Autism as a natural human variation: reflections on the claims of the neurodiversity movement

Health Care Anal. 2012 Mar;20(1):20-30. doi: 10.1007/s10728-011-0169-9.

Abstract

Neurodiversity has remained a controversial concept over the last decade. In its broadest sense the concept of neurodiversity regards atypical neurological development as a normal human difference. The neurodiversity claim contains at least two different aspects. The first aspect is that autism, among other neurological conditions, is first and foremost a natural variation. The other aspect is about conferring rights and in particular value to the neurodiversity condition, demanding recognition and acceptance. Autism can be seen as a natural variation on par with for example homosexuality. The broad version of the neurodiversity claim, covering low-functioning as well as high-functioning autism, is problematic. Only a narrow conception of neurodiversity, referring exclusively to high-functioning autists, is reasonable. We will discuss the effects of DSM categorization and the medical model for high functioning autists. After a discussion of autism as a culture we will analyze various possible strategies for the neurodiversity movement to claim extra resources for autists as members of an underprivileged culture without being labelled disabled or as having a disorder. We will discuss their vulnerable status as a group and what obligation that confers on the majority of neurotypicals.

MeSH terms

  • Autistic Disorder / psychology*
  • Civil Rights
  • Culture
  • Diagnostic and Statistical Manual of Mental Disorders
  • Human Rights*
  • Humans
  • Vulnerable Populations*