“Masking Is Life”: Experiences of Masking in Autistic and Nonautistic Adults

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Miller, D., Rees, J., & Pearson, A. (2021). “Masking Is Life”: Experiences of Masking in Autistic and Nonautistic Adults. Autism in Adulthood, 3(4), 330-338. https://doi.org/10.1089/aut.2020.0083

Publication date: 17 May 2021 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
3
Publication authors identified as autistic
1 / 3 (33.3%)

Abstract

Background: Autistic masking is an emerging research area, and so far, research has suggested that masking has a negative effect on autistic people. Masking relates to general social practices (such as identity management) and is often driven by stigma avoidance. Many nonautistic people also experience stigma that might drive them to suppress aspects of their identity. In this study, we investigate similarities and differences in experiences of masking in autistic and nonautistic people. Methods: We conducted an online survey about experiences and views of masking in autistic people (n = 144), neurodivergent people without an autism diagnosis (n = 49), and neurotypical people (n = 45) recruited via social media. We used thematic analysis to analyze responses to open-ended items about masking, using an inductive approach, at a semantic level, with a critical realist paradigm. Results: Thematic analysis revealed that some aspects of masking are shared across autistic and nonautistic people, such as utilizing mimicry of others as a social strategy or feeling exhausted from masking. All groups reported that masking made them feel disconnected from their true sense of identity and had a negative effect on them. Other aspects of masking seemed more specific to autistic people, such as sensory suppression, and masking leading to suicidal ideation. Conclusions: Our findings suggest that many aspects of masking are experienced across different neurotypes and are likely related to outside perceptions of difference and stigma. It is likely that what we call “autistic masking” is similar to other forms of stigma management previously theorized. Some aspects of masking do seem more specific to the autistic neurotype (e.g., suppression of stimming) and should be explored further to provide support for autistic people recovering from the negative impact of masking.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 16:12.

Cited references
57
With a DOI
42
Without a DOI, from raw bibliography text
14
11 / 57 (19.3%) cited references include at least one author identified as autistic.
References with data to complete
3 / 57 (5.3%)
References with detected author names
54 / 57 (94.7%)
Without detected author names
3
Without a structured title
2
Without a stable identifier
14
References with raw author names still to review
2
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
165
From DOI or external metadata
165
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
2
102 / 165 (61.8%) names are linked to an author already present in AutiHub. 63 / 165 (38.2%) names are not yet linked.
Names linked to a person identified as autistic
15 / 165 (9.1%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 15 / 102 (14.7%). Distinct people identified as autistic: 12 / 117 (10.3%).
  1. (2012). Current Issues in Developmental Disorders . Psychology Press.
    OpenAlex
  2. Simon Baron-Cohen (2017). Editorial Perspective: Neurodiversity – a revolutionary concept for autism and psychiatry . Journal of Child Psychology and Psychiatry, 58(6), 744-747. Wiley.
    Crossref OpenAlex OpenCitations
  3. Robert J. Fortuna , Laura Robinson , TRISTRAM SMITH , Jon Meccarello , Beth Bullen , Kathryn Nobis et al. (2016). Health Conditions and Functional Status in Adults with Autism: A Cross-Sectional Evaluation . Journal of General Internal Medicine, 31(1), 77-84. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  4. Eilidh Cage , Jessica Di Monaco , Victoria Newell (2019). Understanding, attitudes and dehumanisation towards autistic people . Autism, 23(6), 1373-1383. SAGE Publications.
    Crossref OpenAlex OpenCitations
  5. David M. Frost (2011). Social Stigma and its Consequences for the Socially Stigmatized . Social and Personality Psychology Compass, 5(11), 824-839. Wiley.
    Crossref OpenAlex OpenCitations
  6. Filippi R (2013). What can neurodevelopmental disorders teach us about typical development? Current Issues in Developmental Disorders, 193.
    Type: Other
    Crossref
  7. Michael S. C. Thomas , Dagmara Annaz , Daniel Ansari , Gaia Scerif , Chris Jarrold , Annette Karmiloff-Smith (2009). Using Developmental Trajectories to Understand Developmental Disorders . Journal of Speech, Language, and Hearing Research, 52(2), 336-358. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  8. Lucy A Livingston , Francesca Happé (2017). Conceptualising compensation in neurodevelopmental disorders: Reflections from autism spectrum disorder . Neuroscience & Biobehavioral Reviews, 80, 729-742. Elsevier BV.
    Crossref OpenAlex OpenCitations
  9. Karmiloff-Smith A (2002). The Handbook of Brain Theory and Neural Networks (2nd Edition) . The Handbook of Brain Theory and Neural Networks (2nd Edition), 339.
    Type: Other
    Crossref
  10. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  11. Francesca Happé , Uta Frith (2020). Annual Research Review: Looking back to look forward – changes in the concept of autism and implications for future research . Journal of Child Psychology and Psychiatry, 61(3), 218-232. Wiley.
    Crossref OpenAlex OpenCitations
  12. Courtney J. Bernardin , Erica Mason , Timothy Lewis , Stephen Kanne (2021). “You Must Become a Chameleon to Survive”: Adolescent Experiences of Camouflaging . Journal of Autism and Developmental Disorders, 51(12), 4422-4435. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  13. Robert Chapman *Autistic author. Learn more… (2020). Defining neurodiversity for research and practice . Neurodiversity Studies: A New Critical Paradigm, 14.
    Type: Other
    Crossref
  14. Kaspar D. Naegele , Erving Goffman (1956). The Presentation of Self in Everyday Life. American Sociological Review, 21(5), 631. SAGE Publications.
    Type: Article DOI: 10.2307/2089106 OpenAlex: https://openalex.org/W2044950274
    OpenAlex
  15. Singer J (1999). Why can't you be normal for once in your life? From a ‘Problem with no Name'to a new category of disability . Disabil Discourse, 59.
    Type: Other
    Crossref
  16. Ella Perry , Will Mandy , Laura Hull , Eilidh Cage (2022). Understanding Camouflaging as a Response to Autism-Related Stigma: A Social Identity Theory Approach . Journal of Autism and Developmental Disorders, 52(2), 800-810. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  17. Kurt W. Back , Mark Snyder (1988). Public Appearances, Private Realities: The Psychology of Self-Monitoring. Contemporary Sociology, 17(3), 416. SAGE Publications.
    Type: Article DOI: 10.2307/2069702 OpenAlex: https://openalex.org/W2089601185
    OpenAlex
  18. (n.d.). Milton D. A Mismatch of Salience: Explorations of the Nature of Autism from Theory to Practice. Pavilion Press; 2017. https://www.pavpub.com/a-mismatch-of-salience/
    Type: Other
    Crossref
  19. Laura Hull , Lily Levy , Meng-Chuan Lai , K.V. Petrides , Simon Baron-Cohen , Carrie T. Allison et al. (2021). Is social camouflaging associated with anxiety and depression in autistic adults? Molecular Autism, 12(1), 13. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  20. Bessel A. van der Kolk , I. Danner , N. Germaud , L. Cellerin , E. Chailleux (1994). The Body Keeps the Score: Memory and the Evolving Psychobiology of Posttraumatic Stress . Harvard Review of Psychiatry, 1(5), 253-265. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  21. Laura Hull , K.V. Petrides , Will Mandy (2020). The Female Autism Phenotype and Camouflaging: a Narrative Review . Review Journal of Autism and Developmental Disorders, 7(4), 306-317. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  22. Meng-Chuan Lai , Laura Hull , Will Mandy , Bhismadev Chakrabarti , Christine Wu Nordahl , Michael Lombardo et al. (2021). Commentary: ‘Camouflaging’ in autistic people – reflection on Fombonne (2020) . Journal of Child Psychology and Psychiatry, 62(8), 13344. Wiley.
    Crossref OpenAlex OpenCitations
  23. Sarah Cassidy , Louise Bradley , Rebecca Shaw , Simon Baron-Cohen (2018). Risk markers for suicidality in autistic adults . Molecular Autism, 9(1), 42. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  24. Willey LH. (2014). Pretending to Be Normal: Living with Asperger's Syndrome (Autism Spectrum Disorder) Expanded Edition . Pretending to Be Normal: Living with Asperger's Syndrome (Autism Spectrum Disorder) Expanded Edition.
    Type: Other
    Crossref
  25. Laura Hull , K.V. Petrides , Carrie T. Allison , P. Smith , Simon Baron-Cohen , Meng-Chuan Lai et al. (2017). “Putting on My Best Normal”: Social Camouflaging in Adults with Autism Spectrum Conditions . Journal of Autism and Developmental Disorders, 47(8), 2519-2534. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  26. Chantelle Wood , Megan Freeth (2016). Students’ Stereotypes of Autism . Journal of Educational Issues, 2(2), 131. Macrothink Institute, Inc..
    Crossref OpenAlex OpenCitations
  27. Wenn Lawson *Autistic author. Learn more… (2020). Adaptive Morphing and Coping with Social Threat in Autism: An Autistic Perspective . Journal of Intellectual Disability - Diagnosis and Treatment, 8(3), 519-526. Lifescience Global.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  28. Eilidh Cage , Zoe Troxell-Whitman (2019). Understanding the Reasons, Contexts and Costs of Camouflaging for Autistic Adults . Journal of Autism and Developmental Disorders, 49(5), 1899-1911. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  29. Laura Hull , Will Mandy , Meng-Chuan Lai , Simon Baron-Cohen , Carrie T. Allison , P. Smith et al. (2019). Development and Validation of the Camouflaging Autistic Traits Questionnaire (CAT-Q) . Journal of Autism and Developmental Disorders, 49(3), 819-833. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  30. Michael A. Hogg , Deborah J. Terry , Katherine M. White (1995). A Tale of Two Theories: A Critical Comparison of Identity Theory with Social Identity Theory . Social Psychology Quarterly, 58(4), 255. SAGE Publications.
    Type: Article DOI: 10.2307/2787127 OpenAlex: https://openalex.org/W1587213699
    Crossref OpenCitations
  31. Katrin Kutscheidt , Thomas Dresler , Justin Hudak , Beatrix Barth , Friederike Blume , Thomas Ethofer et al. (2019). Interoceptive awareness in patients with attention-deficit/hyperactivity disorder (ADHD) . ADHD Attention Deficit and Hyperactivity Disorders, 11(4), 395-401. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  32. Henry Wood-Downie , Bonnie Wong , Hanna Kovshoff , Will Mandy , Laura Hull , Julie A. Hadwin (2021). Sex/Gender Differences in Camouflaging in Children and Adolescents with Autism . Journal of Autism and Developmental Disorders, 51(4), 1353-1364. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  33. Sarah Cassidy , K. Gould , Ellen Townsend , Mirabel Pelton , Ashley Robertson , Jacqui Rodgers (2020). Is Camouflaging Autistic Traits Associated with Suicidal Thoughts and Behaviours? Expanding the Interpersonal Psychological Theory of Suicide in an Undergraduate Student Sample . Journal of Autism and Developmental Disorders, 50(10), 3638-3648. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  34. Milton D (2012). The normalisation agenda and the psycho-emotional disablement of autistic people . Auton Crit J Interdiscip Autism Stud, 1(1).
    Type: Other
    Crossref
  35. Lucy A Livingston , Punit Shah , Victoria Milner , Francesca Happé (2020). Quantifying compensatory strategies in adults with and without diagnosed autism . Molecular Autism, 11(1), 1. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  36. Goffman E. (1963). Stigma: Notes on the management of spoiled identity . Stigma: Notes on the management of spoiled identity.
    Type: Other
    Crossref
  37. Goffman E. (1959). The presentation of self in everyday life . The presentation of self in everyday life.
    Type: Other
    Crossref
  38. Kimberlé W. Crenshaw (2022). On Intersectionality: Essential Writings .
    Type: Book OpenAlex: https://openalex.org/W3041131405
    OpenAlex
  39. (n.d.). Botha M. Autistic community connectedness as a buffer against the effects of minority stress. [Doctoral Thesis]. Surrey UK: University of Surrey; 2020. http://epubs.surrey.ac.uk/854098/7/Autistic Community Connectedness as a Buffer Against Minority Stress - M Botha.pdf
    Type: Other
    Crossref
  40. Snyder M (1987). Public Appearances, Private Realities: The Psychology of Self-Monitoring . Public Appearances, Private Realities: The Psychology of Self-Monitoring.
    Type: Other
    Crossref
  41. Laura Hull , K.V. Petrides , Will Mandy (2021). Cognitive Predictors of Self‐Reported Camouflaging in Autistic Adolescents . Autism Research, 14(3), 523-532. Wiley.
    Type: Article DOI: 10.1002/aur.2407 OpenAlex: https://openalex.org/W3091896474
    Crossref OpenAlex OpenCitations
  42. Roy Bhaskar (2010). Reclaiming Reality . Routledge.
    Crossref OpenAlex OpenCitations
  43. Julia Cook , Laura Crane , Laura Bourne , Laura Hull , Will Mandy (2021). Camouflaging in an everyday social context: An interpersonal recall study . Autism, 25(5), 1444. SAGE Publications.
    Crossref OpenAlex OpenCitations
  44. Tajfel H (1979). An integrative theory of intergroup conflict . Organ Identity A Read, 56, 65.
    Type: Other
    Crossref
  45. Melvin Seeman , Erving Goffman (1964). Stigma: Notes on the Management of Spoiled Identity. American Sociological Review, 29(5), 770. SAGE Publications.
    Type: Article DOI: 10.2307/2091442 OpenAlex: https://openalex.org/W4297361601
    OpenAlex
  46. Erving Goffman (2023). The Presentation of Self in Everyday Life . In Social Theory Re-Wired (pp. 450-459). Routledge.
    OpenAlex
  47. Fulton R (2020). Sensory Trauma—Autism Sensory Difference and the Daily Experience of Fear . Sensory Trauma: Autism, Sensory Difference and the Daily Experience of Fear.
    Type: Other
    Crossref
  48. Crenshaw KW (2017). On Intersectionality: Essential Writings . On Intersectionality: Essential Writings.
    Type: Other
    Crossref