« Aucune issue en dehors d'une intervention extérieure » : récits de première main sur l'inertie autistique

Titre original en anglais : “No Way Out Except From External Intervention”: First-Hand Accounts of Autistic Inertia

Buckle, K. L., Leadbitter, K., Poliakoff, E., & Gowen, E. (2021). “No Way Out Except From External Intervention”: First-Hand Accounts of Autistic Inertia. Frontiers in Psychology, 12, 631596-631596. https://doi.org/10.3389/fpsyg.2021.631596

Date de publication: 13/07/2021 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
1 / 4 (25,0 %)

Résumé

Cette étude, demandée par des personnes autistes et menée par un chercheur autiste, est la première à explorer l'« inertie autistique », une difficulté généralisée et souvent invalidante à agir conformément à leurs intentions. Les recherches antérieures n'ont examiné l'initiation que dans le contexte de l'interaction sociale ou de conditions expérimentales. Cette étude est unique en ce qu'elle considère la difficulté à initier des tâches de tout type dans des contextes de vie réelle et recueille des données qualitatives directement auprès de personnes autistes. Quatre groupes de discussion en face à face et 2 en ligne (par texte) ont été menés auprès de 32 adultes autistes (19 femmes, 8 hommes et 5 autres), âgés de 23 à 64 ans, capables d'exprimer leurs expériences internes par des mots. Ils décrivent en détail les actions avec lesquelles ils ont des difficultés, ce qui rend l'action plus facile ou plus difficile, et l'impact sur leur vie. L'analyse thématique des transcriptions a mis en évidence quatre thèmes généraux : les descriptions de l'inertie, l'étayage pour soutenir l'action, l'influence du bien-être et l'impact sur les activités quotidiennes. Les participants ont décrit des difficultés à commencer, arrêter et changer d'activité qui n'étaient pas sous leur contrôle conscient. Bien que les difficultés de planification aient été fréquentes, un sous-groupe de participants a décrit une atteinte profonde de l'initiation même d'actions simples, évoquant davantage un trouble du mouvement. Les incitations et une activité compatible dans l'environnement favorisaient l'action, tandis que les difficultés de santé mentale et le stress exacerbaient les difficultés. L'inertie avait des effets généralisés sur les activités quotidiennes et le bien-être des participants. Cette recherche, attendue depuis longtemps, ouvre la voie à de nombreux domaines d'investigation supplémentaires afin de mieux comprendre l'inertie autistique et les stratégies de soutien efficaces.

This study, called for by autistic people and led by an autistic researcher, is the first to explore 'autistic inertia,' a widespread and often debilitating difficulty acting on their intentions. Previous research has considered initiation only in the context of social interaction or experimental conditions. This study is unique in considering difficulty initiating tasks of any type in real life settings, and by gathering qualitative data directly from autistic people. Four face-to-face and 2 online (text) focus groups were conducted with 32 autistic adults (19 female, 8 male, and 5 other), aged 23-64 who were able to express their internal experiences in words. They articulate in detail the actions they have difficulty with, what makes it easier or harder to act, and the impact on their lives. Thematic analysis of the transcripts found four overarching themes: descriptions of inertia, scaffolding to support action, the influence of wellbeing, and the impact on day-to-day activities. Participants described difficulty starting, stopping and changing activities that was not within their conscious control. While difficulty with planning was common, a subset of participants described a profound impairment in initiating even simple actions more suggestive of a movement disorder. Prompting and compatible activity in the environment promoted action, while mental health difficulties and stress exacerbated difficulties. Inertia had pervasive effects on participants' day-to-day activities and wellbeing. This overdue research opens the door to many areas of further investigation to better understand autistic inertia and effective support strategies.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de l’inclusion dans la bibliographie

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 11:30.

Références citées
66
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
4 / 66 (6,1 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
6 / 189 (3,2 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 6 / 38 (15,8 %). Auteurices cité·es distinct·es identifié·es comme autistes : 6 / 169 (3,6 %).
Occurrences citées rattachées à la base AutiHub
38 / 189 (20,1 %)
Auteurices cité·es distinct·es rattaché·es : 32 / 169 (18,9 %)
Occurrences rattachées, non identifiées comme autistes
32 / 38 (84,2 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 32 / 189 (16,9 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 26 / 32 (81,2 %).
2 entrées de bibliographie citée n’ont pas pu être entièrement enrichies à partir des métadonnées DOI.
Crossref: introuvable (1) · DataCite: introuvable (1)
  1. Lorna Wing , Amitta Shah (2006). A Systematic Examination of Catatonia‐like Clinical Pictures in Autism Spectrum Disorders . International Review of Neurobiology, 72, 21-39. Elsevier.
    Crossref OpenAlex OpenCitations
  2. Angela E Abbott , Annika C Linke , Aarti Nair , Afrooz Jahedi , Laura A. Alba , Christopher L Keown et al. (2018). Repetitive behaviors in autism are linked to imbalance of corticostriatal connectivity: a functional connectivity MRI study . Social Cognitive and Affective Neuroscience, 13(1), 32-42. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  3. Amitta Shah , Lorna Wing (2006). Psychological Approaches to Chronic Catatonia-like Deterioration in Autism Spectrum Disorders . International Review of Neurobiology, 72, 245-264. Elsevier.
    Crossref OpenAlex OpenCitations
  4. (2013). Diagnostic and statistical manual of mental disorders . Diagnostic and statistical manual of mental disorders.
    Type: Autre
    Crossref
  5. Jennifer Breen (2015). An empirical investigation into autistic catatonia: The development of the Autistic Catatonia Questionnaire (ACQ) . Research Explorer (The University of Manchester).
    Type: Article OpenAlex: https://openalex.org/W1580048823
    OpenAlex
  6. Dorit Ben Shalom (2000). Developmental Depersonalization: The Prefrontal Cortex and Self-Functions in Autism . Consciousness and Cognition, 9(3), 457-460. Elsevier BV.
    Crossref OpenAlex OpenCitations
  7. David M. Williams , Christopher Jarrold , Catherine Grainger , Sophie E. Lind (2014). Diminished time-based, but undiminished event-based, prospective memory among intellectually high-functioning adults with autism spectrum disorder: Relation to working memory ability. Neuropsychology, 28(1), 30-42. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  8. Sally Ozonoff , Jenise Jensen (1999). Brief Report: Specific Executive Function Profiles in Three Neurodevelopmental Disorders . Journal of Autism and Developmental Disorders, 29(2), 171-177. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Ingrid Bertilsson , Amanda Lundvik Gyllensten , Arve Opheim , Gunvor Gard , Catharina Sjödahl Hammarlund (2018). Understanding one’s body and movements from the perspective of young adults with autism: A mixed-methods study . Research in Developmental Disabilities, 78, 44-54. Elsevier BV.
    Crossref OpenAlex OpenCitations
  10. Georg Northoff (2002). What catatonia can tell us about “top-down modulation”: A neuropsychiatric hypothesis . Behavioral and Brain Sciences, 25(5), 555-577. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  11. M R Leary , D A Hill (1996). Moving on: autism and movement disturbance. Ment. Retard., 34(1), 39.
    Type: Article OpenAlex: https://openalex.org/W1806745576
    Crossref OpenAlex
  12. Eva Billstedt , Carina Gillberg , Christopher Gillberg (2005). Autism after Adolescence: Population-based 13- to 22-year Follow-up Study of 120 Individuals with Autism Diagnosed in Childhood . Journal of Autism and Developmental Disorders, 35(3), 351-360. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  13. Koji Yamanaka , Hidenao Fukuyama , Jun Kimura (1996). Abulia from unilateral capsular genu infarction: Report of two cases . Journal of the Neurological Sciences, 143(1-2), 181-184. Elsevier BV.
    Crossref OpenAlex OpenCitations
  14. Jessica Bramham , Fiona Ambery , Susan Young , Robin Morris , Ailsa Russell , Kiriakos Xenitidis et al. (2009). Executive functioning differences between adults with attention deficit hyperactivity disorder and autistic spectrum disorder in initiation, planning and strategy formation . Autism, 13(3), 245-264. SAGE Publications.
    Crossref OpenAlex OpenCitations
  15. Joana C. Carmo , Elsa Duarte , Cristiane Souza , Sandra Pinho , Carlos N. Filipe (2017). Brief Report: Testing the Impairment of Initiation Processes Hypothesis in Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 47(4), 1256-1260. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  16. Kimberly A. Fournier , Chris J. Hass , Sagar K. Naik , Neha Lodha , James H. Cauraugh (2010). Motor Coordination in Autism Spectrum Disorders: A Synthesis and Meta-Analysis . Journal of Autism and Developmental Disorders, 40(10), 1227-1240. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  17. Maria A. Brandimonte , Pina Filippello , Emanuele Coluccia , Mareike Altgassen , Matthias Kliegel (2011). To do or not to do? Prospective memory versus response inhibition in autism spectrum disorder and attention-deficit/hyperactivity disorder . Memory, 19(1), 56-66. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  18. Matthew J Hollocks , Jian Wei Lerh , Iliana Magiati , Richard Meiser-Stedman , Traolach Brugha (2019). Anxiety and depression in adults with autism spectrum disorder: a systematic review and meta-analysis . Psychological Medicine, 49(4), 559-572. Cambridge University Press (CUP).
    OpenAlex OpenCitations
  19. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  20. Christie Welch , Helene Polatajko , Patty Rigby , Margaret Fitch (2019). Autism inside out: lessons from the memoirs of three minimally verbal youths . Disability and Rehabilitation, 41(19), 2308-2316. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  21. Virginia Braun , Victoria Clarke (2019). Reflecting on reflexive thematic analysis . Qualitative Research in Sport, Exercise and Health, 11(4), 589-597. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  22. Lorna Wing , Amitta Shah (2000). Catatonia in autistic spectrum disorders . British Journal of Psychiatry, 176(4), 357-362. Royal College of Psychiatrists.
    Crossref OpenAlex OpenCitations
  23. Elizabeth B. Torres , Anne M. Donnellan (2015). Editorial for research topic “Autism: the movement perspective” . Frontiers in Integrative Neuroscience, 9, 12. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  24. Virginia Braun , Victoria Clarke (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  25. Anne M. Donnellan , David A. Hill , Martha R. Leary (2013). Rethinking autism: implications of sensory and movement differences for understanding and support . Frontiers in Integrative Neuroscience, 6, 124-124. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  26. Breen (2014). B11 An Empirical Investigation Into Autistic Catatonia: The Development of the Autistic Catatonia Questionnaire (ACQ)..
    Type: Autre
    Crossref
  27. Robert L. Koegel , Michelle Mentis (1985). MOTIVATION IN CHILDHOOD AUTISM: CAN THEY OR WON'T THEY? Journal of Child Psychology and Psychiatry, 26(2), 185-191. Wiley.
    Crossref OpenAlex OpenCitations
  28. J. Breen , D. J. Hare (2017). The nature and prevalence of catatonic symptoms in young people with autism . Journal of Intellectual Disability Research, 61(6), 580-593. Wiley.
    Crossref OpenAlex OpenCitations
  29. Xue Ming , Peter O.O. Julu , James Wark , Flora Apartopoulos , Stig Hansen (2004). Discordant mental and physical efforts in an autistic patient . Brain and Development, 26(8), 519-524. Elsevier BV.
    Crossref OpenAlex OpenCitations
  30. Xue Ming , Michael Brimacombe , George C. Wagner (2007). Prevalence of motor impairment in autism spectrum disorders . Brain and Development, 29(9), 565-570. Elsevier BV.
    Crossref OpenAlex OpenCitations
  31. for the Autism and Developmental Disorders Inpatient Research Collaborative (ADDIRC) , Jamie Brenner , Carla A. Mazefsky , Carla A. Mazefsky , Kahsi A. Smith , Robin Gabriels (2018). Behavioral Symptoms of Reported Abuse in Children and Adolescents with Autism Spectrum Disorder in Inpatient Settings . Journal of Autism and Developmental Disorders, 48(11), 3727-3735. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  32. Buckle (2017). B14 Inertia..
    Type: Autre
    Crossref
  33. Jodi Robledo , Anne M. Donnellan , Karen Strandt-Conroy (2012). An exploration of sensory and movement differences from the perspective of individuals with autism . Frontiers in Integrative Neuroscience, 6, 107-107. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  34. Buckle (2020). B15 Using Text Chat for Meetings with Autistic People..
    Type: Autre
    Crossref
  35. Vincent Hoofs , Myrthe M. Princen , Ervin Poljac , Arjen Stolk , Edita Poljac (2018). Task switching in autism: An EEG study on intentions and actions . Neuropsychologia, 117, 398-407. Elsevier BV.
    Crossref OpenAlex OpenCitations
  36. Nathaniel R. Riggs , Laudan B. Jahromi , Rachel P. Razza , Janean E. Dillworth-Bart , Ulrich Mueller (2006). Executive function and the promotion of social–emotional competence . Journal of Applied Developmental Psychology, 27(4), 300-309. Elsevier BV.
    Crossref OpenAlex OpenCitations
  37. Buckle (2021). B16 Tips for Using Text Chat for Meetings and Qualitative Research with Autistic People..
    Type: Autre
    Crossref
  38. Simon M. Bury , Rachel Jellett , Jennifer R. Spoor , Darren Hedley (2023). “It Defines Who I Am” or “It’s Something I Have”: What Language Do [Autistic] Australian Adults [on the Autism Spectrum] Prefer? Journal of Autism and Developmental Disorders, 53(2), 677-687. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  39. Michael K. Yeung , Agnes S. Chan (2020). Executive function, motivation, and emotion recognition in high-functioning autism spectrum disorder . Research in Developmental Disabilities, 105, 103730. Elsevier BV.
    Crossref OpenAlex OpenCitations
  40. Coralie Chevallier , Gregor Kohls , Vanessa Troiani , Edward S. Brodkin , Robert T. Schultz (2012). The social motivation theory of autism . Trends in Cognitive Sciences, 16(4), 231-239. Elsevier BV.
    OpenAlex OpenCitations
  41. Emma Gowen , Antonia F. de C. Hamilton (2013). Motor Abilities in Autism: A Review Using a Computational Context . Journal of Autism and Developmental Disorders, 43(2), 323-344. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  42. Chevallier (2012). The social motivation theory of autism. Trends Cogn. Sci., 16, 231.
    Type: Autre DOI: 10.1016/j.tics.2012.02.007.the Crossref: introuvable DataCite: introuvable
    Crossref
  43. Jessica Daniels (2009). Catatonia: Clinical Aspects and Neurobiological Correlates . The Journal of Neuropsychiatry and Clinical Neurosciences, 21(4), 371-380. American Psychiatric Association Publishing.
    Crossref OpenAlex OpenCitations
  44. Christie Welch , Deb Cameron , Margaret Fitch , Helene Polatajko (2021). Living in autistic bodies: bloggers discuss movement control and arousal regulation . Disability and Rehabilitation, 43(22), 3159-3167. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  45. E A Demetriou , A Lampit , D S Quintana , S L Naismith , Y J C Song , J E Pye et al. (2018). Autism spectrum disorders: a meta-analysis of executive function . Molecular Psychiatry, 23(5), 1198-1204. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  46. Ann Ozsivadjian , Matthew J. Hollocks , Iliana Magiati , Francesca Happé , Gillian Baird , Michael Absoud (2021). Is cognitive inflexibility a missing link? The role of cognitive inflexibility, alexithymia and intolerance of uncertainty in externalising and internalising behaviours in young people with autism spectrum disorder . Journal of Child Psychology and Psychiatry, 62(6), 715-724. Wiley.
    Crossref OpenAlex OpenCitations
  47. Louise Neil , Nora Choque Olsson , Elizabeth Pellicano (2016). The Relationship Between Intolerance of Uncertainty, Sensory Sensitivities, and Anxiety in Autistic and Typically Developing Children . Journal of Autism and Developmental Disorders, 46(6), 1962-1973. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  48. 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
  49. Lucina Q. Uddin (2021). Brain Mechanisms Supporting Flexible Cognition and Behavior in Adolescents With Autism Spectrum Disorder . Biological Psychiatry, 89(2), 172-183. Elsevier BV.
    Crossref OpenAlex OpenCitations
  50. Gregor Kohls , Coralie Chevallier , Vanessa Troiani , Robert T. Schultz (2012). Social ‘wanting’ dysfunction in autism: neurobiological underpinnings and treatment implications . Journal of Neurodevelopmental Disorders, 4(1), 1. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  51. Hollocks (2010). Anxiety and depression in adults with autism spectrum disorder: a systematic review and meta-analysis. Psychol. Med., 395.
    Type: Autre
    Crossref
  52. Chloe C. Hudson , Layla Hall , Kate L. Harkness (2019). Prevalence of Depressive Disorders in Individuals with Autism Spectrum Disorder: a Meta-Analysis . Journal of Abnormal Child Psychology, 47(1), 165-175. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  53. 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
  54. Damian Milton *Auteur·ice autiste. En savoir plus… (2017). Going with the flow: autism and ‘flow states’ . Proceedings of the Enhancing Lives – Reducing Restrictive Practices.
    Type: Article OpenAlex: https://openalex.org/W2932430915
    Crossref OpenAlex
  55. Pieta Shakes , Andrew Cashin (2019). Identifying Language for People on the Autism Spectrum: A Scoping Review . Issues in Mental Health Nursing, 40(4), 317-325. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  56. Miserandino (2003). B36 The Spoon Theory..
    Type: Autre
    Crossref
  57. Anne Pelzer , Frank van der Heijden , Erik den Boer (2018). Systematic review of catatonia treatment . Neuropsychiatric Disease and Treatment, Volume 14, 317-326. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  58. Murray (2017). B39 Autism as a Disability..
    Type: Autre
    Crossref
  59. Paterson (2016). B44 Using the Maori Creation Story to Navigate Autistic Inertia. Altogether Autism Journal..
    Type: Autre
    Crossref
  60. Sacks (1976). B48 Awakenings..
    Type: Autre
    Crossref
  61. Shah (2019). B49 Catatonia, Shutdown and Breakdown in Autism..
    Type: Autre
    Crossref
  62. Sparrow (2016). B52 Autistic Inertia: An Overview..
    Type: Autre
    Crossref
  63. (2020). B60 International Statistical Classification of Diseases and Related Health Problems.
    Type: Autre
    Crossref