Commentary: 'Camouflaging' in autistic people - reflection on Fombonne (2020).

Autor: Lai MC; The Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Azrieli Adult Neurodevelopmental Centre, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.; Department of Psychiatry, The Hospital for Sick Children, Toronto, ON, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.; Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan., Hull L; Research Department of Clinical, Educational and Health Psychology, University College London, London, UK., Mandy W; Research Department of Clinical, Educational and Health Psychology, University College London, London, UK., Chakrabarti B; Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.; Centre for Autism, School of Psychology & Clinical Language Sciences, University of Reading, Reading, UK.; India Autism Center, Kolkata, India.; Department of Psychology, Ashoka University, Sonipat, India., Nordahl CW; The MIND Institute and Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA, USA., Lombardo MV; Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.; Laboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy., Ameis SH; The Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Azrieli Adult Neurodevelopmental Centre, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.; Department of Psychiatry, The Hospital for Sick Children, Toronto, ON, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Szatmari P; The Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Azrieli Adult Neurodevelopmental Centre, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.; Department of Psychiatry, The Hospital for Sick Children, Toronto, ON, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Baron-Cohen S; Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK., Happé F; Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Livingston LA; Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.; Wales Autism Research Centre, School of Psychology, Cardiff University, Cardiff, UK.
Jazyk: angličtina
Zdroj: Journal of child psychology and psychiatry, and allied disciplines [J Child Psychol Psychiatry] 2021 Aug; Vol. 62 (8). Date of Electronic Publication: 2020 Dec 02.
DOI: 10.1111/jcpp.13344
Abstrakt: Fombonne's (2020) editorial is a thought-provoking appraisal of the literature on 'camouflaging', whereby some autistic people mask or compensate for their autistic characteristics as an attempt to fit in and to cope with disabilities under neurotypical social norms. Fombonne (2020) highlights three issues of contention: (a) construct validity and measurement of camouflaging; (b) camouflaging as a reason for late autism diagnosis in adolescence/adulthood; and (c) camouflaging as a feature of the 'female autism phenotype'. Here, we argue that (a) establishing construct validity and measurement of different aspects of camouflaging is warranted; (b) subjective experiences are important for the differential diagnosis of autism in adolescence/adulthood; and (c) camouflaging is not necessarily a feature of autism in female individuals - nevertheless, taking into account sex and gender influences in development is crucial to understand behavioural manifestations of autism. Future research and clinical directions should involve clarification of associated constructs and measurements, demography, mechanisms, impact (including harms and benefits) and tailored support.
(© 2020 Association for Child and Adolescent Mental Health.)
Databáze: MEDLINE
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