Neurodiversity and Autism Intervention: Reconciling Perspectives Through a Naturalistic Developmental Behavioral Intervention Framework

Rachel K. Schuck, Daina Tagavi, Kaitlynn M. P. Baiden, Patrick Dwyer, Zachary J. Williams, Anthony Osuna, Emily F. Ferguson, Maria Jimenez Muñoz, Samantha K. Poyser, Joy F. Johnson,

Journal of Autism and Developmental Disorders · 2021 · 172 citations · 139 references

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TL;DR

Autism intervention advocates and the neurodiversity movement often clash, with the former pushing intensive treatments and the latter emphasizing acceptance, while the history of behavioral intervention has provoked controversy yet still garners support for quality‑of‑life improvements. This commentary proposes that Naturalistic Developmental Behavioral Interventions (NDBIs) can bridge early intervention and neurodiversity perspectives, and outlines strategies for their further development. The authors contend that these proposed updates are feasible for clinicians and researchers and will ultimately enhance the quality of life for autistic individuals.

Abstract

Abstract Proponents of autism intervention and those of the neurodiversity movement often appear at odds, the former advocating for intensive treatments and the latter arguing that autism must be accepted as a form of diversity. The history of behavioral intervention has understandably outraged many in the Autistic community, though many still value supports focused on quality of life. This commentary argues that Naturalistic Developmental Behavioral Interventions (NDBIs) hold promise for bridging the gap between early intervention and the neurodiversity movement. However, we recognize NDBIs have much room to grow and suggest multiple strategies for improvement. We believe these updates are not only feasible for clinicians and researchers to implement but will ultimately lead to improved quality of life for Autistic individuals.

References

139