School refusal was one of the behavioral symptoms exhibited by a 12-year-old Japanese boy with Heller's syndrome, a disorder in which normal or near-normal development for the first few years of life is followed by a loss of speech and social skills, along with other behavioral symptoms. (JW)

Of 135 autistic and/or mentally retarded Tokyo youngsters, 30 with pervasive developmental disorder (PDD) and 2 with nonautistic mental retardation exhibited school refusal. School refusal was significantly more frequent in other PDDs than in nonautistic mental retardation. The intellectual level was significantly higher in PDD children with…