0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum |

Parental Availability in Families Affected by Autism

Ruth V. Reed, MA, MB, BChir, MRCPCH
Arch Pediatr Adolesc Med. 2007;161(11):1107-1108. doi:10.1001/archpedi.161.11.1107-a.
Text Size: A A A
Published online

Extract

The article published in the Archives by Stone et al1 on the early development of younger siblings of children with autistic spectrum disorders (ASDs) was certainly interesting and will hopefully pave the way for further research. The authors concluded that the weaker performance of siblings of children with ASDs may represent early-emerging features of a broader autistic phenotype. I was surprised that the authors did not include an alternative explanation in their discussions, that of parental availability for the younger unaffected sibling. The needs of the younger sibling for stimulation and comfort may be met with great difficulty by a parent struggling to balance the increased needs of the affected child with those of a new arrival. The child with ASD tends to require much closer parental supervision within and outside of the home, and the spectrum of family activities may be greatly narrowed by the vulnerability of the child with ASD to distress if exposed to novel stimuli. By contrast, novel stimuli are exactly what the younger sibling requires to maximize his or her developmental attainment. As Smith2 so eloquently describes in her article “Autism Through My Eyes,” social interactions outside of the immediate family, such as parties, may be very restricted by the needs of the child with ASD, the youngest child's opportunity to gain from wider social experience thus being reduced.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

November 1, 2007
Caitlin McMahon, MS; Wendy L. Stone, PhD; Paul J. Yoder, PhD
Arch Pediatr Adolesc Med. 2007;161(11):1107-1108. doi:10.1001/archpedi.161.11.1107-b.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();