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      Perplexing Presentations: Compulsory Neuronormativity and Cognitive Marginalisation in Social Work Practice with Autistic Mothers of Autistic Children

      The British Journal of Social Work
      Oxford University Press (OUP)

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          Abstract

          In recent years, there has been growing interest in exploring the experiences of autistic adults through a lens that adopts emancipatory theorisations of autism. However, despite this changing terrain, autistic people remain a highly subjugated population. Research has begun to theorise a distinctive form of epistemic injustice they encounter in which they are denied access to epistemic resources by a society that valorises cognitively normative ways of being, knowing and existing. An under-explored aspect of this emerging literature relates to the experiences of autistic mothers who are, themselves, much more likely to have autistic children. Evidence suggests that they may be at a substantially increased risk of involuntary social work interventions. This study explores the nature of these experiences, drawing on interviews with autistic mothers as well as my own, lived experiences as an autistic mother. It finds that, through a neuro-normative lens of social work scrutiny, indicators of neuro-divergency in both mothers and children are considered perplexing and assigned malign meanings by those with hermeneutic privilege. This was particularly evident in social work responses to children’s difficulties in attending school, with these difficulties located in mothers rather than in exclusionary, hostile school environments.

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          Most cited references36

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          Whose Expertise Is It? Evidence for Autistic Adults as Critical Autism Experts

          Autistic and non-autistic adults’ agreement with scientific knowledge about autism, how they define autism, and their endorsement of stigmatizing conceptions of autism has not previously been examined. Using an online survey, we assessed autism knowledge and stigma among 636 adults with varied relationships to autism, including autistic people and nuclear family members. Autistic participants exhibited more scientifically based knowledge than others. They were more likely to describe autism experientially or as a neutral difference, and more often opposed the medical model. Autistic participants and family members reported lower stigma. Greater endorsement of the importance of normalizing autistic people was associated with heightened stigma. Findings suggest that autistic adults should be considered autism experts and involved as partners in autism research.
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            Improving social skills in children with ASD using a long-term, in-home social robot

            Social robots can offer tremendous possibilities for autism spectrum disorder (ASD) interventions. To date, most studies with this population have used short, isolated encounters in controlled laboratory settings. Our study focused on a 1-month, home-based intervention for increasing social communication skills of 12 children with ASD between 6 and 12 years old using an autonomous social robot. The children engaged in a triadic interaction with a caregiver and the robot for 30 min every day to complete activities on emotional storytelling, perspective-taking, and sequencing. The robot encouraged engagement, adapted the difficulty of the activities to the child’s past performance, and modeled positive social skills. The system maintained engagement over the 1-month deployment, and children showed improvement on joint attention skills with adults when not in the presence of the robot. These results were also consistent with caregiver questionnaires. Caregivers reported less prompting over time and overall increased communication.
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              Academic, Activist, or Advocate? Angry, Entangled, and Emerging: A Critical Reflection on Autism Knowledge Production

              There has been a focus on autistic-led and participatory research in autism research, but minimal discussion about whether the field is hospitable to autistic involvement. While the focus on participatory and/or autistic-led research is abundantly welcome, a wider conversation should also happen about how autistic people are treated in the process of knowledge creation. As such, I present a critical reflection on my experiences of academia as an autistic autism researcher. I open by questioning whether I am an academic, an activist, or an advocate before discussing my journey through academia, and my exposure to dehumanizing, objectifying, and violent accounts of autism. I highlight how the construction of objectivity has resulted in a failure to question the validity of these dehumanizing accounts of autism, which are regarded as “scientifically-sound” by virtue of their perceived “objectivity.” Furthermore, I discuss how the idea of objectivity is used to side-line autistic expertise in disingenuous ways, especially when this knowledge challenges the status-quo. Despite claiming to be value-free, these dehumanizing accounts of autism embody social and cultural values, with a complete lack of transparency or acknowledgment. I then discuss how these dehumanizing accounts and theories—entangled in values—reverberate into autistic people's lives and come to be ways of constituting us. Following this, I discuss the rationality of the anger autistic people feel when encountering these accounts, and instead of urging people to distance themselves from these emotions, I discuss the value of “leaning-in” as a radical act of dissent in the face of research-based violence. I then make a call to action urging all those who write or speak about autism to engage reflexively with how their values shape their understanding and construction of autistic people. Lastly, I conclude by answering my opening question: I have emerged as an advocate, activist, and academic. For me, belonging to the autistic community, acknowledging our marginalization, and recognizing our suffering within society means that hope for a better and just future has always, and will always underpin my work.
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                Author and article information

                Contributors
                (View ORCID Profile)
                Journal
                The British Journal of Social Work
                Oxford University Press (OUP)
                0045-3102
                1468-263X
                February 20 2023
                February 20 2023
                Article
                10.1093/bjsw/bcac229
                28a26230-07bf-41c1-abfb-7ada4cc27420
                © 2023

                https://creativecommons.org/licenses/by/4.0/

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