Accommodating Autistics and Treating Autism: Can We Have Both?

Bioethics 29 (8):564-572 (2015)
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Abstract

One of the central claims of the neurodiversity movement is that society should accommodate the needs of autistics, rather than try to treat autism. People have variously tried to reject this accommodation thesis as applicable to all autistics. One instance is Pier Jaarsma and Stellan Welin, who argue that the thesis should apply to some but not all autistics. They do so via separating autistics into high- and low-functioning, on the basis of IQ and social effectiveness or functionings. I reject their grounds for separating autistics. IQ is an irrelevant basis for separating autistics. Charitably rendering it as referring to more general capacities still leaves us mistaken about the roles they play in supporting the accommodation thesis. The appeal to social effectiveness or functionings relies on standards that are inapplicable to autistics, and which risks being deaf to the point of their claims. I then consider if their remaining argument concerning autistic culture may succeed independently of the line they draw. I argue that construing autistics' claims as beginning from culture mistakes their status, and may even detract from their aims. Via my discussion of Jaarsma and Welin, I hope to point to why the more general strategy of separating autistics, in response to the accommodation thesis, does not fully succeed. Finally, I sketch some directions for future discussions, arguing that we should instead shift our attention to consider another set of questions concerning the costs and extent of change required to accommodate all autistics

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Chong-Ming Lim
Nanyang Technological University, Singapore

Citations of this work

Reviewing resistances to reconceptualizing disability.Chong-Ming Lim - 2017 - Proceedings of the Aristotelian Society 117 (3):321-331.
The ethics of complexity. Genetics and autism, a literature review.Kristien Hens, Hilde Peeters & Kris Dierickx - 2016 - American Journal of Medical Genetics Part B: Neuropsychiatric Genetics 171 (3).
Autistic Identity Development and Postsecondary Education.Ken Gobbo - 2016 - The Disability Studies Quarterly 36 (3).

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References found in this work

Disability among equals.Jonathan Wolff - 2009 - In Kimberley Brownlee & Adam Cureton (eds.), Disability and Disadvantage. Oxford University Press.

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