Intended for healthcare professionals

Clinical Review

Diagnosis of autism

BMJ 2003; 327 doi: (Published 28 August 2003) Cite this as: BMJ 2003;327:488

The current epidemic

Dr Timimi states: 'We must become more competent at integrating
medical theory with other perspectives' in his response to Baird et al's
article on autism.

I could not agree more - but I also know that there are many other
perspectives than those set down by each of these authors writing from
their own particular perspective.

My own model of the tapestry (1) amply provides for a mental canvas
on which all these perspectives can be explored at various levels of
explanation. That they need to be in a public forum is increasingly
obvious when we read what professionals such as myself have known and
written about for years - that children are increasingly arriving at
school - not with diagnoses - but with vastly increased neurodevelopmental
problems including: impaired verbal, attentional, sensory motor, social,
communicative and risk taking behaviours and are posing `an almost
intractable challenge that schools alone could not be expected to cope
with'. (2)

1. Blakemore-Brown L.C. (2002) Reweaving the Autistic Tapestry.
Jessica Kingsley.

2. Charles Begley, Independent on Sunday ( 31st August 2003) Pupil
Behaviour at all-time low, says Oftsed

Competing interests:  
Author of book discussing the tapestry metaphor

Competing interests: No competing interests

02 September 2003
Lisa C Blakemore-Brown