Autism & Developmental

Brain opioids and autism: an updated analysis of possible linkages.

Sahley et al. (1987) · Journal of autism and developmental disorders 1987
★ The Verdict

The 1987 opioid-excess story is historical context, not a treatment plan.

✓ Read this if BCBAs who dig into older autism reports or collaborate with medical teams.
✗ Skip if Clinicians only interested in current behavioral interventions.

01Research in Context

01

What this study did

Green et al. (1987) wrote a theory paper. They asked: could extra brain opioids explain why children with autism avoid eye contact and hugs?

They pulled early animal and human drug studies into one story. The idea was simple: block the opioids and social love might return.

02

What they found

The review found no new data. It only stitched old pieces together.

The authors guessed that naloxone or naltrexone might boost social interest. They called for small safety trials first.

03

How this fits with other research

Danforth et al. (1990) came next. That team kept the social-focus idea but dropped the drug talk. They said social relatedness is the core deficit, not a chemical soup.

Carré et al. (2015) moved the ball forward again. They measured social anhedonia with rating scales in adults. Low playfulness, not opioids, predicted bonding problems.

Rojahn et al. (1987) ran a tiny open trial the same year. Beta-blockers, not opioid blockers, calmed aggression and later helped speech. Same goal, different drug, real people.

04

Why it matters

Know the history. When you read older files that mention naloxone, you will spot the 1980s opioid-excess theory behind them. Do not rush to copy it. Modern work shows social motivation is multi-layered. Use today's evidence-based play and social-skills protocols first. Keep drug questions in the physician's lane.

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If you see naloxone mentioned in a client file, flag it for the prescribing doctor and stick to your social-skills program.

02At a glance

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

03Original abstract

Considerable clinical evidence suggests that autistic children lack the normal ability or desire to engage others socially, as indicated by their poor social skills and inappropriate use of language for communicative purposes. Specifically, these children seem to lack normal amounts of social-emotional interest in other people, leading perhaps to a decreased initiative to communicate. This paper summarizes experimental evidence supporting a neurological theory, which posits that autism, at least partially, represents in the brain, such as brain opioids. These substances modulate social-emotional processes, and the possibility that blockade of opioid activity in the brain may be therapeutic for early childhood autism is discussed.

Journal of autism and developmental disorders, 1987 · doi:10.1007/BF01495056