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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Participant Modeling
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Related Experiment Video

Updated: Sep 29, 2025

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
09:13

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder

Published on: April 22, 2015

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Intimacy and Autism: An Apparent Paradox.

Elena Molinari1

  • 1Corso Cavour 13, 27100 Pavia, Italy.

The Psychoanalytic Quarterly
|March 21, 2022
PubMed
Summary

Therapists face an emotional paradox when working with autistic patients, as intimacy requires openness that can be challenging for individuals with autism. Maintaining this paradoxical state of mind is crucial for effective psychoanalytic therapy.

Area of Science:

  • Psychology
  • Psychoanalysis
  • Neurodevelopmental Disorders

Background:

  • Intimacy involves openness and emotional connection, which can be difficult for autistic individuals.
  • Therapists working with autistic patients encounter a unique challenge in establishing therapeutic intimacy.

Purpose of the Study:

  • To explore the paradoxical nature of intimacy in psychoanalytic therapy with autistic patients.
  • To examine the concept of a therapist adopting an "autistic" state of mind.

Main Methods:

  • Conceptual analysis of intimacy and autistic traits in a therapeutic context.
  • Exploration of psychoanalytic principles regarding empathy and self-protection.

Main Results:

  • The therapist's "autistic" state of mind presents both opportunities for empathy and risks of overwhelming emotions.
Keywords:
Intimacyanalyst’s defensesautismautistic defensestransformation

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  • Oscillating in a contiguous-autistic state is identified as a dual-edged therapeutic phenomenon.

    • Conclusions:

    • Maintaining the paradox of "becoming autistic" with autistic patients can be a valuable therapeutic tool.
    • Understanding and managing this paradoxical state is key to effective psychoanalytic treatment for autism.