Despite significant advances in autism research, experts have noted that children severely affected by autism spectrum disorder (ASD) appear to have been understudied. Rigorous analysis of this observation has been limited, and the representation of severity has not been well-described. We assessed three domains of severity (communication ability, cognitive functioning, and adaptive functioning) in 367 treatment studies of children with ASD published 1991–2013. We found that the proportion of studies that included the severely affected population decreased significantly over time, as well as wide variability in measurement and reporting. Inadequate representation of the full autism spectrum in the literature could lead to an unbalanced picture of ASD and leave behind those with arguably the greatest need.

Science is currently under-utilized as a tool for effective policy and program design. A key part of this research-to-practice gap lies in the ineffectiveness of current models of science translation. Drawing on theory and methods from anthropology and cognitive linguistics, this study explores the role of cultural models and metaphor in the practice of science communication and translation. Qualitative interviews and group sessions, along with quantitative framing experiments, were used to design and test the effectiveness of a set of explanatory metaphors in translating the science of executive function. Developmental and cognitive scientists typically define executive function as a multi-dimensional set of related abilities that include working memory, inhibitory control, and cognitive flexibility. The study finds one metaphor in particular—the brain's air traffic control system—to be effective in bridging gaps between expert and public understandings on this issue and in so doing improving the accessibility of scientific information to members of the public as they reason about public policy issues. Findings suggest both a specific tool that can be used in efforts to translate the science of executive function and a theory and methodology that can be employed to design and test metaphors as communication devices on other science and social issues

Psychiatric hospitalization of children with autism spectrum disorder (ASD) is relatively common and occurs at a higher rate than in non-ASD youth. This study compared changes in the severity of serious problem behaviors in 350 youth with ASD enrolled in the autism inpatient collection during and after hospitalization in six specialized child psychiatry units. There was a significant reduction in serious problem behaviors from admission (aberrant behavior checklist-irritability subscale M = 29.7, SD 9.6) to discharge (M = 15.0, SD 10.3) and 2-month follow-up (M = 19.3, SD 10.3). Between discharge and 2-month follow-up, tantrum-like behaviors but not self-injurious behaviors increased slightly. Improvement in the severity of problem behaviors was not uniform across sites, even after controlling for measured site differences.