Autism & Developmental

Transformational deficits in cognition of schizophrenic children.

Caplan et al. (1979) · Journal of autism and developmental disorders 1979
★ The Verdict

Kids once labeled schizophrenic rarely master concrete logic, and the gap is still missed by standard IQ tests.

✓ Read this if BCBAs writing transition plans for teens with early psychosis or similar labels.
✗ Skip if Clinicians only serving typically-developing learners.

01Research in Context

01

What this study did

Doctors watched a small group of children who had been called schizophrenic. They gave Piaget tasks like pouring water and hiding objects. They wanted to see if the kids could think in concrete or formal ways.

The team also checked if living in a hospital changed scores. They tracked the same kids into their mid-teens.

02

What they found

None of the children reached formal operations. Very few even mastered basic concrete operations. The gaps stayed the same no matter how long they lived in care.

In short, the thinking problems were deep and stable.

03

How this fits with other research

Pitetti et al. (2007) looked at adults with the same label and found normal WAIS-R IQ scores. This seems like a clash, but the 2007 group was older and used a different test. Early Piaget tasks may catch delays that later IQ tests miss.

Rumsey (1985) showed that even highly verbal autistic adults fail card-sorting tasks. Both papers point to stubborn executive problems across diagnoses.

de Freitas Feldberg et al. (2021) and Wilson et al. (2023) found large math and memory gaps in kids with cerebral palsy. Together these studies warn us: many neuro-developmental labels carry hidden learning traps that plain IQ can hide.

04

Why it matters

If you work with teens who carry a schizophrenia history, do not trust a normal IQ score alone. Add quick Piaget-style checks like conservation or perspective-taking tasks. When the teen fails, break lessons into small concrete steps and use visuals. This low-tech probe can save years of wrong academic placement.

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→ Action — try this Monday

Give one conservation-of-liquid task and note if the teen explains reversibility; if not, switch to concrete visual task analyses.

02At a glance

Intervention
not applicable
Design
case series
Population
mixed clinical
Finding
negative

03Original abstract

This study examined schizophrenic children for cognitive deficits in logical thinking, symbolic imagery, and conservation. Evaluation revealed persistent failure of the aberrant subjects to achieve at the level of age expectancy. Comparison with nonpsychotic, institutionalized children demonstrated no effect due to institutionalization. By mid-teens not one of the subjects had accomplished formal operations and very few were able to master concrete operations. Implications for development and treatment were discussed.

Journal of autism and developmental disorders, 1979 · doi:10.1007/BF01531532