Three Reasons Not to Believe in an Autism Epidemic

Gernsbacher, M. A., Dawson, M., & Goldsmith, H. H. (2005). Three Reasons Not to Believe in an Autism Epidemic. Current Directions in Psychological Science, 14(2), 55-58. https://doi.org/10.1111/j.0963-7214.2005.00334.x

Publication date: 1 Apr 2005 Added to AutiHub: 3 Jul 2026 Type: Article Article language: English

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3
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1 / 3 (33.3%)

Abstract

According to some lay groups, the nation is experiencing an autism epidemic-a rapid escalation in the prevalence of autism for unknown reasons. However, no sound scientific evidence indicates that the increasing number of diagnosed cases of autism arises from anything other than purposely broadened diagnostic criteria, coupled with deliberately greater public awareness and intentionally improved case finding. Why is the public perception so disconnected from the scientific evidence? In this article we review three primary sources of misunderstanding: lack of awareness about the changing diagnostic criteria, uncritical acceptance of a conclusion illogically drawn in a California-based study, and inattention to a crucial feature of the "child count" data reported annually by the U.S. Department of Education.

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31
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0 / 31 (0.0%)
Cited author occurrences identified as autistic
0 / 73 (0.0%)
Among occurrences linked to AutiHub author records: 0 / 8 (0.0%). Distinct cited authors identified as autistic: 0 / 70 (0.0%).
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8 / 73 (11.0%)
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8 / 8 (100.0%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 8 / 73 (11.0%). Distinct linked cited authors not identified as autistic: 6 / 6 (100.0%).
  1. Michael Rutter (1978). Diagnosis and Definition . In Autism (pp. 1-25). Springer US.
    Crossref OpenAlex OpenCitations
  2. Éric Fombonne (2003). Epidemiological Surveys of Autism and Other Pervasive Developmental Disorders: An Update . Journal of Autism and Developmental Disorders, 33(4), 365-382. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  3. Michael Fitzgerald (2004). Autism and Creativity . Routledge.
    Crossref OpenAlex OpenCitations
  4. Michael Rutter , Eric Schopler (1978). Autism: A Reappraisal of Concepts and Treatment .
    Type: Book OpenAlex: https://openalex.org/W633975716
    OpenAlex
  5. Institute of Medicine (2004). Immunization safety review: Vaccines and autism . Immunization safety review: Vaccines and autism.
    Type: Other
    Crossref
  6. Suniti Chakrabarti (2001). Pervasive Developmental Disorders in Preschool Children . JAMA, 285(24), 3093. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  7. Michael Fitzgerald (2004). Autism and Creativity: Is There a Link between Autism in Men and Exceptional Ability?
    Type: Book OpenAlex: https://openalex.org/W1500651309
    OpenAlex
  8. Wing L., Potter D. (2002). (See References)
    Type: Other
    Crossref
  9. GILLIAN BAIRD , Tony Charman , Simon Baron-Cohen , ANTONY COX , JOHN SWETTENHAM , SALLY WHEELWRIGHT et al. (2000). A Screening Instrument for Autism at 18 Months of Age: A 6-Year Follow-up Study . Journal of the American Academy of Child & Adolescent Psychiatry, 39(6), 694-702. Elsevier BV.
    Crossref OpenAlex OpenCitations
  10. M. Coleman , C. Cillberg (1994). Biology of the Autistic Syndromes . Ovid Technologies (Wolters Kluwer Health).
    OpenAlex
  11. American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders . Diagnostic and statistical manual of mental disorders.
    Type: Other
    Crossref
  12. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders . Diagnostic and Statistical Manual of Mental Disorders.
    Type: Other
    Crossref
  13. Lorna Wing , David Potter (2002). The epidemiology of autistic spectrum disorders: is the prevalence rising? Mental Retardation and Developmental Disabilities Research Reviews, 8(3), 151-161. Wiley.
    Crossref OpenAlex OpenCitations
  14. F. CASTELLI (2001). The Biology of the Autistic Syndromes, 3rd Edition . Journal of Neurology, Neurosurgery & Psychiatry, 70(1), 138k-138. BMJ.
    OpenAlex
  15. Leon Eisenberg , Leo Kanner (1956). Childhood schizophrenia: Symposium, 1955: 6. Early infantile autism, 1943–55. American Journal of Orthopsychiatry, 26(3), 556-566. American Psychological Association (APA).
    OpenCitations
  16. H Desombre (2001). The biology of the autistic syndromes . Archives de Pédiatrie, 8(3), 340. Elsevier BV.
    OpenAlex
  17. Jacquelyn Bertrand , Audrey Mars , Coleen Boyle , Frank Bove , Marshalyn Yeargin-Allsopp , Pierre Decoufle (2001). Prevalence of Autism in a United States Population: The Brick Township, New Jersey, Investigation . Pediatrics, 108(5), 1155-1161. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  18. P.A. Filipek , P.J. Accardo , S. Ashwal , Grace T. Baranek , E.H. Cook , Géraldine Dawson et al. (2000). Practice parameter: Screening and diagnosis of autism . Neurology, 55(4), 468-479. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  19. Uta Frith (1989). Autism: Explaining the Enigma .
    Type: Book OpenAlex: https://openalex.org/W1998090778
    Crossref OpenAlex
  20. California Department of Developmental Services. (1999). Changes in the population with autism and pervasive developmental disorders in California's developmental services system: 1987–1998. A report to the legislature . Changes in the population with autism and pervasive developmental disorders in California's developmental services system: 1987–1998. A report to the legislature.
    Type: Other
    Crossref
  21. ARNOLD M. COOPER , ROBERT MICHELS (1981). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed . American Journal of Psychiatry, 138(1), 128-129. American Psychiatric Association Publishing.
    OpenAlex
  22. Gillberg C. (2000). The biology of the autistic syndromes . The biology of the autistic syndromes.
    Type: Other
    Crossref
  23. IDEA. (2002). Data Notes for IDEA, Part B. http://www.ideadata.org/docs/bdatanotes2002.doc
    Type: Other
    Crossref
  24. Janet B W Williams , Michael First (2013). Diagnostic and Statistical Manual of Mental Disorders . Encyclopedia of Social Work. Oxford University PressNew York, NY.
    OpenAlex
  25. Kanner L. (1956). bibr12-j. 0963-7214. 2005. 00334.x American Journal of Orthopsychiatry, 26, 55.
    Type: Other
    Crossref
  26. Gillian Baird , Tony Charman , Simon Baron-Cohen , Ashleigh Cox , John Swettenham , Sally Wheelwright et al. (2002). A screening instrument for autism at 18 months of age: A six-year follow-up study . In UCL Discovery (University College London).
    Type: Book chapter OpenAlex: https://openalex.org/W2210032465
    OpenAlex
  27. M.I.N.D. Institute. (2002). Report to the Legislature on the principal findings from The Epidemiology of Autism in California: A Comprehensive Pilot Study . Report to the Legislature on the principal findings from The Epidemiology of Autism in California: A Comprehensive Pilot Study.
    Type: Other
    Crossref
  28. U.S. Department of Education. (2002). Twenty-fourth annual report to Congress on the implementation of the Individuals With Disabilities Education Act . Twenty-fourth annual report to Congress on the implementation of the Individuals With Disabilities Education Act.
    Type: Other
    Crossref
  29. Léo Kanner (1956). Early infantile autism 1943-1955 . American Journal of Orthopsychiatry, 26, 55-65.
    Type: Article OpenAlex: https://openalex.org/W3122101245
    OpenAlex
  30. Cecil R. Reynolds (2008). American Journal of Orthopsychiatry . Encyclopedia of Special Education, 109-109. Wiley.
    OpenAlex
  31. Francesco Sciacca , Rohit Sharma , Henry Knipe (2020). Diagnostic and Statistical Manual of Mental Disorders . Radiopaedia.org. Radiopaedia.org.
    OpenAlex