3) Clark T, Feehan C, Tinline C, Vostanis P. Autistic symptoms in children with attention deficit-hyperactivity disorder. Eur Child Adolesc Psychiatry 1999; 8: 50-5. 4) Howlin P, Asgharian A. The diagnosis of autism and Asperger syndrome: findings from a survey of 770 families. Dev Med Child Neurol 1999; 41: 834-49. 5) Ghaziuddin M, Weidmer-Mikhail E, Ghaziuddin N. Comorbidity of Asperger syndrome : a preliminary report. J Intellect Disabil Res 1998; 42: 279-83.

7) Adachi T, Koeda T, Hirabayashi S, et al. The metaphor and sarcasmscenario test: a new instrument to help differentiate high functioning pervasive developmental disorder from attention deficit/hyperactivity disorder. Brain Dev 2004; 26: 301-6. 8) Perner J, Frith U, Leslie AM, Leekam SR. Exploration of the autistic child's theory of mind: knowledge, belief, and communication. Child Dev 1989; 60: 688-700. 223-7. 10) Dawson G, Webb S, Schellenberg GD, et al. Defining the broader phenotype of autism: genetic, brain, and behavioral perspectives. Dev Psychopathol 2002; 14: 581-611. 11) Fletcher PC, Happe F, Frith U, et al. Other minds in the brain: a functional imaging study of"theory of mind in story comprehension. Cognition 1995; 57: 109-28. 12) Aggleton JP. The contribution of the amygdala to normal and abnormal emotional states. Trends Neurosci 1993; 16: 328-33. The Study of Situational Recognition of Attention Deficit/Hyperactivity Disorders, Asperger's Disorder and High Functioning Autism with the Metaphor and Sarcasm Scenario Test(MSST) Taeko Adachi, Shinichi Hirabayashi, MD, Madoka Shiota, MD, Shuhei Suzuki, MD, Eiji Wakamiya, MD, Shinji Kitayama, MD, Masaki Kono, MD, Yukinori Maeoka, MD and Tatsuya Koeda, MD Department of Speech Pathology, Matsue Co-Medical College, Matsue, Shimane(TA); Department of Neurology, Nagano Children's Hospital, Minamiazumi-gun, Nagano(SH); Department of Pediatrics, Tottori Prefectural Rehabilitation Center, Yonago, Tottori(MS); Department of Pediatrics, Osaka Medical University, Takatsuki, Osaka(SS); Faculty of Nursing and Rehabilitations, Aino University, Ibaraki, Osaka(EW); Department of Pediatrics, Kobe University, Kobe, Hyogo(SK); Wakaba Ryoiku-en Hospital, Hiroshima(MK); Department of Occupational Therapy Hiroshima Prefectural College of Health Sciences, Mihara, Hiroshima(17M); Department of Education, Faculty of Regional Sciences, Tottori University, Tottori(TK) The purpose of this study is to clear up the difference between Asperger's disorder(as) and high functioning autism(hfa) with a newly developed test, the metaphor and sarcasm scenario test (MSST) can be used to distinguish pervasive developmental disorder(pdd) from attention deficit/hyperactivity disorders(ad/hd). So 66 AS children, 20 HFA children and 37 AD/HD children were selected, compared the profiles of score on the MSST. The results showed that the inability to understand sarcastic situation was specific to group with AS, both group with HFA and AD/HD were differ little to understand between metaphor and sarcasm. In this study suggest differences in situational recognition among the PDD subtypes, the clinical symptoms of PDD reflects characteristics of AS. No To Hattatsu 2006; 38: 177-81