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Autism, autonomy, and authenticity

Autonomy of people on the autism-spectrum has only been very rarely conceptually explored. Autism spectrum is commonly considered a hetereogenous disorder, and typically described as a behaviorally-defined neurodevelopmental disorder associated with the presence of social-communication deficits and...

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Autores principales: Späth, Elisabeth M. A., Jongsma, Karin R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039841/
https://www.ncbi.nlm.nih.gov/pubmed/31165390
http://dx.doi.org/10.1007/s11019-019-09909-3
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author Späth, Elisabeth M. A.
Jongsma, Karin R.
author_facet Späth, Elisabeth M. A.
Jongsma, Karin R.
author_sort Späth, Elisabeth M. A.
collection PubMed
description Autonomy of people on the autism-spectrum has only been very rarely conceptually explored. Autism spectrum is commonly considered a hetereogenous disorder, and typically described as a behaviorally-defined neurodevelopmental disorder associated with the presence of social-communication deficits and restricted and repetitive behaviors. Autism research mainly focuses on the behavior of autistic people and ways to teach them skills that are in line with social norms. Interventions such as therapies are being justified with the assumption that autists lack the capacity to be self-reflective and to be “author of their lives”. We question this assumption, as some empirical research shows that autists are aware of their strengths and are critical about social norms, we take this as a starting point to reconsider the beliefs about autistic people’s capacities. As a theoretical framework, we draw on Berlin’s idea of positive and negative liberty as he clearly distinguishes between one’s own developed preferences and the simple absence of interference. By drawing on the concept of positive liberty, we illustrate that a lot of autists are aware of their own needs, and usually do not deny their own needs, values and interests. This makes them less prone than non-autistic people to adapt their preferences to external influences, which might be seen as sticking to an authentic way of living. Our analysis shows that many autists are hindered to be(come) autonomous due to unjustified interference, unreflected assumptions about their self-determination, or by paternalistic actions. These observations contribute to a better understanding when help and interference are justified and a more differentiated understanding of autonomy of autistic people.
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spelling pubmed-70398412020-03-09 Autism, autonomy, and authenticity Späth, Elisabeth M. A. Jongsma, Karin R. Med Health Care Philos Scientific Contribution Autonomy of people on the autism-spectrum has only been very rarely conceptually explored. Autism spectrum is commonly considered a hetereogenous disorder, and typically described as a behaviorally-defined neurodevelopmental disorder associated with the presence of social-communication deficits and restricted and repetitive behaviors. Autism research mainly focuses on the behavior of autistic people and ways to teach them skills that are in line with social norms. Interventions such as therapies are being justified with the assumption that autists lack the capacity to be self-reflective and to be “author of their lives”. We question this assumption, as some empirical research shows that autists are aware of their strengths and are critical about social norms, we take this as a starting point to reconsider the beliefs about autistic people’s capacities. As a theoretical framework, we draw on Berlin’s idea of positive and negative liberty as he clearly distinguishes between one’s own developed preferences and the simple absence of interference. By drawing on the concept of positive liberty, we illustrate that a lot of autists are aware of their own needs, and usually do not deny their own needs, values and interests. This makes them less prone than non-autistic people to adapt their preferences to external influences, which might be seen as sticking to an authentic way of living. Our analysis shows that many autists are hindered to be(come) autonomous due to unjustified interference, unreflected assumptions about their self-determination, or by paternalistic actions. These observations contribute to a better understanding when help and interference are justified and a more differentiated understanding of autonomy of autistic people. Springer Netherlands 2019-06-04 2020 /pmc/articles/PMC7039841/ /pubmed/31165390 http://dx.doi.org/10.1007/s11019-019-09909-3 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Scientific Contribution
Späth, Elisabeth M. A.
Jongsma, Karin R.
Autism, autonomy, and authenticity
title Autism, autonomy, and authenticity
title_full Autism, autonomy, and authenticity
title_fullStr Autism, autonomy, and authenticity
title_full_unstemmed Autism, autonomy, and authenticity
title_short Autism, autonomy, and authenticity
title_sort autism, autonomy, and authenticity
topic Scientific Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039841/
https://www.ncbi.nlm.nih.gov/pubmed/31165390
http://dx.doi.org/10.1007/s11019-019-09909-3
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