The Wall Street Journal
Is an Economist Qualified To Solve Puzzle of Autism?
Professor's Hypothesis: Rainy Days and TV May Trigger Condition
By MARK WHITEHOUSE
February 27, 2007; Page A1
In the spring of 2005, Cornell University economist Michael Waldman noticed a strange correlation in Washington, Oregon and California. The more it rained or snowed, the more likely children were to be diagnosed with autism. To most people, the observation would have been little more than a riddle. But it soon led Prof. Waldman to conclude that something children do more during rain or snow -- perhaps watching television -- must influence autism. Last October, Cornell announced the resulting paper in a news release headlined, "Early childhood TV viewing may trigger autism, data analysis suggests."
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Ami Klin, director of the autism program at the Yale Child Study Center, says Prof. Waldman needlessly wounded families by advertising an unpublished paper that lacks support from clinical studies of actual children. "Whenever there is a fad in autism, what people unfortunately fail to see is how parents suffer," says Dr. Klin. "The moment you start to use economics to study the cause of autism, I think you've crossed a boundary." Prof. Waldman, who thinks television restriction may have helped rescue his own son from autism, says many noneconomists don't understand the methods he used. His paper recommends that parents keep young children away from television until more rigorous studies can be done. "I've gotten a lot of nasty emails," he says. "But if people aren't following up on this, it's a crime."
Such debates are likely to grow as economists delve into issues in education, politics, history and even epidemiology. Prof. Waldman's use of precipitation illustrates one of the tools that has emboldened them: the instrumental variable, a statistical method that, by introducing some random or natural influence, helps economists sort out questions of cause and effect. Using the technique, they can create "natural experiments" that seek to approximate the rigor of randomized trials -- the traditional gold standard of medical research.
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But as enthusiasm for the approach has grown, so too have questions. One concern: When economists use one variable as a proxy for another -- rainfall patterns instead of TV viewing, for example -- it's not always clear what the results actually measure. Also, the experiments on their own offer little insight into why one thing affects another. By suggesting that something within parents' control could be triggering autism, Prof. Waldman has reopened old wounds in the realm of autism research, which is littered with debunked theories linking the disorder to the family environment.
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Over the years, attempts to understand the affliction have been tough on parents. One of the earliest, the "refrigerator mother" theory, blamed autism on a lack of maternal affection. Popularized by celebrity psychologist Bruno Bettelheim, the theory survived from the 1940s until the late 1960s, virtually demonizing mothers of autistic children until more-careful studies failed to support the idea. More recently, a scare about measles vaccinations stirred anxiety, but large studies have shown no link to autism. Most researchers now recognize that heredity plays a central role in autism, and they are making progress in identifying the genes responsible. They're also looking into the possibility of interaction with environmental factors, both in the womb and after birth.
Some experts think that in reaction to the discredited theories the pendulum has swung too far away from the family. "The discussion of the role of the family, and social interaction within the family, is virtually taboo," says Anna Baumgaertel, a developmental-behavioral pediatrician at the Children's Hospital of Philadelphia. She says some of her autistic patients have been heavy video and TV watchers since birth -- a factor she thinks "may lead to autistic behavior in susceptible children, because it interferes with the development of 'live' auditory, visual, and social experience."
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