A framework for neurodiversity-affirming interventions for autistic individuals.

Area of Science:

• Neurodiversity Studies
• Autism Research
• Intervention Science

Background:

• Autistic individuals have historically been excluded from research and intervention design concerning their own needs and goals.
• Traditional autism interventions, including applied behavior analysis (ABA), have faced criticism for lacking autistic input and causing iatrogenic effects.
• Existing intervention goals often focus on reducing autistic traits, conflicting with neurodiversity perspectives.

Purpose of the Study:

• To highlight the critical need for including autistic voices in intervention development and goal prioritization.
• To advocate for a paradigm shift towards neurodiversity-affirming interventions (NAI) in autism research and practice.
• To address ethical and practical shortcomings of past and current autism intervention models.

Main Methods:

• Critical review of existing autism intervention practices and research methodologies.
• Analysis of the ethical implications of excluding autistic individuals from intervention design.
• Examination of criticisms and reported iatrogenic effects associated with applied behavior analysis (ABA).

Main Results:

• Autistic people have been systematically excluded from decisions about interventions targeting them.
• Applied behavior analysis (ABA) is increasingly scrutinized for its lack of inclusivity and potential harm.
• Current intervention goals are often misaligned with neurodiversity principles and the lived experiences of autistic individuals.

Conclusions:

• There is an urgent necessity for a neurodiversity-affirming interventions (NAI) framework.
• Future autism research and practice must prioritize autistic self-determination and well-being.
• Adopting NAI principles is essential for ethical and effective autism support.