A qualitative exploration into diagnostic barriers of gender-diverse autistic individuals
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 markerTien, I. S., Seibold, J., Pearson, A., & Seers, K. (2025). A qualitative exploration into diagnostic barriers of gender-diverse autistic individuals. Feminism & Psychology, 35(4), 555-575. https://doi.org/10.1177/09593535251345159
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Authors
Abstract
Research investigating gender disparities between autistic individuals has been restricted to a binary scope, focusing on how and why females are often overlooked within the diagnostic process. While this research has provided valuable insight, it neglects gender-diverse youth, limiting the understanding of why there are higher rates of autistic youth identifying as gender diverse compared to neurotypical children. A potential explanation for this trend is that challenges understanding illogical social norms, including the performance of gender, may be an autistic trait. As such, this qualitative study utilized reflexive interviews to examine how 24 autistic adults, 14 of which identified as nonbinary, make sense of their intersectional identities separate from dominant narratives within cisgender and autism spaces. Using the theories of gender performativity and the feminist model of disability, themes were created from participants’ narratives of how the rigidity of being autistic disrupts the system of internalizing gender socialization, as does the lack of logic in gender as a social construct. Through this, our participants discussed their refusal to make sense within the dominant narrative of autistic and gendered presentations.
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- With a DOI
- 47
- Without a DOI, from raw bibliography text
- 16
- References with detected author names
- 61 / 65 (93.8%)
- Without detected author names
- 4
- Without a structured title
- 4
- Without a stable identifier
- 15
- References with raw author names still to review
- 3
- References with external metadata lookup issues
- 0
- From DOI or external metadata
- 172
- From validated raw bibliography text
- 0
- Raw names already validated
- 0
- Raw names still to review
- 3
-
Charlotte Witt (2011). What Is Gender Essentialism? In Feminist Metaphysics (pp. 11-25). Springer Netherlands.Crossref OpenAlex OpenCitations
-
González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.Crossref OpenAlex OpenCitations
-
Amanda Taboas , Karla Doepke , Corinne Zimmerman (2023). Preferences for identity-first versus person-first language in a US sample of autism stakeholders . Autism, 27(2), 565-570. SAGE Publications.Crossref OpenAlex OpenCitations
-
Kay Bussey (2011). Gender Identity Development . In Handbook of Identity Theory and Research (pp. 603-628). Springer New York.Crossref OpenAlex OpenCitations
-
Ashley F. (2022). Trans bodies, trans selves: A resource by and for transgender communities . Trans bodies, trans selves: A resource by and for transgender communities.Type: OtherCrossref
-
William G. Austin , Stephen Worchel (1979). The Social psychology of intergroup relations .Type: Book OpenAlex: https://openalex.org/W386986494OpenAlex
-
Sarah Bargiela , Robyn Steward *Autistic author. Learn more… , Will Mandy (2016). The experiences of late-diagnosed women with autism spectrum conditions: an investigation of the female autism phenotype . Journal of Autism and Developmental Disorders, 46(10), 3281. Springer Science and Business Media LLC.
-
Varun Warrier , David M. Greenberg , Elizabeth M Weir , Clara Buckingham , Paula Smith , Meng-Chuan Lai et al. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals . Nature Communications, 11(1), 3959. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Simon Baron-Cohen (2003). The Essential Difference: Male and Female Brains and the Truth about Autism .Type: Book OpenAlex: https://openalex.org/W597219730OpenAlex
-
Jessica Penwell Barnett (2017). Intersectional harassment and deviant embodiment among Autistic adults: (dis)ability, gender and sexuality . Culture, Health & Sexuality, 19(11), 1210-1224. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Victoria Clarke , Virginia Braun (2017). Thematic analysis . The Journal of Positive Psychology, 12(3), 297-298. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Alycia Halladay , Somer Bishop , John N Constantino , Amy M Daniels , Katheen Koenig , Kate Palmer et al. (2015). Sex and gender differences in autism spectrum disorder: summarizing evidence gaps and identifying emerging areas of priority . Molecular Autism, 6(1), 36. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Baron-Cohen S. (2004). The essential difference: Male and female brains and the truth about autism. Basic Books.Type: OtherCrossref
-
Stephan Ehlers , Christopher Gillberg (1993). The Epidemiology of Asperger Syndrome . Journal of Child Psychology and Psychiatry, 34(8), 1327-1350. Wiley.Crossref OpenAlex OpenCitations
-
Sander Begeer , DAVID S. MANDELL , Bernadette Wijnker-Holmes , Stance Venderbosch , Dorien Rem , Fred Stekelenburg et al. (2013). Sex Differences in the Timing of Identification Among Children and Adults with Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 43(5), 1151-1156. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Joyce Davidson , Sophie Tamas (2016). Autism and the ghost of gender . Emotion, Space and Society, 19(October), 59-65. Elsevier BV.Crossref OpenAlex OpenCitations
-
Hannah Belcher *Autistic author. Learn more… , Nora Uglik-Marucha , Silia Vitoratou , Ruth M. Ford , Sharon Morein-Zamir (2023). Gender bias in autism screening: measurement invariance of different model frameworks of the Autism Spectrum Quotient . BJPsych Open, 9(5), e173-e173. Royal College of Psychiatrists.
-
Isobel Moore , Gareth Morgan , Alice Welham , Ginny Russell (2022). The intersection of autism and gender in the negotiation of identity: A systematic review and metasynthesis . Feminism & Psychology, 32(4), 421-442. SAGE Publications.Crossref OpenAlex OpenCitations
-
Charlotte Brownlow (2010). Re-presenting Autism: The Construction of ‘NT Syndrome’ . Journal of Medical Humanities, 31(3), 243-255. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Rita George , Mark A Stokes (2018). Gender identity and sexual orientation in autism spectrum disorder . Autism, 22(8), 970-982. SAGE Publications.Crossref OpenAlex OpenCitations
-
John F. Strang , Lauren Kenworthy , Aleksandra Dominska , Jennifer Sokoloff , Laura E. Kenealy , Madison Berl et al. (2014). Increased Gender Variance in Autism Spectrum Disorders and Attention Deficit Hyperactivity Disorder . Archives of Sexual Behavior, 43(8), 1525-1533. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Robert Chapman *Autistic author. Learn more… (2019). Neurodiversity Theory and Its Discontents: Autism, Schizophrenia, and the Social Model of Disability . In The Bloomsbury Companion to Philosophy of Psychiatry (pp. 371-390). Bloomsbury Publishing Plc.
-
Kay Bussey , Albert Bandura (1999). Social cognitive theory of gender development and differentiation. Psychological Review, 106(4), 676-713. American Psychological Association (APA).Crossref OpenAlex OpenCitations
-
Aron Janssen , Howard Huang , Christina Duncan (2016). Gender Variance Among Youth with Autism Spectrum Disorders: A Retrospective Chart Review . Transgender Health, 1(1), 63-68. SAGE Publications.Crossref OpenAlex OpenCitations
-
Meng-Chuan Lai , Michael Lombardo , Bonnie Auyeung , Bhismadev Chakrabarti , Simon Baron-Cohen (2015). Sex/Gender Differences and Autism: Setting the Scene for Future Research . Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 11-24. Elsevier BV.Crossref OpenAlex OpenCitations
-
Butler J. (1990). Gender trouble, feminist theory, and psychoanalytic discourse . Feminism/Postmodernism, 324.Type: OtherCrossref
-
Jordynn Jack (2012). Gender Copia: Feminist Rhetorical Perspectives on an Autistic Concept of Sex/Gender . Women's Studies in Communication, 35(1), 1-17. Informa UK Limited.Crossref OpenAlex OpenCitations
-
M. Ariel Cascio , Jonathan A. Weiss , Éric Racine (2021). Making Autism Research Inclusive by Attending to Intersectionality: a Review of the Research Ethics Literature . Review Journal of Autism and Developmental Disorders, 8(1), 22-36. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Jorieke Duvekot , Jan van der Ende , Frank C Verhulst , Geerte Slappendel , Emma van Daalen , Athanasios Maras et al. (2017). Factors influencing the probability of a diagnosis of autism spectrum disorder in girls versus boys . Autism, 21(6), 646-658. SAGE Publications.Crossref OpenAlex OpenCitations
-
Coburn, Kelly L. PhD, Issue Co-Editors (2024). Autism Through an Intersectional Neurodiversity Lens . Topics in Language Disorders, 44(1), 2-4. Ovid Technologies (Wolters Kluwer Health).Crossref OpenAlex OpenCitations
-
Kristen Schilt , Laurel Westbrook (2009). Doing Gender, Doing Heteronormativity . Gender & Society, 23(4), 440-464. SAGE Publications.Crossref OpenAlex OpenCitations
-
Jolynn L. Haney (2016). Autism, females, and the DSM-5: Gender bias in autism diagnosis . Social Work in Mental Health, 14(4), 396-407. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Collins P. H. (2020). Intersectionality . Intersectionality.Type: OtherCrossref
-
Linda L. Lindsey (2020). Gender . Routledge.Crossref OpenAlex OpenCitations
-
Christina Richards , Walter Pierre Bouman , Leighton Seal , Meg John Barker , Timo O. Nieder , Guy T’Sjoen (2016). Non-binary or genderqueer genders . International Review of Psychiatry, 28(1), 95-102. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Blythe A. Corbett , Rachael A Muscatello , Mark E Klemencic , Millicent West , Ahra Kim , John F. Strang (2023). Greater gender diversity among autistic children by self-report and parent-report . Autism, 27(1), 158-172. SAGE Publications.Crossref OpenAlex OpenCitations
-
Crenshaw K. W. (2013). The public nature of private violence . The public nature of private violence, 93.Type: OtherCrossref
-
Kimberle Crenshaw (1991). Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color . Stanford Law Review, 43(6), 1241. JSTOR.OpenAlex
-
Will Mandy , Meng-Chuan Lai (2017). Towards sex- and gender-informed autism research . Autism, 21(6), 643-645. SAGE Publications.Crossref OpenAlex OpenCitations
-
Dedoose Version 9. 0. 107 cloud application for managing analyzing and presenting qualitative and mixed method research data (2023). SocioCultural Research Consultants LLC. www.dedoose.com.Type: OtherCrossref
-
Liliana Valvano , Jama Shelton (2021). Existing Outside of Gender: Autism and Gender Identity . In Social Work Practice with Transgender and Gender Expansive Youth (pp. 153-159). Routledge.Crossref OpenAlex OpenCitations
-
Thomas W Frazier , Antonio Y Hardan (2017). Equivalence of symptom dimensions in females and males with autism . Autism, 21(6), 749-759. SAGE Publications.Crossref OpenAlex OpenCitations
-
Ian Dey (2004). Grounded Theory . In Qualitative Research Practice (pp. 81-94). SAGE Publications Ltd.Crossref OpenAlex OpenCitations
-
Shahar Shapira , Leeat Granek (2019). Negotiating psychiatric cisgenderism-ableism in the transgender- autism nexus . Feminism & Psychology, 29(4), 494-513. SAGE Publications.Crossref OpenAlex OpenCitations
-
Rachel Loomes , Laura Hull , Will Mandy (2017). What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis . Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466-474. Elsevier BV.Crossref OpenAlex OpenCitations
-
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. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Emmie Matsuno , Stephanie L. Budge (2017). Non-binary/Genderqueer Identities: a Critical Review of the Literature . Current Sexual Health Reports, 9(3), 116-120. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Feinberg L. (2013). Transgender liberation: A movement whose time has come . The transgender studies reader, 205.Type: OtherCrossref
-
Gelman S. (2000). Gender essentialism in cognitive developmentToward a feminist developmental psychology . Gender essentialism in cognitive developmentToward a feminist developmental psychology, 169.Type: OtherCrossref
-
Robert Stoller (2013). selection from Biological Substrates of Sexual Behavior . In The Transgender Studies Reader (pp. 53-57). Routledge.OpenAlex
-
Elizabeth Hisle-Gorman , Corinne A. Landis , Apryl Susi , Natasha A. Schvey , Gregory H. Gorman , Cade M. Nylund et al. (2019). Gender Dysphoria in Children with Autism Spectrum Disorder . LGBT Health, 6(3), 95-100. SAGE Publications.Crossref OpenAlex OpenCitations
-
Hall K. Q. (2011). Reimagining disability and gender through feminist studies: An introduction . Feminist disability studies, 1.Type: OtherCrossref
-
(1997). Transgender Liberation: A Movement Whose Time Has Come (1992) . In Materialist Feminism (pp. 239-247). Routledge.OpenAlex
-
Austin Gerhard Oswald , Shéár Avory , Michelle Fine (2022). Intersectional expansiveness borne at the neuroqueer nexus . Psychology & Sexuality, 13(5), 1122-1133. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Nick Walker *Autistic author. Learn more… , Dora M. Raymaker *Autistic author. Learn more… (2021). Toward a Neuroqueer Future: An Interview with Nick Walker . Autism in Adulthood, 3(1), 5-10. SAGE Publications.Crossref OpenAlex OpenCitations
-
Merri Johnson , Robert McRuer (2014). Cripistemologies . Journal of Literary & Cultural Disability Studies, 8(2), 127-148. Liverpool University Press.Crossref OpenAlex OpenCitations
-
Kohlberg L. (1958). Kohlberg L. (1958). The development of modes of moral thinking and choice in the years ten to sixteen [Unpublished doctoral dissertation]. University of Chicago. The development of modes of moral thinking and choice in the years ten to sixteen.Type: OtherCrossref
-
Felicity Sedgewick , Helen Ellis , Laura Hull (2021). Autism and Masking: How and Why People do it, and the Impact it Can Have .Type: Book OpenAlex: https://openalex.org/W3196490323Crossref OpenAlex
-
Goldie A. McQuaid , Allison B. Ratto , Allison Jack , Alexis Khuu , Jessica V Smith , Sean C Duane et al. (2024). Gender, assigned sex at birth, and gender diversity: Windows into diagnostic timing disparities in autism . Autism, 28(11), 2806-2820. SAGE Publications.Crossref OpenAlex OpenCitations
-
Martha Albertson Fineman (2013). The Public Nature of Private Violence . Routledge.OpenAlex
-
Stryker S. (2013). (De)subjugated knowledges: An introduction to transgender studies . The transgender studies reader, 1.Type: OtherCrossref
-
Tajfel H. (1979). The social psychology of intergroup relations . The social psychology of intergroup relations, 33.Type: OtherCrossref
-
van Schalkwyk G. I. (2015). Gender identity and autism spectrum disorders . The Yale Journal of Biology and Medicine, 88(1), 81–83.Type: OtherCrossref
-
(n.d.). Williams R. M. (2019 March 14). So about that autism “girl gap”… Echolaliachamber. https://echolaliachamber.wordpress.com/2019/03/14/so-about-that-autism-girl-gap/#more-361Type: OtherCrossref
-
Wood W. (2009). Gender identity . Handbook of individual differences in social behavior, 109.Type: OtherCrossref