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Topic

Neurodiversity

Also known as Neurodiversity paradigm, Neurodivergent, Neurodiversity-affirming therapy

Seeing autism, ADHD and other brain differences as natural variation, not only disorders.

At a glance

Also on this page: Key facts · Links · Sources · Related pages

Why it matters

Key facts

In short
Neurocognitive differences seen as part of natural human diversity, not only deficits1
Word first published
1998, by journalist Harvey Blume and in Judy Singer's thesis1
Started
Late 1980s–early 1990s, with Autism Network International1
Includes
Autism, ADHD, dyslexia, dyspraxia, Tourette syndrome, OCD and others1
Key terms
Neurodivergent (coined by Kassiane Asasumasu, 2000) and neurotypical1
Key theory
The double empathy problem (Damian Milton, 2012): autistic and non-autistic people misread each other both ways1

In plain words

  1. Difference, not only deficit1

    Autism and other neurodivergences are viewed as natural variation rather than only diseases to cure.

  2. The environment matters1

    Building on the social model of disability, it locates part of the disability in barriers and person-environment mismatch.

  3. A middle ground1

    Judy Singer and Patrick Dwyer describe it as a middle path between a strong medical model and a strong social model.

  4. Who is neurotypical1

    Nick Walker says the term describes people who fit society's norms without much effort, not that their brains are all the same.

Affirming vs deficit language

  1. Interests2

    Instead of "special interests", say areas of interest or expertise, or focused, intense or passionate interests.

  2. Functioning labels2

    Instead of "high/low functioning", describe specific strengths and needs, which vary by area: someone may need substantial support in unstructured recreation but little with academic work.

  3. Behaviour2

    Instead of "challenging" or "problem behaviour", name it: a meltdown, stimming, or a specific description such as self-injury.

  4. Symptoms and comorbidity2

    Instead of "autism symptoms", say autistic characteristics or traits; instead of "co-morbid", say co-occurring.

  5. Risk and burden2

    Instead of "at risk for autism", say increased likelihood; instead of "suffering from autism", talk about its impact or effect.

  6. Who is the person2

    Use identity-first language ("autistic person") or "on the autism spectrum". Autistic adults in the UK endorsed "autistic person" more than "person with autism", while professionals favoured the reverse.

  7. Goals2

    Deficit framing aims at a cure or "optimal outcome", or at passing as non-autistic; affirming framing prioritises quality of life, mental health, and what autistic people want for themselves.

  8. Puzzle or variation2

    Rather than autism as a puzzle or an epidemic, it is described as part of neurodiversity and as increasingly recognised and diagnosed.

What affirming practice means

  1. Support without erasing1

    Neurodiversity-affirming therapy supports difficult areas while seeing differences as needs and strengths, not things to remove.

  2. Humility and context1

    Neurodivergence-informed therapy asks therapists for humility and frames dysfunction as social, not only individual.

  3. Don't train away harmless traits1

    Researchers warn of ethical and practical risks in suppressing harmless stimming or teaching neurotypical eye contact.

  4. Client-led goals1

    Interventions are more acceptable and useful when the neurodivergent person helps set their goals and methods.

  5. A trait-based approach1

    Ari Ne'eman suggests treating harmful traits such as self-injury medically, while accepting harmless ones.

Criticism

  1. High support needs1

    Critics, including some carers, say it may overlook challenges that remain even in a fully accommodating society.

  2. Wanting treatment1

    Opponents argue it calls for accepting things some people wish to have treated.

  3. "Neurodiversity lite"1

    Corporate and media talk of neurodivergent "superpowers" is criticised for dropping the disability-rights roots and ignoring people with high support needs.

  4. Contested terms1

    Some scientists question the neurotypical label, since many non-autistic people have some autistic traits.

Connections

Sources

  1. Neurodiversity (Wikipedia) (opens en.wikipedia.org)
  2. Bottema-Beutel K, Kapp SK, Lester JN, Sasson NJ, Hand BN. Avoiding Ableist Language: Suggestions for Autism Researchers. Autism Adulthood 2021;3(1):18-29 (opens pmc.ncbi.nlm.nih.gov)

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