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Reflections on 'autistic integrity'.
1Centre for Addiction and Mental Health, Toronto, Ontario, Canada. barbara_russell@camh.net
This study explores autistic integrity in moderate to severe autism. It examines if this concept morally justifies halting autism cures, particularly those targeting theory of mind deficits.
Area of Science:
- Neurodevelopmental disorders
- Philosophy of mind
- Bioethics
Background:
- Autism, especially moderate to severe forms, presents behavioral challenges impacting quality of life.
- Philosophical concepts like consciousness, identity, and relationality are central to understanding autism's proposed causes.
- Barnbaum's 'autistic integrity' concept argues against curing autistic adults, especially if a "theory of mind" deficit is presumed.
Purpose of the Study:
- To apply four established definitions of integrity to moderate to severe autism.
- To evaluate if 'autistic integrity' provides the ethical basis Barnbaum suggests for ceasing autism cures.
Main Methods:
- Conceptual analysis of integrity.
- Application of integrity frameworks to autism.
- Ethical examination of Barnbaum's argument.
Main Results:
- Analysis of how different integrity definitions apply to autistic individuals.
- Assessment of the ethical implications of 'autistic integrity' in autism treatment debates.
Conclusions:
- The study critically assesses the concept of autistic integrity.
- It determines the ethical validity of using autistic integrity to justify stopping autism cures.

