The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.
Neurodiversity, Autism, and Psychiatric Disability: The Harmful Dysfunction Perspective
Abstract
Neurodiversity advocates apply the same kind of critiques to psychiatric conditions such as autism that disability theory has long applied to somatic conditions. Yet these critiques have received little attention from philosophy of psychiatry. Although the arguments of neurodiversity advocates often are undeveloped, they raise critical issues about psychiatric diagnosis and classification. This chapter uses Jerome Wakefield’s “harmful dysfunction analysis” of the concept of mental disorder to reconstruct and evaluate neurodiversity arguments that autism is a normal variation, not a mental disorder. We argue that because of the heterogeneity of “autism,” these arguments are more plausible for some subgroups than others. We find support for a moderate neurodiversity position that objects to psychiatric overreach without denying the reality of some forms of autistic disorder.
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“In fact, once we accept that humanity is neurodiverse-which even critics of the neurodiversity movement concede is true to some extent (Jaarsma & Welin, 2012;Wakefield et al., 2020)and that there are many different, yet equally legitimate, ways of functioning, then it is not too far a step to consider that humanity will likely be similarly diverse in terms of routes to, and forms of, flourishing.”
From Neurodiversity, epistemic injustice, and the good human life (2022) · cites this paper as Wakefield et al., 2020
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Cites
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson, C., Rosenberg, et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6706a1 · Cited by 6,078
Autistic disturbances of affective contact.
Kanner, L. (1968) · PubMed · Cited by 2,282
Die „Autistischen Psychopathen” im Kindesalter
Asperger, H. (1944) · Archiv für Psychiatrie und Nervenkrankheiten · doi:10.1007/bf01837709 · Cited by 2,163
Executive function deficits in high-functioning autistic individuals: Relationship to theory of mind
Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1991) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1991.tb00351.x · Cited by 1,766
Autism: cognitive deficit or cognitive style?
Happé, F. (1999) · Trends in Cognitive Sciences · doi:10.1016/s1364-6613(99)01318-2 · Cited by 957
Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder.
Wakefield, J. C. (1992) · Psychological Review · doi:10.1037/0033-295x.99.2.232 · Cited by 769
Self-citationThe Broad Autism Phenotype Questionnaire
Hurley, R. S. E., Losh, M. C., Parlier, M., Reznick, J. S., & Piven, J. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0299-3 · Cited by 718
Ruzich, E., Allison, C. L., Smith, P. L., Watson, P., Bonnie Auyeung, B., RING, H. A., & Baron‐Cohen, S. (2015) · Molecular Autism · doi:10.1186/2040-2392-6-2 · Cited by 669
Autism as a Natural Human Variation: Reflections on the Claims of the Neurodiversity Movement
Jaarsma, P., & Welin, S. (2011) · Health Care Analysis · doi:10.1007/s10728-011-0169-9 · Cited by 557
Concept Creep: Psychology's Expanding Concepts of Harm and Pathology
Haslam, N. (2016) · Psychological Inquiry · doi:10.1080/1047840x.2016.1082418 · Cited by 538
Research works printed but not linked: 29
- Anton, Audrey L. 2013. “The Virtue of Sociopaths: How to Appreciate the Neurodiversity of Sociopathy Without Becoming a Victim.” In Ethics and Neurodiversity, edited by C. D. Herrera and Alexandra Perry, 111–130. Newcastle upon Tyne, UK: Cambridge Scholars Publishing.
- 2007, A Mind Apart: Travels in a Neurodiverse World
- 1998, Asperger’s Syndrome: A Guide for Parents and Professionals
- 1995, Mindblindness: An Essay on Autism and Theory of Mind
- 2018, Is It Time to Give Up on a Single Diagnostic Label for Autism?, Scientific American
- 1998, Neurodiversity., The Atlantic
- 2016, Autism Isn’t Just a Medical Diagnosis—It’s a Political Identity., The Establishment
- 2016, Clinical Practice & Epidemiology in Mental Health
- 2019, Open Office., The New York Times Magazine
- Defining Mental Disorder: Jerome Wakefield and His Critics
- 1989, Autism: Explaining the Enigma
- 1994, Autism: Beyond ‘Theory of Mind’., Cognition
- 2014, Alien Landscapes?: Interpreting Disordered Minds
- 2006, Thinking in Pictures and Other Reports from My Life with Autism
- 2017, Reviewing Resistances to Reconceptualising Disability., Proceedings of the Aristotelian Society
- 2018, Autistic Man Who Went Overboard on Carnival Cruise Was Traveling with Special Needs Group., CNN
- 2014, On the Misapplication of the BAPQ in a Study of Autism., Journal of Autism and Developmental Disorders
- 2014, Asperger’s Disorder on Life Support., Journal of Autism and Developmental Disorder
- 1971, A Theory of Justice
- Exclusive: First Autistic Presidential Appointee Speaks Out., Wired
- 1993, Don’t Mourn for Us., Autonomy: The Critical Journal for Interdisciplinary Autism Studies
- Singer, Jim. 1999. “Why Can’t You Be Normal for Once in Your Life? From a ‘Problem with No Name’ to the Emergence of a New Category of Difference.” In M. Corker and S. French (Eds.), Disability Discourse, 59–67. Buckingham, UK: Open University Press.
- 2001, The Einstein Syndrome
- 1975, Nosology and the Official Psychiatric Nomenclature., Comprehensive Textbook of Psychiatry
- 2013, Autism as Culture., The Disability Studies Reader
- 2007, What Makes a Mental Disorder Mental?, Philosophy, Psychiatry, and Psychology
- Wakefield, Jerome C., and Michael B. First. 2003. “Clarifying the Distinction Between Disorder and Nondisorder: Confronting the Overdiagnosis (“False Positives”) Problem in DSM-V.” In Advancing DSM: Dilemmas in Psychiatric Diagnosis, edited by Katherine A. Phillips and Michael B. First, 23–56. Washington, DC: American Psychiatric Press.
- 2002, Exposure Anxiety—The Invisible Cage: An Exploration of Self-Protection Responses in the Autism Spectrum
- 1997, The Autistic Spectrum., Lancet
Cited by
Sorted by citations
Neurodiversity, epistemic injustice, and the good human life
Chapman, R., & Carel, H. (2022) · Journal of Social Philosophy · doi:10.1111/josp.12456 · Cited by 231
Ghanouni, P., Hood, G., Weisbrot, A., & McNeil, K. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.104120 · Cited by 9
May, J. (2025) · Neuroethics · doi:10.1007/s12152-025-09603-7 · Cited by 7
When a Hybrid Account of Disorder is not Enough
Murphy‐Hollies, K. (2021) · European journal of analytic philosophy · doi:10.31820/ejap.17.3.5 · Cited by 2
Ballesteros, V., & Gavaldà, A. L. B. (2024) · Crítica (México D F En línea) · doi:10.22201/iifs.18704905e.2024.1516
Metadata
- Authors
- Wakefield, J. C., Wasserman, D., & Conrad, J. A.
- Affiliations
- New York University (US)
- National Institutes of Health (US)
- KU Leuven (BE)
- Venue
- The Oxford Handbook of Philosophy and Disability
- Publisher
- Oxford University Press
- Published
- 2020-02-05
- Pages
- 500-521
- OpenAlex
- W3004554160
- Cited by
- 6
- References
- 50
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2021: 2
- FWCI
- 5.01
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Sociology and Political Science › Disability Rights and Representation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- neurodiversity, autism spectrum disorder, psychiatric disability, philosophy of psychiatry, harmful dysfunction, mental illness, psychiatric diagnosis, psychiatric classification, disability theory, normal variation
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