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Autistic Intelligence: Interaction, Individuality, and the Challenges of Diagnosis

by Douglas W. Maynard

A close look at how autism diagnosis takes shape in practice

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Awards & Recognition

  • Award recognition

    Winner of the 2024 Outstanding Recent Contribution in Social Psychology Award

    2024 Outstanding Recent Contribution in Social Psychology Award

AlbakiReads Editorial

A close look at how autism diagnosis takes shape in practice

Douglas W. Maynard examines autism diagnosis as an interactional process rather than a fixed label applied in isolation. Drawing on video recordings and ethnographic observation from a clinic assessing children, the book traces how clinicians, parents, children, diagnostic tools, and the clinical setting all participate in making sense of behavior. It questions the norms used to judge autistic behavior and considers how actions deemed disordered may also be understood as sensible and individual. The emphasis falls on the everyday practices behind assessment, including the categories and procedures through which a diagnosis is produced, while keeping individuality central to the discussion.

Good fit for readers who enjoy

  • Readers interested in autism studies and diagnostic practices
  • Students and professionals in social psychology, sociology, or clinical interaction research
  • Those seeking an interaction-focused account of how autism is assessed

Themes

Autism diagnosisClinical interactionIndividualitySocial construction of categoriesEthnographic research

Based on publisher information and book metadata.

Book overview

Winner 2024 Outstanding Recent Contribution in Social Psychology Award, Social Psychology Section, American Sociological Association

Winner 2024 Melvin Pollner Prize, Ethnomethodology and Conversation Analysis Section, American Sociological Association

As autism has grown in prevalence, so too have our attempts to make sense of it. From placing unfounded blame on vaccines to seeking a genetic cause, Americans have struggled to understand what autism is and where it comes from. Amidst these efforts, however, a key aspect of autism has been largely overlooked: the diagnostic process itself. That process is the central focus of Autistic Intelligence. The authors ask us to question the norms by which we measure autistic behavior, to probe how that behavior can be considered sensible rather than disordered, and to explore how we can better appreciate the individuality of those who receive the diagnosis.

Drawing on hundreds of hours of video recordings and ethnographic observations at a clinic where professionals evaluated children for autism, the authors' analysis of interactions among clinicians, parents, and children demystifies the categories, tools, and practices involved in the diagnostic process. Autistic Intelligence shows that autism is not a stable category; it is the outcome of complex interactional processes involving professionals, children, families, and facets of the social and clinical environments they inhabit. The authors suggest that diagnosis, in addition to carefully classifying children, also can highlight or include unique and particular contributions those with autism potentially can make to the world around us.
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