Neuro-affirmative support for autism, the Double Empathy Problem and monotropism

Conceptualising autism within a neurodiversity approach raises fundamental questions regarding the nature of the goals pursued in autism support and who is responsible for achieving these goals. The Double Empathy Problem considers deficits in social communication as residing between autistic and no...

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Main Authors: Mark Brosnan, Louis John Camilleri
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1538875/full
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author Mark Brosnan
Louis John Camilleri
author_facet Mark Brosnan
Louis John Camilleri
author_sort Mark Brosnan
collection DOAJ
description Conceptualising autism within a neurodiversity approach raises fundamental questions regarding the nature of the goals pursued in autism support and who is responsible for achieving these goals. The Double Empathy Problem considers deficits in social communication as residing between autistic and non-autistic communicators, rather than solely within the autistic individual. This is important as autistic individuals can have different perceptions of what appropriate goals for autism support should be, when compared to (non-autistic) family, friends and professionals. Monotropism highlights the importance of engaging with the interests of the autistic individual when considering support. This perspective considers the extent to which autistic individuals can self-set and self-achieve autism support goals? Social narratives have a specific goal and explicit description of how to achieve this goal and what the outcome of achieving the goal will be. The Stories Online For Autism app (SOFA-app.com) develops and delivers social narratives for autistic individuals. The SOFA-app has proven to be highly acceptable and effective in supporting autistic individuals. Initially our research focussed on family, friends and professionals developing autism support for autistic children. Subsequently we extended this methodology to explore the self-set goals of autistic adults and children as well as capacity to self-achieve these goals successfully. Digital support for the development and delivery of social narratives to support self-set goals for autistic individuals is recommended. Addressing the Double Empathy Problem and supporting self-set goals are also considered alongside the implications of preferences associated with Monotropism to argue this approach can be considered neuro-affirmative.
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spelling doaj-art-7506e9cd0eeb4d59b2f7cc126819abfc2025-08-20T02:52:38ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-03-011610.3389/fpsyt.2025.15388751538875Neuro-affirmative support for autism, the Double Empathy Problem and monotropismMark Brosnan0Louis John Camilleri1Centre for Applied Autism Research (CAAR), University of Bath, Bath, United KingdomDepartment for Inclusion and Access to Learning, University of Malta, Msida, MaltaConceptualising autism within a neurodiversity approach raises fundamental questions regarding the nature of the goals pursued in autism support and who is responsible for achieving these goals. The Double Empathy Problem considers deficits in social communication as residing between autistic and non-autistic communicators, rather than solely within the autistic individual. This is important as autistic individuals can have different perceptions of what appropriate goals for autism support should be, when compared to (non-autistic) family, friends and professionals. Monotropism highlights the importance of engaging with the interests of the autistic individual when considering support. This perspective considers the extent to which autistic individuals can self-set and self-achieve autism support goals? Social narratives have a specific goal and explicit description of how to achieve this goal and what the outcome of achieving the goal will be. The Stories Online For Autism app (SOFA-app.com) develops and delivers social narratives for autistic individuals. The SOFA-app has proven to be highly acceptable and effective in supporting autistic individuals. Initially our research focussed on family, friends and professionals developing autism support for autistic children. Subsequently we extended this methodology to explore the self-set goals of autistic adults and children as well as capacity to self-achieve these goals successfully. Digital support for the development and delivery of social narratives to support self-set goals for autistic individuals is recommended. Addressing the Double Empathy Problem and supporting self-set goals are also considered alongside the implications of preferences associated with Monotropism to argue this approach can be considered neuro-affirmative.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1538875/fullautismneuro-affirmative supportdigital social narrativesdouble empathy problemmonotropism
spellingShingle Mark Brosnan
Louis John Camilleri
Neuro-affirmative support for autism, the Double Empathy Problem and monotropism
Frontiers in Psychiatry
autism
neuro-affirmative support
digital social narratives
double empathy problem
monotropism
title Neuro-affirmative support for autism, the Double Empathy Problem and monotropism
title_full Neuro-affirmative support for autism, the Double Empathy Problem and monotropism
title_fullStr Neuro-affirmative support for autism, the Double Empathy Problem and monotropism
title_full_unstemmed Neuro-affirmative support for autism, the Double Empathy Problem and monotropism
title_short Neuro-affirmative support for autism, the Double Empathy Problem and monotropism
title_sort neuro affirmative support for autism the double empathy problem and monotropism
topic autism
neuro-affirmative support
digital social narratives
double empathy problem
monotropism
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1538875/full
work_keys_str_mv AT markbrosnan neuroaffirmativesupportforautismthedoubleempathyproblemandmonotropism
AT louisjohncamilleri neuroaffirmativesupportforautismthedoubleempathyproblemandmonotropism