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      Lifelong Eccentricity and Social Isolation

      British Journal of Psychiatry
      Royal College of Psychiatrists

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          Abstract

          Sixty individuals are described who have lifelong eccentricity and social isolation and who have sought psychiatric treatment as a direct or an indirect result. They were predominantly young and, as in other samples of autistic people, male (6M: 1F). Most of them were of normal intelligence. They were all profoundly socially handicapped: few had lived independently, had lasting sexual relationships or spent much time in employment. Nearly a half of the subjects had been involved in antisocial behaviour at some stage. Nearly a quarter had committed a criminal offence. Violence was usually domestic, most often directed against the mother. Forty-eight per cent of subjects had a second psychiatric disorder (11.7% had a psychosis).

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          Most cited references7

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          Sex ratios in early childhood autism and related conditions.

          Lorna Wing (1981)
          Children aged 0-14 on a specified census day, with impairments of verbal and nonverbal communication, social interaction and imaginative play, and with repetitive, stereotyped activities, were identified in an epidemiological study carried out in an area of southeast London. Sociable moderately, severely, and profoundly retarded children were included for comparison. An overall male:female ratio of 2.6:1 was found in those with language and social impairments, but, in the children of this group who were moderately, severely, or profoundly retarded, the ratio was 2.1:1, closely similar to that found in children in the same IQ range with Down's syndrome or cerebral palsy. The excess of males was much more marked in language and socially impaired children who were of higher ability, or who had a history of typical early childhood autism. The findings were linked to hypotheses of genetically greater variability in males, and to male-female differences in visuo-spatial and language skills.
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            Violence and Asperger's syndrome: a case study.

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              Crossing the Border Into Borderline Personality and Borderline Schizophrenia

              Although there is a large psychiatric literature on various "borderline" conditions, there has been no agreement as to the definition of the concept. A review of the literature reviewed two major uses of the term: Borderline Schizophrenia and Borderline Personality. Two item sets were developed to provide diagnostic criteria for the two concepts. High sensitivity and specificity were demonstrated for both item sets using data describing 808 borderline and 808 control patients. These criteria will be used in the forthcoming DSM-III classification for the categories of Borderline Personality Disorder and Schizotypal Personality Disorder.
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                Author and article information

                Journal
                applab
                British Journal of Psychiatry
                Br J Psychiatry
                Royal College of Psychiatrists
                0007-1250
                1472-1465
                December 1988
                January 2018
                : 153
                : 06
                : 777-782
                Article
                10.1192/bjp.153.6.777
                23ec6da6-d46d-412d-ae17-5faf041603d5
                © 1988
                History

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