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Autistic People's Experience of Empathy and the Autistic Empathy Deficit Narrative 自闭症患者共情体验与自闭症共情缺失叙事
Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2023-09-11 DOI: 10.1089/aut.2023.0001
Lesley Kimber, Diarmuid Verrier, Stephen Connolly
Background: There is a dominant discourse, both in clinical texts and throughout the academic literature, that autistic people lack empathy; however, over the past decade, both clinicians and academics have increasingly rejected deficit-based descriptions of autism in favor of more nuanced explanations of the experience of autistic individuals in a social world. Methods: This study asked 76 autistic individuals about their own experience of empathy and the oft-cited empathy deficit. Data were thematically analyzed and revealed a wide array of empathic self-concepts among respondents. Results: Notably, there was a high proportion of hyper-empathic experiences. Many respondents reported their empathic responses to be overwhelming, or even distressing. These different experiences of empathy contrast with societal expectations of empathy, which often result in additional labor for autistic people as they navigate the non-autistic centered world. Conclusion: Although the academic literature is, in some areas, slowly moving away from a deficit perspective, more broadly there is still a negative impact from misconceptions around autistic people and empathy. Further work needs to be done to not only explore this misconception at a societal (rather than academic) level, but also better bridge the gap around the changing ideas of empathy and real-world understanding of autistic empathy. There is a stereotype that autistic people lack empathy, which can potentially lead to negative perceptions and biased behaviors. This stereotype has roots in earlier academic literature around autism. However, although this literature has become more nuanced over time, the stereotype persists among the general population. This study directly asked autistic people about their own experience of empathy and of the empathy deficit narrative to provide a richer description than is afforded by traditional studies that typically use questionnaire measures. We asked a diverse group of 76 autistic adults to tell us how they experience empathy and what their views were of the autistic empathy deficit narrative via an online survey. These data were then analyzed, and themes created, using qualitative content analysis. The first theme, heterogeneity of empathic experiences, captured the diverse ways in which autistic people experience empathy. Some did report a lack of empathy, whereas others did not, and some reported experiencing extreme emotional responses (hyper-empathy). The second theme, empathy as an effortful process, captured some of the challenges experienced during the empathy process and the strategies used to overcome these. The third theme, conditional empathy, captured the features of others that made it more or less likely that empathy would be experienced. Some participants found it easier to empathize with close others, animals, and other autistic people. The fourth theme, challenging the empathy deficit narrative, captured participants' perspectives on the empathy d
背景:在临床文献和整个学术文献中,有一种主流话语认为自闭症患者缺乏同理心;然而,在过去的十年里,临床医生和学术界越来越多地拒绝以缺陷为基础的自闭症描述,而倾向于对自闭症患者在社会中的经历进行更细致入微的解释。方法:本研究询问了76名自闭症患者的共情经历和常被提及的共情缺陷。对数据进行了主题分析,揭示了受访者中广泛的共情自我概念。结果:值得注意的是,高共情体验的比例很高。许多受访者表示,他们的移情反应是压倒性的,甚至是痛苦的。这些不同的共情体验与社会对共情的期望形成对比,这往往导致自闭症患者在非自闭症中心的世界中导航时需要额外的劳动。结论:虽然在某些领域,学术文献正在慢慢地从缺陷的角度出发,但更广泛地说,对自闭症患者和同理心的误解仍然会产生负面影响。进一步的工作不仅需要在社会(而不是学术)层面探索这种误解,还需要更好地弥合共鸣观念的变化和现实世界对自闭症共鸣的理解之间的差距。有一种刻板印象认为自闭症患者缺乏同理心,这可能会导致消极的看法和偏见的行为。这种刻板印象源于早期关于自闭症的学术文献。然而,尽管随着时间的推移,这些文献变得更加细致入微,但这种刻板印象在普通人群中仍然存在。这项研究直接询问了自闭症患者关于他们自己的同理心经历和同理心缺失的叙述,提供了比传统研究更丰富的描述,这些研究通常使用问卷调查的方法。我们通过一项在线调查询问了76名不同类型的自闭症成年人,让他们告诉我们他们是如何体验共情的,以及他们对自闭症共情缺陷叙事的看法。然后对这些数据进行分析,并使用定性内容分析创建主题。第一个主题,共情体验的异质性,抓住了自闭症患者体验共情的不同方式。有些人确实报告缺乏同理心,而另一些人则没有,有些人报告经历了极端的情绪反应(超同理心)。第二个主题,同理心作为一个努力的过程,捕捉了在同理心过程中遇到的一些挑战以及克服这些挑战的策略。第三个主题是条件共情,它捕捉到他人的特征,这些特征或多或少会让人产生共情。一些参与者发现,与亲近的人、动物和其他自闭症患者产生共鸣更容易。第四个主题,挑战共情缺失叙事,捕捉了参与者对共情缺失叙事的观点,从坚定的同意到坚定的不同意,以及这种叙事带来的伤害感知,如人际偏见或不良的临床实践。先前使用自我报告测量的定量研究发现,自闭症患者和非自闭症患者在共情方面存在各种差异。这项研究为这些发现增加了质的细微差别;描述了自闭症患者不同的共情生活经历,特别是与超共情经历有关;并阐明了自闭症患者对基于同理心缺失叙事的有害刻板印象的抵制。由于我们的招募方法,参与者样本只包括那些活跃的在线自闭症社区。因此,这里的研究结果可能在多大程度上反映了广泛的经验方面是有限的。此外,尽管在线调查允许从相对较多的人那里收集数据进行定性研究,但这也意味着,与更典型的定性数据收集方法不同,不可能要求参与者详细阐述或澄清他们的观点。我们希望这项研究能够强调对自闭症患者共情体验给予更多关注的必要性。这些问题的清晰表达可能有助于自闭症患者反思自己的经历,并感到“被看到”。同时,需要在社会一级进行教育,以提高对这些问题的认识,减少非自闭症人群中的非人化、陈规定型和偏见。
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引用次数: 0
Rosalind Franklin Society Proudly Announces the 2022 Award Recipient for Autism in Adulthood 罗莎琳德·富兰克林学会自豪地宣布2022年成人自闭症奖获得者
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2023-07-24 DOI: 10.1089/aut.2023.29024.rfs2022
A. Pearson
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引用次数: 0
Correction to: Sleep Quality in Autism from Adolescence to Old Age by Jovevska S, et al. Autism Adulthood 2020;2(2):152–162; DOI: 10.1089/aut.2019.0034 由Jovevska S, et al.更正:青春期到老年自闭症的睡眠质量。自闭症成人2020;2(2):152-162;DOI: 10.1089 / aut.2019.0034
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2020-12-01 DOI: 10.1089/aut.2019.0034.correx
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引用次数: 0
First-Year Progression and Retention of Autistic Students in Higher Education: A Propensity Score-Weighted Population Study 高等教育中自闭症学生第一年的进步和保留:一项倾向得分加权人群研究
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2020-06-01 DOI: 10.1089/aut.2019.0053
T. Bakker, L. Krabbendam, S. Bhulai, S. Begeer
Background: Autistic individuals' enrollment in universities is increasing, but we know little about their study progress over time. Many of them have poor degree completion in comparison to studen...
背景:自闭症患者进入大学的人数正在增加,但我们对他们的学习进展知之甚少。与学生相比,他们中的许多人的学位完成率很低。
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引用次数: 10
Call for Papers: Autism in Adulthood 征文:成年期的自闭症
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2020-06-01 DOI: 10.1089/aut.2020.29010.cfp
C. Nicolaidis
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引用次数: 0
Residential Care for Older Autistic Adults: Insights from Three Multiexpert Summits 老年自闭症成年人的居家护理:来自三个多专家总结的见解
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2020-01-24 DOI: 10.1089/aut.2019.0080
Catherine J. Crompton, Cos Michael, Michael Dawson, S. Fletcher‐Watson
As autistic people get older, they may suffer increasingly with poor health and as a result may transition to residential care. Very little is known about the support needs of older autistic adults...
随着自闭症患者年龄的增长,他们的健康状况可能会越来越差,因此可能会过渡到住院治疗。对老年自闭症成年人的支持需求知之甚少。。。
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引用次数: 8
Workshop Report: Establishing Priority Research Areas to Improve the Physical Health and Well-Being of Autistic Adults and Older People 研讨会报告:建立优先研究领域以改善自闭症成年人和老年人的身体健康和福祉
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2019-03-11 DOI: 10.1089/AUT.2018.0003
Georgina Warner, Jeremy R. Parr, James Cusack
Abstract Many serious medical conditions are more common in autistic adults than the general population. Yet, improving the physical health and well-being of autistic adults has not been a significant research focus to date. In collaboration with Newcastle University (the United Kingdom), Autistica (the United Kingdom's autism research charity) hosted a workshop bringing together autistic people, relatives, clinicians, managers, clinical commissioners, international researchers, and funders to establish priority research areas and catalyze research to improve the physical health and well-being of autistic people. This article provides an overview of the design and methods used at the workshop to maximize collaborative working, and summarizes the 11 priority research concepts that emerged.
许多严重的疾病在自闭症成年人中比在一般人群中更常见。然而,迄今为止,改善自闭症成年人的身体健康和福祉还不是一个重要的研究重点。自闭症协会(英国自闭症研究慈善机构)与纽卡斯尔大学(英国)合作,举办了一次研讨会,汇集了自闭症患者、亲属、临床医生、管理人员、临床专员、国际研究人员和资助者,以确定优先研究领域并促进研究,以改善自闭症患者的身体健康和福祉。本文概述了研讨会上使用的设计和方法,以最大化协同工作,并总结了出现的11个优先研究概念。
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引用次数: 32
Emerging Adulthood and ASD 新成年期和ASD
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2019-01-01 DOI: 10.1007/978-3-030-28833-4_1
Inbal Vortman-Shoham, S. Kenny
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引用次数: 0
Late Diagnosis of Autism Spectrum Disorder 自闭症谱系障碍的晚期诊断
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2019-01-01 DOI: 10.1007/978-3-030-28833-4_3
T. Epstein
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引用次数: 3
Feelings of Parents with Broader Autism Phenotype Towards Their Autistic Child 自闭症表型较广的父母对自闭症儿童的感受
IF 6.8 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2019-01-01 DOI: 10.1007/978-3-030-28833-4_12
Gal Goltzer, Shiri Pearlman-Avnion
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引用次数: 0
期刊
Autism in Adulthood
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