Does the heterogeneity of autism undermine the neurodiversity paradigm?

被引:23
|
作者
Morley, Georgina [1 ]
Bradbury-Jones, Caroline [2 ]
Ives, Jonathan [3 ]
机构
[1] Cleveland Clin, Ctr Bioeth, Cleveland, OH 44195 USA
[2] Univ Birmingham, Sch Nursing, Birmingham, W Midlands, England
[3] Univ Bristol, Ctr Eth Med, Bristol, Avon, England
基金
英国惠康基金;
关键词
autism; co-occurring conditions; disorder; heterogeneity; identity; neurodiversity; MORAL DISTRESS; LIFE; CONFLICT;
D O I
10.1111/bioe.12783
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
The neurodiversity paradigm is presented by its proponents as providing a philosophical foundation for the activism of the neurodiversity movement. Its central claims are that autism and other neurodivergent conditions are not disorders because they are not intrinsically harmful, and that they are valuable, natural and/or normal parts of human neurocognitive variation. This paper: (a) identifies the non-disorder claim as the most central of these, based on its prominence in the literature and connections with the practical policy claims that the paradigm is supposed to support; (b) describes the heterogeneity of autism at the behavioural and causal levels, and argues that at the behavioural level this encompasses ways of being autistic that are harmful in ways that cannot be not wholly attributed to discrimination or unjust social arrangements, challenging the claim that autism is not a disorder; (c) considers and rejects responses to this challenge based on separation of high- and low-functioning autism, separation of autism from co-occurring conditions, and viewing autism as part of an individual's identity. Two of these responses fail for reasons that are themselves connected with the behavioural and/or causal heterogeneity of autism.
引用
收藏
页码:61 / 71
页数:11
相关论文
共 50 条
  • [1] Autism and the neurodiversity paradigm in educational research
    Wuo, Andrea Soares
    Correa de Brito, Andre Luiz
    LINHAS CRITICAS, 2023, 29
  • [2] Disability, autism and neurodiversity
    Ortega, Francisco
    CIENCIA & SAUDE COLETIVA, 2009, 14 (01): : 67 - 77
  • [3] Deficit, Difference, or Both? Autism and Neurodiversity
    Kapp, Steven K.
    Gillespie-Lynch, Kristen
    Sherman, Lauren E.
    Hutman, Ted
    DEVELOPMENTAL PSYCHOLOGY, 2013, 49 (01) : 59 - 71
  • [4] A Genetic Bridge Between Medicine and Neurodiversity for Autism
    Leblond, Claire S.
    Rolland, Thomas
    Barthome, Eli
    Mougin, Zakaria
    Fleury, Mathis
    Ecker, Christine
    Bonnot-Briey, Stef
    Cliquet, Freddy
    Tabet, Anne-Claude
    Maruani, Anna
    Chaumette, Boris
    Green, Jonathan
    Delorme, Richard
    Bourgeron, Thomas
    ANNUAL REVIEW OF GENETICS, 2024, 58 : 487 - 512
  • [5] Development and Initial Validation of the Autism and Neurodiversity Attitudes Scale
    Vandaalen, Rachel A.
    Dillon, Frank R.
    Santos, Carlos E.
    Rosario, Cristalis Capielo
    AUTISM IN ADULTHOOD, 2025, 7 (01): : 39 - 51
  • [6] Autism, aspect-perception, and neurodiversity
    Dinishak, Janette
    PHILOSOPHICAL PSYCHOLOGY, 2019, 32 (06) : 876 - 899
  • [7] Neurodiversity and deficit perspectives in The Washington Post's coverage of autism
    Lewin, Noa
    Akhtar, Nameera
    DISABILITY & SOCIETY, 2021, 36 (05) : 812 - 833
  • [8] How does my student learn? Neurodiversity and the nature of learning in autism
    Norris, Nola G.
    INTERNATIONAL JOURNAL OF CHRISTIANITY & EDUCATION, 2023, 27 (01) : 65 - 87
  • [9] HISTORICAL NEURODIVERSITY STUDIES: A NEW PARADIGM OF EXPERIENCE
    Irish, Bradley J.
    HISTORY AND THEORY, 2025,
  • [10] Debate: Neurodiversity, autism and healthcare
    Green, Jonathan
    CHILD AND ADOLESCENT MENTAL HEALTH, 2023, 28 (03) : 438 - 442