A selective overview of issues on classification, causation, and early intensive behavioral intervention for autism.
Early intensive ABA earned its top spot by 2001, but later work shows we must measure better, test parts, and watch who gets left out.
01Research in Context
What this study did
Temple et al. (2001) wrote a narrative review about autism and early intensive behavioral intervention. They talked about how doctors decide who has autism. They also explained why starting ABA early is important.
The paper did not run a new experiment. It summed up what was known in 2001. It told readers that comprehensive ABA is the way to go for young kids with autism.
What they found
The review found no fresh numbers. Instead, it stated that early intensive behavioral intervention is still the top choice. It warned that every child is different, so programs must be tailored.
In short, the paper gave a green light to early ABA while urging teams to watch each child's unique profile.
How this fits with other research
Eikeseth (2009) later graded 25 studies and agreed: behavioral early programs hold the strongest evidence for preschoolers. This backs up the 2001 endorsement with a wider lens.
Matson (2007) extends the story by throwing a yellow flag. That review says the tools we pick to measure progress can make results look better than real life. So the cheer in Temple et al. (2001) needs a measurement check.
Kasari (2002) also extends the call, telling us to stop treating whole programs like black boxes. We should test which parts actually help, something the 2001 paper did not dig into.
Yazdani et al. (2020) adds another caution: studies that exclude lots of kids often show bigger gains. This tempers the sunny view from 2001 and tells clinicians to read fine print before buying hype.
Why it matters
For BCBAs, this paper is a history marker: it shows when the field locked in on early intensive ABA. Pair it with later reviews to see both the promise and the pitfalls. Use it to justify early starts, but also to remind referral sources that one size never fits all and that solid measurement plans are a must.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Open your active early-start cases and list the exact measures you track—swap any vague checklist for a socially valid, sensitive skill probe this week.
02At a glance
03Original abstract
Autism is a behaviorally defined disorder that comprises a controversial diagnostic category due to heterogeneity in symptomatology, causation, and etiology and significant variance in response to intervention. In this article, the authors provide a brief overview of the clinical category and a summary of diagnostic developments with respect to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. Regarding causation and etiology, they briefly discuss selected perspectives from the fields of cognitive neuroscience and neuropsychology. The article concludes with a summary of effective behavioral strategies for the treatment of children with autism. This section highlights the importance of early intensive behavioral intervention and includes a discussion of some important aspects of this approach.
Behavior modification, 2001 · doi:10.1177/0145445501255002