Autistic experiences of breast cancer: an interpretative phenomenological analysis
Goodwin, C., Shaw, S. C., Turner, E. J., Russell, G., Doherty, M., & Barreto, M. (2026). Autistic experiences of breast cancer: an interpretative phenomenological analysis. Psychology & Health, 1-26. https://doi.org/10.1080/08870446.2026.2716038
This publication is integrated into AutiHub through:
Authors
Abstract
Barriers to healthcare exist for autistic people but are under explored in relation to cancer care. Previous research into autistic experiences have focused on other people's (healthcare professional (HCP) or family members) perspectives but there is a lack of research into autistic experiences of cancer care. This qualitative study used interpretative phenomenological analysis to explore autistic experiences of breast cancer based on interview data from ten participants. Four themes are discussed in this paper, 1) interactions with HCPs, 2) overwhelming hospital processes, 3) understanding autism: self and HCPs perceptions, and 4) long-lasting impact of a breast cancer diagnosis. Findings suggest that autism-specific barriers to cancer care exist and comprise three domains, firstly that the barriers are attributed to autistic characteristics and experiences, secondly that they are persistent throughout cancer care and finally, that there is a cumulative exposure to repeated barriers. These findings provide insight to HCPs that without acknowledgement and understanding of barriers to cancer care, reducing and removing them will not be possible. There needs to be more research looking at cancer care from the autistic person’s point of view. Autistic people already experience barriers to accessing healthcare, but we do not yet know about cancer care. Cancer care refers to support for a patient’s well-being as well as the treatment of cancer and any side effects. In autism related healthcare research, we hear about healthcare professionals, family members or carers point of view on how an autistic person experiences cancer care. This study explored what it is like to have breast cancer by asking autistic people. We did this by interviewing ten participants about their experiences of breast cancer. Four key areas are discussed in this paper, 1) interactions with healthcare professionals, 2) how hospital processes can be overwhelming, 3) understanding autism both from the participant’s point of view as well as the healthcare professionals, and 4) the long-last effect of a breast cancer diagnosis. The findings showed that the participants did experience barriers to cancer care that involve three parts, firstly that the barriers can be linked to autistic ways of being and experiences, secondly that they occur throughout cancer care, and finally that the barriers happen over and over again. These findings help healthcare professionals to understand that barriers exist in cancer care for autistic people and without understanding this, it will not be possible to reduce or remove the barriers.
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: 21 Aug 2026 14:10.
- With a DOI
- 41
- Without a DOI, from raw bibliography text
- 4
- References with detected author names
- 43 / 45 (95.6%)
- Without detected author names
- 2
- Without a structured title
- 2
- Without a stable identifier
- 4
- References with raw author names still to review
- 2
- References with external metadata lookup issues
- 0
- From DOI or external metadata
- 234
- From validated raw bibliography text
- 0
- Raw names already validated
- 0
- Raw names still to review
- 2
-
ASAN. (n.d). About Autism [Autistic Self Advocacy Network]. https://autisticadvocacy.org/about-asan/about-autism/Type: OtherCrossref
-
Samuel Brice , Jacqui Rodgers , Barry Ingham , David Mason , Colin Wilson , Mark Freeston et al. (2021). The importance and availability of adjustments to improve access for autistic adults who need mental and physical healthcare: findings from UK surveys . BMJ Open, 11(3), e043336. BMJ.Crossref
-
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
-
Shenae Calleja , Jonathan Kingsley , Fakir M Amirul Islam , Rachael McDonald (2022). Barriers to Accessing Healthcare: Perspectives from Autistic Adults and Carers . Qualitative Health Research, 32(2), 267-278. SAGE Publications.Crossref
-
Heather J. Campbell-Enns , Roberta L. Woodgate , Harvey M. Chochinov (2017). Barriers to information provision regarding breast cancer and its treatment . Supportive Care in Cancer, 25(10), 3209-3216. Springer Science and Business Media LLC.Type: Article DOI: 10.1007/s00520-017-3730-8Crossref
-
Nicole Collaço , Kate A. Lippiett , David Wright , Hazel Brodie , Jane Winter , Alison Richardson et al. (2024). Barriers and facilitators to integrated cancer care between primary and secondary care: a scoping review . Supportive Care in Cancer, 32(2). Springer Science and Business Media LLC.Type: Article DOI: 10.1007/s00520-023-08278-1Crossref
-
Kirsten Corden , Rebecca Brewer , Eilidh Cage (2022). A Systematic Review of Healthcare Professionals’ Knowledge, Self-Efficacy and Attitudes Towards Working with Autistic People . Review Journal of Autism and Developmental Disorders, 9(3), 386-399. Springer Science and Business Media LLC.Crossref
-
M. Delobel-Ayoub , E. Saemundsen , M. Gissler , A. Ego , I. Moilanen , H. Ebeling et al. (2020). Prevalence of Autism Spectrum Disorder in 7–9-Year-Old Children in Denmark, Finland, France and Iceland: A Population-Based Registries Approach Within the ASDEU Project . Journal of Autism and Developmental Disorders, 50(3), 949-959. Springer Science and Business Media LLC.Type: Article DOI: 10.1007/s10803-019-04328-yCrossref
-
Mary Doherty *Autistic author. Learn more… , Stuart Neilson , Jane O’Sullivan , Laura Carravallah *Autistic author. Learn more… , Mona Johnson *Autistic author. Learn more… , Walter Cullen et al. (2022). Barriers to healthcare and self-reported adverse outcomes for autistic adults: a cross-sectional study . BMJ Open, 12(2), e056904. BMJ.AutiHub · Autistic Scholars Crossref
-
Valeria Garau , Aja Louise Murray , Richard Woods *Autistic author. Learn more… , Nicholas Chown *Autistic author. Learn more… , Sonny Hallett *Autistic author. Learn more… , Fergus Murray *Autistic author. Learn more… et al. (2023). Development and Validation of a Novel Self-Report Measure of Monotropism in Autistic and Non-Autistic People: The Monotropism Questionnaire . Open Science Framework. Center for Open Science.AutiHub · Autistic Scholars Crossref
-
Char Goodwin , Sebastian C.K. Shaw *Autistic author. Learn more… , Eleanor Jane Turner , Ginny Russell , Mary Doherty *Autistic author. Learn more… , Manuela Barreto (2026). Autistic experiences of breast cancer: an interpretative phenomenological analysis . Psychology & Health, 1-26. Informa UK Limited.Type: Article DOI: 10.1080/08870446.2026.2716038AutiHub · Autistic Scholars Crossref
-
Aimee Grant *Autistic author. Learn more… , Sarah Turner , Sebastian C.K. Shaw *Autistic author. Learn more… , Kathryn Williams *Autistic author. Learn more… , Hayley Morgan , Rebecca Ellis *Autistic author. Learn more… et al. (2024). “I am afraid of being treated badly if I show it”: A cross-sectional study of healthcare accessibility and Autism Health Passports among UK Autistic adults . PLOS ONE, 19(5), e0303873. Public Library of Science (PLoS).AutiHub · Autistic Scholars Crossref
-
Sarah Hampton , Joyce Man , Carrie Allison , Ezra Aydin , Simon Baron-Cohen , Rosemary Holt (2023). A qualitative exploration of autistic mothers’ experiences I: Pregnancy experiences . Autism, 27(5), 1271-1282. SAGE Publications.Crossref
-
Clair Haydon , Mary Doherty *Autistic author. Learn more… , I. A. Davidson (2021). Autism: making reasonable adjustments in healthcare . British Journal of Hospital Medicine, 82(12), 1-11. IMR Press.AutiHub · Autistic Scholars Crossref
-
Philippa L Howard , Felicity Sedgewick (2021). ‘Anything but the phone!’: Communication mode preferences in the autism community . Autism, 25(8), 2265-2278. SAGE Publications.Crossref
-
Laura Hull , K. V. Petrides , Carrie Allison , Paula 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
-
Gemma Hutton , Shuping J. Li , Samantha L. Quaife , Adam Brentnall , Jacqui Cookson , Jacquie Jenkins et al. (2025). Understanding barriers to breast screening: an online survey of non-attenders as part of a service evaluation in the breast screening programme in England . BMC Public Health, 25(1). Springer Science and Business Media LLC.Type: Article DOI: 10.1186/s12889-025-23691-3Crossref
-
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 Scholars Crossref
-
Alexandra Leedham , Andrew R. Thompson , Richard Smith , Megan Freeth (2020). ‘I was exhausted trying to figure it out’: The experiences of females receiving an autism diagnosis in middle to late adulthood . Autism, 24(1), 135-146. SAGE Publications.Crossref
-
Rozanna Lilley , Wenn Lawson *Autistic author. Learn more… , Gabrielle Hall *Autistic author. Learn more… , Joanne Mahony , Hayley Clapham *Autistic author. Learn more… , Melanie Heyworth *Autistic author. Learn more… et al. (2022). ‘A way to be me’: Autobiographical reflections of autistic adults diagnosed in mid-to-late adulthood . Autism, 26(6), 1395-1408. SAGE Publications.AutiHub · Autistic Scholars Crossref
-
Michelle Lum , Michelle Garnett , Erin O’Connor (2014). Health communication: A pilot study comparing perceptions of women with and without high functioning autism spectrum disorder . Research in Autism Spectrum Disorders, 8(12), 1713-1721. Elsevier BV.Crossref
-
Andrea MacLeod (2019). Interpretative Phenomenological Analysis (IPA) as a tool for participatory research within Critical Autism Studies: A systematic review . Research in Autism Spectrum Disorders, 64, 49-62. Elsevier BV.AutiHub · Documentation center Crossref
-
David Mason , Barry Ingham , Heather Birtles , Cos Michael , Clare Scarlett , Ian A. James et al. (2021). How to improve healthcare for autistic people: A qualitative study of the views of autistic people and clinicians . Autism, 25(3), 774-785. SAGE Publications.Crossref
-
David Mason , Barry Ingham , Anna Urbanowicz , Cos Michael , Heather Birtles , Marc Woodbury‐Smith et al. (2019). A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults . Journal of Autism and Developmental Disorders, 49(8), 3387-3400. Springer Science and Business Media LLC.AutiHub · Documentation center Crossref
-
Micah Mazurek , Eleonora Sadikova , Nancy Cheak‐Zamora , Amber Hardin , Kristin Sohl , Beth A. Malow (2023). Health Care Needs, Experiences, and Perspectives of Autistic Adults . Autism in Adulthood, 5(1), 51-62. SAGE Publications.Crossref
-
T.A.M. McDonald (2020). Autism Identity and the “Lost Generation”: Structural Validation of the Autism Spectrum Identity Scale and Comparison of Diagnosed and Self-Diagnosed Adults on the Autism Spectrum . Autism in Adulthood, 2(1), 13-23. SAGE Publications.Crossref
-
Damian Milton *Autistic author. Learn more… (2012). On the ontological status of autism: the ‘double empathy problem’ . Disability & Society, 27(6), 883-887. Informa UK Limited.AutiHub · Autistic Scholars Crossref
-
NHS England. (2024). Cancer Registration Statistics England 2022. https://digital.nhs.uk/data-and-information/publications/statistical/cancer-registration-statistics/england-2022Type: OtherCrossref
-
Christina Nicolaidis , Dora M Raymaker *Autistic author. Learn more… , Elesia Ashkenazy *Autistic author. Learn more… , Katherine McDonald , Sebastian Dern , Amelia E.V. Baggs et al. (2015). “Respect the way I need to communicate with you”: Healthcare experiences of adults on the autism spectrum . Autism, 19(7), 824-831. SAGE Publications.
-
Isabella E. Nizza , Joanna Farr , Jonathan A. Smith (2021). Achieving excellence in interpretative phenomenological analysis (IPA): Four markers of high quality . Qualitative Research in Psychology, 18(3), 369-386. Informa UK Limited.Crossref
-
Elizabeth O’Nions , Irene Petersen , Joshua E.J. Buckman , Rebecca A. Charlton , Claudia Cooper , Anne Corbett et al. (2023). Autism in England: assessing underdiagnosis in a population-based cohort study of prospectively collected primary care data . The Lancet Regional Health - Europe, 29, 100626. Elsevier BV.Crossref
-
Amy Pearson *Autistic author. Learn more… , Kieran Rose *Autistic author. Learn more… (2021). A Conceptual Analysis of Autistic Masking: Understanding the Narrative of Stigma and the Illusion of Choice . Autism in Adulthood, 3(1), 52-60. SAGE Publications.AutiHub · Autistic Scholars Crossref
-
Elizabeth Pellicano , Dawn Adams , Laura Crane , Calliope Hollingue , Connie Allen , Katherine Almendinger et al. (2024). Letter to the Editor: A possible threat to data integrity for online qualitative autism research . Autism, 28(3), 786-792. SAGE Publications.AutiHub · Autistic Scholars Crossref
-
Radcliffe L. (2013). Breast Cancer and Autism . Journal of the Advanced Practitioner in Oncology, 4(2), 113.Type: OtherCrossref
-
Sarah Radev *Autistic author. Learn more… , Megan Freeth , Andrew R. Thompson (2024). How healthcare systems are experienced by autistic adults in the United Kingdom: A meta-ethnography . Autism, 28(9), 2166-2178. SAGE Publications.AutiHub · Autistic Scholars Crossref
-
Dora M Raymaker *Autistic author. Learn more… , Katherine McDonald , Elesia Ashkenazy *Autistic author. Learn more… , Martha Gerrity , Amelia E.V. Baggs , Clarissa Kripke et al. (2017). Barriers to healthcare: Instrument development and comparison between autistic adults and adults with and without other disabilities . Autism, 21(8), 972-984. SAGE Publications.AutiHub · Autistic Scholars Crossref
-
Emily C.S. Scott , Peter J. Hoskin (2024). Health inequalities in cancer care: a literature review of pathways to diagnosis in the United Kingdom . eClinicalMedicine, 76, 102864. Elsevier BV.Type: Article DOI: 10.1016/j.eclinm.2024.102864Crossref
-
Sebastian C.K. Shaw *Autistic author. Learn more… , Laura Carravallah *Autistic author. Learn more… , Mona Johnson *Autistic author. Learn more… , Jane O’Sullivan , Nicholas Chown *Autistic author. Learn more… , Stuart Neilson et al. (2024). Barriers to healthcare and a ‘triple empathy problem’ may lead to adverse outcomes for autistic adults: A qualitative study . Autism, 28(7), 1746-1757. SAGE Publications.AutiHub · Autistic Scholars Crossref
-
Jonathan A. Smith (2011). Evaluating the contribution of interpretative phenomenological analysis . Health Psychology Review, 5(1), 9-27. Informa UK Limited.Crossref
-
Jonathan A. Smith , Isabella E. Nizza (2022). Interpretative phenomenological analysis: Theory, method and research . American Psychological Association.Crossref
-
Tansley R. (2024). ‘What I would like to say’ findings: Cancer care for everyone . Journal of Community Nursing, 38(1), 46.Type: OtherCrossref
-
Jennifer Thompson (2020). Paws for thought..? A case study of a breast cancer patient with Asperger's syndrome and her experience of radiotherapy . Radiography, 26, S30. Elsevier BV.Type: Article DOI: 10.1016/j.radi.2019.11.074Crossref
-
Rebecca Trevethick , Simon Baron-Cohen , Elizabeth M Weir , Carrie Allison , Matthew C. Fysh , David P. Laplante et al. (2026). Neurodiversity‐Affirming Principles in Oncology Treatment: A Lived‐Experience Case Study . Psycho-Oncology, 35(2). Wiley.Type: Article DOI: 10.1002/pon.70394Crossref
-
Delphine Vuattoux , Sara Colomer-Lahiguera , Pierre-Alain Fernandez , Marine Jequier Gygax , Marie-Louise Choucair , Maja Beck-Popovic et al. (2021). Cancer Care of Children, Adolescents and Adults With Autism Spectrum Disorders: Key Information and Strategies for Oncology Teams . Frontiers in Oncology, 10. Frontiers Media SA.Type: Article DOI: 10.3389/fonc.2020.595734Crossref
-
Elizabeth M Weir , Carrie Allison , Simon Baron-Cohen (2022). Autistic adults have poorer quality healthcare and worse health based on self-report data . Molecular Autism, 13(1), 23-23. Springer Science and Business Media LLC.Crossref