuse on a group of chil
dren who had attended a specialist autistic school where physical and
emotional mistreatment of pupils was well documented. Because most of
the children had very limited communication skills, the evidence relie
d heavily on retrospective parental reports. Despite the problems inhe
rent in using such data it was possible to derive reliable measures th
at could be used to test hypotheses about predicted patterns of behavi
oral change, based on work with other children who have been abused. I
n most cases, too, parental reports could be corroborated by informati
on from other sources. Consistent patterns in both the nature and timi
ng of behavioral disturbances were found, which seemed to relate speci
fically to the period of abuse at the school.