Assessment & Research

Autism: the phenotype in relatives.

Bailey et al. (1998) · Journal of autism and developmental disorders 1998
★ The Verdict

Autism traits can hide in plain sight as simple social quirks or hobbies in relatives, so cast a wider net during family interviews.

✓ Read this if BCBAs who assess or write treatment plans for children with autism.
✗ Skip if Clinicians only working with adult clients who have no family contact.

01Research in Context

01

What this study did

Farrant et al. (1998) pulled together every paper they could find on relatives of autistic people.

They asked: do parents, brothers, and sisters show tiny bits of the autism pattern?

The team looked for social slips, rigid hobbies, or language quirks that fall short of full autism.

02

What they found

Relatives often carry a "lighter" version of autism traits.

One parent might talk late, love routines, or miss social cues yet never need a diagnosis.

The review says these mild signs are conceptually linked to the same genes that shape full autism.

03

How this fits with other research

Kunihira et al. (2006) later showed the Autism-Spectrum Quotient catches similar mild traits in everyday Japanese adults.

Kocher et al. (2015) scanned 508 neurotypical young adults and found no brain-structure link to those mild traits.

Kamp-Becker et al. (2010) used cluster math to confirm the milder and full forms sit on one smooth continuum, not in separate boxes.

Together the papers say: the mild signs are real, but you will not see them on an MRI.

04

Why it matters

When you take a family history, do not stop at "anyone diagnosed?" Ask about shyness, late talking, or intense narrow interests in parents and grandparents. These clues can guide your decision to screen siblings earlier or adjust parent training goals. No extra tools needed—just broader questions.

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Add one open question to your intake form: "Does anyone in the family have unusual hobbies, speak late, or seem very shy?"

02At a glance

Intervention
not applicable
Design
systematic review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

There is broad agreement that genetic influences are central in the development of idiopathic autism. Whether relatives manifest genetically related milder phenotypes, and if so how these relate to autism proper, has proved a more contentious issue. A review of the relevant studies indicates that relatives are sometimes affected by difficulties that appear conceptually related to autistic behaviors. These range in severity from pervasive developmental disorders to abnormalities in only one area of functioning, and possibly extend to related personality traits. Issues involved in clarifying the components of milder phenotypes and their relationship to autism are outlined.

Journal of autism and developmental disorders, 1998 · doi:10.1023/a:1026048320785