
The neurodiversity
paradigm
In science and philosophy, a paradigm ( ) is a distinct set of concepts or thought patterns, including theories, research methods, postulates, and standards for what constitute legitimate contributions to a field. The word ''paradigm'' is Ancient ...
is a framework for understanding
human brain
The human brain is the central organ (anatomy), organ of the nervous system, and with the spinal cord, comprises the central nervous system. It consists of the cerebrum, the brainstem and the cerebellum. The brain controls most of the activi ...
function that considers the diversity within
sensory processing
Sensory processing is the process that organizes and distinguishes sensation (sensory information) from one's own body and the environment, thus making it possible to use the body effectively within the environment. Specifically, it deals with how ...
,
motor abilities,
social comfort,
cognition
Cognition is the "mental action or process of acquiring knowledge and understanding through thought, experience, and the senses". It encompasses all aspects of intellectual functions and processes such as: perception, attention, thought, ...
, and
focus
Focus (: foci or focuses) may refer to:
Arts
* Focus or Focus Festival, former name of the Adelaide Fringe arts festival in East Australia Film
*Focus (2001 film), ''Focus'' (2001 film), a 2001 film based on the Arthur Miller novel
*Focus (2015 ...
as neurobiological differences. This diversity falls on a spectrum of neurocognitive differences.
The neurodiversity paradigm argues that diversity in neurocognition is part of humanity and that some neurodivergences generally classified as disorders, such as
autism
Autism, also known as autism spectrum disorder (ASD), is a neurodevelopmental disorder characterized by differences or difficulties in social communication and interaction, a preference for predictability and routine, sensory processing d ...
, are differences with strengths and weaknesses as well as disabilities that are not necessarily
pathological.
The neurodiversity movement started in the late 1980s and early 1990s with the start of
Autism Network International
Autism Network International (ANI) is an advocacy organization run by and for autistic people. ANI's principles involve the anti-cure perspective, the perspective that there should not be a goal to "cure" people of autism.
History
ANI was star ...
. Much of the correspondence that led to the formation of the movement happened over autism conferences, namely the autistic-led
Autreat
Autism Network International (ANI) is an advocacy organization run by and for autistic people. ANI's principles involve the anti-cure perspective, the perspective that there should not be a goal to "cure" people of autism.
History
ANI was star ...
, penpal lists, and
Usenet
Usenet (), a portmanteau of User's Network, is a worldwide distributed discussion system available on computers. It was developed from the general-purpose UUCP, Unix-to-Unix Copy (UUCP) dial-up network architecture. Tom Truscott and Jim Elli ...
. The framework grew out of the
disability rights movement
The disability rights movement is a global social movement that seeks to secure equal opportunities and equal rights for all disabled people.
It is made up of organizations of disability activists, also known as disability advocates, around ...
and builds on the
social model of disability
The social model of disability identifies systemic barriers, derogatory attitudes, and social exclusion (intentional or inadvertent), which make it difficult or impossible for disabled people to attain their valued functionings. The social mod ...
, arguing that disability partly arises from
societal barriers and person-environment mismatch, rather than attributing disability purely to inherent deficits.
It instead situates human cognitive variation in the context of
biodiversity
Biodiversity is the variability of life, life on Earth. It can be measured on various levels. There is for example genetic variability, species diversity, ecosystem diversity and Phylogenetics, phylogenetic diversity. Diversity is not distribut ...
and the politics of
minority group
The term "minority group" has different meanings, depending on the context. According to common usage, it can be defined simply as a group in society with the least number of individuals, or less than half of a population. Usually a minority g ...
s.
Some neurodiversity advocates and researchers including
Judy Singer
Judy Singer is an Australian sociologist, known for popularizing the term "neurodiversity".
Biography
Judy Singer, the daughter of a Jewish mother who survived World War II, grew up in Australia. For many years, she worked as a computer consult ...
and Patrick Dwyer argue that the neurodiversity paradigm is the middle ground between a strong
medical model and a strong social model.
Neurodivergent individuals face unique challenges in
education
Education is the transmission of knowledge and skills and the development of character traits. Formal education occurs within a structured institutional framework, such as public schools, following a curriculum. Non-formal education als ...
and the
workplace
A workplace is a location where someone works, for their employer or themselves, a place of employment. Such a place can range from a home office to a large office building or factory. For industrialized societies, the workplace is one of the ...
. The efficacy of accessibility and support programs in career development and higher education differs from individual to individual.
Social media has introduced a platform where neurodiversity awareness and support has emerged, further promoting the neurodiversity movement.
The
neurodiversity paradigm has been controversial among
disability
Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be Cognitive disability, cognitive, Developmental disability, d ...
advocates, especially proponents of the
medical model of autism
Diagnoses of autism have become more frequent since the 1980s, which has led to various controversies about both the cause of autism and the nature of the diagnoses themselves. Whether autism has mainly a genetic or developmental cause, and the ...
, with opponents arguing it risks downplaying the challenges associated with some disabilities (e.g., in those requiring little support becoming representative of the challenges caused by the disability, thereby making it more difficult to seek desired treatment),
and that it calls for the acceptance of things some wish to be treated for. In recent years, to address these concerns, some neurodiversity advocates and researchers have attempted to reconcile what they consider different seemingly contradictory but arguably partially compatible perspectives. Some researchers have advocated for mixed or integrative approaches that involve both neurodiversity approaches and
biomedical
Biomedicine (also referred to as Western medicine, mainstream medicine or conventional medicine) interventions or advancements, for example teaching functional communication (whether verbal or
nonverbal
Nonverbal communication is the transmission of messages or signals through a nonverbal platform such as eye contact ( oculesics), body language ( kinesics), social distance ( proxemics), touch ( haptics), voice ( prosody and paralanguage), p ...
) and treating self-injurious behaviors or co-occurring conditions like anxiety and depression with biomedical approaches.
History and developments
The word ''neurodiversity'' first appeared in publication in 1998, in an article by American journalist Harvey Blume,
as a
portmanteau
In linguistics, a blend—also known as a blend word, lexical blend, or portmanteau—is a word formed by combining the meanings, and parts of the sounds, of two or more words together. of the words ''neurological diversity'', which had been used as early as 1996 in online spaces such as InLv to describe the growing concept of a natural diversity in humanity's neurological expression.
The same year, it was published in
Judy Singer
Judy Singer is an Australian sociologist, known for popularizing the term "neurodiversity".
Biography
Judy Singer, the daughter of a Jewish mother who survived World War II, grew up in Australia. For many years, she worked as a computer consult ...
's sociology honors thesis,
drawing on discussions on the independent living mailing list that included Blume. Singer has described herself as "likely somewhere on the
autistic spectrum".
Blume was an early advocate who predicted the role the Internet would play in fostering the international neurodiversity movement.
In a ''
New York Times
''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
'' piece on June 30, 1997, Blume described the foundation of neurodiversity using the term ''neurological pluralism''.
Some authors
also credit the earlier work of autistic advocate
Jim Sinclair in laying the foundation for the movement. Sinclair's 1993 speech "Don't Mourn For Us" emphasized autism as a way of being, claiming "it is not possible to separate the person from the autism."
[Sinclair, Jim]
Don't Mourn For Us.
Autism Network International. Retrieved May 7, 2013.
The Neurodiversity Movement grew largely from online interaction. The internet's design lent well to the needs of many autistic people. People socialized over
listservs and
IRC
IRC (Internet Relay Chat) is a text-based chat system for instant messaging. IRC is designed for group communication in discussion forums, called '' channels'', but also allows one-on-one communication via private messages as well as chat ...
s. Some of the websites used for organizing in the Neurodiversity Movement's early days include sites like Autistics.Org
and Autistic People Against Neuroleptic Abuse. Core principles were developed from there. Principles such as advocating for the rights and autonomy of all people with brain disabilities with a focus on autism. The main conflicts from the beginning were about who the real experts on autism are, what causes autism, what interventions are appropriate, and who gets to call themselves autistic. During the 2000s, people started blogs such as
Mel Baggs' Ballastexistenz and Kevin Leitch's Left Brain Right Brain. Eventually,
Autistic Self Advocacy Network (ASAN) was started by
Ari Ne'eman and Scott Robertson to further align the Neurodiversity Movement with the greater
disability rights movement
The disability rights movement is a global social movement that seeks to secure equal opportunities and equal rights for all disabled people.
It is made up of organizations of disability activists, also known as disability advocates, around ...
. ASAN led the Ransom Notes Campaign to successfully remove stigmatizing disability ads posted by the NYU Child Study Center. This was a massive turning point for the Neurodiversity Movement.
From there, the Neurodiversity Movement continued to grow with the formation of more organizations in the early 2010s such as Autistic Women & Nonbinary Network and The Thinking Person's Guide to Autism. More autistic people were appointed to federal advisory boards like
Interagency Autism Coordinating Committee and
National Council on Disability. There were various campaigns like the ongoing #StopTheShock related to the use of aversive treatment at
Judge Rotenberg Center and various protests against
Autism Speaks
Autism Speaks Inc. is an American non-profit autism awareness organization and the largest autism research organization in the United States. It sponsors autism research and conducts awareness and outreach activities aimed at families, governm ...
. Various flashblogs popped up during the 2010s to support campaigns. Annual traditions were formed such as Disability Day of Mourning and Autistics Speaking Day.
Damian Milton notes that, in 2014,
Nick Walker attempted to define neurodiversity, the neurodiversity movement, and the neurodiversity paradigm. Walker tied neurodiversity to the idea that "all brains are to a degree unique". She also defined the movement as a rights movement, and the paradigm as a broader discussion of diversity, cultural constructions and social dynamics.
An important question is which neurodivergences traditionally viewed as disorders should be depathologized and exempt from attempts to remove them.
Autistic advocate Nick Walker suggested preserving "forms of innate or largely innate neurodivergence, like autism" while conditions like
epilepsy
Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
or
traumatic brain injury
A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity ranging from mild traumatic brain injury (mTBI/concussion) to severe traumati ...
could be removed from the person without fundamentally changing the person because these are not pervasively linked to the individual's personality or perception of the world.
Scientific debates, research findings, and neurodiversity-based reforms
In recent years, the concept of neurodiversity and many related findings that challenged traditional knowledge and practices in the autism field have gained traction among many members of the scientific and professional communities,
who have argued that autism researchers have sometimes been too ready to interpret differences as deficits.
It has also been suggested that there are both ethical issues and practical risks in attempting to reduce or suppress some autistic traits (e.g. some stimming behaviors that do not cause harm to self or others, focused interests) that can sometimes be adaptive or instilling neurotypical social behaviors (e.g. eye contact, body language) through interventions.
Researchers and advocates are concerned about such issues and risks as most recent studies and multiple systematic reviews have indicated that higher levels of masking, passing as neurotypical, or camouflaging are generally associated with poorer mental health outcomes including depression, clinical anxiety, and
suicidality among autistic people (including children, adolescents, and adults) and across various regions or cultures.
In addition, two reviews published in 2024 indicated some forms of repetitive behaviors can be adaptive for sensory regulation and emotional regulation of some autistic people, and masking or suppressing some autistic repetitive behaviors that can be adaptive may risk worsening mental health and well-being. One multiple-year longitudinal study found that autistic children who showed decrease in repetitive behaviors experienced more severe and worsening in mental health symptoms, whereas autistic children who showed increase in repetitive behaviors experienced less severe mental health challenges. Relatedly, qualitative studies have shown some forms of behavioral interventions increase camouflaging or masking of autistic traits (e.g. stimming) for some autistic people, with negative effects on mental health.
In addition, quantitative evidence regarding adverse effects (e.g. in terms of trauma and reinforcement of masking) of some behavioral interventions is limited but emerging.
Moreover, researchers have found that psychoeducation based on the medical model is associated with higher stigma. Another study found that endorsements of normalization and curative goals (goals of some medical models) are associated with heightened stigma. Similarly, some researchers and advocates also argue that a
medicalizing approach can contribute to
stigma and ableism, and that the persistent focus on biological research in autism based on deficit-based medical model is at odds with the priorities of those in the autism community.
The neurodiversity paradigm is controversial in autism advocacy. A prevalent criticism is that autistic people with higher support needs would continue to have challenges even if society was fully accommodating and accepting of them. Some critics of the neurodiversity paradigm, such as family members that are responsible for the care of such an autistic individual, think it might lead to overlooking or downplaying these challenges.
In response, it has been stated that neurodiversity does not deny disability and support needs
and that not having certain abilities or needing support is not intrinsically a bad thing, because notions of normal functioning are culturally and economically relative and historically contingent and there are cultures in which questions like "Will my child ever be able to live independently?" or "Who will care for my child after I die?" do not arise because support is provided by other members of the community as a matter of course.
Autistic self-advocate and researcher
Ari Ne'eman has suggested a trait-based approach, where elements of the medical (or pathology) model can be applied in treating certain traits, behaviors, or conditions that are intrinsically harmful (e.g. self-injury behaviors, epilepsy, or other co-occurring health conditions), while neurodiversity approaches can be applied to non-harmful or sometimes adaptive autistic traits (e.g. some
stimming behaviors that do not result in self-injury,
intense interests) of the same individual. Relatedly, some neurodiversity researchers, as well as autistic people, advocates and researchers, have advocated for application and sometimes integration or combination of both neurodiversity approaches and biomedical research plus practice.
In recent years, researchers, providers of various support services, and neurodivergent people have advocated for more neurodiversity-affirming interventions, with both new intervention strategies being developed and advancements or reforms of existing intervention strategies (e.g. social skills training, ABA interventions, occupational therapy) informed by experiences, strengths, interests, preferences, and feedback of autistic people as well as neurodiversity approaches and findings, with some evidence for beneficial effects
In addition, some researchers and advocates have called for more neurodiversity-affirming psychoeducation and stigma reduction methods.
Neurodiversity-lite
As the neurodiversity paradigm has gained traction in mainstream discourse, a diluted form has emerged—commonly referred to as “neurodiversity-lite”. This version retains the vocabulary of neurodiversity but strips it of its original political and disability rights roots. Instead of emphasizing systemic ableism, access barriers, or the need for structural change, neurodiversity-lite frames cognitive difference as a benign form of diversity—something novel, even fashionable.
Positives: rebranding difference
At first glance, neurodiversity-lite appears to offer an important cultural shift. It reframes conditions like
autism
Autism, also known as autism spectrum disorder (ASD), is a neurodevelopmental disorder characterized by differences or difficulties in social communication and interaction, a preference for predictability and routine, sensory processing d ...
and
ADHD
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple ...
in a more positive light, emphasizing strengths such as creativity, attention to detail, hyperfocus, or
out-of-the-box thinking. In doing so, it counters the historically deficit-based narratives that have dominated psychology and medicine. This framing can help reduce stigma, encourage self-acceptance, and support hiring initiatives that recognize neurodivergent talent.
For many, this more affirming view has opened doors—both personally and professionally.
Negatives: from movement to marketing
However, this surface-level positivity comes at a cost. Critics argue that neurodiversity-lite risks overemphasizing exceptional abilities while erasing the real-world challenges many neurodivergent individuals face—especially those with high support needs, intellectual disabilities, or non-speaking communication.
It is most visible in corporate or media narratives that promote the idea of neurodivergence as a "superpower", particularly when it serves productivity and innovation—often framing autistic individuals as ideal workers in tech and
STEM
Stem or STEM most commonly refers to:
* Plant stem, a structural axis of a vascular plant
* Stem group
* Science, technology, engineering, and mathematics
Stem or STEM can also refer to:
Language and writing
* Word stem, part of a word respon ...
fields. These narratives selectively uplift individuals who can “perform” in neurotypical environments with little to no accommodation, leaving behind those who do not fit this mold. In doing so, they reproduce existing inequities under the guise of inclusion.
Moreover, by focusing only on traits that align with institutional value—like tech aptitude or problem-solving—neurodiversity-lite enables a form of inclusion without accountability. It avoids confronting structural ableism, fails to advocate for accessibility, and silences those whose support needs challenge the productivity-first mindset of modern institutions. In short, it reduces neurodiversity from a justice-oriented framework into a branding strategy.
Neurodivergent and neurotypical/neuroconforming

According to
Kassiane Asasumasu, who coined the terms in the year 2000, neurodivergent/neurodivergence refers to those "whose neurocognitive functioning diverges from dominant societal norms in multiple ways".
She emphasized that it should not be used to exclude people but rather to include them and therefore intended for these terms to apply to a broad variety of people,
not just people with neurodevelopmental differences, such as autism,
attention-deficit hyperactivity disorder, and
dyslexia
Dyslexia (), previously known as word blindness, is a learning disability that affects either reading or writing. Different people are affected to different degrees. Problems may include difficulties in spelling words, reading quickly, wri ...
. It is also used as an umbrella term to describe people with atypical
mental and
behavioral
Behavior (American English) or behaviour (British English) is the range of actions of individuals, organisms, systems or artificial entities in some environment. These systems can include other systems or organisms as well as the inanimate p ...
traits, such as
mood,
personality
Personality is any person's collection of interrelated behavioral, cognitive, and emotional patterns that comprise a person’s unique adjustment to life. These interrelated patterns are relatively stable, but can change over long time per ...
, and
eating disorder
An eating disorder is a mental disorder defined by abnormal eating behaviors that adversely affect a person's health, physical or mental health, mental health. These behaviors may include eating too much food or too little food. Types of eatin ...
s. However, people with non-cognitive neurological conditions, such as
cerebral palsy
Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, spasticity, stiff muscles, Paresis, weak muscles, and tremors. There may b ...
,
Parkinson's disease
Parkinson's disease (PD), or simply Parkinson's, is a neurodegenerative disease primarily of the central nervous system, affecting both motor system, motor and non-motor systems. Symptoms typically develop gradually and non-motor issues become ...
, and
multiple sclerosis
Multiple sclerosis (MS) is an autoimmune disease resulting in damage to myelinthe insulating covers of nerve cellsin the brain and spinal cord. As a demyelinating disease, MS disrupts the nervous system's ability to Action potential, transmit ...
, are normally excluded.
Under the neurodiversity framework, these differences are often referred to as "neurodivergences", in an effort to move away from the
medical model of disability
The medical model of disability, or medical model, is based in a biomedical perception of disability. This model links a disability diagnosis to an individual's physical body. The model supposes that a disability may reduce the individual's qu ...
(sometimes referred to in the neurodiversity community as the "pathology paradigm"). This term provided activists a way to advocate for increased rights and accessibility for non-autistic people who do not have a neurocognitive functioning that is considered typical.
Neurotypical (an abbreviation of neurologically typical, sometimes NT) is a
neologism
In linguistics, a neologism (; also known as a coinage) is any newly formed word, term, or phrase that has achieved popular or institutional recognition and is becoming accepted into mainstream language. Most definitively, a word can be considered ...
widely used in the neurodiversity movement as a label for anyone who has a neurotype that fits into the norm of thinking patterns. Thus, the term "neurotypical" includes anyone who is not
autistic
Autism, also known as autism spectrum disorder (ASD), is a neurodevelopmental disorder characterized by differences or difficulties in social communication and interaction, a preference for predictability and routine, sensory processing di ...
, and does not have
ADHD
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple ...
,
dyslexia
Dyslexia (), previously known as word blindness, is a learning disability that affects either reading or writing. Different people are affected to different degrees. Problems may include difficulties in spelling words, reading quickly, wri ...
, anxiety, or any other difference that would be considered neurodivergent.
The term has been adopted by both the neurodiversity movement and some members of the scientific community.
Neuroscience writer Mo Costandi views terms like "neurotypical" as not being of use in neuroscience, while others, including
Uta Frith and
Francesca Happé, use the term freely. Ginny Russell mentions that there is no clear bimodal distribution separating autistic and non-autistic people because many non-autistic people have some autistic traits.
Another criticism, that "neurotypical" was a dubious construct because there is nobody who could be considered truly neurotypical,
has been said by Nick Walker to reflect a misunderstanding of the term because it is meant to describe those who can adapt to society's norms without much effort, not to imply that all neurotypical people's brains are the same.
Early definitions described neurotypicals as individuals who are not autistic. Early uses of NT were often satirical, as in the Institute for the Study of the Neurologically Typical,
but it has been adopted by the neurodiversity movement too, and is now used in a serious manner.
In contrast to some of the shortcomings of terms like "neurotypical" (such as its underlying assumption that neurodivergent experiences are an anomaly, ''i.e.'' not typical), a growing group of advocates in the neurodivergent movement prefer other terms such as "neuroconforming". The term "allistic" is also used, meaning "not autistic".
Double empathy theory

The theory of the double empathy problem argues that autistic people do not inherently lack empathy as often supposed by people who see autism as pathological, but most autistic people may struggle in understanding and empathizing with non-autistic people whereas most non-autistic people also lack understanding and empathy for autistic people. It was originally conceived in 2012 by autistic scholar
Damian Milton. The theory argues that characteristics and experiences of autistic and non-autistic people are so different that it is hard for one to understand how the other thinks and empathize with each other; for example, non-autistic people may not understand when an autistic person is overwhelmed.
An increasing number of studies in the 2010s and 2020s found support for double empathy theory and related concepts such as bidirectional social interaction.
One study comparing the conversations and socialization of autistic groups, non-autistic groups, and mixed groups found that autistic people were more able to build rapport with other autistic people than with non-autistic people, and at a level similar to the purely non-autistic group. A systematic review published in 2024 found that most autistic people have good interpersonal relations and social-communication experiences with most autistic people, and interactions between autistic people are associated with better quality of life across multiple domains, including mental health and emotional well-being.
The double empathy problem theory implies there is no simple fix that can help each group better empathize with each other, but it is worthwhile to bridge the double empathy gap through more equal contact and enhancing public understanding and empathy about autistic people based on neurodiversity-affirming approaches.
The advantage of the theory is reducing pathologization of autistic people by identifying that most people struggle to empathize with people with different neurotypes. It can also help neurotypical individuals to better understand how neurodivergent people think and empathize and to recognize their own limitations in empathizing with autistic people.
Jaswal and Akhtar (2019) highlight the difference between ''being'' socially uninterested and ''appearing'' socially uninterested, and challenge preconceived notions of a lack of social motivation. For example, testimonies from autistic individuals report that avoiding eye contact serves an important function of helping them to concentrate during conversation, and should not be interpreted as expressing social disinterest.
Within disability rights movements
The neurodiversity paradigm was developed and embraced first by
autistic people,
but has been applied to other conditions such as
attention deficit hyperactivity disorder
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple con ...
(ADHD),
developmental speech disorders,
dyslexia
Dyslexia (), previously known as word blindness, is a learning disability that affects either reading or writing. Different people are affected to different degrees. Problems may include difficulties in spelling words, reading quickly, wri ...
,
dysgraphia
Dysgraphia is a neurological disorder and learning disability that concerns impairments in written expression, which affects the ability to write, primarily handwriting, but also coherence. It is a specific learning disability (SLD) as well as a ...
,
dyspraxia,
dyscalculia
Dyscalculia () is a learning disability resulting in difficulty learning or comprehending arithmetic, such as difficulty in understanding numbers, numeracy, learning how to manipulate numbers, performing mathematical calculations, and learning f ...
,
dysnomia,
intellectual disability
Intellectual disability (ID), also known as general learning disability (in the United Kingdom), and formerly mental retardation (in the United States), Rosa's Law, Pub. L. 111-256124 Stat. 2643(2010).Archive is a generalized neurodevelopmental ...
,
obsessive–compulsive disorder
Obsessive–compulsive disorder (OCD) is a mental disorder in which an individual has intrusive thoughts (an ''obsession'') and feels the need to perform certain routines (''Compulsive behavior, compulsions'') repeatedly to relieve the dis ...
(OCD),
Tourette syndrome
Tourette syndrome (TS), or simply Tourette's, is a common neurodevelopmental disorder that begins in childhood or adolescence. It is characterized by multiple movement (motor) tics and at least one vocal (phonic) tic. Common tics are blinkin ...
,
and sometimes mental illnesses such as
schizophrenia
Schizophrenia () is a mental disorder characterized variously by hallucinations (typically, Auditory hallucination#Schizophrenia, hearing voices), delusions, thought disorder, disorganized thinking and behavior, and Reduced affect display, f ...
,
bipolar disorder
Bipolar disorder (BD), previously known as manic depression, is a mental disorder characterized by periods of Depression (mood), depression and periods of abnormally elevated Mood (psychology), mood that each last from days to weeks, and in ...
,
schizoaffective disorder, and, somewhat more controversially, personality disorders such as
antisocial personality disorder
Antisocial personality disorder (ASPD) is a personality disorder defined by a chronic pattern of behavior that disregards the rights and well-being of others. People with ASPD often exhibit behavior that conflicts with social norms, leading to ...
. Neurodiversity advocates and organizations like the
Autistic Self Advocacy Network (ASAN) do not agree with using medical interventions as a way to remove neurodevelopmental differences that are fundamentally linked to the personality and perception of the world, such as autism.
Rather, they promote support systems such as inclusion-focused services, accommodations, communication and assistive technologies, occupational training, and independent living support.
The intention is for individuals to receive support that honors human
diversity
Diversity, diversify, or diverse may refer to:
Business
*Diversity (business), the inclusion of people of different identities (ethnicity, gender, age) in the workforce
*Diversity marketing, marketing communication targeting diverse customers
* ...
and feel that they are able to freely express themselves. Other forms of interventions may cause them to feel as though they are being coerced or forced to adapt to
social norm
A social norm is a shared standard of acceptance, acceptable behavior by a group. Social norms can both be informal understandings that govern the behavior of members of a society, as well as be codified into wikt:rule, rules and laws. Social norma ...
s, or to conform to a behavioral standard or clinical ideal.
Proponents of neurodiversity strive to reconceptualize autism and related conditions in society by acknowledging that neurodivergence is not something that needs to be cured and that the idea of curing it makes no conceptual sense because differences like autism are so pervasive that removing the autistic parts of the person is tantamount to replacing the autistic person by a different person.
An important aim is also changing the language from the current "condition, disease, disorder, or illness"-based nomenclature, "broadening the understanding of healthy or independent living", acknowledging new types of autonomy, and giving neurodivergent individuals more control over their interventions, including the type, timing, and whether there should be interventions at all.
Activists such as
Jennifer White-Johnson have helped bring attention to the neurodiversity movement, by creating symbols of protest and recognition, including a combination of the
black power fist and
infinity symbol
The infinity symbol () is a mathematical symbol representing the concept of infinity. This symbol is also called a ''lemniscate'', after the lemniscate curves of a similar shape studied in algebraic geometry, or "lazy eight", in the terminolo ...
.
A 2009 study
separated 27 students with conditions including autism, dyslexia, developmental coordination disorder, ADHD, and having suffered a stroke into two categories of self-view: "A 'difference' view—where neurodiversity was seen as a difference incorporating a set of strengths and weaknesses, or a 'medical/deficit' view—where neurodiversity was seen as a disadvantageous medical condition". They found that, although all of the students reported uniformly difficult schooling careers involving exclusion, abuse, and bullying, those who viewed themselves from the "difference" view (41% of the study cohort) "indicated higher academic self-esteem and confidence in their abilities and many (73%) expressed considerable career ambitions with positive and clear goals".
Many of these students reported gaining this view of themselves through contact with neurodiversity advocates in online support groups.
A 2013 online survey which aimed to assess conceptions of autism and neurodiversity suggested that conception of autism as a difference, and not a deficit, is developmentally beneficial and "transcend
a
false dichotomy
A false dilemma, also referred to as false dichotomy or false binary, is an informal fallacy based on a premise that erroneously limits what options are available. The source of the fallacy lies not in an invalid form of inference but in a false ...
between celebrating differences and ameliorating deficit".
Neurodiversity advocate
John Elder Robison argues that the disabilities and strengths conferred by neurological differences may be mutually inseparable. "When 99 neurologically identical people fail to solve a problem, it's often the 1% fellow who's different who holds the key. Yet that person may be disabled or disadvantaged most or all of the time. To neurodiversity proponents, people are disabled because they are at the edges of the bell curve, not because they are sick or broken."
Higher education
There are several models that are used to understand disability. There is the
medical model of disability
The medical model of disability, or medical model, is based in a biomedical perception of disability. This model links a disability diagnosis to an individual's physical body. The model supposes that a disability may reduce the individual's qu ...
that views people as needing to be treated or cured.
Another model is the
social model of disability
The social model of disability identifies systemic barriers, derogatory attitudes, and social exclusion (intentional or inadvertent), which make it difficult or impossible for disabled people to attain their valued functionings. The social mod ...
, which puts emphasis on the way that society treats people with disabilities.
Through the social model of disability, the experiences of neurodivergent students in higher education are partially influenced by the reactions and attitudes of other students and the institution itself.
Experiences of neurodivergent students
The emotional experiences of neurodivergent students in higher education depend on a combination of factors, including the type of disability, the level of support needs, and the student's access to resources and accommodations.
A common difficulty for neurodivergent students is maintaining social relationships, which can give rise to
loneliness
Loneliness is an unpleasant emotional response to perceived or actual isolation. Loneliness is also described as social paina psychological mechanism that motivates individuals to seek social connections. It is often associated with a perc ...
,
anxiety
Anxiety is an emotion characterised by an unpleasant state of inner wikt:turmoil, turmoil and includes feelings of dread over Anticipation, anticipated events. Anxiety is different from fear in that fear is defined as the emotional response ...
, and
depression.
There is also the added stress and difficulty of transitioning into higher education, as well as the responsibilities and task management required in college.
Many neurodivergent students may find that they need added support.
As for academics, neurodivergent students may experience difficulties in learning,
executive function
In cognitive science and neuropsychology, executive functions (collectively referred to as executive function and cognitive control) are a set of cognitive processes that support goal-directed behavior, by regulating thoughts and actions thro ...
, managing peer relationships in the classroom or in group work, and other difficulties that can affect academic performance and success in higher education.
However, neurodivergent students may find that their differences are a strength and an integral part of their new social roles as adults.
Higher education institutions
The typical curriculum and format of higher education may pose as a challenge for neurodivergent students, and a lack of support and flexibility from staff may further complicate the university experience.
Thus, reasonable adjustments are available to students who disclose their disabilities.
However, these adjustments or accommodations may put an emphasis on academics, and less on the various challenges of higher education on neurodivergent students.
For instance, neurodivergent students in higher education also report a need for non-academic supports, such as social mentorships and resources for strength-based interventions in order to further assist neurodivergent students in the social aspects of college life.
Similarly, career preparation that is specifically targeted for neurodivergent students is lacking. There are several programs, such as
supported employment, that exist to help assist neurodivergent individuals in finding and obtaining a job. However, many of these programs do not exist in schools. This can make it difficult for neurodivergent students to find a career path that they feel is attainable for them.
Another consideration is the implementation of a universal design approach (UDL) when building learning spaces or communal areas that considers the needs of neurodivergent students. A UDL design incorporates a design that accommodates the needs of all students, including the neurodivergent population.
According to an article published in 2023, universities and post-secondary establishments would show more tolerance towards neurodivergent people. A tolerant environment can increase autonomy, leading to kindness and understanding among students.
Higher education institutions offer counseling and support services to students. However, neurodivergent students face particular challenges that impair their ability to receive consistent support and care. Additionally, counseling and support services face a lack of funding, personnel, and specialists that can adequately support neurodivergent students. Overall, these services work for some students and not for others.
Nachman and colleagues reviewed several articles published by two-year community colleges and found some discrepancies in the way that they perceived and categorized "disabled" students and "non-disabled" students. They found that all of the articles were attempting to normalize disability. Many of them put a distinct separation between typical and atypical learners as well as their potential academic achievement. Nachman also found that many of the articles showed a lack of autonomy for neurodivergent students. They had little power in regard to academic choices and classroom management.
In the workplace
Neurodivergent individuals are subjected to bias when applying and interviewing for job positions.
Specifically, neurodivergent individuals can have their social engagement style compared to neurotypical individuals, which can affect their ability to obtain a job position.
Stigmas against neurodivergence (especially against autistic individuals) and cognition challenges in social situations can hinder an individual's ability to perform well in a traditional job interview. Organizations such as
Specialisterne aim to use neurodivergent employees' particular skills – such as
pattern recognition
Pattern recognition is the task of assigning a class to an observation based on patterns extracted from data. While similar, pattern recognition (PR) is not to be confused with pattern machines (PM) which may possess PR capabilities but their p ...
, detection of deviations, attention to detail,
analytical thinking, and extended focus – in the workforce, as well as educate companies on supporting neurodivergent employees.
In a
systematic review
A systematic review is a scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from published studies on ...
that considered developmental
dyslexia
Dyslexia (), previously known as word blindness, is a learning disability that affects either reading or writing. Different people are affected to different degrees. Problems may include difficulties in spelling words, reading quickly, wri ...
as "an expression of neurodiversity", it was suggested that neurodiversity is not yet an established concept in the workplace, and therefore, support from social relationships and work accommodations is minimal. Furthermore, another systematic review that focused on
pharmacological
Pharmacology is the science of drugs and medications, including a substance's origin, composition, pharmacokinetics, pharmacodynamics, therapeutic use, and toxicology. More specifically, it is the study of the interactions that occur between ...
and combined pharmacological/
psychosocial interventions for adults with
attention deficit hyperactivity disorder
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple con ...
found that there were few workplace-based intervention studies, and suggested that additional research needs to be conducted to figure out how to best support neurodivergent employees in the workplace.
A study conducted during the
COVID-19 pandemic
The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
suggested that neurodivergent individuals would benefit from
remote work
Remote work (also called telecommuting, telework, work from or at home, WFH as an initialism, hybrid work, and other terms) is the practice of work (human activity), working at or from one's home or Third place, another space rather than from ...
as it allowed them to engage in their interests, but that social engagement is still necessary for productivity and performance.
Another study supported these findings and stressed the need for redesigned work and social conditions to be more inclusive for autistic individuals.
In social media
The increase in representation of the neurodiversity movement in the media came about with changes in the technology of the media platforms themselves.
The recent addition of text-based options on various social media sites allows disabled users to communicate, enjoy, and share at a more accessible rate.
Social media
Social media are interactive technologies that facilitate the Content creation, creation, information exchange, sharing and news aggregator, aggregation of Content (media), content (such as ideas, interests, and other forms of expression) amongs ...
has a two-fold benefit to the neurodivergent community: it can help spread awareness and pioneer the neurodiversity movement, and it can also allow members of the communities themselves to connect.
Social media as a platform
Media platforms allow the connection of individuals of similar backgrounds to find a community of support with one another.
Online networking and connections enable users to determine their comfort level in interactions, giving them control over their relationships with others. For the neurodivergent community, social media has proven to be a valuable tool for forming relationships, especially for those who find social situations challenging.
By connecting neurodivergent users, media platforms provide "
safe spaces" that are helpful in forming relationships.
Some media developers have created platforms like Blossom that are designed specifically to connect neurodivergent users and families.
Social media as a driving force
Social media also allows users to spread awareness about the
neurodiversity movement.
Increasing awareness about mental conditions has been shown to increase the amount of factual information spread.
The spread of information through social media exposure can assist the neurodiversity movement in educating the public about understanding disabilities such as autism and sifting out misinformation.
By sharing neurodivergent experiences from a first-hand perspective, social media can educate the public and destigmatize certain conditions. Still, negative portrayals of neurodivergence can have an obstructive impact on members of the community.
Higher awareness and acceptance through social media can lead people to self-identify as neurodivergent.
Generally, self-diagnosis is discouraged in psychiatry because it is thought to be wrong more often than a professional assessment and because it is said that it trivializes challenges by turning them into fashion labels.
Robert Chapman, in contrast, questions the reliability of professional autism assessments as they often overlook the experiences of individuals who are not white cisgender male children and states that self-identification is not done for fashion purposes but because it helps understanding one's strengths and challenges. Sue Fletcher-Watson argues that because autism should not be classified as a disorder and no treatment should follow a diagnosis, autistic individuals should have the autonomy to self-identify as autistic, liberating them from the power of medical professionals in defining autism and determining who belongs to the autistic community. A group of researchers created a preliminary self-report questionnaire for autistic people.
Challenges within media
Although representation of the neurodivergent community has grown with the help of social media platforms, those users are often criticized and misunderstood.
Social media has not entirely removed the social barriers that restrict inclusion of neurodivergent people. Some have reported needing to conform to the mainstream view of their disability to be seen as "authentic" users.
Doing so has indirectly made it more difficult for neurodivergent users to grow platforms.
Non-disabled users assessing the authenticity of neurodivergent individuals based on stereotypes indicates that the neurodiversity movement has not achieved its goal of inclusion.
Clinical setting
Medicine and healthcare
Medical and healthcare professionals have begun to acknowledge neurodivergence among employees.
Specifically, more groups are being created that are centered around advocacy and peer support among medical and healthcare professionals who associate themselves with neurodiversity, such as the Autistic Doctors International created by Dr. Mary Doherty.
Another approach is the implementation of a 5-minute video summary (5MVS) for medical learners and physicians who have
attention deficit hyperactivity disorder
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple con ...
(ADHD).
It consists of a 5-minute recorded video summary in which an engaging speaker presents the relevant information from a scientific article about ADHD using a brief
PowerPoint presentation shared using videoconferencing technology. The researchers state that providing this educational tool for helping medical learners and physicians with ADHD acquire relevant information from scientific articles could help in addressing their inattention, impulsivity or hyperactivity, and improve their development of critical appraisal skills when working in healthcare.
Similarly, healthcare systems may benefit from hiring neurodivergent individuals to gain a unique perspective when caring for patients.
Some healthcare staff agree that inviting neurodivergent individuals to join patient advisory groups or hiring them as staff are essential steps to acceptance and integration in the workforce. Neurodivergent people's unique strengths can be vital to health system innovation and improvement efforts.
One example of the push toward this is the Stanford Neurodiversity Project, in which one of their goals is to discover the strengths of neurodivergent individuals and make use of their talents to increase innovation and productivity of their society, such as working in the field of healthcare and medicine.
Neurodiversity has also recently been investigated as a new way of working within neurodevelopmental clinics in the UK.
A team of researchers in Portsmouth, England, have created an approach in aiding neurodivergent individuals known as PANDA, or the Portsmouth Alliance Neurodiversity Approach. This approach may help medical and healthcare professionals facilitate understanding, communication and early support for children who may identify as being neurodivergent.
Therapy
Neurodiversity and the role it plays in therapeutic settings has been a central focal point in recent years. Many therapists and mental health professionals have pushed for more inclusive psychotherapeutic frameworks appropriate for neurodivergent individuals.
One example is neurodivergence-informed therapy, which reframes dysfunction as interconnectedness among society rather than strictly individual, advocating for acceptance and pride in the neurodiversity community, and the push for therapists to pursue
humility
Humility is the quality of being humble. The Oxford Dictionary, in its 1998 edition, describes humility as a low self-regard and sense of unworthiness. However, humility involves having an accurate opinion of oneself and expressing oneself mode ...
regarding the knowledge and education associated with individuals who identify as neurodivergent.
Similarly, neurodiversity affirming therapy supports neurodivergent differences, rather than viewing them as something that should be eliminated, and to offer ways to support the individual with difficult areas, while still appreciating their needs and strengths.
Therapeutic programs and interventions are also being investigated for the neurodivergent community.
Self-determination
Self-determination refers to a people's right to form its own political entity, and internal self-determination is the right to representative government with full suffrage.
Self-determination is a cardinal principle in modern international la ...
programs to help neurodivergent individuals achieve goals in their life have been found to be successful, with neurodivergent participants finding it to be "appropriate, acceptable, and feasible".
Various approaches (e.g., eye-tracking, longitudinal data, computational modeling) in understanding perceptual decision-making in neurodivergent individuals are also being studied and the implications it may have in the therapeutic environment in working with the neurodivergent population.
Another form of therapeutic intervention in that has been investigated in neurodivergent individuals is the use of Naturalistic Developmental Behavioral Interventions (NDBIs).
NDBIs have been shown to have positive effects on language and social-communication while, at the same time, respecting individuals' needs and autonomy. One of the key goals in this type of intervention is putting the focus of therapy on the neurodivergent individual themselves in the creation of intervention goals, procedures, and outcomes. In doing so, they are likely to be seen as more acceptable, useful, and effective to that individual.
In addition to support from neurodiversity advocates for affirming therapies, concerns have been raised about the role of certain approaches such as
applied behavior analysis
Applied behavior analysis (ABA), also referred to as behavioral engineering, is a behavior modification system based on the principles of respondent and operant conditioning. ABA is the applied form of behavior analysis; the other two are: ...
. Neurodivergent individuals and activists tend to emphasize that these interventions aim to enforce conformity with expectations of society rather than addressing the needs of the person receiving the intervention.
While a large body of research on the role of ABA seems to support its efficacy in cognitive and behavioral outcomes, a meta-analysis by Sandbank et al. challenges the evidence. Additionally, there are concerns regarding long-term mental health impacts and with the measures used in determining social validity by those who have raised these concerns. In addition to advocates from within the neurodivergent community, some behavioral analysts have begun to reconsider the role of these therapies with the context of a neurodiversity framework.
See also
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Autistic Pride Day
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Mad pride
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Neuroinclusive design
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Psychiatric survivors movement
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Neuroqueer theory
References
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Further reading
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External links
{{Authority control
Disability pride
Mental health
Disability rights
Sociological terminology
1998 neologisms