A Historical Perspective: When Was Autism First Identified?

May 15, 2025

In the past, treatment options were limited and often inappropriate. Today, autism is supported through a range of evidence-based interventions, including Applied Behavior Analysis (ABA) therapy, speech and occupational therapy, and social skills training. 


Modern autism services—like those offered by Divine Steps ABA—focus on empowering children and families through personalized, respectful care.


Let’s take a closer look at the amazing timeline together.


Early Observations of Autism-Like Behaviors

Early mentions of autism-like behaviors can be found throughout history, even before autism was officially recognized.


People showing early signs of autism were often misunderstood and judged based on what society expected. Old medical writings occasionally mentioned these behaviors, setting the stage for later research.


As time went on, doctors began to notice special behavior patterns in children. These patterns suggested possible developmental differences and caused interest. This interest led to more serious studies about the history of autism.


Descriptions from Ancient Civilizations

References to autism-like behaviors in ancient civilizations are rare but important. In old texts from different cultures, people who showed early signs of autism were often explained through magical or spiritual ideas. For example, a child in 18th-century India described as "different" might have shown traits similar to what we now call autism.


Ancient thinkers, like Hippocrates, sometimes grouped these people together as having weird or unusual traits. However, they did not have the clear understanding of autism that we have today. Their views were often based on beliefs about the supernatural instead of medical knowledge.


These mentions highlight how society has long tried to understand differences in people. Even though autism was not viewed as a medical issue back then, these stories help lay the groundwork for today's study and understanding of signs of autism and neurodevelopmental conditions.


18th and 19th Century Medical Literature

The 18th and 19th centuries were important years for recording strange behaviors in early childhood within medical literature. In 1799, Jean Itard studied Victor, known as “the wild boy of Aveyron.” This case showed problems with communication and used repetitive behaviors. These signs hinted at what we now know as autism.


During the 19th century, researchers in Europe looked into unusual behaviors. However, without a clear way to connect their findings, these observations often stood alone. Some scientists thought these issues might come from problems in development. They believed that early childhood was a key time for diagnosing these traits.


These initial studies helped us understand that some behaviors might not fit the usual mental health disorders. They helped us start looking into developmental issues more deeply. This work laid the groundwork for how we now approach autism diagnosis in today's practices.


The 20th Century and the Naming of Autism

The 20th century changed how people understood and labeled autism. At first, it was seen as a part of other mental health issues, like schizophrenia.


The unique traits of autism became clear through the important work of researchers such as Eugen Bleuler. He described behaviors that focused on oneself, which led to the term "autistic" being used in medicine.


By the middle of the century, Leo Kanner’s work helped to describe autism as its own condition. This started a new wave of research. This period set the stage for major discoveries about autism's social interaction and development.


Eugen Bleuler and the Term 'Autistic'

Swiss psychiatrist Eugen Bleuler was the first to use the term "autistic" in 1911. He used it to describe self-focused signs he saw in patients with schizophrenia. The word comes from the Greek "autos," which means "self." Bleuler thought these behaviors showed a strong disconnect from reality. This was a common sign of mental illnesses at that time.


Bleuler’s idea was more about classifying symptoms and less about giving a diagnosis. His link between "autistic thinking" and schizophrenia stopped a deeper look into the unique traits of autism at first.


Bleuler’s work was important, but later researchers like Leo Kanner built on his ideas in the 1940s. This is when autism diagnosis started to stand apart from other mental health disorders. Bleuler’s use of the term helped bring attention to behaviors that would later be seen as part of a spectrum disorder.


Early 20th Century Psychiatric Perspectives

In the early 20th century, people in psychiatry did not understand autism as its own condition. Instead, it was grouped with mental issues like dementia praecox and childhood schizophrenia. This incorrect grouping made it hard to research autism properly. As a result, people with autism did not receive good care.


Researchers began to see that children with autism had social difficulties and showed repetitive behaviors. This was different from the usual mental symptoms they observed. These findings suggested that autism needed a unique way to be diagnosed.


In the 1940s, Leo Kanner changed the conversation. He highlighted early infantile autism as different from other mental disorders. While the psychiatric view limited early research, it also strengthened the recognition of autism by showing that it had different developmental causes compared to traditional mental health issues.


Leo Kanner and His Defining of Autism in 1943

Leo Kanner was an Austrian-American child psychiatrist who changed the field of autism research in 1943. He published an important paper about infantile autism. In his study of 11 children, Kanner noticed behaviors such as “extreme autistic aloneness” and a strong need for sameness. This helped to distinguish autism from schizophrenia.


Kanner's work challenged the common belief that autism came from parental neglect. He argued that autism had neurological causes. He proposed that it was an autistic disorder related to brain development, not emotional problems.


His efforts redefined autism. They also set the stage for many years of autism research. Kanner's studies were the first serious attempt to create diagnostic criteria for developmental differences. This brought autism into focus in the medical field.


Hans Asperger's Parallel Discovery in 1944

Hans Asperger was a doctor from Austria who expanded the study of autism in 1944. He looked at a group of children who showed repetitive behaviors and had strict routines but did not have major delays in talking or thinking.


Asperger named this condition autistic psychopathy. This is different from Kanner’s broader view of autism. The children he studied were often very smart, but they had trouble with social communication. This formed the basis for what we now call Asperger’s Syndrome.


Although his work came out in German and was missed by English-speaking researchers at first, Asperger's contributions are very important. Along with Kanner’s research, Asperger’s work helped us see autism as a spectrum disorder. This improved the rules for diagnosis and raised awareness around the world.


Post-War Developments and Medical Understanding

After World War II, there were important changes in how people understood autism. This changed how autism was seen and diagnosed. During this time, Leo Kanner did important work on infantile autism. His work helped us see different symptoms and behaviors in children. 


Around the same time, Hans Asperger studied conditions like autism. This helped the concept of autism become more known. In 1952, the American Psychiatric Association released the DSM-I. This was a big step in officially diagnosing autism.


Bernard Rimland spoke out for autistic people. He showed that they have special needs.  His work helped people pay more attention to autism and the study of developmental disorders.


DSM-I and the Inclusion of Autism (1952)

In 1952, the Diagnostic and Statistical Manual of Mental Disorders (DSM-I) was an important step in recognizing autism. This first edition laid out a way to understand different mental disorders and included a section that would later become known as autism.


Leo Kanner's earlier research on infantile autism was key in developing the diagnostic criteria. At that time, the word 'autism' was not widely used, but adding it to the DSM-I showed that there were complex issues with social interaction and communication for autistic children. This helped lead to more research and better understanding.


Shifts in the Understanding of Autism in the 1960s

In the 1960s, views on autism changed a lot. The focus moved away from just what Leo Kanner and Hans Asperger described. People began to understand the autism spectrum better. There was more awareness of how different autistic children could be. 


Some had trouble with social interaction, while others faced challenges with communication or showed repetitive behaviors. During this time, advocates like Bernard Rimland worked hard. He wanted people to see autism as a mental health issue, not just the result of how parents acted. This changed how people thought about autism diagnosis and treatment.


The Role of Parental Advocacy Groups

Parental advocacy groups have been very important in talking about autism, especially in the mid-20th century. These dedicated parents came together to raise awareness about the signs of autism and the challenges their children face.


They also pushed for better educational resources. Their hard work showed how important social communication skills are and the need for proper support for developmental disabilities. They advocated strongly for research funding too. This helped highlight the need for better autism diagnosis and treatment options.


Their efforts helped lead to major progress in understanding this complex spectrum disorder.


Conclusion

Understanding when and how autism was first discovered helps us appreciate how far we’ve come in recognizing and supporting neurodiverse individuals.


From early misinterpretations to the development of evidence-based interventions, the history of autism reflects the growing awareness and acceptance of neurological differences.


At Divine Steps ABA, we are proud to be part of this ongoing journey by offering compassionate, science-backed ABA therapy services tailored to each child’s unique needs. Our team works closely with families to build the skills and confidence children need to thrive. 


If you’re exploring autism services or have questions about your child’s development, contact Divine Steps ABA today for a free consultation. We’re here to walk with you, every step of the way.


Frequently Asked Questions

  • What were the earliest signs of autism in history?

    Early signs of autism have been noted throughout history. Descriptions of odd behaviors and social problems appeared from the late 19th century to the early 20th century. People observed traits such as withdrawing from others, trouble communicating, and repeating actions. These observations helped lead to a formal understanding of autism in later years.


  • How did the definition of autism change over time?

    The meaning of autism has changed over time. It moved from just looking at childhood mental disorders to a wider view that includes a range of neurodevelopmental conditions. This change happened because of new research and efforts to raise awareness. People now realize that the autistic community is diverse and has many different experiences.


  • What are the major milestones in autism research?

    Key milestones in autism research are the introduction of DSM criteria, the start of genetic and brain studies, and the growth of advocacy movements. These changes have helped to shape our understanding, diagnosis, and treatment of autism. They have given us a deeper insight into autism over the years.


  • How have treatments for autism evolved?

    The way we treat autism has changed a lot over time. In the past, many people were placed in institutions. Now, we focus on early help and behavior therapies. Today’s methods stress the importance of education and social inclusion. They use proven practices that are designed to meet each person’s needs. This helps create a better understanding and acceptance in different communities.


  • What are the current debates or controversies in autism studies?

    Current discussions in autism studies focus on how effective different treatments are. They also look at whether the diagnostic criteria are accurate. Another point of discussion is how much genetics or the environment affects autism. People are also talking about neurodiversity views and how these views affect treatment methods and social acceptance.


Sources:



  • https://www.autism.org.uk/advice-and-guidance/what-is-autism/the-history-of-autism
  • https://pmc.ncbi.nlm.nih.gov/articles/PMC3757918/
  • https://pmc.ncbi.nlm.nih.gov/articles/PMC8531066/
  • https://www.thetransmitter.org/spectrum/evolution-autism-diagnosis-explained/
  • https://www.thetransmitter.org/spectrum/evolution-autism-diagnosis-explained/
  • https://blogs.uoregon.edu/autismhistoryproject/topics/autism-the-term/
  • https://hms.harvard.edu/news/autism-evolution


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