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Constructing the Autistic-Transgender Intersection: A Critical Discourse Analysis.

Maddie Kerr¹, Rebecca Ewert¹

¹Department of Sociology, Northwestern University, Evanston, Illinois, USA.

Sociology of Health & Illness

|June 25, 2025

Summary

This study examines how autism and transgender identities intersect, analyzing how different groups discuss this link. It identifies four main discussion types that shape understanding and responses to autistic transgender individuals.

Keywords:

autism diagnosis discourse analysis medicalisation transgender

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Area of Science:

Social Sciences
Psychology
Gender Studies

Background:

Growing reports show a statistical link between autism and transgender identities.
Discussions about this intersection are increasing in scientific and public spheres, often amid political debates on transgender rights.

Purpose of the Study:

To critically analyze discursive patterns surrounding the autism-transgender identity intersection.
To investigate how various actors construct this intersection and its effects.
To understand the political and social implications of these discussions.

Main Methods:

Qualitative analysis of 30 diverse texts.
Texts included psychological research, clinical literature, news articles, legislation, activist materials, and personal narratives.

Main Results:

Identified four discursive types: psychiatrisation, repressive protection, medical management, and affirmation/reclamation.
These types differ in explaining 'causes' and legitimizing/delegitimizing autistic transgender identities.
Each discourse type promotes distinct medical, cultural, and political practices.

Conclusions:

The autism-transgender intersection is a site where social actors negotiate gender and ability norms.
Discourses surrounding this intersection influence de/medicalization processes and expert knowledge.
Understanding these discourses is crucial for addressing the needs and rights of autistic transgender individuals.