Divergent Perceptions of Autistic Parents Among Health Care, Social Care, and Judicial Professionals and Autistic Adults: A Participatory Study

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Lacroix, A., Vallet, W., Lai, M. C., Langloys, D., Pignard, M., Brunelin, J., Dubreucq, M., & Demily, C. (2026). Divergent Perceptions of Autistic Parents Among Health Care, Social Care, and Judicial Professionals and Autistic Adults: A Participatory Study. Autism in Adulthood. https://doi.org/10.1177/25739581261457376

Publication date: 17 Jun 2026 Added to AutiHub: 9 Aug 2026 Type: Article Article language: English
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Authors

Publication authors
8
Publication authors identified as autistic
1 / 8 (12.5%)
  1. Adeline Lacroix *
  2. William Vallet
  3. Meng-Chuan Lai
  4. Danièle Langloys
  1. Magali Pignard
  2. Jerome Brunelin
  3. Marine Dubreucq
  4. Caroline Demily

Abstract

Background: Autistic people can and do become parents, yet they often feel misunderstood. They fear being judged on their parenting abilities by professionals from health care, social care, and even judicial systems, including the risk of unwarranted and disproportionate child protection investigations or interventions. Despite these concerns being frequently reported qualitatively, they have not been investigated with quantitative data. Methods: Using a participatory research framework, we co-constructed a clinical vignette and a set of questionnaire items in collaboration with autistic parents to ensure that the materials reflected their lived concerns and priorities. Professionals from health care, social, educational, judicial, and allied health fields, as well as autistic adults, were invited to complete the survey. We compared their perceptions of a fictional autistic mother, before and after diagnostic disclosure, as well as their views on professional competency regarding autism. Results: Although professionals do not hold overtly negative views, their perspectives diverge from those of autistic adults. Professionals perceived the fictional mother with high autistic traits more negatively than did autistic adults before knowing the diagnosis. In addition, judicial, medical, and paramedical professionals were less likely to identify autism than autistic adults. However, participants reported that diagnostic disclosure was somewhat reassuring and decreased their concerns about the mother’s psychological needs. Professionals rated their own competency in autism higher than autistic adults did when evaluating the professionals, although most professionals reported needing further training. Conclusion: These results provide support for autistic parents’ concerns about stigma. Divergent perspectives between professionals and autistic adults may be partly explained by a “double empathy problem,” where autistic and non-autistic individuals do not share the same reference frame for behavior. The findings underscore the importance of targeted training on autistic parenthood for all professionals, particularly those with minimal prior autism-specific training, to reduce bias and improve understanding.

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These indicators describe the cited bibliography imported for this publication. Cited-reference metrics use the cited-reference total as denominator. Cited-author metrics state whether they use all cited-author occurrences or only occurrences linked to authors already integrated in the AutiHub database. They use cached links between cited authors and authors integrated in the AutiHub database. Last computed: 16 Aug 2026 11:31.

Cited references
68
Total cited references integrated for this publication.
Cited references with an identified autistic author
12 / 68 (17.6%)
Cited author occurrences identified as autistic
25 / 267 (9.4%)
Among occurrences linked to AutiHub author records: 25 / 97 (25.8%). Distinct cited authors identified as autistic: 23 / 250 (9.2%).
Cited author occurrences linked to AutiHub author records
97 / 267 (36.3%)
Distinct linked cited authors: 82 / 250 (32.8%)
Linked cited-author occurrences not identified as autistic
72 / 97 (74.2%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 72 / 267 (27.0%). Distinct linked cited authors not identified as autistic: 59 / 82 (72.0%).
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