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cover of episode Autism rates have exploded. Could the definition be partly to blame?

Autism rates have exploded. Could the definition be partly to blame?

2025/6/26
logo of podcast Consider This from NPR

Consider This from NPR

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Dr. Alan Francis
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Dr. Paul Offit
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President Trump
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Robert F. Kennedy Jr.
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Andrew Wakefield: 作为一名研究人员和医生,我出席国会的目的是报告一系列自闭症儿童的临床和科学调查结果。我的研究表明,麻疹、腮腺炎和风疹疫苗可能与儿童自闭症的发展有关,尽管我没有确凿的证据支持这一观点。 Paul Offit: 我被传唤来作证,说明疫苗导致自闭症在生物学上是否合理,我认为这不合理。无数的研究已经驳斥了Wakefield的理论。疫苗和自闭症之间没有明确的联系。 Donald Trump: 自闭症发病率的上升令人难以置信,我的政府将查清楚自闭症迅速上升的原因。我相信Robert F. Kennedy Jr.是解决这个问题的最佳人选。 Robert F. Kennedy Jr.: 我认为自闭症是由环境因素引起的,基因不会导致流行病。多年来,我一直在质疑疫苗的安全性,并将其与自闭症联系起来。我将利用我的职权重新调查已有的科学结论。 Alan Francis: 我在某种程度上促成了自闭症发病率的增长。Robert F. Kennedy Jr.不适合领导美国的医疗工作,他将资源从自闭症研究转移到疫苗阴谋论上。1994年,我们添加了阿斯伯格综合症,这是一种较轻微的自闭症,更容易与其他精神疾病或正常行为混淆。自闭症发病率的增长主要是由于诊断标准的改变,以及教育服务与诊断相关联,互联网的传播等因素。重要的是不要过度诊断自己,也不要因为自闭症诊断而限制自己,认为自己无法拥有更光明的未来。

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Secretary of Health and Human Services Robert F. Kennedy, Jr. has spent years spreading doubt about the safety of vaccines and linking them to autism. Dozens of studies have debunked the theory, but it has nevertheless persisted for years. Part of the reason why may be that autism diagnoses have soared over the last few decades.Dr. Allen Frances is psychiatrist who led the task force that created the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, which expanded the definition of Autism. Frances says that expanded definition played a role in the increase.Rates of autism have exploded in recent decades. Could the clinical definition of autism itself be partly to blame? For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org). Email us at [email protected]).Learn more about sponsor message choices: podcastchoices.com/adchoices)NPR Privacy Policy)