A Conceptual Analysis of Autistic Masking: Understanding the Narrative of Stigma and the Illusion of Choice

This publication is included in the Autistic Autism Scholarship Project. two authors of this publication are identified as autistic in the project.

About the autistic author marker

Pearson, A. & Rose, K. (2021). A Conceptual Analysis of Autistic Masking: Understanding the Narrative of Stigma and the Illusion of Choice. Autism in Adulthood, 3(1), 52-60. https://doi.org/10.1089/aut.2020.0043

Publication date: 22 Jan 2021 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
2
Publication authors identified as autistic
2 / 2 (100.0%)

Abstract

Autistic masking is an emerging research area that focuses on understanding the conscious or unconscious suppression of natural autistic responses and adoption of alternatives across a range of domains. It is suggested that masking may relate to negative outcomes for autistic people, including late/missed diagnosis, mental health issues, burnout, and suicidality. This makes it essential to understand what masking is, and why it occurs. In this conceptual analysis, we suggest that masking is an unsurprising response to the deficit narrative and accompanying stigma that has developed around autism. We outline how classical social theory (i.e., social identity theory) can help us to understand how and why people mask by situating masking in the social context in which it develops. We draw upon the literature on stigma and marginalization to examine how masking might intersect with different aspects of identity (e.g., gender). We argue that although masking might contribute toward disparities in diagnosis, it is important that we do not impose gender norms and stereotypes by associating masking with a "female autism phenotype." Finally we provide recommendations for future research, stressing the need for increased understanding of the different ways that autism may present in different people (e.g., internalizing and externalizing) and intersectionality. We suggest that masking is examined through a sociodevelopmental lens, taking into account factors that contribute toward the initial development of the mask and that drive its maintenance. Lay summary: We hope that this analysis will help researchers to understand that some aspects of masking might be unique to autistic people, but some aspects might be like other kinds of "pretending to be normal" that other people who are socially excluded use to try and fit in. We hope that our suggestions can help to improve our understanding of masking, and lead to research that makes life better for autistic people.

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 01:40.

Cited references
97
With a DOI
64
Without a DOI, from raw bibliography text
32
19 / 97 (19.6%) cited references include at least one author identified as autistic.
References with data to complete
17 / 97 (17.5%)
References with detected author names
87 / 97 (89.7%)
Without detected author names
10
Without a structured title
17
Without a stable identifier
29
References with raw author names still to review
10
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
285
From DOI or external metadata
285
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
16
169 / 285 (59.3%) names are linked to an author already present in AutiHub. 116 / 285 (40.7%) names are not yet linked.
Names linked to a person identified as autistic
31 / 285 (10.9%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 31 / 169 (18.3%). Distinct people identified as autistic: 19 / 224 (8.5%).
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