Experts have said there needs to be a complete rethink in the way in which efforts to enhance the inclusion of autistic adolescents and adults are undertaken.
Psychology researchers at The University of Texas at Dallas say their research has found a focus on promoting understanding and acceptance of autism among non-autistic people is more effective than the traditional approach.
The study added that efforts to improve the social success of autistic adolescents and adults have often focused on teaching them ways to think and behave more like their non-autistic peers and to hide the characteristics that define them as autistic.
The study showed that familiarising non-autistic people with the challenges and strengths of autistic people helped to reduce stigma and misconceptions about autism, but implicit biases about autism were harder to overcome.
Desiree Jones, a psychology doctoral student in the School of Behavioural and Brain Sciences (BBS), is the corresponding author of the paper, and Dr Noah Sasson, associate professor of psychology, is the senior author.
Autism is characterised by differences in thinking, sensing, and communicating that can make interaction and connection with non-autistic people difficult.
Some autistic people are nonspeaking and need a lot of support in their everyday lives, while some are highly verbal and need less support. Jones’ work focuses specifically on the experiences of autistic adults without intellectual disability.
“Previous work in our lab has shown that autistic people are often stereotyped as awkward and less likeable,” Ms Jones said. “Some might think that autistic people don’t want friends or don’t want to interact with people. We want to combat those ideas.”
Promoting autism knowledge among non-autistic adults represents a shift in philosophy about how to improve the social experiences of autistic people. Ms Jones explained that this tactic borrows from research on race and ethnicity.
“Targeting autistic behaviour places the burden of social exclusion on autistic people, when we should really be challenging the attitudes that lead others to stigmatise autistic behaviours,” she said. “Research on race suggests that people who have racial biases tend to view that race as a monolith, assigning every member the same features. By exposing them to different people from the group, you can challenge those stereotypes. We believe the same principle applies to autism.”
The study participants, 238 non-autistic adults, were split into three groups. One group viewed an autism acceptance video originally developed as a PowerPoint presentation by researchers at Simon Fraser University in British Columbia in collaboration with autistic adults. Ms Jones updated it and had narration added. The second group watched a general mental health training presentation that didn’t mention autism, and the third received no training at all. Participants then were tested on their explicit and implicit biases about autism.
“The autism video presents autism facts and promotes acceptance. It gives tips on how to befriend an autistic person and talk to them about their interests,” Ms Jones said. “It also discusses things to avoid, such as sensory overload and pressuring them into engaging.”
Subsequent testing of explicit biases included capturing first impressions of autistic adults in video clips, measuring participants’ autism knowledge and stigma, and gauging their beliefs about autistic functional abilities. Implicit biases also were examined, gauging whether participants unconsciously associate autism with negative personal attributes.
As anticipated, the autism acceptance training group demonstrated greater understanding and acceptance of autism on the explicit measures, including expressing more social interest in autistic adults and resulting in more positive first impressions. However, participants continued to implicitly associate autism with unpleasant personal attributes regardless of which training they experienced.
“Explicit biases are consciously held, evolve quickly and are constrained by social desirability,” Dr Sasson explained. “Implicit biases reflect more durable underlying beliefs — associations reinforced over time that are more resistant to change.”
Many of the stubborn stereotypes about autism are reinforced by portrayals in the media, whether from TV shows like “The Good Doctor” or movies like “Rain Man.”
“A common trope exists of the white male autistic person with savant abilities,” Ms Jones said. “They are really smart but very socially awkward. They can be portrayed as flat or without emotion or passion. These beliefs can be harmful and do not reflect how variable these characteristics are among autistic people. They belie the range of unique difficulties and skills that autistic people can have.
“There’s a saying that if you’ve met one autistic person, you’ve met one autistic person. The community varies so much in individual needs, strengths and difficulties that there’s not a very useful prototype. So getting to know actual people and getting away from preconceptions can hopefully help us improve social outcomes for the autistic community.”
Ms Jones said that autistic individuals themselves are integral in plotting the path forward.
“Autistic people often feel that they simply aren’t listened to, that they are dismissed or not cared about,” she said. “A big part of being welcoming is simply acknowledging actual autistic people telling us what they like and what they want research to be. In our lab, we have several autistic master’s and undergraduate students who play a big role in our research, and they’ve taught me a lot.”
Dr Sasson described the results as promising and indicative of the promise of well-done training, although the staying power of such effects remains unclear.
“This half-hour presentation was engaging and entertaining and included a lot of compelling first-person narratives,” he said. “The fact that non-autistic people experiencing the training were more interested in social interaction with autistic people, had fewer misconceptions about autism, and reported more accurate understanding of autistic abilities after completing it is a success story of sorts.
“Whether the effects persist over time is another question. It could very well be that the benefits are transient, which would significantly limit the promise of training programs like this.”
In future work, Jones and Sasson hope to establish a connection between inclusion and acceptance and the mental health and well-being of autistic people, who experience higher levels of depression, anxiety and suicide than the general population.
“It’s not easy to be autistic in a predominantly non-autistic world and making the social world a bit more accommodating and welcoming to autistic differences could go a long way toward improving personal and professional outcomes for autistic people,” Dr Sasson said.