Une approche par les capabilités pour comprendre et soutenir l’âge adulte autistique
Titre original en anglais : A capabilities approach to understanding and supporting autistic adulthood
Pellicano, E., Fatima, U., Hall, G., Heyworth, M., Lawson, W., Lilley, R., Mahony, J., & Stears, M. (2022). A capabilities approach to understanding and supporting autistic adulthood. Nature Reviews Psychology, 1(11), 624-639. https://doi.org/10.1038/s44159-022-00099-z
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Résumé
Il existe peu de recherches exhaustives sur l’âge adulte autistique, et encore moins sur les services et les soutiens les plus susceptibles de favoriser l’épanouissement des adultes autistes. Cette recherche limitée s’explique en partie par le fait que l’autisme est largement conçu comme une condition de l’enfance, mais cette orientation de la recherche résulte également de l’approche scientifique orthodoxe de l’autisme, qui conceptualise l’expérience autistique presque entièrement comme une série de déficits fonctionnels d’origine biologique. Aborder l’autisme de cette manière limite sévèrement ce qui est connu de cette différence neurodéveloppementale, la manière dont les recherches sont menées ainsi que les services et soutiens disponibles. Dans cette revue, nous adoptons une stratégie de recherche alternative : nous appliquons l’approche par les capabilités de Martha Nussbaum, qui se concentre sur dix éléments fondamentaux d’une vie humaine épanouie, à la recherche sur l’âge adulte autistique. Ce faisant, nous identifions les domaines dans lesquels les adultes autistes s’épanouissent et ceux dans lesquels ils rencontrent souvent des difficultés, et mettons en évidence des questions auxquelles les chercheurs, les cliniciens et les décideurs politiques devraient répondre. Le tableau qui en résulte est bien plus complexe que ne le suggèrent les descriptions conventionnelles de l’autisme. Il révèle également l’importance d’impliquer directement les adultes autistes dans le processus de recherche afin de progresser vers une connaissance véritable de l’autisme et le soutien de vies autistiques épanouies.
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