“Survival classes for a neurotypical world”: What French autistic adults want and need after receiving an autism diagnosis

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

Bureau, R. & Clément, C. (2023). “Survival classes for a neurotypical world”: What French autistic adults want and need after receiving an autism diagnosis. Autism, 28(4), 843-853. https://doi.org/10.1177/13623613231183071

Publication date: 22 Jun 2023 Added to AutiHub: 14 Sep 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
2
Publication authors identified as autistic
1 / 2 (50.0%)

Abstract

Research on how adults react to receiving an autism diagnosis is focused on the United States or the United Kingdom context even though cultural differences might have an impact on these experiences. Few interventions for autistic adults exist, and when they do, they are often described as inappropriate. Our study aimed to explore the experiences of French adults diagnosed with autism and the needs they identified following this diagnosis as well as to ask them directly what type of interventions they would have wanted. We conducted semi-structured interviews with 12 adults and identified three recurring themes: (1) reactions to the diagnosis, (2) relations with others and society, and (3) wants and needs. Results indicated that some experiences were congruent with existing Anglophone literature, while others were heavily influenced by the specific cultural context. Our participants also highlighted a number of unmet needs and offered suggestions for adequate interventions. Lay abstract Adults receiving an autism diagnosis might not react the same depending on their countries or cultures. We also know that autistic people are rarely asked what they think would be best for them following this diagnosis. In this study, we asked 12 French autistic adults about their experiences of receiving an autism diagnosis as well as what they thought might be useful afterwards. Overall, we found that some experiences were similar to experiences related by English or American participants, but some were specific to the French culture, suggesting that such research should expand into new territories and cultures, especially non-European ones. Our participants also had quite a few ideas as to what would be useful for people in the same situation. Some of the suggestions can be put into action by peers and professionals alike, while others are wishes relating to how our participants would like society to behave toward them and people like them, for example. This article allows for a better comprehension of how cultural differences can impact the experience of receiving an autism diagnosis as an adult and provides some insight into what these adults want and desire following such a diagnosis.

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: 20 Sep 2026 01:01.

Cited references
64
With a DOI
53
Without a DOI, from raw bibliography text
11
12 / 64 (18.8%) cited references include at least one author identified as autistic.
References with data to complete
7 / 64 (10.9%)
References with detected author names
57 / 64 (89.1%)
Without detected author names
7
Without a structured title
6
Without a stable identifier
9
References with raw author names still to review
6
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
248
From DOI or external metadata
248
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
6
103 / 248 (41.5%) names are linked to an author already present in AutiHub. 145 / 248 (58.5%) names are not yet linked.
Names linked to a person identified as autistic
20 / 248 (8.1%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 20 / 103 (19.4%). Distinct people identified as autistic: 18 / 231 (7.8%).
  1. Isabelle Durand-Zaleski , Jan Scott , Frédéric Rouillon , Marion Leboyer (2012). A first national survey of knowledge, attitudes and behaviours towards schizophrenia, bipolar disorders and autism in France . BMC Psychiatry, 12(1), 128. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  2. González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.
    Crossref OpenAlex OpenCitations
  3. C. Punshon , P. Skirrow , Glynis Murphy (2009). The `not guilty verdict' . Autism, 13(3), 265-283. SAGE Publications.
    Crossref OpenAlex OpenCitations
  4. Anna Backman , Are Mellblom , Elisabet Norman-Claesson , Gunilla Keith-Bodros , Maj Frostvittra , Sven Bölte et al. (2018). Internet-delivered psychoeducation for older adolescents and young adults with autism spectrum disorder (SCOPE): An open feasibility study . Research in Autism Spectrum Disorders, 54, 51-64. Elsevier BV.
    Crossref OpenAlex OpenCitations
  5. 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
  6. R. Misès , C. Bursztejn , M. Botbol , Y. Coincon , B. Durand , J. Garrabe et al. (2012). Une nouvelle version de la classification française des troubles mentaux de l’enfant et de l’adolescent: la CFTMEA R 2012, correspondances et transcodages avec l’ICD 10 . Neuropsychiatrie de l'Enfance et de l'Adolescence, 60(6), 414-418. Elsevier BV.
    Crossref OpenAlex OpenCitations
  7. J. Ilg , A. Jebrane , A. Paquet , M. Rousseau , B. Dutray , L. Wolgensinger et al. (2018). Evaluation of a French parent-training program in young children with autism spectrum disorder . Psychologie Française, 63(2), 181-199. Elsevier BV.
    Crossref OpenAlex OpenCitations
  8. B. Chamak , B. Bonniau (2013). Changes in the Diagnosis of Autism: How Parents and Professionals Act and React in France . Culture, Medicine, and Psychiatry, 37(3), 405-426. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Stefan Berger , Bella Dicks , Marion Fontaine (2020). ‘Community’: a useful concept in heritage studies? International Journal of Heritage Studies, 26(4), 325-351. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  10. Ginny Russell , Sal Stapley , Tamsin Newlove‐Delgado , Andrew Salmon , Rhianna White , Fiona Warren et al. (2022). Time trends in autism diagnosis over 20 years: a UK population‐based cohort study . Journal of Child Psychology and Psychiatry, 63(6), 674-682. Wiley.
    Crossref OpenAlex OpenCitations
  11. Andrea MacLeod , Ann Lewis , Christopher Robertson (2013). ‘Why should I be like bloody R ain M an?!’ Navigating the autistic identity . British Journal of Special Education, 40(1), 41-49. Wiley.
    Crossref OpenAlex OpenCitations
  12. D. V. M. Bishop , Joel Swendsen (2021). Psychoanalysis in the treatment of autism: why is France a cultural outlier? BJPsych Bulletin, 45(2), 89-93. Royal College of Psychiatrists.
    Crossref OpenAlex OpenCitations
  13. 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 OpenAlex OpenCitations
  14. Brigitte Chamak (2010). Autisme, handicap et mouvements sociaux . Alter, 4-2, 103-115. OpenEdition.
    Crossref OpenAlex OpenCitations
  15. Anne-Marie DePape , Sally Lindsay (2016). Lived Experiences From the Perspective of Individuals With Autism Spectrum Disorder . Focus on Autism and Other Developmental Disabilities, 31(1), 60-71. SAGE Publications.
    Crossref OpenAlex OpenCitations
  16. Trevor Powell , Louise Acker (2016). Adults’ Experience of an Asperger Syndrome Diagnosis . Focus on Autism and Other Developmental Disabilities, 31(1), 72-80. SAGE Publications.
    Crossref OpenAlex OpenCitations
  17. Aurélie Connan (2019). Un programme de psychoéducation pour les adultes avec autisme sans déficience intellectuelle . Journal de Thérapie Comportementale et Cognitive, 29(3), 140-148. Elsevier BV.
    Crossref OpenAlex OpenCitations
  18. Laura Foran Lewis (2016). Realizing a diagnosis of autism spectrum disorder as an adult . International Journal of Mental Health Nursing, 25(4), 346-354. Wiley.
    Crossref OpenAlex OpenCitations
  19. JONATHYNE BRIGGS (2020). THE ENDURING FORTRESS: THE INFLUENCE OF BRUNO BETTELHEIM IN THE POLITICS OF AUTISM IN FRANCE . Modern Intellectual History, 17(4), 1163-1191. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  20. Sebastian Dern , Tanja Sappok (2016). Barriers to healthcare for people on the autism spectrum . Advances in Autism, 2(1), 2-11. Emerald.
    Crossref OpenAlex OpenCitations
  21. Anna Brzykcy , Stephan Boehm (2022). No such thing as a free ride: The impact of disability labels on relationship building at work . Human Relations, 75(4), 734-763. SAGE Publications.
    Crossref OpenAlex OpenCitations
  22. Philipp Mayring (2014). Qualitative content analysis—Theoretical foundation, basic procedures and software solution .
    Type: Book OpenAlex: https://openalex.org/W2560150188
    Crossref OpenAlex
  23. Philippine Geelhand , Fanny Papastamou , Marie Belenger , Élise Clin , Lydia Hickman , Connor Tom Keating et al. (2023). Autism-Related Language Preferences of French-Speaking Autistic Adults: An Online Survey . Autism in Adulthood, 5(3), 275-288. SAGE Publications.
    Crossref OpenAlex OpenCitations
  24. null (2016). null . Philosophy Study, 6(9). David Publishing Company.
    Crossref OpenAlex OpenCitations
  25. 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. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  26. Laura Foran Lewis (2017). A Mixed Methods Study of Barriers to Formal Diagnosis of Autism Spectrum Disorder in Adults . Journal of Autism and Developmental Disorders, 47(8), 2410-2424. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  27. Lisa M. Given (2016). 100 Questions (and Answers) About Qualitative Research . SAGE Publications, Inc.
    Crossref OpenAlex OpenCitations
  28. (n.d.). Chrisafis A. (2018, February 8). “France is 50 years behind”: The “state scandal” of French autism treatment. The Guardian. https://www.theguardian.com/world/2018/feb/08/france-is-50-years-behind-the-state-scandal-of-french-autism-treatment
    Type: Other
    Crossref
  29. Catherine D. Tan (2018). “I'm a normal autistic person, not an abnormal neurotypical”: Autism Spectrum Disorder diagnosis as biographical illumination . Social Science & Medicine, 197, 161-167. Elsevier BV.
    Crossref OpenAlex OpenCitations
  30. CNSA. (2022). Bilan d’activité des groupes d’entraide mutuelle (GEM). Années 2019 et 2020 [Activity report from peer-support groups (GEM). Years 2019 and 2020]. https://www.cnsa.fr/documentation/bilan_gem_2021_vf.pdf
    Type: Other
    Crossref
  31. Yunhe Huang , Samuel R. C. Arnold , Kitty-Rose Foley , Julian Trollor (2020). Diagnosis of autism in adulthood: A scoping review . Autism, 24(6), 1311-1327. SAGE Publications.
    Crossref OpenAlex OpenCitations
  32. Laura Crane , Richard Batty , Hanna Adeyinka , Lorna Goddard , Lucy A. Henry , Elisabeth L. Hill (2018). Autism Diagnosis in the United Kingdom: Perspectives of Autistic Adults, Parents and Professionals . Journal of Autism and Developmental Disorders, 48(11), 3761-3772. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  33. Leandro Jofré (2023). Autisme et psychanalyse: construction d’un dialogue entre les thèses de M.C. Laznik et E. Laurent . L'Évolution Psychiatrique, 88(2), 271-283. Elsevier BV.
    Crossref OpenAlex OpenCitations
  34. Kirsten Corden , Rebecca Brewer , Eilidh Cage (2021). Personal Identity After an Autism Diagnosis: Relationships With Self-Esteem, Mental Wellbeing, and Diagnostic Timing . Frontiers in Psychology, 12, 699335-699335. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  35. Carol Sankey , Cyrielle Derguy , Céline Clément , Jennifer Ilg , Émilie Cappe (2019). Supporting Parents of a Child with Autism Spectrum Disorder: The French Awakening . Journal of Autism and Developmental Disorders, 49(3), 1142-1153. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  36. Peter Crosbie (2022). The Moulin Rouge and the Rouge Moulin . In The Routledge International Handbook of Critical Autism Studies (pp. 165-181). Routledge.
    Crossref OpenAlex OpenCitations
  37. Jack FG Underwood , Marcos DelPozo-Banos , Aura Frizzati , Ann John , Jeremy Hall (2022). Evidence of increasing recorded diagnosis of autism spectrum disorders in Wales, UK: An e-cohort study . Autism, 26(6), 1499. SAGE Publications.
    Crossref OpenAlex OpenCitations
  38. Matthew de Broize , Kiah Evans , Andrew Whitehouse , John Wray , Valsamma Eapen , Anna Urbanowicz (2022). Exploring the Experience of Seeking an Autism Diagnosis as an Adult . Autism in Adulthood, 4(2), 130-140. SAGE Publications.
    Crossref OpenAlex OpenCitations
  39. 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.
    Crossref OpenAlex OpenCitations
  40. Nici Nelson (1995). Power and Participatory Development . PRACTICAL ACTION PUBLISHING.
    Crossref OpenAlex OpenCitations
  41. Dolto F. (1985). La Cause des enfants . La Cause des enfants.
    Type: Other
    Crossref
  42. Damian Milton *Autistic author. Learn more… (2012). So what exactly is autism? Kent Academic Repository (University of Kent).
    Type: Article OpenAlex: https://openalex.org/W2977353849
    Crossref OpenAlex
  43. Olivia A. Smith , Sandra C. Jones *Autistic author. Learn more… (2020). ‘Coming Out’ with Autism: Identity in People with an Asperger’s Diagnosis After DSM-5 . Journal of Autism and Developmental Disorders, 50(2), 592-602. Springer Science and Business Media LLC.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  44. (2021). Ce que les psychanalystes apportent aux personnes autistes . Érès.
    Crossref OpenAlex OpenCitations
  45. Jean-Claude Maleval (2021). Ce que les psychanalystes apportent aux personnes autistes . In Ce que les psychanalystes apportent aux personnes autistes (pp. 87-132). Érès.
    Crossref OpenAlex OpenCitations
  46. Haute Autorité de santé. (2017). Recommandations de bonne pratique - Troubles du spectre de l’autisme: Interventions et parcours de vie de l’adulte. [Good practice guidelines: Autism spectrum disorders: interventions and life journey of adults]. https://www.has-sante.fr/upload/docs/application/pdf/2018-02/20180213_recommandations_vdef.pdf
    Type: Other
    Crossref
  47. Maria Luisa Scattoni , Martina Micai , Antonio Ciaramella , Tommaso Salvitti , Francesca Fulceri , Laura Maria Fatta et al. (2021). Real-World Experiences in Autistic Adult Diagnostic Services and Post-diagnostic Support and Alignment with Services Guidelines: Results from the ASDEU Study . Journal of Autism and Developmental Disorders, 51(11), 4129-4146. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  48. Jinan Zeidan , Éric Fombonne , Julie Scorah , Alaa T. Ibrahim , Maureen S. Durkin , Shekhar Saxena et al. (2022). Global prevalence of autism: A systematic review update . Autism Research, 15(5), 778-790. Wiley.
    Type: Article DOI: 10.1002/aur.2696 OpenAlex: https://openalex.org/W4214849391
    Crossref OpenAlex OpenCitations
  49. Maleval J.-C. (2021). La différence autistique . La différence autistique.
    Type: Other
    Crossref
  50. National Institute for Health and Care Excellence. (2021). Autism spectrum disorder in adults: diagnosis and management. https://www.nice.org.uk/guidance/cg142/resources/autism-spectrum-disorder-in-adults-diagnosis-and-management-pdf-35109567475909
    Type: Other
    Crossref
  51. (n.d.). Ouest-France. (2017, March 5). « Je Ne Suis Pas Autiste ». François Fillon Choque Les Internautes [“I am not autistic.” François Fillon shocks the internet]. https://www.ouest-france.fr/politique/francois-fillon/je-ne-suis-pas-autiste-francois-fillon-choque-les-internautes-4839470
    Type: Other
    Crossref
  52. Sabine Saade , Benoît Bockstal-Fieulaine , Kristen Gillespie-Lynch , Chrystel Besche-Richard , Émilie Boujut , Ashley Johnson Harrison et al. (2023). Evaluation of an Autism Training in a Much-Needed Context: The Case of France . Autism in Adulthood, 5(3), 289-300. SAGE Publications.
    Crossref OpenAlex OpenCitations
  53. Secrétariat d’état chargé des personnes handicapées (2018). Stratégie nationale pour l’Autisme au sein des troubles du neurodéveloppement. [National Strategy for Autism wihtin neurodevelopmental disorders]. https://handicap.gouv.fr/IMG/pdf/strategie_nationale_autisme_2018.pdf
    Type: Other
    Crossref
  54. Vermeulen P. (2019). “Je suis spécial”—Manuel psycho-éducatif pour accompagnants de personnes avec autisme . “Je suis spécial”—Manuel psycho-éducatif pour accompagnants de personnes avec autisme.
    Type: Other
    Crossref