Transitioning in and out of Autistic Flow: A Qualitative Study Presenting a Non‐Pathologising Approach to Autistic Well‐Being and Conceptualising Autistic Ways of Being in Clinical and Therapeutic Settings

Wain, D., Williams, G., Charura, D., Hamilton, L., Milton, D., Wortman, D., & Heasman, B. (2026). Transitioning in and out of Autistic Flow: A Qualitative Study Presenting a Non‐Pathologising Approach to Autistic Well‐Being and Conceptualising Autistic Ways of Being in Clinical and Therapeutic Settings. Counselling and Psychotherapy Research, 26(1). https://doi.org/10.1002/capr.70073

Publication date: 27 Jan 2026 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
7
Publication authors identified as autistic
2 / 7 (28.6%)

Abstract

ABSTRACT Introduction Autistic flow is a term that has been used to describe the autistic experience of being deeply immersed in an activity. Autistic flow theory proposes that autistic people may be uniquely positioned to access and manage flow states. However, more research is needed to understand the facilitative conditions that support autistic people transitioning into and out of flow states, particularly given the complex interplay of sensory needs, monotropic focus and environmental factors. Aims and Methods Semi‐structured interviews were used alongside Interpretative Phenomenological Analysis (IPA) to explore the qualitative experiences of ten autistic people transitioning in and out of flow. Results The analysis highlighted three themes: (1) Flow is enjoyable and essential for autistic well‐being, playing a regulatory role in everyday experiences across sensory, emotional and cognitive facets; (2) autistic ways of being (i.e., monotropic attention, sensory sensitivity and repetitive behaviours) can amplify experiences in and out of flow; and (3) predictability is important for feeling safe to enter flow. Discussion We discuss the wealth of expertise autistic people possess about their own flow experiences and how this can be harnessed to build enabling environments for well‐being. The findings contribute to a non‐pathologising reconceptualisation of autistic ways of being through the approach of autistic flow theory.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Bibliography inclusion overview

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
61
Total cited references integrated for this publication.
Cited references with an identified autistic author
16 / 61 (26.2%)
Cited author occurrences identified as autistic
28 / 182 (15.4%)
Among occurrences linked to AutiHub author records: 28 / 85 (32.9%). Distinct cited authors identified as autistic: 15 / 152 (9.9%).
Cited author occurrences linked to AutiHub author records
85 / 182 (46.7%)
Distinct linked cited authors: 58 / 152 (38.2%)
Linked cited-author occurrences not identified as autistic
57 / 85 (67.1%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 57 / 182 (31.3%). Distinct linked cited authors not identified as autistic: 43 / 58 (74.1%).
  1. Ashley Robertson , David R Simmons (2015). The Sensory Experiences of Adults with Autism Spectrum Disorder: A Qualitative Analysis . Perception, 44(5), 569-586. SAGE Publications.
    Type: Article DOI: 10.1068/p7833 OpenAlex: https://openalex.org/W1857670991
    Crossref OpenAlex
  2. González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.
    Crossref OpenAlex
  3. Katherine Runswick-Cole (2014). ‘Us’ and ‘them’: the limits and possibilities of a ‘politics of neurodiversity’ in neoliberal times . Disability & Society, 29(7), 1117-1129. Informa UK Limited.
    Crossref OpenAlex
  4. Brandon K. Ashinoff , Ahmad Abu-Akel (2021). Hyperfocus: the forgotten frontier of attention . Psychological Research, 85(1), 1-19. Springer Science and Business Media LLC.
    Crossref
  5. Nicholas Chown *Autistic author. Learn more… (2014). More on the ontological status of autism and double empathy . Disability & Society, 29(10), 1672-1676. Informa UK Limited.
    Crossref OpenAlex
  6. Emma L. Barratt , Nick J. Davis (2015). Autonomous Sensory Meridian Response (ASMR): a flow-like mental state . PeerJ, 3, e851. PeerJ.
    Crossref OpenAlex
  7. Nicola Baumann , Christoph Lürig , Stefan Engeser (2016). Flow and enjoyment beyond skill-demand balance: The role of game pacing curves and personality . Motivation and Emotion, 40(4), 507-519. Springer Science and Business Media LLC.
    Crossref
  8. Sergi Rufi , Anna Wlodarczyk , Darío Páez , Federico Javaloy (2016). Flow and Emotional Experience in Spirituality . Journal of Humanistic Psychology, 56(4), 373-393. SAGE Publications.
    Crossref OpenAlex
  9. Karen Stansberry Beard (2015). Theoretically Speaking: An Interview with Mihaly Csikszentmihalyi on Flow Theory Development and Its Usefulness in Addressing Contemporary Challenges in Education . Educational Psychology Review, 27(2), 353-364. Springer Science and Business Media LLC.
    Crossref
  10. Johnny L. Matson , Robert D. Rieske , Lindsey W. Williams (2013). The relationship between autism spectrum disorders and attention-deficit/hyperactivity disorder: An overview . Research in Developmental Disabilities, 34(9), 2475-2484. Elsevier BV.
    Crossref OpenAlex
  11. Linda Birt , Suzanne Scott , Debbie Cavers , Christine Campbell , Fiona Walter (2016). Member Checking . Qualitative Health Research, 26(13), 1802-1811. SAGE Publications.
    Crossref OpenAlex
  12. Rebecca P. Lawson , Geraint Rees , Karl J. Friston (2014). An aberrant precision account of autism . Frontiers in Human Neuroscience, 8, 302-302. Frontiers Media SA.
    Crossref OpenAlex
  13. British Psychological Society (2021). BPS Code of Human Research Ethics . BPS Code of Human Research Ethics.
    Type: Other
    Crossref
  14. 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
  15. Elizabeth Pellicano , David Burr (2012). When the world becomes ‘too real’: a Bayesian explanation of autistic perception . Trends in Cognitive Sciences, 16(10), 504-510. Elsevier BV.
    Crossref OpenAlex
  16. Laura Crane , Lorna Goddard , Linda Pring (2009). Sensory processing in adults with autism spectrum disorders . Autism, 13(3), 215-228. SAGE Publications.
    Crossref OpenAlex
  17. (1975). Play and Intrinsic Rewards . Journal of Humanistic Psychology, 15(3), 41-63. SAGE Publications.
    Crossref OpenAlex
  18. 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
  19. Csikszentmihalyi M. (1990). The Psychology of Optimal Experience . The Psychology of Optimal Experience.
    Type: Other
    Crossref
  20. Jane Lidstone , Mirko Uljarević , Jillian Sullivan , Jacqui Rodgers , Helen McConachie , Mark Freeston et al. (2014). Relations among restricted and repetitive behaviors, anxiety and sensory features in children with autism spectrum disorders . Research in Autism Spectrum Disorders, 8(2), 82-92. Elsevier BV.
    Crossref OpenAlex
  21. Mihaly Csikszentmihalyi (2014). Flow and the Foundations of Positive Psychology . Springer Netherlands.
    Crossref OpenAlex
  22. M. Deakin , S. Petty , Brett Heasman , Lorna Hamilton (2024). A critical reflection on definitions of autistic well‐being . Brain and Behavior, 14(7), e3572-e3572. Wiley.
    Crossref OpenAlex
  23. Eleonora Riva , Teresa Freire , Marta Bassi (2016). The Flow Experience in Clinical Settings: Applications in Psychotherapy and Mental Health Rehabilitation . In Flow Experience (pp. 309-326). Springer International Publishing.
    Crossref OpenAlex
  24. Uta Frith , Francesca Happé (1994). Autism: beyond “theory of mind” . Cognition, 50(1-3), 115-132. Elsevier BV.
    Crossref
  25. Morton Ann Gernsbacher , Jennifer L Stevenson , Suraiya Khandakar , H. Hill Goldsmith (2008). Why Does Joint Attention Look Atypical in Autism? Child Development Perspectives, 2(1), 38-45. Oxford University Press (OUP).
    Crossref
  26. Brett Heasman , Alex Gillespie (2018). Perspective-taking is two-sided: Misunderstandings between people with Asperger’s syndrome and their family members . Autism, 22(6), 740-750. SAGE Publications.
    Crossref OpenAlex
  27. Jonathan Green , Nicola Shaughnessy (2023). Autistic phenomenology: past, present, and potential future . Frontiers in Psychology, 14, 1287209-1287209. Frontiers Media SA.
    Crossref OpenAlex
  28. (n.d.). Heasman B. 2018.“Enabling Autistic Sociality: Unrealised Potentials in Two‐Sided Social Interaction [Doctoral Dissertation London School of Economics and Political Science].”
    Type: Other
    Crossref
  29. Patricia C. Jackman , Gerry Fitzpatrick , Aoife Lane , Christian Swann (2019). Exploring bodily sensations experienced during flow states in professional national hunt jockeys: a connecting analysis . Qualitative Research in Sport, Exercise and Health, 11(1), 92-105. Informa UK Limited.
    Crossref OpenAlex
  30. Brett Heasman , Alex Gillespie (2019). Neurodivergent intersubjectivity: Distinctive features of how autistic people create shared understanding . Autism, 23(4), 910-921. SAGE Publications.
    Crossref OpenAlex
  31. Brett Heasman , Alex Gillespie (2019). Learning how to read autistic behavior from interactions between autistic people . Behavioral and Brain Sciences, 42. Cambridge University Press (CUP).
    Crossref OpenAlex
  32. Camille Hours , Christophe Recasens , Jean-Marc Baleyte (2022). ASD and ADHD Comorbidity: What Are We Talking About? Frontiers in Psychiatry, 13, 837424-837424. Frontiers Media SA.
    Crossref OpenAlex
  33. Katie Maras , Jade Eloise Norris , Jemma Nicholson , Brett Heasman , Anna Remington , Laura Crane (2021). Ameliorating the disadvantage for autistic job seekers: An initial evaluation of adapted employment interview questions . Autism, 25(4), 1060-1075. SAGE Publications.
    Crossref OpenAlex
  34. 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
  35. Ying Rong , Chang-Jiang Yang , Ye Jin , Yue Wang (2021). Prevalence of attention-deficit/hyperactivity disorder in individuals with autism spectrum disorder: A meta-analysis . Research in Autism Spectrum Disorders, 83, 101759. Elsevier BV.
    Crossref OpenAlex
  36. Piper Hutson , James Hutson (2024). Enhancing flow states in neurodivergent individuals through cognitive network integration . Global Health Economics and Sustainability, 3(2), 1. AccScience Publishing.
    Crossref OpenAlex
  37. Sam Keen , Martha Lomeli-Rodriguez , Helene Joffe (2022). From Challenge to Opportunity: Virtual Qualitative Research During COVID-19 and Beyond . International Journal of Qualitative Methods, 21, 16094069221105075-16094069221105075. SAGE Publications.
    Crossref OpenAlex
  38. Lynn Kern Koegel , Katherine M. Bryan , Pumpki L. Su , Mohini Vaidya , Stephen Camarata (2020). Definitions of Nonverbal and Minimally Verbal in Research for Autism: A Systematic Review of the Literature . Journal of Autism and Developmental Disorders, 50(8), 2957-2972. Springer Science and Business Media LLC.
    Crossref
  39. Keren MacLennan , Catherine Woolley , Emily andsensory , Brett Heasman , Jess Starns , Becky George et al. (2023). “It Is a Big Spider Web of Things”: Sensory Experiences of Autistic Adults in Public Spaces . Autism in Adulthood, 5(4), 411-422. SAGE Publications.
    Crossref OpenAlex
  40. Leong D.‐J. (2016). Scheherazade's Sea—Autism, Parallel Embodiment and Elemental Empathy [Doctoral Dissertation] . Scheherazade's Sea—Autism, Parallel Embodiment and Elemental Empathy [Doctoral Dissertation].
    Type: Other
    Crossref
  41. Luciana Lisboa White , Emma C. Tecwyn , Stephanie Petty (2024). Experiences of Loneliness and Connection for Autistic Young People: A Systematic Review . Review Journal of Autism and Developmental Disorders. Springer Science and Business Media LLC.
    Crossref
  42. Darius Parvizi-Wayne , Lars Sandved-Smith , Riddhi J. Pitliya , Jakub Limanowski , Miles R. A. Tufft , Karl J. Friston (2024). Forgetting ourselves in flow: an active inference account of flow states and how we experience ourselves within them . Frontiers in Psychology, 15, 1354719-1354719. Frontiers Media SA.
    Crossref OpenAlex
  43. Lynne McCormack , Sze Wing Wong , Linda E. Campbell (2023). ‘If I don’t Do It, I’m Out of Rhythm and I Can’t Focus As Well’: Positive and Negative Adult Interpretations of Therapies Aimed at ‘Fixing’ Their Restricted and Repetitive Behaviours in Childhood . Journal of Autism and Developmental Disorders, 53(9), 3435-3448. Springer Science and Business Media LLC.
    Crossref
  44. McDonnell A. (2014). Good Autism Practice: Autism, Happiness and Wellbeing . Good Autism Practice: Autism, Happiness and Wellbeing, 38.
    Type: Other
    Crossref
  45. Dinah Murray *Autistic author. Learn more… (2018). Monotropism – An Interest Based Account of Autism . In Encyclopedia of Autism Spectrum Disorders (pp. 1-3). Springer New York.
  46. Nakamura J. (2009). Oxford Handbook of Positive Psychology . Oxford handbook of positive psychology, 195.
    Type: Other
    Crossref
  47. Susy Ridout (2017). The autistic voice and creative methodologies . Qualitative Research Journal, 17(1), 52-64. Emerald.
    Crossref
  48. Jonathan A. Smith , Isabella E. Nizza (2022). Essentials of interpretative phenomenological analysis. American Psychological Association.
    Crossref