Autism and Neurodiversity: Addressing Concerns and Offering Implications for the School-Based Speech-Language Pathologist

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

DeThorne, L. S. & Searsmith, K. (2020). Autism and Neurodiversity: Addressing Concerns and Offering Implications for the School-Based Speech-Language Pathologist. Perspectives of the ASHA Special Interest Groups, 6(1), 184-190. https://doi.org/10.1044/2020_persp-20-00188

Publication date: 30 Dec 2020 Added to AutiHub: 30 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

Purpose The purpose of this article is to address some common concerns associated with the neurodiversity paradigm and to offer related implications for service provision to school-age autistic students. In particular, we highlight the need to (a) view first-person autistic perspectives as an integral component of evidence-based practice, (b) use the individualized education plan as a means to actively address environmental contributions to communicative competence, and (c) center intervention around respect for autistic sociality and self-expression. We support these points with cross-disciplinary scholarship and writings from autistic individuals. Conclusions We recognize that school-based speech-language pathologists are bound by institutional constraints, such as eligibility determination and Individualized Education Program processes that are not inherently consistent with the neurodiversity paradigm. Consequently, we offer examples for implementing the neurodiversity paradigm while working within these existing structures. In sum, this article addresses key points of tension related to the neurodiversity paradigm in a way that we hope will directly translate into improved service provision for autistic students. Supplemental Material https://doi.org/10.23641/asha.13345727

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 01:01.

Cited references
62
With a DOI
33
Without a DOI, from raw bibliography text
29
10 / 62 (16.1%) cited references include at least one author identified as autistic.
References with data to complete
9 / 62 (14.5%)
References with detected author names
53 / 62 (85.5%)
Without detected author names
9
Without a structured title
8
Without a stable identifier
25
References with raw author names still to review
7
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
116
From DOI or external metadata
116
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
7
60 / 116 (51.7%) names are linked to an author already present in AutiHub. 56 / 116 (48.3%) names are not yet linked.
Names linked to a person identified as autistic
11 / 116 (9.5%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 11 / 60 (18.3%). Distinct people identified as autistic: 7 / 103 (6.8%).
  1. Thomas Armstrong (2010). Neurodiversity: Discovering the extraordinary gifts of autism, ADHD, dyslexia, and other brain differences .
    Type: Book OpenAlex: https://openalex.org/W73173889
    Crossref OpenAlex
  2. Kristen Abrahams , Harsha Kathard , Michal Harty , Mershen Pillay (2019). Inequity and the Professionalisation of Speech-Language Pathology . Professions and Professionalism, 9(3). OsloMet - Oslo Metropolitan University.
    Type: Article DOI: 10.7577/pp.3285 OpenAlex: https://openalex.org/W2994943762
    Crossref OpenAlex OpenCitations
  3. Melissa Park (2009). Beyond Calculus: Apple-apple-apple-ike and Other Embodied Pleasures for a Child Diagnosed with Autism in a Sensory Integration Based Clinic . Disability Studies Quarterly, 30(1). The Ohio State University Libraries.
    Crossref OpenAlex OpenCitations
  4. Alvarez G. A. (2019). The misnomer of ‘high functioning autism’: Intelligence is an imprecise predictor of functional abilities at diagnosis . Autism, 24(2), 221.
    Type: Other
    Crossref
  5. Eilidh Cage , Jessica Di Monaco , Victoria Newell (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults . Journal of Autism and Developmental Disorders, 48(2), 473-484. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  6. Jim Sinclair *Autistic author. Learn more… (2013). Why I Dislike “Person First” Language. Autonomy, the Critical Journal of Interdisciplinary Autism Studies, 1(2), 2.
    Type: Article OpenAlex: https://openalex.org/W1829568558
    Crossref OpenAlex
  7. (n.d.). American Academy of Child and Adolescent Psychiatry. (2020 February). Screen time and children. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Children-And-Watching-TV-054.aspx
    Type: Other
    Crossref
  8. Verónica Vidal , Carissa Ernat , Laura S. DeThorne (2018). “I Think He Wants You to Play the Guitar:” Use of Behavioral Interpretation as a Strategy for Facilitating Peer Interaction Across Autistic and Nonautistic Peers . Perspectives of the ASHA Special Interest Groups, 3(1), 68-83. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  9. CONNIE KASARI , Erin Rotheram‐Fuller , Jill Locke , Amanda Gulsrud (2012). Making the connection: randomized controlled trial of social skills at school for children with autism spectrum disorders . Journal of Child Psychology and Psychiatry, 53(4), 431-439. Wiley.
    Crossref OpenAlex OpenCitations
  10. American Speech-Language-Hearing Association. (2005). Evidence-based practice in communication disorders [Position statement]. https://www.asha.org/policy/PS2005-00221/
    Type: Other
    Crossref
  11. Amy L. Donaldson , Karen Krejcha , Andy McMillin (2017). A Strengths-Based Approach to Autism: Neurodiversity and Partnering With the Autism Community . Perspectives of the ASHA Special Interest Groups, 2(1), 56-68. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  12. Pier Jaarsma , Stellan Welin (2012). Autism as a Natural Human Variation: Reflections on the Claims of the Neurodiversity Movement . Health Care Analysis, 20(1), 20-30. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  13. American Speech-Language-Hearing Association. (2016). Scope of practice in speech-language pathology. https://www.asha.org/policy/SP2016-00343/
    Type: Other
    Crossref
  14. Gill Chard (2004). International Classification of Functioning, Disability and Health . British Journal of Occupational Therapy, 67(1), 1-1. SAGE Publications.
    OpenAlex
  15. Henry Angulo Jiménez , Laura S. DeThorne (2019). Narratives About Autism: An Analysis of YouTube Videos by Individuals Who Self-Identify as Autistic . American Journal of Speech-Language Pathology, 28(2), 569-590. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  16. Simon Baron-Cohen (2019). The Concept of Neurodiversity Is Dividing the Autism Community . Scientific American, 30(4), 30. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  17. Nancy Bagatell (2010). From cure to community: Transforming notions of autism . Journal of the Society for Psychological Anthropology, 38(1), 33. Wiley.
    Crossref OpenAlex
  18. Laura S. DeThorne (2020). Revealing the Double Empathy Problem . The ASHA Leader, 25(3), 58-65. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  19. Ask Autistic Adults - Resource for Parents of Autistics. (n.d.) Facebook. https://www.facebook.com/groups/2138776736451241/
    Type: Other
    Crossref
  20. Steven K. Kapp *Autistic author. Learn more… , Kristen Gillespie-Lynch , Lauren E. Sherman , Ted Hutman (2013). Deficit, difference, or both? Autism and neurodiversity. Developmental Psychology, 49(1), 59-71. American Psychological Association (APA).
    Type: Article DOI: 10.1037/a0028353 OpenAlex: https://openalex.org/W2124715426
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  21. (n.d.). Autistic Self Advocacy Network. (2014 January). 2014 Joint letter to the sponsors of Autism Speaks. https://autisticadvocacy.org/2014/01/2013-joint-letter-to-the-sponsors-of-autism-speaks/
    Type: Other
    Crossref
  22. Lorcan Kenny , Caroline Hattersley , Bonnie Molins , Carole Buckley , Carol Povey , Elizabeth Pellicano (2016). Which terms should be used to describe autism? Perspectives from the UK autism community . Autism, 20(4), 442-462. SAGE Publications.
    Crossref OpenAlex OpenCitations
  23. Autistic Self Advocacy Network. (2016). Nothing about us without us. https://autisticadvocacy.org/home
    Type: Other
    Crossref
  24. Verónica Vidal , Scott Robertson *Autistic author. Learn more… , Laura S. DeThorne (2018). Illustrating a Supports-Based Approach Toward Friendship With Autistic Students . American Journal of Speech-Language Pathology, 27(2), 592-601. American Speech Language Hearing Association.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  25. (2016). Scope of Practice in Speech-Language Pathology . American Speech-Language-Hearing Association.
    OpenAlex
  26. Bailin A. (2019). Clearing up some misconceptions about neurodiversity . Clearing up some misconceptions about neurodiversity.
    Type: Other
    Crossref
  27. Meng-Chuan Lai , Michael Lombardo , Amber Ruigrok , Bhismadev Chakrabarti , Bonnie Auyeung , Peter Szatmari et al. (2017). Quantifying and exploring camouflaging in men and women with autism . Autism, 21(6), 690-702. SAGE Publications.
    Crossref OpenAlex OpenCitations
  28. Joshua St. Pierre , Charis St. Pierre (2018). Governing the Voice: A Critical History of Speech-Language Pathology . Foucault Studies, 151-184. Project MUSE.
    Crossref OpenAlex OpenCitations
  29. Jonathan S Beck , Rebecca A Lundwall , Terisa P. Gabrielsen , Jonathan C Cox , Mikle South (2020). Looking good but feeling bad: “Camouflaging” behaviors and mental health in women with autistic traits . Autism, 24(4), 809-821. SAGE Publications.
    Crossref OpenAlex OpenCitations
  30. Erin Bulluss , Abby Sesterka *Autistic author. Learn more… (2020). Reframing professional language around autism: Reflecting on our use of language in professional contexts . Psychology today.
    Type: Article OpenAlex: https://openalex.org/W3194756008
    Crossref OpenAlex
  31. Kristen Harrison *Autistic author. Learn more… , Lia Vallina , Amelia Couture Bue , Halie Wenhold , Jessica D. Moorman (2019). Sensory curation: theorizing media use for sensory regulation and implications for family media conflict . Media Psychology, 22(4), 653-688. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  32. Erin Bulluss , Abby Sesterka *Autistic author. Learn more… (2020). Reframing professional language around autism in practice: A practical guide to using respectful language in the professional context . Psychology today.
    Type: Article OpenAlex: https://openalex.org/W3194563888
    Crossref OpenAlex
  33. Elinor Ochs , Olga Solomon (2010). Autistic Sociality . Ethos, 38(1), 69-92. Wiley.
    Crossref OpenAlex OpenCitations
  34. 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 OpenAlex OpenCitations
  35. Alisa Opar (2019). In search of truce in the autism wars . Spectrum. Simons Foundation.
    Crossref OpenAlex OpenCitations
  36. Cain S. (2012). Quiet: The power of introverts in a world that can't stop talking . Quiet: The power of introverts in a world that can't stop talking.
    Type: Other
    Crossref
  37. Crossman C. (2019). Why the autism community prefers identity first language . Why the autism community prefers identity first language.
    Type: Other
    Crossref
  38. Gail A Alvares , Keely Bebbington , Dominique Cleary , Kiah Evans , Emma J. Glasson , Murray Maybery et al. (2020). The misnomer of ‘high functioning autism’: Intelligence is an imprecise predictor of functional abilities at diagnosis . Autism, 24(1), 221-232. SAGE Publications.
    OpenAlex
  39. Francine Russo (2018). The costs of camouflaging autism . Spectrum. Simons Foundation.
    Crossref OpenAlex OpenCitations
  40. Hillary A. (2015). The real experts: Reading for parents of autistic children . The real experts: Reading for parents of autistic children, 35.
    Type: Other
    Crossref
  41. Jonathan A. Hughes (2021). Does the heterogeneity of autism undermine the neurodiversity paradigm? Bioethics, 00(1), 1. Wiley.
    Crossref OpenAlex
  42. Jess (2013). No more—A letter to Suzanne Wright . A Diary of a Mom.
    Type: Other
    Crossref
  43. Silberman S. (2016). Neurotribes: The legacy of autism and the future of neurodiversity . Choice Reviews Online, 53(08), 53-3753-53-3753. American Library Association.
    Crossref OpenAlex
  44. Jones R. S. (2015). The real experts: Reading for parents of autistic children . The real experts: Reading for parents of autistic children, 50.
    Type: Other
    Crossref
  45. K. Lucas (2013). Quiet: The Power of Introverts in a World That Can't Stop Talking . Journal of Business Communication. SAGE Publications.
    OpenAlex
  46. Law B. M. (2016). Interpreting autism . The ASHA Leader, 21(4).
    Type: Other
    Crossref
  47. Lutz A. S. (2013). Is the neurodiversity movement misrepresenting autism? Is the neurodiversity movement misrepresenting autism?.
    Type: Other
    Crossref
  48. Neumeier S. M. (2018). ‘To Siri with love’ and the problem with neurodiversity lite . ‘To Siri with love’ and the problem with neurodiversity lite.
    Type: Other
    Crossref
  49. (n.d.). e_1_3_2_44_1
    Type: Other
    Crossref
  50. Roberts J. (2020). On writing masking goals for autistic middle school girls—Stop it! On writing masking goals for autistic middle school girls—Stop it!.
    Type: Other
    Crossref
  51. Shore S. M. (n.d.). Self-advocacy . Self-advocacy.
    Type: Other
    Crossref
  52. Sibley K. (2015). The real experts: Reading for parents of autistic children . The real experts: Reading for parents of autistic children, 43.
    Type: Other
    Crossref
  53. Singer J. (1999). Disability discourse . Disability discourse, 59.
    Type: Other
    Crossref
  54. Strauss J. (2013). The disability reader . The disability reader, 460.
    Type: Other
    Crossref
  55. Katrina Williams (2019). The fallacy of functioning labels . The fallacy of functioning labels.
    Type: Other
    Crossref
  56. Wolfberg P. (2008). Learners on the autism spectrum: Preparing highly qualified educators . Learners on the autism spectrum: Preparing highly qualified educators, 182.
    Type: Other
    Crossref
  57. World Health Organization. (2002). International classification of functioning disability and health. https://www.who.int/classifications/icf/icfbeginnersguide.pdf
    Type: Other
    Crossref