Définir la pratique de la psychologie affirmant la neurodiversité pour les adultes autistes : une étude Delphi intégrant les perspectives des psychologues et des clients

Titre original en anglais : Defining Neurodiversity Affirming Psychology Practice for Autistic Adults: A Delphi Study Integrating Psychologist and Client Perspectives

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Flower, R. L., Benn, R., Bury, S. M., Camin, M., Muggleton, J., Richardson, E. K., Bulluss, E., Calabria, B., Curran, A., Giugni, M., Gottliebsen, V., Hodges, H., Lawrence, J., Leung, V., Levy-Knoll, R., Miklosi, K., Mitchelson, M. R., Nuske, A., Waldie, C.,..., & Jellett, R. (2025). Defining Neurodiversity Affirming Psychology Practice for Autistic Adults: A Delphi Study Integrating Psychologist and Client Perspectives. Autism in Adulthood. https://doi.org/10.1089/aut.2024.0305

Date de publication: 02/06/2025 Ajout dans AutiHub: 07/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
22
Auteur·ices de la publication identifié·es comme autistes
1 / 22 (4,5 %)
  1. Rebecca L. Flower
  2. Rebekah Benn
  3. Simon M. Bury
  4. Marie Camin
  5. Joshua Muggleton
  6. Ellen K. Richardson
  7. Erin Bulluss
  8. Bianca Calabria
  1. Amanda Curran
  2. Melanie Giugni
  3. Victoria Gottliebsen
  4. Haylea Hodges
  5. J. Lawrence
  6. Vivien Leung
  7. Red Levy-Knoll
  8. Kathryn Miklosi
  1. Monique R Mitchelson
  2. Alison Nuske
  3. Caitlin Waldie
  4. Courtney Watts *
  5. SA Watts
  6. Rachel Jellett

Résumé

Contexte : Le terme « affirmant la neurodiversité » a été utilisé pour décrire une approche inclusive et fondée sur les forces des soins de santé mentale, alignée sur le paradigme de la neurodiversité et le modèle social du handicap. Cependant, aucun consensus connu n’existe sur ce qu’implique une pratique affirmant la neurodiversité. Méthodes : Nous avons cherché à définir le soutien affirmant la neurodiversité dans le contexte de psychologues australiens travaillant avec des clients adultes autistes (ce que nous avons appelé « pratique de la psychologie affirmant la neurodiversité »). Au moyen d’un plan Delphi classique comportant trois tours, nous avons recruté des membres d’un panel d’experts, y compris des adultes autistes ayant consulté un psychologue, et des psychologues (autistes et non autistes) qui décrivaient leur approche comme affirmant la neurodiversité. Le panel final était composé de 28 experts, âgés de 24 à 76 ans (M = 37.29, SD = 11.74). Lors du tour 1, nous avons recueilli les opinions des membres du panel sur les aspects essentiels du soutien affirmant la neurodiversité au moyen d’une série de questions ouvertes. Lors du tour 2, les membres du panel ont évalué l’importance d’énoncés clés, et lors du tour 3, les éléments qui n’avaient pas satisfait aux critères de consensus lors du tour 2 ont été réévalués. Résultats : Au total, 104 énoncés ont atteint le consensus. Nous avons élaboré un modèle à partir des énoncés, qui présente un ensemble de sept principes caractérisant la pratique de la psychologie affirmant la neurodiversité pour les clients autistes. Ces principes sont les suivants : (1) un engagement envers l’apprentissage continu au sujet de l’autisme, (2) offrir la sécurité nécessaire pour être soi-même en tant que personne autiste, (3) trouver une manière de communiquer, (4) l’authenticité et l’humilité dans la pratique, (5) la validation des expériences autistes, (6) un soutien centré sur la personne et éclairé par les personnes autistes, et (7) une acceptation et une appréciation véritables de l’autisme. Conclusion : Nos résultats suggèrent que le soutien affirmant la neurodiversité va au-delà du fait qu’un psychologue possède des connaissances sur l’autisme et adopte une approche fondée sur les forces. Il existe plutôt des principes interconnectés allant d’actions claires à des ajustements plus nuancés et subtils de la manière de travailler des psychologues, qui constituent le fondement de la pratique de la psychologie affirmant la neurodiversité pour les clients adultes autistes.

Background: The term “neurodiversity affirming” has been used to describe an inclusive and strengths-based approach to mental health care, aligned with the neurodiversity paradigm and social model of disability. However, there is no known consensus on what neurodiversity affirming practice entails. Methods: We aimed to define neurodiversity affirming support in the context of Australian psychologists working with Autistic adult clients (what we have termed “neurodiversity affirming psychology practice”). Using a classical Delphi design with three rounds, we recruited expert panel members, including Autistic adults who had seen a psychologist, and psychologists (Autistic and non-autistic) who described their approach as neurodiversity affirming. The final panel consisted of 28 experts, aged 24–76 years ( M = 37.29, SD = 11.74). In Round 1, we gathered the panel members’ opinions on essential aspects of neurodiversity affirming support using a series of open-ended questions. In Round 2, the panel members rated key statements for importance, and in Round 3, items that had not met consensus criteria in Round 2 were re-rated. Results: In total, 104 statements reached consensus. We generated a model from the statements, which outlines a set of seven principles characterizing neurodiversity affirming psychology practice for Autistic clients. These principles are as follows: (1) a commitment to continued learning about autism, (2) providing safety to be one’s Autistic self, (3) finding a way to communicate, (4) authenticity and humility in practice, (5) validation of Autistic experiences, (6) Autistic informed person-centered support, and (7) genuine acceptance and appreciation of autism. Conclusion: Our results suggest that neurodiversity affirming support goes beyond a psychologist having knowledge of autism and taking a strengths-based approach. Rather, there are interconnected principles spanning from clear actions to more nuanced and subtle adjustments to the psychologists’ way of working that form the foundation of neurodiversity affirming psychology practice for Autistic adult clients.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
59
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
12 / 59 (20,3 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
22 / 243 (9,1 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 22 / 116 (19,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 18 / 221 (8,1 %).
Occurrences citées rattachées à la base AutiHub
116 / 243 (47,7 %)
Auteurices cité·es distinct·es rattaché·es : 98 / 221 (44,3 %)
Occurrences rattachées, non identifiées comme autistes
94 / 116 (81,0 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 94 / 243 (38,7 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 80 / 98 (81,6 %).
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