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Published on: July 31, 2017
Understanding autism: parents and pediatricians in historical perspective
Chloe Silverman1, Jeffrey P Brosco
1Department of Science, Technology, and Society, Penn State University, University Park, Pa 16802, USA. cbs14@psu.edu
Insights
Parents and advocates have significantly shaped autism research and treatment over 50 years by funding studies, building networks, and driving scientific understanding. Their active involvement is crucial for future progress in autism care.
Area of Science:
- Pediatric medicine
- Autism spectrum disorder research
- Medical sociology
Background:
- Parents of children with autism spectrum disorder (ASD) often possess deep knowledge of scientific issues.
- Parental expertise and the pursuit of a cure can sometimes create tension with medical teams.
- This study examines the historical contributions of parents and advocates in autism research and treatment.
Observation:
- Parents and advocacy groups have been instrumental over the past 50 years.
- Their contributions include organizing research funding and establishing clinical research networks.
- They have also suggested novel research directions and promoted evidence-based therapies.
Findings:
- Parental involvement has influenced the trajectory of autism research.
- Advocacy groups have played a key role in popularizing empirically supported treatments.
- Parents and advocates have anticipated major shifts in the understanding of autism.
Implications:
- Recognizing families as valuable partners in understanding complex conditions like ASD is essential.
- Future research and treatment programs for autism should prioritize collaborative partnerships with families.
- This historical perspective highlights the indispensable role of families in advancing autism science and care.
Abstract:
Both primary care providers and subspecialists in pediatrics encounter families who are actively involved in the diagnosis and treatment of their children. Parents of children with an autism spectrum disorder in particular are often aware of scientific issues, and their expertise and desire for a medical cure for autism sometimes put them at odds with the medical team. We investigated the role of parents and advocates in autism research and treatment over the last 50 years. Our review of scientific publications and archival sources documents how parents and advocacy groups have done the following: (1) organized research funding; (2) constructed clinical research networks; (3) suggested new avenues for research; (4) popularized empirically based therapies; and (5) anticipated paradigmatic shifts in the understanding of autism. We believe that this historical account will help pediatricians and researchers recognize that families can contribute to expert understanding of complex medical conditions such as autism and that the existence of partnerships with families of children with autism is a critical component of future research and treatment programs.
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