评论:所有人的光谱?对Green等人(2023),神经多样性,自闭症和医疗保健的回应

IF 6.8 3区 医学 Q1 PEDIATRICS Child and Adolescent Mental Health Pub Date : 2023-07-11 DOI:10.1111/camh.12666
Andrew Whitehouse
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引用次数: 1

摘要

随着时间的推移,自闭症临床定义的扩大——即所谓的自闭症谱系——与神经多样性运动的发展并行,神经多样性运动已经完全重新定义了自闭症的概念。如果没有一个连贯的、以证据为基础的框架来支撑这两种进步,该领域就有可能完全失去定义。在他的评论中,格林描述了这样一个框架,它具有吸引力,因为它以基础和临床证据为基础,并且能够指导用户通过其在卫生保健中的实际应用。无穷无尽的谱系给自闭症儿童的人权创造了障碍,但否认神经多样性原则也会产生同样的效果。格林的框架在连贯地表达这种情绪方面大有希望。对该框架的真正考验是在其实施过程中,所有社区都应该共同走过这条道路。
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Commentary: A spectrum for all? A response to Green et al. (2023), neurodiversity, autism and health care

The broadening of the clinical definition of autism over time—the so-called, autism spectrum—has run in parallel with the growth of a neurodiversity movement that has reframed the concept of autism entirely. Without a coherent and evidence-based framework through which both of these advances can be situated, the field is at risk of losing definition altogether. In his commentary, Green describes such a framework, which has appeal because of its grounding in basic and clinical evidence, and its ability to guide its users through its real-world application in health care. An endless spectrum creates barriers to autistic children having their human rights met, but a denial of neurodiversity principles has the same effect. Green's framework holds great promise in coherently framing this sentiment. The real test of the framework is in its implementation, and all communities should walk that path together.

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来源期刊
Child and Adolescent Mental Health
Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY
CiteScore
8.30
自引率
3.30%
发文量
77
审稿时长
>12 weeks
期刊介绍: Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
期刊最新文献
Issue Information Editorial: Advancing equity, diversity and inclusion through culturally sensitive collaboration and training Clinical research updates Debate: Bridging the gap – role of nonspecialists in child and adolescent mental health care Debate: How much should nonspecialists be involved in mental health care for children and young people when resources are limited? Working with police forces to improve mental health crisis care for young people
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