Autism and the ‘double empathy problem’

Milton, D., Waldock, K. E., & Keates, N. (2023). Autism and the ‘double empathy problem’. In Conversations on Empathy (pp. 78-97). Routledge. https://doi.org/10.4324/9781003189978-6

Publication date: 4 Jan 2023 Added to AutiHub: 6 Jul 2026 Type: Book chapter Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
3
Publication authors identified as autistic
2 / 3 (66.7%)

Abstract

Drawing upon both personal experience of being autistic and a parent to an autistic child, as well as theory and relevant interdisciplinary research, this chapter explores few questions, arguing that such a way of framing autism and empathy is deeply problematic. Definitions of empathy relate to a breadth of cognitive and subjective states, often as Baron-Cohen indicates, split into ‘cognitive’ and ‘affective’ empathy. In contrast to psychopathy and narcissism, which are often characterised as resulting from deficits in affective empathy, autism have been linked to a deficit in cognitive empathy. Milton suggests that the power relationships that can form between autistic people and psych-professionals who may see their ‘patients’ as lacking in socialisation, empathy, moral competency, and even full humanity can produce forms of psycho-emotional disablement, constraining not only what people can do but also what they can be and become.

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
89
Total cited references integrated for this publication.
Cited references with an identified autistic author
19 / 89 (21.3%)
Cited author occurrences identified as autistic
28 / 256 (10.9%)
Among occurrences linked to AutiHub author records: 28 / 114 (24.6%). Distinct cited authors identified as autistic: 19 / 206 (9.2%).
Cited author occurrences linked to AutiHub author records
114 / 256 (44.5%)
Distinct linked cited authors: 72 / 206 (35.0%)
Linked cited-author occurrences not identified as autistic
86 / 114 (75.4%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 86 / 256 (33.6%). Distinct linked cited authors not identified as autistic: 53 / 72 (73.6%).
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