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Werner I. Halpern, MD
Rochester, NY

JAMA. 1970;214(5):916.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Ames et al (213:419, 1970) allude in passing to the possibility that central auditory imperception traceable to fetal rubella infection is associated with the development of emotional reactions if the afflicted children cannot acquire language. Evidence is accumulating that central regulatory impairments, including auditory imperception, may give rise to autistic behavior in vulnerable children.^1-4 It is conceivable that some cases of developmental aphasia, with autism as presenting behavior, are variants of the congenital rubella syndrome.

The emphasis of the authors on early treatment of central auditory imperception by providing a program of speech awareness is well taken. Amelioration or even prevention of the profound arrest in social development of some children can be achieved by this method. Speech and language training, along the lines suggested in the article for children with central auditory imperception, has reversed the social isolation of young autists⁵ but not . . . [Full Text PDF of this Article]

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