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Updated: Mar 31, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
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Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder

Published on: April 22, 2015

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‘What Brings Him Here Today?’: Medical Problem Presentation Involving Children with Autism Spectrum Disorders and

Olga Solomon, John Heritage, Larry Yin

    Journal of Autism and Developmental Disorders
    |October 15, 2015
    PubMed

    Insights

    Medical problem presentation in pediatric care is challenging for children with Autism Spectrum Disorder (ASD). Communication barriers impact healthcare access and needs for children with ASD.

    Area of Science:

    • Pediatric Healthcare
    • Communication Studies
    • Disability Studies

    Background:

    • Children with Autism Spectrum Disorder (ASD) often face communication challenges.
    • Effective medical problem presentation is crucial for appropriate pediatric care.
    • Previous research has not fully explored the interactional dynamics of problem presentation in pediatric visits for children with ASD.

    Purpose of the Study:

    • To analyze how medical problems are presented in pediatric healthcare visits.
    • To examine the role of children's communicative and epistemic capabilities in these interactions.
    • To understand how children with ASD are socialized into the patient role.

    Main Methods:

    • Conversation and discourse analyses were employed.
    • Healthcare visits involving children with Autism Spectrum Disorder (ASD) and typically developing children were analyzed.
    • Interactional and epistemic work during medical problem presentation was investigated.

    Main Results:

    • Medical problem presentation includes a pre-visit account of home-based identification of health issues.
    • Autism Spectrum Disorder (ASD) disrupts intersubjective accessibility of children's experiences, creating interactional dilemmas.
    • These interactional dynamics contribute to unmet healthcare needs and foregone medical care for individuals with ASD.

    Conclusions:

    • Interactional patterns in pediatric visits can lead to unmet healthcare needs for children with ASD.
    • Addressing communication and epistemic challenges is vital for improving healthcare experiences for children with ASD.
    • Understanding the socialization into the patient role is key to equitable healthcare access.

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