History of this debate is as old as when A Sloth does more work than my pancreas shirt Leo Kanner first described autism. Some people believe that the syndrome he described was already identified as “childhood schizophrenia”. He probably only refined the criteria. But Kanner wanted a name for himself and without evidence pressed forward to define “his” autism as something different. He claimed that it was present since birth but detectable only in the second year of life. “Child schizophrenia” on the other hand was understood to onset in the second year. This really was a pointless distinction given the evidence then. Later he revised his position to acknowledge that his autism also comes with regressive variety. The state of the art in this field is converging towards the notion that almost all types of autism have some sort of regression in some abilities. There may not be a clear distinction between regressive and non-regressive autism.
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The role of gut vs brain anatomy is another A Sloth does more work than my pancreas shirt differentiating factor. Autism is largely understood to be a difference in brain anatomy or processing in the brain. The role of gut, however, is an active area of research, because gastrointestinal problems are quite common in autism. A recent study even claimed to increase “Autistic behavior” in mice who got fecal transplants from autistic boys. But it also got swift backlash from other scientists concerning their small sample size and methods used in analyzing data. But there are numerous other studies that continue to investigate this aspect.
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