Assessment & Research

Brief Report: Intersection of Sets of Symptoms Between Congenital Blindness and ASD: Proposing of Differential Criteria.

Jarjoura (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Run the five-rule test to avoid sticking the ASD label on blind kids who are simply catching up.

✓ Read this if BCBAs who assess or treat congenitally blind children.
✗ Skip if Clinicians who only serve fully sighted clients.

01Research in Context

01

What this study did

Jarjoura (2024) wrote a think-piece. He asked: how do we know a blind child truly has autism?

The author looked at symptom lists for both congenital blindness and ASD. He spotted big overlap.

He then built five check-box rules to separate real autism from autism-like behaviors caused only by blindness.

02

What they found

The paper gives a five-point test. If the child quickly learns with help, adapts to new places, talks better over time, shows warm social growth, and has a bright long-term outlook, the ASD label may be wrong.

Blind kids who pass these five gates probably do not have primary autism.

03

How this fits with other research

Gaylord-Ross et al. (1995) tried a teacher checklist to screen PDD in blind kids. Their tool flagged many; Waleed now says we must dig deeper before we stamp "ASD."

Gillberg et al. (2014) warned that we over-count ASD when other conditions ride along. Waleed agrees and adds blindness to the list of mimics.

Gepner et al. (2002) used visual motion tests to split autism from Asperger. Waleed flips the idea: when vision is gone from birth, some ASD signs may be blindness effects, not autism.

04

Why it matters

Mislabeling blind children with ASD can waste years of wrong therapy and worry. Use the five criteria during eval. Watch response to teaching, language gains, and real social warmth. If the child is blooming, pause before locking in the autism code and write goals that build on the strengths you see.

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Pull the last blind child on your caseload and check: did they make quick gains once you started teaching? If yes, revisit the diagnosis before writing new goals.

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder
Finding
not reported

03Original abstract

To propose novel differential criteria of the DSM-5 for diagnosing transient Autistic-like behaviors in children with congenital blindness as a secondary condition. Most references indicate a significantly higher prevalence of autism in children with congenital blindness compared to sighted children. These behavioral symptoms may be transient Autism-like behaviors that should be diagnosed as a secondary condition. Differential criteria are proposed: gaining more adaptive responses to effective interventions; presenting more efficient adaptation to environmental changes; gaining improved use of language in a more typical manner; acquiring more mature interactions with family as well as with others and, proving more positive prognosis due to spontaneous maturity and life experiences. Decreasing false-positives and true-negatives in the assessment process and diagnosis of primary vs. secondary ASD and comorbid conditions. Developing novel assessment tools to distinguish between ASD and autism-like behaviors in the intersection area. Future revision of DSM publication may reconsider these proposed changes in diagnostic criteria.

Journal of autism and developmental disorders, 2024 · doi:10.1111/j.1469-8749.1989.tb04045.x