Societal and cultural aspects of autism

Societal and cultural aspects of autism or sociology of autism come into play with recognition of autism, approaches to its support services and therapies, and how autism affects the definition of personhood. The autistic community is divided primarily into two camps: the autism rights movement and the pathology paradigm. The pathology paradigm advocates for supporting research into therapies, treatments, or a cure to help minimize or remove autistic traits, seeing treatment as vital to help individuals with autism, while the neurodiversity movement believes autism should be seen as a different way of being and advocates against a cure and interventions that focus on normalization (but do not oppose interventions that emphasize acceptance, adaptive skills building, or interventions that aim to reduce intrinsically harmful traits, behaviors, or conditions), seeing it as trying to exterminate autistic people and their individuality. While the dominant paradigm is the pathology paradigm and is followed largely by autism research and scientific communities, the neurodiversity movement is highly popular among most autistic people, within autism advocacy, autism rights organizations, and related neurodiversity approaches have been rapidly growing and applied in the autism research field in the last few years.

There are many autism-related events and celebrations; including World Autism Awareness Day, Autism Sunday and Autistic Pride Day, and notable people have spoken about being autistic or are thought to be or have been autistic. Autism is diagnosed more frequently in males than in females.

Terminology

The full name for autism is autism spectrum disorder, abbreviated to ASD. Although some prefer to use the person-first terminology (person with autism), other members of the autistic community prefer identity-first terminology, such as autistic person or autistic, emphasising that autism is a part of their identity rather than a disease they have. In addition, phrases like suffers from autism are objectionable to many people.

The autistic community has developed a number of commonly used terms, such as:

Overview

Autistic adults

Communication and social problems often cause difficulties in many areas of an autistic adult's life. A 2008 study found that autistic adults commonly experience difficulty starting social interactions, a longing for greater intimacy, a profound sense of isolation, and effort to develop greater social or self-awareness.

A much smaller proportion of adult autistics marry than the general population. It has been hypothesized that autistic people are subject to assortative mating; they tend to pair with each other and raise autistic offspring. This hypothesis has been publicized in the popular press and is supported by empirical evidence. Out of eleven conditions assessed in one study, participants with autism spectrum disorder exhibited the highest rates of assortative mating.

British psychologist Simon Baron-Cohen said that an increasingly technological society has opened up niches for people with Asperger syndrome, who may choose fields that are "highly systematised and predictable". People with AS could do well in workplace roles that are "system-centered, and connect with the nitty-gritty detail of the product or the system".

Autistic savants

An autistic savant is an autistic person with extreme talent in one or more areas of study. Although there is a common association between savant syndrome and autism (an association made popular by the 1988 film Rain Man), most autistic people are not savants and savantism is not unique to autistic people, though there does seem to be some relation. One in ten autistic people may have notable abilities, but prodigious savants like Stephen Wiltshire are very rare; only about 100 such people have been described/identified in the century since savants were first identified, and there are only about 25 living identified prodigious savants worldwide.

Gender aspects

Autistic women

Historically, autism was thought of as a condition mostly affecting males. Some studies found that males were up to four times more likely than females to be diagnosed as autistic and among those with Asperger syndrome or "high-functioning autism", males were up to ten times more likely to be diagnosed. This may be due to the fact that many of the diagnostic tools used to diagnose autism have been crafted through the observation of autistic males and are therefore more likely to identify autistic men and boys than their female counterparts. To date, the research and support surrounding autistic people has been male-centric; women and non-binary people are seriously underrepresented.

For many autistic women, the lack of diagnosis or a late diagnosis results in them missing out on supports and interventions that are most valuable when implemented at a younger age. For those females who do receive a diagnosis and are provided with those supports, they often have to face the fact that many of them have been created with males in mind and may not acknowledge the physical, psychological, and societal differences that females face.

Some autistic women find themselves misdiagnosed with personality disorders, such as borderline personality disorder, avoidant personality disorder and schizoid personality disorder. Autistic females are "research orphans" according to Yale's Ami Klin; some drugs used to treat anxiety or hyperactivity that may accompany autism are rarely tested on autistic females. Autism may express differently, with many autistic females presenting more subtly than males and may be more adept at developing more sophisticated social masking behaviors. As such, females with more prominent difficulties are more likely to be diagnosed than those who present more neurotypically or exhibit masking behavior. Autistic females are more likely to develop a more sophisticated social camouflage for a variety of reasons. One theory as to why is that women as a whole face more complex social expectations than men, creating a greater need to "prepare more thoroughly for social situations, or risk ostracism".

Another theory suggests that autistic women have a more inborn need for social interaction than their male counterparts, leading many women and girls to be more invested in creating social camouflage strategies. These strategies are developed in a variety of ways such as observing and copying the social interactions of those around them as well as creating strategies to attempt to "go undetected". These coping mechanisms can take an immense amount of time and energy to learn and practice and can, as Shana Nicols states, "more often than not lead to exhaustion, withdrawal, anxiety, selective mutism, and depression". Women may be more concerned with how they are viewed by peers and the failure to connect with people outside of their immediate family could lead to severe anxiety or clinical depression. Autistic girls who have "normal" intelligence may be more socially disadvantaged than males because of the "rising level of social interaction that comes in middle school", when girls' "friendships often hinge on attention to feelings and lots of rapid and nuanced communication".

Autistic girls may suffer additionally by being placed in specialized educational programs, where they will be surrounded by males and further isolated from female social contacts. Autistic women and girls often "internalize feelings of frustration and failure" and are believed to have higher rates of certain comorbidities such as anxiety and depression (36 and 34 percent respectively), due in large part to the desire for along with the difficulties in finding social inclusion along with other social and sensory challenges. Lack of diagnosis can also lead autistic women to have higher rates of depression, anxiety, and self-esteem issues as they are left without a clear understanding as to why they do not "fit in" with their peers. Autistic females also seem to have higher rates of eating disorders, such as anorexia, than non-autistic females. This may be related to social isolation and elevated levels of anxiety along with a need to control their environment more fully, although a complicating factor which is just being explored in the scientific literature is that functional disorders of eating and digestion such as IBS, GERD, food allergies, gastroparesis et al., as well as sensory issues common in autistic people generally, may contribute heavily to "disordered eating" behavior which is physical, sensory, allergic, or pain-related rather than psychological.

Although all autistic people have a higher risk of experiencing bullying, these experiences often present differently based on gender. Although sample sizes are too small to draw firm conclusions, one study suggests that autistic women are less likely than males over the long term to marry, have families, go to college, have careers, and live independently. An intense interest in specific topics (also called a special interest) plays a significant factor in the lives of autistic people. Autistic females may focus on different topics than their male counterparts. For this reason, females' special interests may be overlooked as they may not be specifically associated with male autistic culture. For example, a 2008 The New York Times article indicated that autistic females rarely have interests in numbers or have stores of specialized knowledge.

All autistic people experience the same or similar core symptoms, but when affected by ideas of gender and gender roles, the autistic traits may manifest differently and lead to different experiences for females and males. The profile of autism may change as more women are diagnosed, which will lead to further medical understanding. There may be current lacks in understanding because autistic females may go undiagnosed.

Gender identity and sexual orientation

In recent years (as of 2022), research has suggested overlap between people with autism and a non-heterosexual identity (with autistic people more likely to be identified as homosexual, bisexual or asexual) as well as an overlap with a transgender identity. It is currently unclear whether this correlation exists due to any innate characteristic of autism that may also cause unusual discrepancies in sex or gender, or whether it is the result of exposing a group of people who experience difficulty in (or resistance to) abidance with social norms, including those related to gender, to sexism and gender stereotypes.

Relationships with animals

Temple Grandin

Temple Grandin, autistic designer of cattle handling systems, said that one reason she can easily figure out how a cow would react is because autistic people can easily "think the way that animals think". According to Grandin, animals do not have "complex emotions such as shame or guilt" and they do not think in language. She says that, although not everything about animals is like an autistic person, the similarity is that they think visually and without language. She says people do not make this connection because the study of autism and the study of animal behavior are parallel disciplines involving different individuals. Despite these similarities, the degree to which autistic individuals can be said to think like animals remains undetermined; non-human animals, as well as humans, have evolved cognitive specializations that may or may not share characteristics with other species.

Dawn Prince-Hughes, diagnosed with Asperger's, describes her observations of gorillas in Songs of the Gorilla Nation.

Autism and interpersonal relationships

Difficulties in social interaction and relationships are core signs of autism, meaning that maintaining Interpersonal relationships can be difficult for autistic people.

Social impact

Asperger syndrome may lead to problems in social interaction with peers. These problems can be severe or mild depending on the individual. Autistic individuals are often the target of bullying at school due to their idiosyncratic behavior, precise language, unusual interests, and impaired ability to perceive and respond in socially expected ways to nonverbal cues, particularly in interpersonal conflict, which results in them being sought out by classmates and rejected. Autistic people may communicate more literally and have difficulty interpreting and responding to sarcasm, banter, or metaphorical speech. Difficulties with social interaction may also manifest in a lack of play with other children.

Many autistic people desire to be social but experience difficulty in social communication and fail to socialize successfully, sometimes leading to withdrawal and asocial behavior, especially in adolescence. At this stage of life, young autistic people may be at risk of inappropriate friendships and social groups. People with autism may also interact better with those considerably older or younger than themselves, rather than those within their own age group.

Those who may have been diagnosed with Asperger syndrome in the past often display advanced abilities for their age in language, reading, mathematics, spatial skills, or music—sometimes into the "gifted" range—but this may be counterbalanced by considerable delays in other developmental areas, like verbal and nonverbal communication or some lack of motor coordination. This combination of traits can lead to problems with teachers and other authority figures. A child with AS might be regarded by teachers as a "problem child" or a "poor performer". The child's extremely low tolerance for what they perceive to be ordinary and mundane tasks, such as typical homework assignments, can easily become frustrating; a teacher may well consider the child arrogant, spiteful, and insubordinate. Lack of support and understanding, in combination with the child's anxieties, can result in problematic behavior (such as severe tantrums, violent and angry outbursts, and withdrawal).

Employment of autistic people may be difficult. The impaired social skills can be likely to interfere with the interview process—and people with often superior skills can be passed over due to these conflicts with interviewers. Once hired, autistic people may continue to have difficulty with interpersonal communications. Homelessness is very common among autistic people.

While some researchers have suggested that autistic individuals are less likely to self-enhance their reputation compared to those without autism, others argue that autistic individuals do not have less of a desire for self-enhancement than non-autistic individuals.

Autistic people are known to have difficulty interacting with law enforcement. The blue envelope program has been developed to assist autistic drivers.

Difficulties in relationships

Two traits sometimes found in AS individuals are mind-blindness (the inability to predict the beliefs and intentions of others) and alexithymia (the inability to identify and interpret emotional signals in oneself or others), which reduce the ability to be empathetically attuned to others. Alexithymia in AS functions as an independent variable relying on different neural networks than those implicated in theory of mind (ToM). In fact, a lack of ToM in AS may be a result of a lack of information available to the mind due to the operation of the alexithymic deficit.

A second issue related to alexithymia involves the inability to identify and modulate strong emotions such as sadness or anger, which leaves the individual prone to "sudden affective outbursts such as crying or rage". According to Tony Attwood, the inability to express feelings using words may also predispose the individual to use physical acts to articulate the mood and release the emotional energy.

People with AS report a feeling of being detached against their will from the world around them ("on the outside looking in"). They may have difficulty finding a life partner or getting married due to poor social skills. The complexity and inconsistency of the social world can pose an extreme challenge for individuals with AS. In the UK Asperger's is covered by the Disability Discrimination Act; those with AS who get treated badly because of it may have some redress. The first case was Hewett v Motorola 2004 (sometimes referred to as Hewitt) and the second was Isles v Ealing Council. The same applies in the United States with the Americans with Disabilities Act, amended in 2008 to include autism spectrum disorders.

The intense focus and tendency to work things out logically often grants people with AS a high level of ability in their field of interest. When these special interests coincide with a materially or socially useful task, the person with AS can lead a profitable career and a fulfilled life. The child obsessed with a specific area may succeed in employment related to that area.

According to Elizabeth Fein, the dynamic of role-playing games is especially positive and attractive to autistic people. The social information exchanged in these games is explicit, top-down and systematic, and the games follow a set of shared abstract rules. Baez and Rattazzi showed that interpreting the implicit social information of daily life is difficult for autistics.

Despite the fact that AS individuals are commonly known to lack ToM, recent research has suggested that ToM may be not only present in AS individuals but also act differently compared to neurotypicals as suggested in the double empathy problem. Autistic ToM is simply based on the use of rules and logic. It is also suggested that autistic people can understand and predict the thoughts and motivations of each other better than neurotypicals can, and autistic interactions may display even greater social signals of shared enjoyment, ease, and rapport when interacting. This means AS individuals present mind-blindness and alexithymia towards neurotypicals and vice versa due to bidirectional differences in communication style as well as a reciprocal lack of understanding since the two neurotypes clash.

Autism rights movement

The autism rights movement is a social movement within the context of disability rights that emphasizes the concept of neurodiversity, viewing the autism spectrum as a result of natural variations in the human brain rather than a disorder/disease to be cured. The ARM advocates a variety of goals, including greater acceptance of autistic behaviors; therapies that focus on coping skills rather than imitating the behaviors of neurotypical peers; the creation of social networks and events that allow autistic people to socialize on their own terms; and the recognition of the autistic community as a minority group.

Autism rights or neurodiversity advocates believe that the autism spectrum is genetic and should be accepted as a natural expression of the human genome. This perspective is distinct from two other likewise distinct views: the medical perspective, that autism is caused by a genetic defect and should be addressed by targeting the autism gene(s), and the fringe theory that autism is caused by environmental factors like vaccines and pollution and could be cured by addressing environmental causes.

There are a wide variety of both supportive and critical opinions about the movement among people who are autistic or associated with autistic people. A common criticism leveled against autistic activists is that the majority of them are "high-functioning" or have Asperger syndrome and do not represent the views of "low-functioning" autistic people.

Autistic pride

Autistic pride refers to pride in autism and shifting views of autism from "disease" to "difference". Autistic pride emphasizes the innate potential in all human phenotypic expressions and celebrates the diversity various neurological types express.

Autistic pride asserts that autistic people are not impaired or damaged; rather, they have a unique set of characteristics that provide them many rewards and challenges, not unlike their non-autistic peers.

Curing autism is a controversial and politicized issue. The "autistic community" can be divided into several groups. Some seek a cure for autism—sometimes dubbed as pro-cure—while others consider a cure unnecessary or unethical, or feel that autism conditions are not harmful or detrimental. For example, it may be seen as an evolutionary adaptation to an ecological niche by some environmentalists[clarification needed] and the more radical autism rights campaigners.

Autistic culture and community

John Elder Robison talks about Be Different on Bookbits radio

With the recent increases in autism recognition and new approaches to educating and socializing autistics, an autistic culture has begun to develop. Autistic culture is based on a belief that autism is a unique way of being and not a disorder to be cured. The Aspie world, as it is sometimes called, contains people with Asperger syndrome (AS) and high functioning autism (HFA), and can be linked to three historical trends: the emergence of AS and HFA as labels, the emergence of the disability rights movement, and the rise of the Internet. Autistic communities exist both online and offline; many people use these for support and communication with others like themselves, as the social limitations of autism sometimes make it difficult to make friends, to establish support within general society, and to construct an identity within society.

Because many autistics find it easier to communicate online than in person, a large number of online resources are available. Some autistic individuals learn sign language, participate in online chat rooms, discussion boards, and websites, or use communication devices at autism-community social events such as Autreat. The Internet helps bypass non-verbal cues and emotional sharing that some autistics tend to have difficulty with. It gives autistic individuals a way to communicate and form online communities.

Conducting work, conversation and interviews online in chat rooms, rather than via phone calls or personal contact, help level the playing field for many autistics. A New York Times article said "the impact of the Internet on autistics may one day be compared in magnitude to the spread of sign language among the deaf" because it opens new opportunities for communication by filtering out "sensory overload that impedes communication among autistics".

Globally

Autistic people may be perceived differently from country to country. For example, many Africans have spiritual beliefs about psychiatric disorders, which extends into perceived causes of autism. In one survey of Nigerian pediatric or psychiatric nurses, 40% cited preternatural causes of autism such as ancestral spirits or the action of the devil.

Events and observances

Autism-related events and observances are intended to promote public understanding, acceptance and autistic self-advocacy. World Autism Awareness Day, observed on 2 April annually, was designated by the United Nations General Assembly in 2007. Other activities emphasize autistic identity and participation: Autistic Pride Day, held each year on 18 June, celebrates neurodiversity. Autistics Speaking Day, observed on 1 November, encourages autistic people to share their experiences and challenge stereotypes. Community gatherings such as Autreat also offer autistic people the opportunity to meet and discuss shared experiences and identity.

History

Some scholars have argued that tales of changelings in European folklore originated as a folk explanation for autism before it was well understood. These stories generally involve young children being taken by fairies and replaced by changelings – children who "were described as unresponsive, resistant to affection, did not express emotion, cried a lot or did not speak". The connection was proposed in 2005 by Julie Leask, a researcher at the National Centre for Immunisation Research and Surveillance, who investigated the topic after hearing assertions from a modern mother of an autistic child that her true child had been "stolen".

Donald Triplett was the first person diagnosed with autism. He was diagnosed by Kanner after being first examined in 1938, and was labeled as "case 1". Triplett was noted for his savant abilities, particularly being able to name musical notes played on a piano and to mentally multiply numbers. His father, Oliver, described him as socially withdrawn but interested in number patterns, music notes, letters of the alphabet, and U.S. president pictures. By the age of two, he had the ability to recite Psalm 23 and memorized 25 questions and answers from the Presbyterian catechism. He was also interested in creating musical chords.

Scholarship

Autism spectrum disorders received increasing attention from social-science scholars in the early 2000s, with the goals of improving support services and therapies, arguing that autism should be tolerated as a difference not a disorder, and by how autism affects the definition of personhood and identity.

The social motivation theory of autism suggests that because autistic individuals have less interest in social engagement, their ability to form social bonds or react to social rewards is reduced. Social motivation is the want/need for social interactions, to form relationships, respond to social cues, and derive rewards from them. When it comes to autism spectrum disorder (ASD), social motivation is typically reduced, leading to less interest in social engagement compared to neurotypical individuals. This in turn impacts social engagement and interaction patterns. This theory is important because it helps to understand the social challenges faced by autistic individuals when it comes to social motivation, including difficulties in forming relationships, understanding social cues, and grants insights for developing interventions to improve social interaction skills.

Overall, this allows for improvements in social functioning in autism, as deficits can impact everything from peer interactions to educational outcomes. Interventions that increase social motivation can lead to better integration in social and academic settings. However, there are still some gaps in the research. There is limited understanding of how neurobiological, cultural, and individual differences influence social motivation in autism, underlying reduced social motivation in autism and how individual differences influence social engagement.

Theories and interventions

Highlights the orbitofrontal cortex

The core focus of this model is that autism-related social deficits are partly due to reduced social motivation. The theory states that autistic individuals exhibit diminished intrinsic interest in social stimuli, contributing to difficulties in social interactions and relationships. This reduction is linked to atypical reward processing systems in the brain, particularly in regions like the ventral striatum and orbitofrontal cortex, that are key to reward sensitivity for social interactions. Theories like Self-Determination Theory and Social Cognitive Theory help explain how intrinsic and extrinsic factors affect social behaviours in autism in regards to reward processing.

Self-determination theory

Self-determination theory examines human motivation and personality. It emphasises the importance of intrinsic motivation, which is engaging in activities for their inherent satisfaction, and outlines three psychological needs essential for ideal functioning: autonomy, competence, and relatedness.

Self-Determination Theory explains that intrinsic motivation is often reduced in autistic individuals due to diminished interest in social interaction, creating challenges in building social competence and forming relationships.

Social cognitive theory

Albert Bandura

Albert Bandura developed social cognitive theory, which focuses on how people learn and develop behaviours through observation, imitation, and interaction with their environment. It emphasises the role of cognitive processes in shaping behaviour, including self-regulation, self-efficacy, and the ability to anticipate consequences.

For autistic individuals, the decreased tendency to seek social engagement because of reduced intrinsic motivation may limit their opportunities to learn, observe, imitate, and practice social behaviours. The theory also underlines the potential role of external reinforcements in encouraging social learning, even when intrinsic interest is initially low, as it is with autistic individuals.

Functioning and interventions

Showing the ventral striatum

The social motivation theory of autism also suggests that atypical functioning in brain reward systems, such as the ventral striatum and orbitofrontal cortex, may explain reduced interest in social interactions. Studies indicate that autistic individuals show diminished neural responses to social stimuli, including faces and voices, which typically act as strong motivators for social behaviour in neurotypical individuals, like hearing a mother's voice differently. This suggests an impaired link between socially significant auditory stimuli and reward processing, contributing to challenges in social interactions. This type of response reduces the reinforcement value of social engagement, it makes socialising less rewarding and diminishes intrinsic motivation for further interactions.

Recognising these neurobiological differences allows for tailored interventions, such as boosting the impact of social rewards by associating them with activities that the person already finds intrinsically rewarding, structuring environments where social interactions are reinforced through praise, tangible rewards, or positive experiences, and encouraging gradual exposure to social settings to increase comfort and engagement over time. These methods aim to increase both types of motivation for social behaviours, potentially improving social functioning and relationships.

Across developmental stages

Peer interactions in early childhood

Early childhood attachment helps in shaping social motivation. In typical development, secure attachment to caregivers fosters social engagement and interaction, however, in children with autism, variations in attachment behaviours may affect the development of social motivation. Children with autism may display less overt social-seeking behaviours, such as reduced eye contact, gestures, and joint attention. These differences can lead to challenges forming secure attachment bonds with caregivers. The reduced prominence of social stimuli in autism, such as faces or voices, may diminish the intrinsic rewards associated with caregiver interaction, as shown in studies done with mothers' voices. This can disrupt the feedback loop that typically reinforces social behaviours, influencing social motivation later in life. These early differences in attachment and social motivation can affect peer relationships and broader social competencies, as children with autism may have fewer opportunities to learn and practice social behaviours before further development.

Adolescent social development is strongly influenced by peer interactions, which become more central as teens expand their social networks beyond family. These interactions help adolescents develop skills such as cooperation, communication, and conflict resolution. But, autistic individuals often face difficulties navigating this shift because of reduced social motivation, which affects their ability to connect with peers.

Cultural and contextual influences

Cultural and contextual influences play a significant role in shaping social motivation among autistic individuals. Social norms, parenting styles, and societal expectations vary across cultures and impact the development and expression of social behaviours.

Cultures emphasising collective harmony and interpersonal relationships may create more structured opportunities for social learning. This could either help mitigate social motivation deficits in autism or heighten challenges due to differing expectations. Programs tailored to cultural values and family dynamics tend to yield better outcomes because they align more with the individual's social environment. Cultural expectations surrounding social interaction can also influence how autistic individuals experience social motivation. For example, in some cultures, there is a higher emphasis on collective behaviours, not just harmony, which may pose challenges for autistic individuals who have reduced social motivation. The research for this theory also often focuses on Western cultures, limiting the applicability of findings across different societies. Expanding research to include diverse cultural contexts would help create a more global understanding of social motivation in autism.

Contextual factors, such as the accessibility of social support systems, inclusion policies, and the availability of autism-specific interventions, also shape social motivation. For example, inclusive education systems and structured social opportunities can enhance motivation and improve social skills by reinforcing positive interactions in supportive environments. On the other hand, settings with limited resources or social stigmas may exacerbate motivational and relational challenges. Studies show that environmental reinforcements, like positive feedback from caregivers or peers, can significantly influence social engagement among autistic individuals.

Applications in mental health and education

Social motivation theory has significant applications in mental health and education, particularly in addressing the unique challenges faced by autistic individuals.

In mental health, interventions that enhance social motivation—such as cognitive-behavioural strategies or social skills training—help individuals improve social functioning, reduce anxiety related to social interactions, and develop meaningful relationships. For example, strategies like video modelling or reinforcement-based therapies can be adapted to help individuals engage with social stimuli, which is often less intrinsically rewarding for them due to atypical brain reward systems.

Collaborative group activities

Applying social motivation theory in educational settings supports creating environments that reinforce social engagement to help with motivation. Teachers and educators can use structured programs such as peer-mediated interventions or collaborative group activities to encourage participation and improve communication skills. Tailoring these interventions to individual needs and cultural contexts is vital to their success. Furthermore, incorporating social motivation strategies into Individualised Education Plans (IEPs) helps foster not only academic progress but also essential social skills.

Interventions targeting social motivation, such as social skills training, behavioural interventions, video modelling, and strategies utilising rewards or feedback, have shown promise in improving social engagement. However, these strategies often lack scalability and cultural inclusiveness, which limits their broader application. Tailoring interventions to individuals and cultural contexts is crucial for paving way into meaningful improvements in social motivation and interaction.

Critical analysis

The strengths of the Social Motivation Theory in autism research include its comprehensive framework linking neurobiological differences to social challenges within the brain, such as diminished interest in social stimuli. This theory has led to effective interventions like social skills training, peer-mediated approaches, and behavioural reinforcement. It also provides developmental insights, helping address social motivation from early childhood to adolescence. The theory's applications in mental health and education emphasise improving social engagement, self-regulation, and integration. By considering cultural and contextual factors, it encourages inclusive, globally relevant interventions.

Overall, the findings related to the Social Motivation Theory of autism are generally consistent, which strengthens it, but there are some slight variations across studies, particularly in how these deficits manifest and the effectiveness of interventions. Importantly, research consistently supports the core idea that autistic individuals show reduced social motivation, such as diminished responses to social cues like faces and voices, often linked to atypical reward processing in the brain. Studies also consistently highlight challenges in forming relationships, understanding social norms, and engaging with peers, a core feature of the theory.

The theory has some limitations and gaps. First, some of the findings across studies are inconsistent, with variability in how social motivation deficits manifest due to differences in autism severity, co-occurring conditions, and age groups. Second, while neurobiological research links social motivation deficits to areas like the ventral striatum, the exact mechanisms within the brain remain unclear. Third, much of the research is based on Western populations, with limits understanding of how cultural and contextual factors influence social motivation. Additionally, interventions targeting social motivation, such as social skills training, are often not scalable or culturally inclusive. Finally, more research is needed to explore how individual differences (e.g., sensory sensitivities or anxiety) affect social motivation.

Synthesis and interpretation

The Social Motivation Theory of autism proposes that autistic individuals experience reduced social motivation, which lead to difficulties in forming relationships and responding to social cues. This reduction is linked to atypical brain reward processing and frameworks such as Self-Determination Theory and Social Cognitive Theory help explain how intrinsic motivation and social learning are hindered by diminished social engagement.

Interventions mainly focus on enhancing these motivations by structuring environments and using rewards to reinforce social behaviours to simulate the lacking intrinsic motivation. Techniques like peer-mediated and social skills training are particularly effective during early childhood and adolescence, the critical periods for social skill development.

Cultural and contextual factors further affect social motivation, with collective-oriented cultures potentially presenting additional challenges for autistic individuals. However, most studies focus on Western populations, indicating the need for broader, cross-cultural research.

While the theory has helped create some effective interventions, research inconsistencies and gaps remain, particularly regarding the specific neurobiological mechanisms behind social motivation deficits. There is also a lack of culturally inclusive interventions due to above stated focus on Western populations. More research is needed to address these limitations and expand the theory's applicability across different contexts.

Media portrayals

Much of the public perception of autism is based on its portrayals in biographies, movies, novels, and TV series. Many of these portrayals have been inaccurate, and have contributed to a divergence between public perception and the clinical reality of autism. For example, in the movie Mozart and the Whale (2005), the opening scene gives four clues that a leading character has Asperger syndrome, and two of these clues are extraordinary savant skills. The savant skills are not needed in the film, but in the movies savant skills have become a stereotype for the autism spectrum, because of the incorrect assertion that most autistic people are savants.

Some works from the 1970s have autistic characters,[which?] who are rarely labeled. In contrast, in the BBC Two television miniseries The Politician's Husband (2013), the impact of Noah Hoynes' Asperger's on the boy's behavior and on his family, and steps Noah's loved ones take to accommodate and address it, are prominent plot points in all three episodes.

Popular media have depicted special talents of some autistic people, including exceptional abilities as seen in the 1988 movie Rain Man. Such portrayals have been criticized by both scientific studies and media analysts over the years for fostering a pigeonholing image of autism that leads to false expectations about real-life autistic individuals, with Rain Man being singled out for popularizing it.

Since the 1970s, fictional portrayals of people with autism spectrum conditions such as Asperger syndrome have become more frequent. Public perception of autism is often based on these fictional portrayals in novels, biographies, movies, and TV series. These depictions of autism in media today are often made in a way that brings pity to the public and their concern of the topic, because their viewpoint is never actually shown, leaving the public without knowledge of autism and its diagnosis. Portrayals in the media of characters with atypical abilities (for example, the ability to multiply large numbers without a calculator) may be misinterpreted by viewers as accurate portrayals of all autistic people and of autism itself. Additionally, the media frequently depicts autism as only affecting children, which promotes the misconception that autism does not affect adults.

Notable individuals

Some notable autistic people are:

Thunberg, who in August 2018 started the "School Strike for Climate" movement, has explained how the "gift" of living with Asperger syndrome helps her "see things from outside the box" when it comes to climate change. In an interview with presenter Nick Robinson on BBC Radio 4's Today, the then-16-year-old activist said that autism helps her see things in "black and white". She went on to say:

It makes me different, and being different is a gift, I would say. It also makes me see things from outside the box. I don't easily fall for lies, I can see through things. I don't think I would be interested in the climate at all, if I had been like everyone else. Many people say that it doesn't matter, you can cheat sometimes. But I can't do that. You can't be a little bit sustainable. Either you're sustainable, or not sustainable. For way too long the politicians and people in power have got away with not doing anything at all to fight the climate crisis and ecological crisis, but we will make sure that they will not get away with it any longer.

Scottish singer Susan Boyle was diagnosed with Asperger's at the age of 51. Boyle was originally believed to have had slight brain damage at birth. Boyle rose to fame after appearing on the talent show Britain's Got Talent in 2009. Her debut album I Dreamed a Dream, released in 2009, became the fastest selling debut by a UK artist of all time. American actress Daryl Hannah, star of movies such as Splash, Steel Magnolias and Wall Street, was diagnosed as being on the autism spectrum as a child. Diagnosed at fifteen, Heather Kuzmich appeared on America's Next Top Model in 2007. Although she did not win the competition, Kuzmich was voted the viewers' favourite eight weeks in a row. She has since been signed to Elite Model Management. New Zealand-born musician Ladyhawke and gold medal-winning British Paralympic swimmer Jessica-Jane Applegate are also autistic. In June 2021, Scottish strongman Tom Stoltman, became the first person with autism to win the World's Strongest Man competition. Welsh actor Anthony Hopkins is the first openly autistic actor to win an Academy Award.

Additionally, media speculation of contemporary figures as being on the autism spectrum has become popular in recent times. New York magazine reported some examples, which included that Time magazine suggested that Bill Gates is autistic, and that a biographer of Warren Buffett wrote that his prodigious memory and "fascination with numbers" give him "a vaguely autistic aura". The magazine also reported that on Celebrity Rehab, Dr. Drew Pinsky deemed basketball player Dennis Rodman a candidate for an Asperger's diagnosis, and the UCLA specialist consulted "seemed to concur". Nora Ephron criticized these conclusions, writing that popular speculative diagnoses suggest autism is "an epidemic, or else a wildly over-diagnosed thing that there used to be other words for". The practice of diagnosing autism in these cases is controversial.

Some historical personalities are also the subject of speculation about being autistic, e.g. Michelangelo.

Symbols and flags

Puzzle piece

A crying child inside a green and black puzzle piece.
The Society for Autistic Children's original logo combined a puzzle piece with an image of a crying child.

In 1963, the UK's Society for Autistic Children, later known as the National Autistic Society, adopted a puzzle piece as its logo. Designed by board member Gerald Gasson, it showed a crying child within a puzzle piece. The design reflected the organisation's view of autism as a "puzzling" condition.

Other autism organisations later adopted the motif. Autism Speaks used a blue puzzle piece in its logo. For its 15th anniversary in 2020, it introduced a broader range of colours, which the organisation said represented diverse perspectives and experiences of autism and its commitment to inclusion.

The puzzle piece has been criticised by autistic advocates for suggesting that autistic people are incomplete or are a problem to be solved.

Infinity symbols

A horizontal figure-eight loop with colours blending across the rainbow.
The rainbow infinity symbol is used to represent neurodiversity, including autism.

The rainbow infinity symbol is used to represent neurodiversity, including diversity among autistic people and in human cognitive abilities. An early use was for Autistic Pride Day, established by Aspies for Freedom in 2005.

A gold infinity symbol is used specifically to represent autism.

A gold-coloured loop forming a horizontal figure eight.
A gold infinity symbol used to represent autism.

Colours

Blue has been used in autism awareness campaigns, including Autism Speaks' "Light It Up Blue" initiative. In 2017, science writer Emily Willingham urged readers not to light buildings blue or wear blue for autism awareness, arguing that these activities supported Autism Speaks.

In an article promoting Autistic UK's "Going Gold" campaign, Julian Morgan advocated using gold and a gold infinity symbol to represent autism acceptance. The choice draws on Au, the chemical symbol for gold and the first two letters of "autism".

Flags

A flag featuring a rainbow infinity symbol on a white background has been used to represent autistic people and the wider neurodiversity community. Autistics United Canada used this design for a flag-raising event in 2019.

Joseph Redford designed an autistic pride flag in 2015. The People's History Museum displayed it in its exhibition Nothing About Us Without Us. The museum describes a green and purple flag with a gold sunburst surrounding a rainbow infinity symbol. According to Redford's explanation reproduced in the exhibition guide, green represents being true to one's nature and purple represents neurodiversity.

In January 2021, Autistic Empire announced the release of an autistic pride flag with a gold background and a rainbow infinity symbol outlined in white. The organisation explained that the infinity symbol represented neurodiversity, the rainbow represented the pride movement, and gold referred to its chemical symbol, Au.

Ribbons

A looped ribbon patterned with interlocking red, yellow and blue puzzle pieces.
The multicoloured puzzle-piece ribbon was introduced as a symbol of autism awareness in 1999.

In 1999, the Autism Society of America introduced a multicoloured puzzle-piece awareness ribbon as a symbol of autism awareness.

See also

References

  1. ↑ Leveto, Jessica A. (2018). "Toward a sociology of autism and neurodiversity". Sociology Compass. 12 (12) e12636. doi:10.1111/soc4.12636. S2CID 149578139.
  2. 1 2 3 Silverman, Chloe (1 September 2008). "Fieldwork on Another Planet: Social Science Perspectives on the Autism Spectrum". BioSocieties. 3 (3): 325–341. doi:10.1017/S1745855208006236. ISSN 1745-8560. S2CID 145379758.
  3. ↑ Ne'eman, Ari; Pellicano, Elizabeth (2022). "Neurodiversity as Politics". Human Development. 66 (2): 149–157. doi:10.1159/000524277. PMC 9881465. PMID 36714278. Retrieved 23 December 2022.
  4. 1 2 3 4 5 6 7 8 Harmon, Amy (20 December 2004). "How About Not 'Curing' Us, Some Autistics Are Pleading". The New York Times. Retrieved 16 July 2021.
  5. 1 2 3 Solomon, Andrew (25 May 2008). "The Autism Rights Movement". New York. Archived from the original on 27 May 2008. Retrieved 27 May 2008.
  6. ↑ Morgan, Jules (1 October 2016). "Autism spectrum disorder: difference or disability?". The Lancet Neurology. 15 (11): 1126. doi:10.1016/S1474-4422(16)30002-3. ISSN 1474-4422. S2CID 54341655.
  7. ↑ "A medical condition or just a difference? The question roils autism community". The Washington Post. ISSN 0190-8286. Retrieved 15 October 2021.
  8. ↑ Kapp, Steven K.; Gillespie-Lynch, Kristen; Sherman, Lauren E.; Hutman, Ted (2013). "Deficit, difference, or both? Autism and neurodiversity". Developmental Psychology. 49 (1): 59–71. doi:10.1037/a0028353. PMID 22545843. Retrieved 23 December 2022.
  9. ↑ Feinstein, Adam (11 December 2017). "Neurodiversity: The cases for and against" (PDF).
  10. ↑ Dwyer, Patrick (2022). "The Neurodiversity Approach(es): What Are They and What Do They Mean for Researchers?". Human Development. 66 (2): 73–92. doi:10.1159/000523723. PMC 9261839. PMID 36158596. Retrieved 23 December 2022.
  11. ↑ Pellicano, Elizabeth; Houting, Jacquiline (2022). "Annual Research Review: Shifting from 'normal science' to neurodiversity in autism science". Journal of Child Psychology and Psychiatry. 63 (4): 381–396. doi:10.1111/jcpp.13534. PMC 9298391. PMID 34730840.
  12. 1 2 3 4 5 6 7 Bazelon, Emily (5 August 2007). "What autistic girls are made of". The New York Times. Archived from the original on 10 December 2008. Retrieved 5 August 2007.
  13. ↑ "Autism Spectrum Disorder". NIMH. February 2025. Retrieved 23 February 2025.
  14. ↑ Kenny, Lorcan; Hattersley, Caroline; Molins, Bonnie; Buckley, Carole; Povey, Carol; Pellicano, Elizabeth (May 2016). "Which terms should be used to describe autism? Perspectives from the UK autism community". Autism. 20 (4): 442–462. doi:10.1177/1362361315588200. ISSN 1362-3613.
  15. ↑ Buijsman, Riley; Begeer, Sander; Scheeren, Anke M (April 2023). "'Autistic person' or 'person with autism'? Person-first language preference in Dutch adults with autism and parents". Autism. 27 (3): 788–795. doi:10.1177/13623613221117914. ISSN 1362-3613. PMC 10074744. PMID 35957517.
  16. 1 2 3 Saner E (7 August 2007). "It is not a disease, it is a way of life". The Guardian. London. Archived from the original on 20 August 2007. Retrieved 7 August 2007.
  17. ↑ Mitchell C (2003). "Autism e-mailing lists" (PDF). He@LTH Information on the Internet. 33 (1): 3–4. Archived from the original (PDF) on 15 July 2011.
  18. ↑ "A World Apart: Definitions". Archived from the original on 4 December 2008. Retrieved 23 November 2008.
  19. ↑ Blume H (30 September 1998). "Neurodiversity". The Atlantic. Archived from the original on 7 June 2011. Retrieved 7 November 2007.
  20. 1 2 Charity, The Brain (11 May 2022). "Neurodivergent, neurodiversity and neurotypical: a guide to the terms". The Brain Charity. Retrieved 30 December 2023.
  21. ↑ OToole, Corbett (27 March 2013). "Disclosing Our Relationships to Disabilities: An Invitation for Disability Studies Scholars". Disability Studies Quarterly. 33 (2). doi:10.18061/dsq.v33i2.3708. Archived from the original on 5 May 2015.
  22. ↑ "Autistics Speaking Day – Changing from shame to pride". shiftjournal.com. 11 November 2011. Archived from the original on 15 September 2017.
  23. ↑ "Allism: an introduction to a little-known condition". Archived from the original on 21 April 2015. Retrieved 20 April 2015.
  24. ↑ Abbott, Eileen (29 November 2019). "Integrated communities offer hope to adults with autism". TheHill. Retrieved 30 January 2020.
  25. ↑ Müller E, Schuler A, Yates GB (2008). "Social challenges and supports from the perspective of individuals with Asperger syndrome and other autism spectrum disabilities". Autism. 12 (2): 173–90. doi:10.1177/1362361307086664. PMID 18308766. S2CID 410137.
  26. 1 2 Tsatsanis KD (2003). "Outcome research in Asperger syndrome and autism". Child Adolesc Psychiatr Clin N Am. 12 (1): 47–63, vi. doi:10.1016/S1056-4993(02)00056-1. PMID 12512398.
  27. ↑ Baron-Cohen S (2006). "The hyper-systemizing, assortative mating theory of autism" (PDF). Prog Neuropsychopharmacol Biol Psychiatry. 30 (5): 865–72. doi:10.1016/j.pnpbp.2006.01.010. PMID 16519981. S2CID 13271448. Archived from the original (PDF) on 13 May 2012. Retrieved 8 June 2009.
  28. ↑ Silberman, Steve (December 2001). "Geeks and autism". Wired. Wired magazine. Archived from the original on 3 August 2013. Retrieved 23 September 2007.
  29. ↑ Nordsletten, A.E., Larson, H., Crowley, J.J., Almqvist, C., & Lichtenstein, P. (April 2016). "Patterns of Nonrandom Mating Within and Across 11 Major Psychiatric Disorders". JAMA Psychiatry. 73 (4): 354–361. doi:10.1001/jamapsychiatry.2015.3192. PMC 5082975. PMID 26913486.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  30. ↑ Else, Liz (14 April 2001). "In a different world". New Scientist (2286): 42.
  31. ↑ Treffert DA (2009). "The savant syndrome: an extraordinary condition. A synopsis: past, present, future". Philos Trans R Soc Lond B Biol Sci. 364 (1522): 1351–7. doi:10.1098/rstb.2008.0326. PMC 2677584. PMID 19528017.
  32. ↑ Treffert, Darold A. (27 May 2009). "The savant syndrome: an extraordinary condition. A synopsis: past, present, future". Philosophical Transactions of the Royal Society B: Biological Sciences. 364 (1522): 1351–1357. doi:10.1098/rstb.2008.0326. ISSN 0962-8436. PMC 2677584. PMID 19528017.
  33. ↑ Loomes, Rachel; Hull, Laura; Mandy, William Polmear Locke (June 2017). "What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis". Journal of the American Academy of Child and Adolescent Psychiatry. 56 (6): 466–474. doi:10.1016/j.jaac.2017.03.013. ISSN 1527-5418. PMID 28545751. S2CID 20420861.
  34. 1 2 3 4 5 6 7 "For Autistic Women". Vanderbilt University. 12 December 2019. Archived from the original on 27 March 2022. Retrieved 29 March 2021.
  35. ↑ Baron-Cohen, Simon; Lombardo, Michael V.; Auyeung, Bonnie; Ashwin, Emma; Chakrabarti, Bhismadev; Knickmeyer, Rebecca (14 June 2011). "Why Are Autism Spectrum Conditions More Prevalent in Males?". PLOS Biology. 9 (6) e1001081. doi:10.1371/journal.pbio.1001081. ISSN 1544-9173. PMC 3114757. PMID 21695109.
  36. ↑ Cascio, M.A. "Making Autism Research Inclusive by Attending to Intersectionality: A Review of the Research Ethics Literature" (PDF). Review Journal of Autism and Developmental Disorders.
  37. 1 2 Beth Arky. "Why Many Autistic Girls Are Overlooked". Child Mind Institute. Retrieved 6 April 2021.
  38. ↑ "The lost girls". Spectrum News. 19 October 2015. Retrieved 6 April 2021.
  39. 1 2 3 4 "Asperger and Autism Spectrum: Women and Girls". The Asperger / Autism Network (AANE). 22 July 2016. Retrieved 29 March 2021.
  40. ↑ Madra, Moneek (2020). "Gastrointestinal Issues and Autism Spectrum Disorder". Child and Adolescent Psychiatric Clinics of North America. 29 (3): 501–513. doi:10.1016/j.chc.2020.02.005. PMC 8608248. PMID 32471598.
  41. ↑ "How Autism in Women Is Different: Unique ASD Symptoms, Risks". ADDitude. 27 June 2019. Retrieved 3 April 2021.
  42. ↑ George, R.; Stokes, M. A. (2018). "Sexual Orientation in Autism Spectrum Disorder". Autism Research. 11 (1): 133–141. doi:10.1002/aur.1892. ISSN 1939-3806. PMID 29159906. S2CID 45453241.
  43. ↑ "Gender Dysphoria and Autism Spectrum Disorder: A Systematic Review of the Literature". Archived from the original on 3 September 2017. Retrieved 20 August 2017.
  44. ↑ "Asperger Syndrome Seems More Prevalent Among Kids Who Identify as Opposite Gender - VICE News". 14 January 2016. Archived from the original on 27 April 2017.
  45. ↑ "Playing both sides: Trans people, autism, and the two-faced claims of Ken Zucker and Susan Bradley". 1 February 2017. Archived from the original on 23 August 2017.
  46. ↑ "Link Between Autism and Gender Dysphoria?". Psychology Today. Archived from the original on 29 November 2015.
  47. 1 2 George, Alison (4 June 2005). "Animals and us: Practical passions". NewScientist.com News Service (2502): 50.
  48. ↑ Vallortigara G, Snyder A, Kaplan G, Bateson P, Clayton NS, Rogers LJ (2008). "Are animals autistic savants". PLOS Biol. 6 (2) e42. doi:10.1371/journal.pbio.0060042. PMC 2245986. PMID 18288892.
  49. ↑ Prince-Hughes, D (2004). Songs of the Gorilla Nation: My Journey Through Autism. Harmony. ISBN 978-1-4000-5058-1.
  50. ↑ Cresswell, Lily; Hinch, Rebecca; Cage, Eilidh (May 2019). "The experiences of peer relationships amongst autistic adolescents: A systematic review of the qualitative evidence". Research in Autism Spectrum Disorders. 61: 45–60. doi:10.1016/j.rasd.2019.01.003.
  51. 1 2 Attwood, Tony (2007). The Complete Guide to Asperger's Syndrome. London: Jessica Kingsley. p. 58. ISBN 978-1-84310-495-7.
  52. ↑ Stoddart, Kevin P. (Editor) (2005), p. 22.
  53. ↑ Myles, Brenda Smith; Southwick, Jack (2005). "Asperger Syndrome and Difficult Moments". Shawnee Mission, Kansas: Autism Asperger Publishing Co. ISBN 1-931282-70-6, pp. 14–17
  54. 1 2 Mawhood, Lynn; Howlin, Patricia (1999). "The Outcome of a supported Employment Scheme for High-Functioning Adults with Autism and Asperger's Syndrome". Autism, 3, pp. 229–254
  55. ↑ Gernsbacher, Morton Ann, Jennifer L. Stevenson, and Sebastian Dern. "Autistic people do enhance their selves." Social psychological and personality science 11, no. 5 (2020): 605-615.
  56. 1 2 3 Moriguchi Y, Decety J, Ohnishi T, Maeda M, Matsuda H, Komaki G (2007). "Empathy and judging other's pain: An fMRI study of alexithymia". Cerebral Cortex
  57. 1 2 3 Silani, G; Bird, G; Brindley, R; Singer, T; Frith, C; Frith, U (2008). "Levels of emotional awareness and autism: An fMRI study". Social Neuroscience. 3: 97. doi:10.1080/17470910701577020.
  58. ↑ Nemiah CJ, Freyberger H, Sifneos PE (1970). "Alexithymia: A View of the Psychosomatic Process" in O.W.Hill (1970) (ed), Modern Trends in Psychosomatic Medicine, Vol-2, pp. 432–33
  59. ↑ Krystal H (1988). Integration and Self-Healing: Affect, Trauma, Alexithymia, p. 246; McDougall J (1985). Theaters of the Mind pp. 169–70
  60. ↑ Taylor GJ, Parker JDA, Bagby RM (1997). Disorders of Affect Regulation- Alexithymia in Medical and Psychiatric Illness, pp. 246–47
  61. ↑ Attwood, Tony (2006). The Complete Guide to Asperger's Syndrome, Jessica Kingsley Pub. ISBN 1843104954 p. 130, 136
  62. ↑ List of Cases / Hewett v Motorola Ltd, EAT 2004. Archived 1 December 2008 at the Wayback Machine Disclaw publishing. Retrieved on 21 February 2008.
  63. ↑ Union member discriminated against. Archived 14 July 2011 at Wikiwix Unison, 14 February 2006. Retrieved on 2008-02-21.
  64. ↑ "ADAAA: Washington D.C. Employment Law Update". Dcemploymentlawupdate.com. Archived from the original on 14 July 2011. Retrieved 5 October 2013.
  65. ↑ Stoddart, Kevin P. (2005), p. 24. Stoddart notes: "Adults who have succeeded in keeping employment may be found in vocations that rely on a circumscribed area of knowledge."
  66. ↑ Fein, Elizabeth (27 March 2015). "Making Meaningful Worlds: Role-Playing Subcultures and the Autism Spectrum". Culture, Medicine, and Psychiatry. 39 (2): 299–321. doi:10.1007/s11013-015-9443-x. ISSN 0165-005X. PMC 4457285. PMID 25812848.
  67. ↑ Baez, Sandra; Rattazzi, Alexia; Gonzalez-Gadea, Maria Luz; Torralva, Teresa; Vigliecca, Nora; Decety, Jean; Manes, Facundo; Ibanez, Agustin (1 January 2012). "Integrating intention and context: assessing social cognition in adults with Asperger syndrome". Frontiers in Human Neuroscience. 6: 302. doi:10.3389/fnhum.2012.00302. PMC 3492863. PMID 23162450.
  68. ↑ DeThorne, Laura S. (April 2020). "Revealing the Double Empathy Problem: It's not that autistic* people lack empathy. Rather, their different neurotypes and experiences may make it harder for nonautisic people to understand them—and vice versa". The ASHA Leader. 25 (3): 58–65. doi:10.1044/leader.FTR2.25042020.58. ISSN 1085-9586. S2CID 216359201.
  69. ↑ Milton, Damian E.M. (October 2012). "On the ontological status of autism: the 'double empathy problem'". Disability & Society. 27 (6): 883–887. doi:10.1080/09687599.2012.710008. ISSN 0968-7599. S2CID 54047060.
  70. ↑ Spikins, Penny; Wright, Barry; Hodgson, Derek (October 2016). "Are there alternative adaptive strategies to human pro-sociality? The role of collaborative morality in the emergence of personality variation and autistic traits". Time and Mind. 9 (4): 289–313. doi:10.1080/1751696X.2016.1244949. ISSN 1751-696X. S2CID 151820168.
  71. ↑ Chown, Nicholas (26 November 2014). "More on the ontological status of autism and double empathy". Disability & Society. 29 (10): 1672–1676. doi:10.1080/09687599.2014.949625. ISSN 0968-7599. S2CID 143826899.
  72. ↑ Crompton, Catherine J.; Sharp, Martha; Axbey, Harriet; Fletcher-Watson, Sue; Flynn, Emma G.; Ropar, Danielle (23 October 2020). "Neurotype-Matching, but Not Being Autistic, Influences Self and Observer Ratings of Interpersonal Rapport". Frontiers in Psychology. 11 586171. doi:10.3389/fpsyg.2020.586171. ISSN 1664-1078. PMC 7645034. PMID 33192918.
  73. ↑ Mission Statement. Archived 2013-04-21 at the Wayback Machine Autism Acceptance Project. Retrieved on 2008-11-24.
  74. ↑ Mission Statement. Aspies for Freedom. Retrieved on 2008-11-24.
  75. ↑ Autism Network International presents Autreat. Archived 14 December 2001 at the Wayback Machine (23 May 2008) AIN.
  76. ↑ "Declaration From the Autism Community That They Are a Minority Group" (Press release). PRWeb, Press Release Newswire. 18 November 2004. Archived from the original on 16 January 2005. Retrieved 7 November 2007.
  77. ↑ Ellison, Katherine (18 November 2023). "A rift over 'profound autism' reveals a community's deeper divide". The Washington Post. Retrieved 9 September 2024.
  78. ↑ Rephun, Menachem (25 September 2023). "A Voice of Our Own: Reflecting on the History and Values of the Autism Rights Movement". Creative Spirit. Retrieved 26 September 2024.
  79. ↑ "Why the neurodiversity movement has become harmful | Aeon Essays". Aeon. Retrieved 25 September 2024.
  80. 1 2 Shapiro, Joseph (26 June 2006). "Autism Movement Seeks Acceptance, Not Cures". NPR. Archived from the original on 24 December 2007. Retrieved 23 November 2007.
  81. ↑ Costello, Mary (January–February 2006). "Autistic Pride" (PDF). InTouch: 26–7. Archived from the original (PDF) on 20 November 2007. Retrieved 24 November 2007.
  82. ↑ Dawson, Michelle. The Misbehaviour of Behaviourists. Archived 14 July 2011 at Wikiwix (18 January 2004). Retrieved on 23 January 2007.
  83. ↑ Ploeger, Annemie; Galis, Frietson (June 2011). "Evolutionary approaches to autism- an overview and integration". McGill Journal of Medicine. 13 (2): 38. ISSN 1201-026X. PMC 3277413. PMID 22363193.
  84. ↑ Bagatell N (2007). "Orchestrating voices: autism, identity and the power of discourse". Disabil Soc. 22 (4): 413–26. doi:10.1080/09687590701337967. S2CID 144478078.
  85. 1 2 Blume H (30 June 1997). "Autistics, freed from face-to-face encounters, are communicating in cyberspace". The New York Times. Archived from the original on 26 January 2008. Retrieved 8 November 2007.
  86. ↑ Blume, Harvey (1 July 1997). "Autism & The Internet or It's The Wiring, Stupid". Media in Transition, Massachusetts Institute of Technology. Archived from the original on 23 January 2008. Retrieved 8 November 2007.
  87. ↑ Biever C (30 June 2007). "Web removes social barriers for those with autism". New Scientist. No. 2610.
  88. ↑ Trivedi, Bijal (18 June 2005). "Autistic and proud of it". New Scientist (2504): 36.
  89. 1 2 Hughes, V. (7 February 2012). Autism in Africa. Retrieved from "Autism in Africa". 7 February 2012. Archived from the original on 14 March 2014. Retrieved 14 March 2014.
  90. ↑ "Third Committee calls on Assembly to designate 2 April World Autism Day" (Press release). United Nations General Assembly. 1 November 2007.
  91. ↑ Gander, Kashmira (18 June 2016). "Autistic Pride Day 2016: Why we are proud to have autism". The Independent.
  92. ↑ Ross, Monique (1 November 2010). "Social networkers switch off for autism awareness". ABC News.
  93. ↑ "Fairytales tell of autistic children". Australian Broadcasting Corporation. 25 February 2005.
  94. 1 2 Pallardy R. "Donald Triplett". Encyclopædia Britannica. Retrieved 19 March 2017.
  95. ↑ Donvan J, Zucker C. "Autism's First Child". The Atlantic. Retrieved 19 March 2017.
  96. 1 2 3 4 5 "Expanding the critique of the social motivation - ProQuest". ProQuest 2262022739. Retrieved 10 December 2024 – via ProQuest.
  97. 1 2 3 4 5 6 7 Chevallier, Coralie; Kohls, Gregor; Troiani, Vanessa; Brodkin, Edward S.; Schultz, Robert T. (1 April 2012). "The social motivation theory of autism". Trends in Cognitive Sciences. 16 (4): 231–239. doi:10.1016/j.tics.2012.02.007. ISSN 1364-6613. PMC 3329932. PMID 22425667.
  98. 1 2 3 4 5 6 Bagg, Eloise; Pickard, Hannah; Tan, Manting; Smith, Tim J.; Simonoff, Emily; Pickles, Andrew; Carter Leno, Virginia; Bedford, Rachael (2024). "Testing the social motivation theory of autism: the role of co-occurring anxiety". Journal of Child Psychology and Psychiatry. 65 (7): 899–909. doi:10.1111/jcpp.13925. ISSN 1469-7610. PMID 38156503.
  99. 1 2 "4.4: Self-Determination Theory". Social Sci LibreTexts. 9 September 2022. Retrieved 10 December 2024.
  100. ↑ "The Theory". Retrieved 10 December 2024.
  101. ↑ "Albert Bandura's Social Cognitive Theory". 2 February 2024. Retrieved 11 December 2024.
  102. 1 2 Quintes, Susanne; Brinkmann, Bastian G.; Ebert, Madlen; Fröb, Franziska; Kungl, Theresa; Arlt, Friederike A.; Tarabykin, Victor; Huylebroeck, Danny; Meijer, Dies; Suter, Ueli; Wegner, Michael; Sereda, Michael W.; Nave, Klaus-Armin (2016). "Zeb2 is essential for Schwann cell differentiation, myelination and nerve repair". Nature Neuroscience. 19 (8): 1050–1059. doi:10.1038/nn.4321. ISSN 1546-1726. PMC 4964942. PMID 27294512.
  103. 1 2 Rodríguez-Medina, Jairo; Martín-Antón, Luis J.; Carbonero, Miguel A.; Ovejero, Anastasio (23 December 2016). "Peer-Mediated Intervention for the Development of Social Interaction Skills in High-Functioning Autism Spectrum Disorder: A Pilot Study". Frontiers in Psychology. 7: 1986. doi:10.3389/fpsyg.2016.01986. ISSN 1664-1078. PMC 5179565. PMID 28066303.
  104. 1 2 3 "Culture Factors Influence How We Experience Autism". Children's Hospital Los Angeles. Retrieved 11 December 2024.
  105. 1 2 3 Cheung, Hoi Yan Cactus; Datu, Jesus Alfonso (10 February 2022). "What Personal, Social, and Contextual Factors Promote Happiness among Children and Adolescents with Autism Spectrum Disorder? A Review with Implications for Researchers and Practitioners". Journal of Happiness and Health. 2 (1): 31–51. doi:10.47602/johah.v2i1.12. ISSN 2791-8246.
  106. 1 2 3 Grinker, Roy Richard; Yeargin-Allsopp, Marshalyn; Boyle, Coleen (2011), "Culture and Autism Spectrum Disorders: The Impact on Prevalence and Recognition", in Amaral, David; Geschwind, Daniel; Dawson, Geraldine (eds.), Autism Spectrum Disorders, Oxford University Press, pp. 112–136, doi:10.1093/med/9780195371826.003.0008, ISBN 978-0-19-537182-6, retrieved 11 December 2024
  107. 1 2 3 4 Morris, Laurel S.; Grehl, Mora M.; Rutter, Sarah B.; Mehta, Marishka; Westwater, Margaret L. (2022). "On what motivates us: a detailed review of intrinsic v. extrinsic motivation". Psychological Medicine. 52 (10): 1801–1816. doi:10.1017/S0033291722001611. ISSN 0033-2917. PMC 9340849. PMID 35796023.
  108. 1 2 3 "InBrief: Understanding the Science of Motivation". Center on the Developing Child at Harvard University. Retrieved 11 December 2024.
  109. ↑ Sarrett, J C (June 2011). "Trapped children: popular images of children with autism in the 1960s and 2000s". Journal of Medical Humanities. 32 (2): 141–53. doi:10.1007/s10912-010-9135-z. PMID 21225325. S2CID 10461718.
  110. 1 2 3 Draaisma, Douwe (2009). "Stereotypes of autism". Philosophical Transactions of the Royal Society B. 364 (1522): 1475–1480. doi:10.1098/rstb.2008.0324. PMC 2677582. PMID 19528033.
  111. 1 2 Murray S (2006). "Autism and the contemporary sentimental: fiction and the narrative fascination of the present". Lit Med. 25 (1): 24–45. doi:10.1353/lm.2006.0025. PMID 17040083. S2CID 29442808.
  112. ↑ Nolen-Hoeksema S (2014). Abnormal Psychology. New York, NY: McGraw-Hill Education. p. 292. ISBN 978-0-07-803538-8.
  113. ↑ Knights, Karl (17 December 2018). "Rain Man made autistic people visible. But it also entrenched a myth". The Guardian. Retrieved 17 April 2020.
  114. ↑ McCarthy, Jay (13 December 2018). "Rain Man at 30: damaging stereotype or 'the best thing that happened to autism'?". The Guardian. Retrieved 17 April 2020.
  115. ↑ Bradley, Sarah (25 October 2017). "TV Is Obsessed With an Unrealistic Portrayal of Autistic People". Vice. Retrieved 17 April 2020.
  116. ↑ Holton, Avery; Farrell, Laura; Fudge, Julie (2014). "A threatening Space?: Stigmatization and the framing of Autism in the News". Communication Studies. 65 (2): 189. doi:10.1080/10510974.2013.855642. S2CID 145668002.
  117. ↑ Bethune, Brian (3 July 2009). "Autistic licence: suddenly, Asperger's is the new 'it' disorder on screen and in fiction". Macleans.ca. Retrieved 18 April 2012.
  118. ↑ Stevenson, Jennifer L.; Harp, Bev; Gernsbacher, Morton Ann (2011). "Infantilizing Autism". Disability Studies Quarterly. 31 (3). doi:10.18061/dsq.v31i3.1675. ISSN 1041-5718. PMC 4266457. PMID 25520546.
  119. ↑ "Elon Musk reveals he has Asperger's on Saturday Night Live". BBC News. 9 May 2021. Retrieved 5 August 2025.
  120. ↑ Zwerdling, Daniel (April 2002). "Kill Them With Kindness". American RadioWorks. Archived from the original on 10 November 2011. Retrieved 8 November 2007.
  121. ↑ Page, Tim (20 August 2007). "Parallel Play: A lifetime of restless isolation explained". The New Yorker: 36–41. PMID 17710777. Archived from the original on 30 October 2007. Retrieved 8 November 2007.
  122. ↑ "Pulitzer-Winner on Living with Asperger's: All Things Considered". NPR. 13 August 2007. Archived from the original on 25 August 2007. Retrieved 8 November 2007.
  123. ↑ "Vines Singer Diagnosis Revealed". NME. 5 June 2011. Archived from the original on 5 June 2011. Retrieved 6 March 2020.
  124. ↑ Lockyer, Daphne (10 April 2011). "Paddy Considine: Knowing I have Asperger's is a relief". The Daily Telegraph. London. Archived from the original on 12 January 2022. Retrieved 12 April 2011.
  125. ↑ Kate Goodacre. "Paddy Considine reveals Asperger's diagnosis". Digital Spy.
  126. ↑ "YouTuber Jacksepticeye Announces Autism Diagnosis on X (Twitter)". Yahoo Entertainment. 28 November 2024. Retrieved 19 September 2026.
  127. ↑ "Youtuber JackSepticeye Confirms Autism Diagnosis: 'Got The Confirmation...'". TimesNow. 28 November 2024. Retrieved 19 September 2026.
  128. ↑ Ni, Christine; Vang, Gia; Carroll • •, Jeremy (22 April 2026). "Author and 'Reading Rainbow' host Mychal Threets on health, libraries and joy". NBC Bay Area. Retrieved 19 September 2026.
  129. ↑ Ian Birrell (23 April 2019). "Greta Thunberg teaches us about autism as much as climate change". The Guardian. Retrieved 25 June 2019.
  130. ↑ O'Malley, Katie (23 April 2019). "Greta Thunberg says 'gift' of Asperger's Syndrome helps her see through 'lies'". The Independent. Retrieved 27 April 2019.
  131. 1 2 3 4 "14 Amazing Women With Autism". Yahoo. 31 March 2015. Retrieved 2 April 2021.
  132. ↑ "Susan Boyle is part of autism's 'invisible generation'". BBC News. 9 December 2013. Retrieved 31 March 2021.
  133. ↑ "Susan Boyle: my relief at discovering that I have Asperger's". The Guardian. 8 December 2013. Retrieved 31 March 2021.
  134. ↑ Willingham, Emily. "'Wall Street' Actress Daryl Hannah Is An Autistic Woman". Forbes. Retrieved 2 April 2021.
  135. ↑ Parker-Pope, Tara (4 December 2007). "Asperger's Syndrome Gets a Very Public Face". The New York Times. ISSN 0362-4331. Retrieved 4 April 2021.
  136. ↑ "Ladyhawke: 'You have no idea what I have been through'". The Independent. 22 October 2011. Retrieved 5 April 2021.
  137. ↑ "Inspiring stories of people on the autism spectrum". CBS News. 13 April 2016. Retrieved 5 April 2021.
  138. ↑ "Tom Stoltman harnesses 'superpower' of autism to become the World's Strongest Man". CNN. 3 January 2022.
  139. ↑ Martinelli, Marissa (26 April 2021). "Anthony Hopkins Oscar win: The autistic actor made history for more than his age". Slate. Archived from the original on 14 December 2021. Retrieved 14 January 2022.
  140. ↑ Wallace, Benjamin. "Autism Spectrum: Are You on It?". NYMag.com. Retrieved 3 May 2016.
  141. ↑ Sowell, Thomas (2001). The Einstein Syndrome: bright children who talk late. New York: Basic Books. pp. 142, 189. ISBN 978-0-465-08141-7. Retrieved 3 May 2016.
  142. ↑ Steinberg, Paul (31 January 2012). "Asperger's History of Overdiagnosis". The New York Times. Retrieved 3 May 2016.
  143. ↑ "Was Michelangelo's artistic genius a symptom of autism?". The Independent. 1 June 2004. Retrieved 6 March 2020.
  144. ↑ Muzikar, Debra (20 April 2019). "The Autism Puzzle Piece: A symbol that's going to stay or go?". The Art of Autism. Retrieved 23 October 2026.
  145. ↑ "Introducing the new Autism Speaks". Autism Speaks. Retrieved 23 October 2026.
  146. 1 2 3 Grant, Aimee (22 April 2025). "Why the autism jigsaw puzzle piece is such a problematic symbol". Nation.Cymru. The Conversation. Retrieved 23 October 2026.
  147. ↑ Gross, Liza (30 September 2016). "In Search of Autism's Roots". PLOS Biology. 14 (9): e2000958. doi:10.1371/journal.pbio.2000958. PMC 5045192.{{cite journal}}: CS1 maint: article number as page number (link)
  148. 1 2 Autistics United Canada (16 March 2019). "News release: Neurodiversity flag raising for World Autism Acceptance Day". Nova Scotia Advocate (Press release). Retrieved 23 October 2026.
  149. ↑ Willingham, Emily (1 April 2017). "No Foolin': Forget About Autism Awareness And Lighting Up Blue". Forbes. Retrieved 23 October 2026.
  150. ↑ Morgan, Julian. "Going Gold for acceptance". White Unicorn e.V. Retrieved 23 October 2026.
  151. ↑ "Nothing about us without us: Large Print guide, Section: Us" (PDF). People's History Museum. p. 18. Retrieved 23 October 2026.
  152. ↑ "Autistic Pride flag design released free to use". Autistic Empire. 20 January 2021. Retrieved 23 October 2026.
  153. ↑ "Autism Society of America". Autism Society of Indiana. Retrieved 23 October 2026.

Further reading