Autism rights movement

Jim Sinclair is credited as the first person to communicate the anti-cure or autism rights perspective in the late 1980s.[2] In 1992, Sinclair co-founded the Autism Network International, an organization that publishes newsletters "written by and for autistic people." Other individuals involved in the creation of the ANI were Donna Williams and Kathy Grant, two autistic people who knew Sinclair through pen pal lists and autism conferences. The first issue of the ANI newsletter, Our Voice, was distributed online in November 1992, to an audience of mostly neurotypical professionals and parents of young autistic children. The number of autistics in the organization slowly grew over the years, and ANI eventually became a communication network for like-minded autistics.[5]

In 1996, ANI established a yearly retreat known as "Autreat". Autreat was a retreat and conference held in the United States specifically for autistic people[6] and was held every year from 1996 to 2013, except in 2001. The theme of the first conference in 1996 was "Celebrating Autistic Culture" and had close to 60 participants. It was hosted at Camp Bristol Hills in Canadaigua, New York.[7] The success of Autreat later inspired similar autistic retreats, such as the Association for Autistic Community's conference, Autspace, in the United States;[8] Autscape in the United Kingdom;[9] and Projekt Empowerment in Sweden.[10]

Also in 1996, Martijn Dekker, an autistic computer programmer from the Netherlands, launched an e-mail list called "Independent Living on the Autism Spectrum", or "InLv". The list also welcomed those with "cousin" conditions, such as ADHD, dyslexia, and dyscalculia.[7] American writer Harvey Blume was a member of the list[7] and described it as embracing what he called "neurological pluralism" in a 1997 article in The New York Times.[11] Blume discussed the concept of "neurological diversity" with Australian sociologist Judy Singer.[12] The term "neurodiversity" was first published in Singer's 1998 Honours thesis[13][14] and in Blume's 1998 article in The Atlantic.[15]

Aspies For Freedom (AFF) was founded in 2004, and established June 18 as Autistic Pride Day starting in 2005. AFF was also instrumental in initiating protests against the National Alliance for Autism Research, Cure Autism Now, and the Judge Rotenberg Center.[16]

In 2004, Michelle Dawson challenged applied behavior analysis (ABA) on ethical grounds. She testified in Auton v. British Columbia against the required government funding of ABA.[17] That same year The New York Times covered the autism rights perspective by publishing Amy Harmon's article, "How about not curing us? Some autistics are pleading."[16]

In 2006, the Autism Acceptance Project was founded by Estée Klar, the mother of an autistic child, with help from an autistic advisory and board.[18] The project affiliated with The Autistic Self Advocacy Network and other activist groups in North America and was one of the first to sign the petition against the New York Child Study Campaign. It is also recognized by ASAN in a letter to the United Nations of being one of the first autism organizations to promote autism acceptance. From 2005 to 2008, TAAProject organized arts-based events to show the public an active autism rights movement that burgeoned online. In addition, it sponsored the controversial Joy of Autism: Redefining Ability and Quality of Life events and lectures in Toronto, featuring dozens of autistic artists and speakers including Jim Sinclair, Michelle Dawson, Phil Schwartz, Morton Ann Gernsbacher, Larry Bissonnette and more.

In 2008, the Autistic Self Advocacy Network (ASAN) succeeded in halting two ad campaigns it stated were demeaning to autistics. The first ads were a series published by the NYU Child Study Center that appeared in the form of ransom notes. One read, "We have your son. We will make sure he will no longer be able to care for himself or interact socially as long as he lives. This is only the beginning", and was signed, "Autism".[2] The second ads were published by PETA and featured a bowl of milk with the leftover bits of cereal forming a frowning face. The text read, "Got autism?" and was meant to advertise what PETA claims is a link between autism and the casein in milk. Phone calls, letters and petitions organized by ASAN led to the removal of these ads.[19][20]

The rise of the Internet has provided more opportunities for autistic individuals to connect and organize. Considering the geographical distance, communication and speech patterns of autistic individuals, and the domination of neurotypical professionals and family members in established autism organizations, the Internet has provided an invaluable space for members of the movement to organize and communicate.[5]

The pathology paradigm is the traditional view of autism through a biomedical lens, in which it is seen as a disorder characterized by various impairments, mainly in communication and social interaction.[22][23] Those taking this perspective believe that autism is generally a kind of harmful dysfunction.[21] Ways of functioning which diverge from a typical brain are "incorrect" or "unhealthy" and must therefore be treated or cured.[24] The atypical behaviors of autistic individuals are considered a detriment to social and professional success and should therefore be reduced or eliminated through behavior modification therapy.[25][26]

Proponents of this view include both autistic adults and parents of autistic children, but contain a higher percentage of parents when compared to those adopting the neurodiversity paradigm.[2] These advocates believe that medical research is necessary to address the "autism epidemic",[2] reduce suffering, and provide the best outcomes for autistic individuals. In addition to etiological research, other areas of focus may include biology, diagnosis, and treatment, including medication, behavioural and psychological interventions, and the treatment of co-existing medical conditions.[27]

Advocacy groups that focus primarily on medical research include Autism Speaks, the Autism Science Foundation, and its predecessor organizations, the Autism Coalition for Research and Education, the National Alliance for Autism Research, and Cure Autism Now, and the former Autism Research Institute.

The neurodiversity paradigm is the understanding that humanity has a variety of neurotypes, and always has.[28] The autistic self-advocacy group Autistics for Autistics describes it this way: "Neurodiversity means that –like biodiversity– all of us have a role to play in society ...and we should be valued for who we are. Included in public life, such as school and employment. For nonverbal autistics, this also means equal and fair access to communication, such as AAC."[29] The neurodiversity movement views autism as a disability and a different way of being rather than as a disease or disorder that must be cured,[2][30] and embraces the social model of disability which focuses on removing access barriers in society so that disabled people can be included, rather than on "fixing" disabled people. In this way, it is aligned with the principles of the broader disability rights movement.

The autistic self-advocacy movement, made up of autistic individuals, works from a social model of disability perspective. For example, the Autistic Self Advocacy Network describes its mandate as to "advance the principles of the disability rights movement with regard to autism".[31] The social model of disability is specifically important to many autistic people who have been raised to think they are "broken versions of normal"[32] rather than being accepted and having accommodations made for their disabilities. A shift from the medical model to the social model of disability has real-world advantages: for instance, some software companies now adjusting their job interview processes to be more accessible to autistic applicants rather than applying pressure on the applicants to "act neurotypical. This has strengthened the industry's pool of applicants while also reducing unemployment for autistic people.[33]

Autistic people are considered to have neurocognitive differences[21] which give them distinct strengths and weaknesses, and are capable of succeeding when appropriately accommodated and supported.[2][30] Neurodiversity advocates argue that efforts to eliminate autism should not be compared, for example, to curing cancer, but instead to the antiquated notion of curing left-handedness.[16] This is not to belittle the challenges that autistic people face, but rather to point out that many of these challenges are due to structural inequities that can be remedied through equal access and acceptance of autistic differences.

There is no leader of the neurodiversity movement and little academic research has been conducted on it as a social phenomenon.[21] As such, proponents of the neurodiversity paradigm have heterogenous beliefs,[21] but are consistent in the view that autism cannot be separated from an autistic person.[2] Advocacy efforts may include opposition to therapies that aim to make children "indistinguishable from their peers",[2] accommodations in schools and work environments,[34] and lobbying for the inclusion of autistic people when making decisions that affect them.[35]

Neurodiversity advocates are opposed to research for a cure, believing that it will lead to eugenics, and instead support research that helps autistic people thrive as they are.[2] For example, NeuroTribes author Steve Silberman has noted that neurodiversity advocates would like to see more research in regards to seizure-controlling drugs rather than the mainstream research goals of identifying and eliminating "autism genes"[36] and that only a small percentage of research funding goes towards the quality of life needs of autistic adults.[30][34][37]

Advocacy groups that focus primarily on acceptance and accommodation include Autism Network International, Autism National Committee, Autistic Self Advocacy Network, and Autistic Women & Nonbinary Network.

The Autistic Self-Advocacy Network (ASAN) uses a seven-colored heptagonal symbol to represent both the autistic spectrum and the idea of diversity.[1]

Autism is classified by psychologists as a disorder.[38][39][40] However, some fundraising organizations have referred to caring for autistic individuals as being comparable to treating a patient with cancer, though extended over the duration of a normal lifespan.[41] Autistic children have also been described as being held hostage to a psychiatric disorder.[42] Boyd Haley, an anti-vaccine activist and early promoter of the debunked claim that thimerosol causes autism, labeled the disease as "mad child disease" (akin to mad cow disease), which some autistic individuals and their parents have found highly offensive.[43][44] Margaret Somerville, founding director of the McGill Centre for Medicine, Ethics and Law, said that with activism there is a direct goal and it is sometimes necessary to sacrifice complexity and nuance to make a point, but some autistic activists do not believe desperation justifies the rhetoric.[17] Bennett L. Leventhal said he understands concern about comparing autistic children to hostages and notes it is a misnomer to call autism a "disease" that will consume children if untreated.[42] Autistic self-advocates also reject terming the reported increase in autism diagnoses as an 'epidemic' since the word implies autism is a disease and point out that the increase is due to an expansion of diagnostic criteria itself, rather than an epidemic.[45]

Attempts have been made to place a figure on the financial cost of autism, addressed to both scholarly[46] and popular audiences.[47] These efforts have been criticized by some autism rights advocates, who compare them to similar calculations about "persons with bad heredity" made by the eugenics movement in the early 20th century.[48] Michelle Dawson has pointed out that no effort has been made to examine the cost of 'eliminating the disease' to autistic individuals,[49] and she, as well as others, have also pointed out the valuable contributions autistic individuals can, and have made to society.[49][50] Dr. Temple Grandin has speculated that an autistic caveman probably invented the first stone spear, and that if autism were eliminated, society would lose most of its scientists, musicians, and mathematicians.[51][2]

Some argue that while some autistic people, such as those with Asperger syndrome, can function "normally", that any impairments not due to prejudice are insignificant or nonexistent and deserve to have their condition viewed as a difference (akin to being left-handed), other autistic people are severely impaired and should be counted as having disabilities (akin to having a broken leg).

However, many autistic activists refute this perspective, saying that it is not easy to distinguish between high and low functioning and that these labels do more harm than good.[16][52] A few autistic individuals remain supportive of the distinction between the low and high functioning labels as well as the medically abandoned[53] distinction between autism and Asperger syndrome, and believe that functioning labels are important in helping individuals get proper consultation and treatment.[54]

Opinions are divided on the use of a jigsaw-puzzle piece to represent autism, with some parents liking it, and some autistic adults disliking it.[1] Research has found it has negative connotations.[55]

"Curing" autism is a controversial and politicized issue. Doctors and scientists are not sure of the causes of autism yet many organizations like Autism Research Institute and Autism Speaks have advocated researching a cure. Members of the various autistic rights organizations view autism as a way of life rather than as a disease and thus advocate acceptance over a search for a cure.[16][56] Some advocates believe that common therapies for the behavioral and language differences associated with autism, like applied behavior analysis, are not only misguided but also unethical.[57]

The "anti-cure perspective" endorsed by the movement is a view that autism is not a disorder, but a normal occurrence—an alternate variation in brain wiring or a less common expression of the human genome.[16] Advocates of this perspective believe that autism is a unique way of being that should be validated, supported and appreciated rather than shunned, discriminated against or eliminated.[16][58] Sometimes called a "strengths-based" diagnosis, it means that each individual's challenges and strengths should be equally recognized and the quirks and uniqueness of autistic individuals should be viewed inclusively, as the differences of any minority group and that efforts to eliminate autism should not be compared, for example, to curing cancer but instead to the antiquated notion of curing left-handedness.[16][59] The ARM is a part of the larger disability rights movement, and as such acknowledges the social model of disability.[60] Within the model, struggles faced by autistic people are viewed as discrimination rather than deficiencies.

Jim Sinclair, a leader in the movement, argues that autism is essential to a person, not a disease secondary to the person. Sinclair says that wishing that an autistic person be cured is equivalent to wishing that they disappear and another completely different person exist in their place.[61] Visions for a future where autism has been eradicated, Sinclair believes, is the desire to end the autistic culture.[61]

Most autistic self-advocates agree that autistic people should not be made to act exactly like everyone else, but that society should accommodate their disability and that autism services should focus on quality of life, rather than conformity.[17][62] Simon Baron-Cohen, a professor of developmental psychology at Trinity College, Cambridge, and an autism researcher, expressed the latter view.[63] Baron-Cohen said:[56]

I do think there is a benefit in trying to help people with autism-spectrum conditions with areas of difficulty such as emotion recognition. Nobody would dispute the place for interventions that alleviate areas of difficulty, while leaving the areas of strength untouched. But to talk about a 'cure for autism' is a sledge-hammer approach and the fear would be that in the process of alleviating the areas of difficulty, the qualities that are special - such as the remarkable attention to detail, and the ability to concentrate for long periods on a small topic in depth - would be lost. Autism is both a disability and a difference. We need to find ways of alleviating the disability while respecting and valuing the difference.

Some autistic activists suggest that life with autism is very much like being born among people who speak a different language, have a religion or philosophy one does not share and live a lifestyle that feels alien. To put it differently, autistic people have an individual culture that's often very different from their environment. Social media, meetups and even specific professions are all spaces where autistic people connect and may share common language or a common culture.

This perspective is often voiced in opposition to the pathologisation of autistic modes of thought and social "rulebooks", as there are many people without autism who either claim that autistic people all think the same (on account of their similarities with each other and distinctions from members of the general public) or are completely different from each other and share no more than a label (on account of their individual life experiences, differences, and differences across the spectrum) or the suggestion that the existence of similar talents within autistic people are merely compensatory factors for a group of people who (according to non-autistic people) express severe disability or lack originality.

A common theme expressed among autism rights activists and neurodiversity groups is that they are different from parent- and professional-led organizations and conferences that dominate the autism scene. Michelle Dawson criticizes the norm of allowing parents to speak on behalf of their autistic children at conferences to the exclusion of autistics. "With the happy and proud collaboration of governments, courts, researchers, service providers, and funding bodies," she says, "parents have succeeded in removing autistics from the vicinity of any important discussions or decisions." This exclusion results in policy and treatment decisions being made solely by individuals who do not directly experience autism.[41]

Jim Sinclair states that autism conferences are traditionally geared toward neurotypical parents and professionals, and that to an autistic person they may be quite "hostile" in terms of sensory stimulation and rigidity.[5]

In defiance of the common complaint that anti-cure advocates' ability to articulate complex opinions in writing—which some critics see as being impossible for autistic people[59]—autistic adults such as Amanda Baggs use their own writing and videos to demonstrate that it is possible for severely disabled autistics to be autism rights advocates.[64] She says that when the critics assume that intelligent and articulate autistic people do not have difficulties like self-injurious behavior and difficulty with self-care, they affect the opinions of policy makers and make it more difficult for intelligent and articulate autistic people to get services. Baggs cites an example of an autistic person who was denied services when it was discovered that she could type.[65]

Aspies For Freedom (AFF) stated that the most common therapies for autism are unethical, since they focus on extinguishing harmless stimming, forcing eye contact and breaking routines. AFF argued that ABA therapy and restriction of stimming "and other autistic coping mechanisms" are mentally harmful, that aversion therapy and the use of restraints are physically harmful, and that alternative treatments like chelation are dangerous.[66]

Michelle Dawson, a Canadian autism self-advocate, testified in court against government funding of ABA therapy.[59] An autistic person named Jane Meyerding criticized therapy which attempts to remove autistic behaviors because she says that the behaviors that the therapy tries to remove are attempts to communicate.[16] Autistics for Autistics (A4A), a Canadian group, has outlined some of the main objections to ABA from autistic self-advocates.[67]

Autism rights activists are opposed to attempts to eliminate autism genes, and argue that doing so would decrease human genetic diversity. In particular, there is opposition to prenatal genetic testing of autism in fetuses, which some believe might be possible in the future.[16] On February 23, 2005, Joseph Buxbaum of the Autism Genome Project at the Icahn School of Medicine at Mount Sinai said there could be a prenatal test for autism within 10 years.[68] However, the genetics of autism have proven to be extremely complex.[69] In any case, the Autistic Genocide Clock was started in response to this, which counts down to 10 years after Buxbaum made this announcement.[70] The public has started to debate the ethics involved in the possible elimination of a genotype that has liabilities and advantages, which may be seen as tampering with natural selection.[71]

Some people lament that professionals, such as social workers, may discourage autistic people from having children.[72] Activists are concerned that the "ultimate cure will be a genetic test to prevent autistic children from being born"[16] and that most fetuses with so-called "autism genes" would be aborted if prenatal tests for autism are developed.[56]

Opposition to autism rights movements are often typecast as non-autistic people struggling to care for their children. This can legitimize people who seek to speak over autistic people, and gloss over the existence of autistic people who are critical of the neurodiversity movement.

Critics of the movement argue that anyone on the autism spectrum who is able to express their desire not to be cured must be in a position where they benefit from being autistic or being openly known as autistic, a viewpoint characterized by the fact that many autism advocates wind up gaining a minor celebrity status that puts them in a higher social position than their peers, and the fact that well-known autistic public figures tend to be verbal; this can imply to some that they are more likely to be independently successful than autistic people with higher support needs.

This has led some to believe in the myth that all autism advocates with genuine cases of autism are high-functioning or have Asperger's syndrome, a theory that has since been debunked.[73]

Some autism advocates argue that neurodiversity perspectives only make sense when applied to people for whom the benefits of being autistic visibly outweigh their impairments and difficulties in a neurotypical society. These people (along with people who ascribe to the debunked above theory) often claim that if every use of autism were changed to read Asperger syndrome, then the movement might make sense,[16] although the incorporation of Asperger syndrome into the autism diagnosis in the DSM-5 has been used as a counterargument by the autism rights movement.[74]

Some feel that the neurodiversity movement is wishful thinking designed to gloss over the more serious problems associated with the disabling aspects of autism (such as self-harm, high support needs, rejection, and difficulties around issues of consent). Jonathan Mitchell, an autistic author and blogger who advocates for a cure for autism, has described neurodiversity as a "tempting escape valve" for autistics with low self-esteem.[75]

Communication and social problems often cause difficulties in many areas of an autistic adult's life.[128] A 2008 study found that adults with ASD commonly experience difficulty starting social interactions, longing for greater intimacy, a profound sense of isolation, and effort to develop greater social or self-awareness.[129]

A much smaller proportion of autistic adults marry than the general population.[130] It has been hypothesized that autistic people are subject to assortative mating; they tend to pair with each other and raise autistic offspring.[131] This hypothesis has been publicized in the popular press,[132] but has not been empirically tested.

British psychologist Simon Baron-Cohen said that an increasingly technological society has opened up niches for people with Asperger syndrome, who may choose fields that are "highly systematized and predictable". People with AS could do well in workplace roles that are "system-centered, and connect with the nitty-gritty detail of the product or the system."[133]

An autistic savant is an autistic person with extreme talent in one or more areas of study. Although there is a common association between savant syndrome and autism (an association made popular by the 1988 film Rain Man), most autistic people are not savants and savantism is not unique to autistic people, though there does seem to be some relation. 1 in 10 autistic people may have notable abilities, but prodigious savants like Stephen Wiltshire are very rare; only about 100 such people have been described/identified in the century since savants were first identified, and there are only about 25 living identified prodigious savants worldwide.[134]

Autism is thought of as a condition mostly affecting males, with males up to four times more likely than females to be diagnosed as autistic or Asperger syndrome. Autistic females are "research orphans" according to Yale's Ami Klin; some drugs used to treat anxiety or hyperactivity that may accompany autism are rarely tested on autistic females.[135] Autism may express differently in the sexes. Females may be more concerned with how they are viewed by peers and the failure to connect with people outside of their immediate family could lead to severe anxiety or clinical depression.[135] Autistic girls who have normal intelligence may be more socially disadvantaged than males because of the "rising level of social interaction that comes in middle school," when girls' "friendships often hinge on attention to feelings and lots of rapid and nuanced communication." Autistic girls may suffer additionally by being placed in specialized educational programs, where they will be surrounded by males and further isolated from female social contacts.[135] Although sample sizes are too small to draw firm conclusions, one study suggests that women with autism are less likely than males over the long term to marry, have families, go to college, have careers and live independently. Females may also be different from males in terms of interests; autistic females rarely have interests in numbers or have stores of specialized knowledge.[135] The profile of autism may change as more is understood about females, whose autism may go undiagnosed.[135]

In recent years, some people have suggested links between autism and transgender people.[136][137] This issue has not been without controversy, as the issue is open to confusion; it is currently unclear whether this correlation exists due to an innate characteristic of autism that may also cause unusual discrepancies in sex or gender,[138] or whether it is merely the result of exposing a group of people who experience difficulty in abiding by social norms, including those related to gender, to sexism and gender stereotypes.[139]

Temple Grandin

Temple Grandin, autistic designer of cattle handling systems, said that one reason she can easily figure out how a cow would react is because autistic people can easily "think the way that animals think".[140] According to Grandin, animals do not have "complex emotions such as shame or guilt" and they do not think in language. She says that, although not everything about animals is like an autistic person, the similarity is that they think visually and without language. She says people do not make this connection because the study of autism and the study of animal behavior are parallel disciplines involving different individuals.[140] Despite these similarities, the degree to which autistic individuals can be said to think like animals remains undetermined; non-human animals, as well as humans, have evolved cognitive specializations that may or may not share characteristics with other species.[141]

Dawn Prince-Hughes, diagnosed with Asperger's, describes her observations of gorillas in Songs of the Gorilla Nation.[142]

Asperger syndrome may lead to problems in social interaction with peers. These problems can be severe or mild depending on the individual. People with AS are often the target of bullying behavior. Children with AS are often the target of bullying at school due to their idiosyncratic behavior, precise language, unusual interests, and impaired ability to perceive and respond in socially expected ways to nonverbal cues, particularly in interpersonal conflict, which results in them being sought out by classmates and rejected. People with AS may be overly literal and may have difficulty interpreting and responding to sarcasm, banter, or metaphorical speech. Difficulties with social interaction may also manifest in a lack of play with other children.[143]

The above problems can even arise in the family; given an unfavorable family environment, the child may be subject to emotional abuse. A child, teen, or adult with AS is often puzzled by this mistreatment, unaware of what has been done incorrectly. Unlike with other pervasive development disorders, most persons with AS want to be social, but fail to socialize successfully, which can lead to later withdrawal and asocial behavior, especially in adolescence.[144] At this stage of life especially, they risk being drawn into unsuitable and inappropriate friendships and social groups. People with AS often interact better with those considerably older or younger than themselves, rather than those within their own age group.[143]

Children with AS often display advanced abilities for their age in language, reading, mathematics, spatial skills, or music—sometimes into the "gifted" range—but this may be counterbalanced by considerable delays in other developmental areas, like verbal and nonverbal communication or some lack of motor coordination. This combination of traits can lead to problems with teachers and other authority figures. A child with AS might be regarded by teachers as a "problem child" or a "poor performer". The child's extremely low tolerance for what they perceive to be ordinary and mundane tasks, such as typical homework assignments, can easily become frustrating; a teacher may well consider the child arrogant, spiteful, and insubordinate. Lack of support and understanding, in combination with the child's anxieties, can result in problematic behavior (such as severe tantrums, violent and angry outbursts, and withdrawal).[145]

Employment for those with AS may be difficult. The impaired social skills can be likely to interfere with the interview process—and people with often superior skills can be passed over due to these conflicts with interviewers. Once hired, people with AS may continue to have difficulty with interpersonal communications.[146] Homelessness is very common among people with AS.[146]

Two traits sometimes found in AS individuals are mind-blindness (the inability to predict the beliefs and intentions of others) and alexithymia (the inability to identify and interpret emotional signals in oneself or others), which reduce the ability to be empathetically attuned to others.[147][148] Alexithymia in AS functions as an independent variable relying on different neural networks than those implicated in theory of mind.[147][148] In fact, lack of theory of mind in AS may be a result of a lack of information available to the mind due to the operation of the alexithymic deficit.[147][148]

A second issue related to alexithymia involves the inability to identify and modulate strong emotions such as sadness or anger, which leaves the individual prone to "sudden affective outbursts such as crying or rage".[149][150][151] According to Tony Attwood, the inability to express feelings using words may also predispose the individual to use physical acts to articulate the mood and release the emotional energy.[152]

People with AS report a feeling of being detached against their will from the world around them ("on the outside looking in"). They may have difficulty finding a life partner or getting married due to poor social skills.[130] The complexity and inconsistency of the social world can pose an extreme challenge for individuals with AS. In the UK Asperger's is covered by the Disability Discrimination Act; those with AS who get treated badly because of it may have some redress. The first case was Hewett v Motorola 2004[153] (sometimes referred to as Hewitt) and the second was Isles v Ealing Council.[154] The same applies in the United States with the Americans with Disabilities Act, amended in 2008 to include autism spectrum disorders.[155]

The intense focus and tendency to work things out logically often grants people with AS a high level of ability in their field of interest. When these special interests coincide with a materially or socially useful task, the person with AS can lead a profitable career and a fulfilled life. The child obsessed with a specific area may succeed in employment related to that area.[156]

According to Elizabeth Fein, the dynamic of role-playing games is especially positive and attractive to people on the autism spectrum.[157] The social information exchanged in these games are explicit, top-down and systematic and they follow a set of shared abstract rules. Baez and Rattazzi showed that interpreting the implicit social information of daily life is difficult for them.[158]

Autistic pride refers to pride in autism and shifting views of autism from "disease" to "difference". Autistic pride emphasizes the innate potential in all human phenotypic expressions and celebrates the diversity various neurological types express.

Autistic pride asserts that autistic people are not impaired or damaged; rather, they have a unique set of characteristics that provide them many rewards and challenges, not unlike their non-autistic peers.[56][164][165]

Curing autism is a controversial and politicized issue. The "autistic community" can be divided into several groups. Some seek a cure for autism—sometimes dubbed as pro-cure—while others consider a cure unnecessary or unethical,[16][56][166] or feel that autism conditions are not harmful or detrimental.[16] For example, it may be seen as an evolutionary adaptation to an ecological niche by some environmentalists and the more radical autism rights campaigners.

With the recent increases in autism recognition and new approaches to educating and socializing autistics, an autistic culture has begun to develop. Autistic culture is based on a belief that autism is a unique way of being and not a disorder to be cured.[16] The Aspie world, as it is sometimes called, contains people with Asperger syndrome (AS) and high functioning autism (HFA), and can be linked to three historical trends: the emergence of AS and HFA as labels, the emergence of the disability rights movement, and the rise of the Internet. Autistic communities exist both online and offline; many people use these for support and communication with others like themselves, as the social limitations of autism sometimes make it difficult to make friends, to establish support within general society, and to construct an identity within society.[167]

Because many autistics find it easier to communicate online than in person, a large number of online resources are available.[164] Some autistic individuals learn sign language, participate in online chat rooms, discussion boards, and websites, or use communication devices at autism-community social events such as Autreat. The Internet helps bypass non-verbal cues and emotional sharing that autistics tend to have difficulty with.[168][169] It gives autistic individuals a way to communicate and form online communities.[170]

Conducting work, conversation and interviews online in chat rooms, rather than via phone calls or personal contact, help level the playing field for many autistics.[72] A New York Times article said "the impact of the Internet on autistics may one day be compared in magnitude to the spread of sign language among the deaf" because it opens new opportunities for communication by filtering out "sensory overload that impedes communication among autistics."[168]

Autistic people may be perceived differently from country to country. For example, many Africans have spiritual beliefs about psychiatric disorders, which extends into perceived causes of autism.[171] In one survey of Nigerian pediatric or psychiatric nurses, 40% cited preternatural causes of autism such as ancestral spirits or the action of the devil.[171]

Minnesota governor Mark Dayton declared the World Autism Awareness Day on 2 April 2013

World Autism Day, also called World Autism Awareness Day, is marked on 2 April. It was designated by the United Nations General Assembly at the end of 2007.[172] On 2 April 2009, activists left 150 strollers near Central Park in New York City to raise awareness that one in 150 children is estimated to be autistic.[173] There are many celebration activities all over the world on 2 April—World Autism Day. "Autism knows no geographic boundaries—it affects individuals and families on every continent and in every country," said Suzanne Wright, co-founder of the group Autism Speaks. "The celebration of World Autism Awareness Day is an important way to help the world better understand the scope of this health crisis and the need for compassion and acceptance for those living with autism. This remarkable day—the first of many to come—promises to be a time of great hope and happiness as we work to build a global autism community."[174]

Autism Sunday is a global Christian event, observed on the second Sunday of February. It is supported by church leaders and organisations around the world. The event started as a small idea in the front room of British autism campaigners, Ivan and Charika Corea. It is now a huge event celebrated in many countries. Autism Sunday was launched in London in 2002 with a historic service at St. Paul's Cathedral.[175]

Autism awareness ribbon - not supported by many people with autism spectrum disorders.[176]

The year 2002 was declared Autism Awareness Year in the United Kingdom—this idea was initiated by Ivan and Charika Corea, parents of an autistic child, Charin.[177] Autism Awareness Year was led by the British Institute of Brain Injured Children, Disabilities Trust, The Shirley Foundation, National Autistic Society, Autism London and 800 organizations in the United Kingdom. It had the personal backing of British Prime Minister Tony Blair.[178] This was the first ever occasion of partnership working on autism on such a huge scale. 2002 Autism Awareness Year helped raise awareness of the serious issues concerning autism and Asperger's Syndrome across the United Kingdom.[179] A major conference, Autism 2002 was held at the King's Fund in London with debates in the House of Commons and the House of Lords in Westminster. Autism awareness ribbons were worn to mark the year.[180]

British autism advocates want autistic people acknowledged as a minority rather than as disabled, because they say that "disability discrimination laws don't protect those who are not disabled but who 'still have something that makes them look or act differently from other people.'"[56] But the autism community is split over this issue, and some view this notion as radical.[56]

Autistic Pride Day is an Aspies For Freedom initiative celebrated on 18 June each year. It is a day for celebrating the neurodiversity of people with autism. Modeled after gay pride events, they often compare their efforts to the civil rights and LGBT social movements.[56][181][182]

Autistics Speaking Day (ASDay), 1 November, is a self-advocacy campaign run by people with autism to raise awareness and challenge negative stereotypes about autism by speaking for themselves and sharing their stories. The first one was held in 2010.[183] According to one of the founders, Corina Becker, the main goal of ASDay is "to acknowledge our difficulties while sharing our strengths, passions, and interests."[184] The idea for the event developed out of opposition to a "Communication Shutdown" fundraising campaign led by Autism Speaks that year, which had asked for participants to "simulate" having autism by staying away from all forms of online communication for one day.[185][186]

In 2006 the Autism Acceptance Project was founded by Estée Klar, the mother of an autistic child, with help from an autistic advisory and board.[187] The project's mission statement is, "The Autism Acceptance Project is dedicated to promoting acceptance of and accommodations for autistic people in society." The project is primarily supported by autistic people and their supporters. The goal is to create a positive perspective of autism and to accept autism as a part of life with its trials and tribulations. The project is also working to enable autistic people to gain the right to advocate for themselves (along with their supporters) in all policy decision formats from government to a general committee. By providing an abundance of resources, the project is able to reach a multitude of audiences using a Web site along with lectures and exhibitions.[187]

In 2011, the first Autism Acceptance Day celebrations were organized by Paula Durbin Westby, as a response to traditional "Autism Awareness" campaigns which the Autistic community found harmful and insufficient.[188][189] Autism Acceptance Day is now held every April.[188] "Awareness" focuses on informing others of the existence of autism while "acceptance" pushes towards validating and honoring the autism community. By providing tools and educational material, people are encouraged to embrace the challenges autistic people face and celebrate their strengths. Rather than making autism into a crippling disability, acceptance integrates those on the autistic spectrum into everyday society. Instead of encouraging people to wear blue as Autism Awareness Day does, Autism Acceptance Day encourages people to wear red.[190]

At Autreat—an annual autistic gathering—participants compared their movement to gay rights activists, or the Deaf culture, where sign language is preferred over surgery that might restore hearing.[16] Other local organizations have also arisen: for example, a European counterpart, Autscape, was created around 2005.[58]

Twainbow is an advocacy organization that provides awareness, education, and support for autistic people who identify as lesbian/gay/bisexual/transgender (LGBT).[191] According to its founder, "Twainbow is a portmanteau of 'twain' (meaning 'two') and 'rainbow.' Those who are both LGBT and autistic live under two rainbows—the rainbow flag and the autism spectrum." The company also introduced an LGBT-autism Gay Pride flag representing the population.[192][193]