Cited by 231Feminist Epistemology and Gender StudiesDisability Rights and RepresentationEpistemology, Ethics, and Metaphysics

Neurodiversity, epistemic injustice, and the good human life

Open access
Chapman, Robert, Carel, Havi·2022·Journal of Social Philosophy

Abstract

Epistemic injustice refers to harms that relate specifically to our status as epistemic agents, whereby our status as knowers, interpreters, and providers of information, is unduly diminished or stifled in a way that undermines the agent's agency and dignity.The concept was defined by Miranda Fricker (2007), who identifies two key forms of epistemic injustice.The first is testimonial injustice, which refers to cases where testimony is unduly dismissed because of prejudiced beliefs regarding minority groups.Hermeneutical injustice refers to cases where a community's shared vocabularies have been structured in a way that unfairly distorts or stifles understanding for, and of, a minority group.In each case, there is an instance of people being harmed specifically in their capacity as knowers: individuals capable of knowing or providing knowledge.Much work on epistemic injustice has identified the operation of negative stereotypes relating to gender and race; for instance, when someone's testimony is dismissed, doubted, or accorded low credibility due to racist or sexist prejudices on the part of the listener (Dotson, 2011;Fricker, 2007; Kidd et al., 2017;Medina, 2013).But in recent years research has drawn attention to epistemic injustice in healthcare generally, and more specifically within psychiatry, pediatrics, and among people with disabilities (Blease et al., 2016;Carel & Kidd, 2014;Crichton et al., 2016; Kidd & Carel, 2016, 2019;Potter, 2015).What has been revealed is the systematic stifling of the voices and interpretive tools available to both ill and disabled persons: in particular, their information providing, testimonies, and interpretations.These types of epistemic injustice have been associated with the medical deficit model that dominates much of medical and psychiatric discourse (Kidd & Carel, 2018, 2019).Moreover, physically disabled persons' claims that they are happy and living good lives have also been dismissed due to prejudices about the possibility of living well whilst disabled (Blease et al., 2016;

AI snapshot

Written from the paper’s full text.

TL;DR

The paper argues that autistic people face interlocking testimonial and hermeneutical epistemic injustices that make it difficult or impossible to recognize them as both autistic and living a good life. It proposes neurodiversity-informed reforms to conceptions of flourishing and to clinical and everyday epistemic practice.

Key findings

  • Autistic testimony about happiness and wellbeing is subject to pathocentric testimonial injustice: credibility is dismissed through stereotypes such as “mindblindness,” limited social understanding, and the assumption that autism and happiness are inherently at odds. The paper cites Dinah Murray’s claim that autism disclosure is “likely to precipitate a negative judgment of capacity involving permanent loss of credibility” and discusses accusations that Naoki Higashida’s articulate voice could not be “genuine.”
  • Hermeneutical injustice operates through species-norm conceptions of flourishing: neo-Aristotelian and objective-list views, including Nussbaum, Furman and Tuminello, and Barnbaum, treat autistic cognition as not “truly human” or as at odds with flourishing unless therapy erases defining autistic traits. This excludes neurodivergent modes of flourishing from shared interpretive resources.
  • These injustices combine into “autism’s catch-22”: if an autistic person is living a good life, they are denied recognition of their autism; if they are not living a good life, their autism is recognized and their suffering is presumed to be caused by autism. The paper states that “I am autistic and I am flourishing” is not intelligible under this framing.
  • The paper proposes four ameliorative approaches: dismantling the medical deficit approach to autism; relativizing value judgments about the good life; cultivating autistic self-understanding and autistic epistemic communities; and fostering neurotypical epistemic humility and cross-cultural communication.

Methods

  • Conceptual and philosophical analysis in philosophy of disability and philosophy of medicine; no empirical study, sample, or original quantitative data are reported.
  • The argument draws on Miranda Fricker’s testimonial and hermeneutical injustice, the neurodiversity paradigm, social and relational models of disability, and critiques of species-norm accounts of flourishing.
  • Evidence used includes cited empirical literature and first-person autistic accounts; the paper’s main analysis is normative and theoretical, culminating in proposed ameliorative strategies.

Limitations

  • Stated: the paper brackets debates about how far the neurodiversity paradigm applies across the autism spectrum, supposing it applies “to some extent at least”; it does not commit to a single alternative model of disability; and it says its arguments do not automatically apply to other groups.
  • Evident: there is no new empirical data, systematic review, or tested intervention; the argument relies on selected cited studies and testimony.
  • Evident: the focus is autism, with extension to other neurocognitive disabilities presented as a question for future research rather than a demonstrated conclusion.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1111/josp.12456

Cites

94 of 95 references verified1 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

10 of 91 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Research has revealed systematic stifling of the voices and interpretive tools available to ill and disabled persons, especially their information providing, testimonies, and interpretations.

    “What has been revealed is the systematic stifling of the voices and interpretive tools available to both ill and disabled persons: in particular, their information providing, testimonies, and interpretations.”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Blease et al., 2016 source
    • cites Carel & Kidd, 2014 source

      Section 1, “Testimonial and hermeneutical injustice” (page unavailable), describes how ill people’s testimony and interpretations can be ignored, downgraded, or treated merely as information. Section 2 gives an example involving a disabled person, but the paper does not establish systematic stifling across disabled people as a group; its broader analysis focuses on ill people. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites Crichton et al., 2016

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Premisecitation

    Physically disabled persons' claims that they are happy and living good lives have been dismissed due to prejudices about the possibility of living well whilst disabled.

    “Moreover, physically disabled persons' claims that they are happy and living good lives have also been dismissed due to prejudices about the possibility of living well whilst disabled (Blease et al., 2016;”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Blease et al., 2016 source

      The Testimonial injustice section (p. 3) says that negative stereotyping of an illness or disability can constrain a patient's contribution to consultations. The Summary (p. 7) reports that stereotypes can lead to patients with CFS/ME having their testimony discounted. Neither passage addresses physically disabled people’s claims that they are happy or living good lives, or prejudice about whether living well with a disability is possible. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Interpretationreasoning

    The neurodiversity paradigm's rejection of the species-norm is at odds with the widespread assumption that autism causes autistic distress to the extent that autistic individuals are inherently disposed to lower wellbeing compared to a neurotypical norm.

    “as well as the widespread assumption noted by researchers (e.g., Bovell, 2015, p. 265;Verhoeff, 2012, p. 429) that autism causes autistic distress to the extent that autistic individuals are inherently disposed to lower wellbeing when compared to a neurotypical norm.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Bovell, 2015 source
    • cites Verhoeff, 2012 source

      Split into 2 atoms — 0 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 2 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • The authors state this as an assumption: The neurodiversity framing can be applied to the autism spectrum to some extent at least.
  • Premisecitation

    In the DSM-5, the notion of dysfunction is more based on value judgments than scientific discovery.

    “This is reflected in the DSM-5, where the notion of”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Aftab & Rashed, 2020 source
  • Premisecitation

    Milton and Sims found that a key reason autistic people attributed to hindering their wellbeing was barriers to belonging, rather than simply their being autistic.

    “For instance, Milton and Sims found that a key reason autistic people attributed to hindering their wellbeing was barriers to belonging, rather than simply their being autistic (Milton & Sims, 2016).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Milton & Sims, 2016 source
  • May combine two claims. 30
  • Classified as probably not a substantial claim. 44
  • May combine two claims.

    Premisecitation

    Autism is associated with poor mental health; many autistic persons experience clinical levels of anxiety and depression, and suicide rates are strikingly high.

    “Relatedly, autism is associated with poor mental health.For instance, many autistic persons experience clinical levels of anxiety and depression (Stewart et al., 2006), and suicide rates are strikingly high (Hirvikoski et al., 2016).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Stewart et al., 2006 source
    • cites Hirvikoski et al., 2016 source
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationcitation

    Recognizing and supporting the emergence of autistic epistemic communities will be part of supporting autistic people to forge their own interpretation of their life and wellbeing.

    “Part of this will surely come from recognizing and supporting the emergence of autistic epistemic communities, whereby autistics have been coming together to develop vocabularies, shared practices, and social norms that reflect autistic needs and preferences (Chapman, 2019b;Sinclair, 2010).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Chapman, 2019b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Sinclair, 2010 source

      In the Introduction (no page provided), Sinclair describes autistic people forming communities and developing social rules, customs, and ways of accommodating autistic needs. This supports the claim about shared practices and norms, but our copy does not establish that these communities developed shared vocabularies. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Interpretationcitation

    The distinction between medicalization and pathologization separates harmful pathologization inherent to the medical deficit approach and social stigma and prejudice toward autistics from medicalization which enables individuals to receive a diagnosis and treatment, if they so wish.

    “This distinction clearly separates the harmful pathologization that is inherent to the medical deficit approach and social stigma and prejudice toward autistics from the medicalization which enables individuals to receive a diagnosis and treatment, if they so wish.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Spencer & Carel, 2021 source

      Split into 2 atoms — 0 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 2 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingcitation

    Paralyzed accident victims are only somewhat less happy than lottery winners.

    “Brickman et al. report that paralyzed accident victims are only somewhat less happy than lottery winners (1978).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Brickman et al., 1978

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingcitation

    In general, results from comparative studies are meager and do not support the assumption that cancer or cancer treatment lead to a significantly lower quality of life.

    “in general the results from comparative studies are meager and do not support the assumption that cancer or cancer treatment lead to a significantly lower quality of life”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites de Haes and van Knippenberg, 1985 source
  • May combine two claims.

    Findingcitation

    Hemodialysis patients and healthy controls both overestimated the impact of hemodialysis on wellbeing, and both groups reported a similar level of wellbeing.

    “A study compared a group of hemodialysis patients with healthy controls and found that both groups overestimated the impact of hemodialysis on wellbeing.In fact, both groups reported a similar level of wellbeing (Riis et al., 2005, p. 6).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Riis et al., 2005 source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisenone given

    On the medical model, impairment is the primary cause of disability and the harm taken to stem from it.

    “On the medical model, impairment is the primary cause of disability and also the harm that is taken to stem from it.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    On models used by neurodiversity proponents, at least a significant part of disablement is societally caused or the product of complex interactions between individual and society.

    “By contrast, on models used by neurodiversity proponents, at least a significant part of disablement is societally caused (Oliver, 1990) or the product of complex interactions between individual and society (Shakespeare, 2014).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Oliver, 1990 source
    • cites Shakespeare, 2014

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    These stereotypes overlook the large diversity within autism and may attribute credibility deficits to autistic individuals who do not have these putative traits.

    “These stereotypes overlook the large diversity within autism and therefore may attribute credibility deficits to autistic individuals who in fact do not have these putative traits.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Epistemic injustice may block our ability to conceive of a good autistic life and to recognize the testimonies of happy autistics as such, despite good reason to think autistic thriving is viable.

    “It may also-despite there being good reason to think that autistic thriving is viable-block our ability to conceive of a good autistic life, as well as to recognize the testimonies of happy autistics as such.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    The catch-22 denies recognition to happy autistics and severely diminishes the actual chances of autistic flourishing.

    “This is practically important since it does not just deny recognition to happy autistics-it also means that the actual chances of autistic flourishing are severely diminished, much as any destination will be harder to find if it has not been included on the map.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Neurodiversity proponents have suggested the neurodiversity paradigm as an alternative to the dominant medicalized framing of psychiatric and cognitive disabilities.

    “Neurodiversity proponents (Chapman, 2019a;Walker, 2012) have suggested the neurodiversity paradigm as an alternative to the dominant medicalized framing of psychiatric and cognitive disabilities.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Chapman, 2019a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Walker, 2012

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    The neurodiversity conception recasts autism as a minority neurocognitive type that is primarily disabled and devalued under current social conditions, instead of a medical pathology.

    “This recasts autism as a minority neurocognitive type that is primarily disabled and devalued under current social conditions, instead of it being a medical pathology (Chapman, 2019a;Singer, 1999).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Chapman, 2019a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Singer, 1999

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    Varieties of the social/relational framing allow us to see neurodivergences as neurominorities that are not inherently harmful rather than manifestations of harmful dysfunctions.

    “Varieties of this framing, which has been argued for in detail in the existing literature (see, e.g., Chapman, 2019bChapman, , 2020;;Robertson, 2010), allows us to see such divergences as”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Chapman, 2019b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Chapman, 2020 source
    • cites Robertson, 2010

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    Disability is assumed to be incompatible with living good or happy lives.

    “This follows a typical set of stereotypes widely held about disabled persons, whereby disability is assumed to be incompatible with living good or happy lives (Barnes, 2016).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Barnes, 2016 source
  • May combine two claims.

    Interpretationcitation

    The stereotype that autistic people are mindblind is still systematically used to dismiss the validity of autistic voices, although the theory has been shown untenable and rooted in prejudice.

    “Although this theory has been shown to be untenable (Chapman, 2019b) and rooted in prejudice (Yergeau & Huebner, 2017), it is still systematically used to dismiss the validity of autistic voices (Yergeau, 2018).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Chapman, 2019b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Yergeau & Huebner, 2017 source
    • cites Yergeau, 2018

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisenone given

    On the medical deficit view, autism is widely taken to be at odds, to varying extents, with living a good human life.

    “On the medical deficit view autism is also widely taken to be at odds (to varying extents depending on the specifics of the diagnosis) with living a good human life.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S1 (asserted), S4 (based). May combine two claims.

    Premisenone given

    Autism is widely taken to be at odds, to varying extents, with both wellbeing and flourishing, and hence incompatible with both objective and subjective conceptions of the good life.

    “As we discuss below, autism is widely taken to be at odds-to varying extents-with both wellbeing and flourishing, and hence incompatible with both objective and subjective conceptions of the good life.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisenone given

    On the medical deficit view, autism is classified as a neurodevelopmental disorder, indicating a harmful developmental trajectory that stems from underlying neurological dysfunction.

    “On what we call the medical deficit view, autism is classified as a neurodevelopmental disorder, indicating that it is a harmful developmental trajectory that stems from underlying neurological dysfunction.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    The empirical literature associates autism with poor outcomes and low wellbeing.

    “On the face of it, this may seem supported by the empirical literature, in which autism is associated with poor outcomes (Howlin, 2000) and low wellbeing (Renty & Roeyers, 2006).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Howlin, 2000 source
    • cites Renty & Roeyers, 2006 source
  • Classified as probably not a substantial claim.

    Premisenone given

    There is a stereotype that autism and happiness are inherently at odds.

    “This relates specifically to the stereotype that autism and happiness are inherently at odds.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    This credibility deficit can be broadly characterized as pathocentric testimonial injustice that operates broadly and pervasively, in tandem with relevant tracker prejudices.

    “This can be broadly characterized as pathocentric testimonial injustice (Kidd & Carel, 2018) that operates broadly and pervasively, in tandem with the relevant tracker prejudices.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Kidd & Carel, 2018 source
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    Neurodiversity challenges us to radically broaden our conceptions of the good human life.

    “our argument will serve the further purpose of showing that neurodiversity also challenges us to radically broaden our conceptions of the good human life.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    On the medicalized framing, there is a relatively restricted species-standard norm in mental functioning; if an individual falls outside it and is distressed or disabled to a clinically significant level, they are taken to have a mental disorder.

    “On the medicalized framing, there's a relatively restricted species-standard norm in terms of mental functioning (Boorse, 1975): if an individual falls outside of this norm and is also distressed or disabled to a”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Boorse, 1975

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites APA, 2013

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Autistic voices are more likely to be dismissed when they offer a variety of kinds of testimonies, especially testimonies about autistic wellbeing or happiness.

    “While this will mean that autistic voices are more likely to be dismissed when they offer a variety of kinds of testimonies, here we want to focus on testimonies about autistic wellbeing or happiness.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Moral philosophers have often taken autism to be inherently at odds with living a good life.

    “Underlying these empirical findings, moral philosophers have often taken autism to be inherently at odds with living a good life (Barnbaum, 2008;Furman & Tuminello, 2015).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Barnbaum, 2008 source
    • cites Furman & Tuminello, 2015 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Social or relational models reframe neurodivergent disablement and distress as, at least in significant part, the product of social exclusion, marginalization, and oppression.

    “These reframe neurodivergent disablement and distress as, at least in significant part, the product of social exclusion, marginalization, and oppression.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    The neurodiversity paradigm takes neuro-cognitive diversity itself to be the norm and posits such diversity as desirable and valuable for humanity as such.

    “By contrast, the neurodiversity paradigm takes neuro-cognitive diversity itself to be the norm and posits such diversity as desirable and valuable for humanity (or any human group) as such (Chapman, 2021;Singer, 1999).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Chapman, 2021 source
    • cites Singer, 1999

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisereasoning

    Neurodiversity proponents aim to de-pathologize autism and politicize neurodivergent disablement and distress, challenging the notion that at least some forms of neurodivergence are inherently harmful and dysfunctional.

    “Neurodiversity proponents aim to de-pathologize autism and instead politicize neurodivergent disablement and distress, and in doing so mount a challenge to the notion that at least some forms of neurodivergence are inherently harmful and dysfunctional.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    This coheres with the neo-Aristotelian notion that what is good for us depends on what we are like, but acknowledges that autistic people are different from non-autistic people and hence autistic thriving will not look like non-autistic thriving even if both are members of the same species.

    “This coheres with the neo-Aristotelian notion that what is good for us will depend on what we are like, but also acknowledges that autistic people are different from non-autistic people-and hence that autistic thriving will not look like non-autistic thriving even if both are members of the same species.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    On the interpretation that an autistic account means the person is not autistic, if that person is happy and articulating clearly their happiness, then their eloquence, rich use of language, and happiness mean that the speaker is not 'really autistic.'

    “On the latter interpretation, if that person is happy and articulating clearly their happiness, then the eloquence and rich use of language and their happiness mean that that speaker is not “really autistic.””
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Although wellbeing is currently low among the autistic population, evidence points toward this being a result of stigma and societal disablement rather than inherent to being autistic.

    “For although it is true that wellbeing is currently low among the autistic population, evidence points toward this being a result of stigma and societal disablement rather than inherent to being autistic.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Epistemic injustice not only prevents the expression of wellness but also impacts upon that wellness itself.

    “Thus it not only prevents the expression of wellness but also impacts upon that wellness itself.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationnone given

    The catch-22 bifurcation emerges from interlocking biases that go from everyday assumptions, through psychiatric theory and practice, reaching into ancient conceptions of the good human life.

    “Our aim here has been to identify and clarify how this catch-22 bifurcation emerges from interlocking biases that go all the way from everyday assumptions, through psychiatric theory and practice, reaching into ancient conceptions of the good human life.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Interlocking epistemic injustices mean that autistic accounts are taken to mean either that the person is not happy or that they are not autistic.

    “Interlocking epistemic injustices mean that autistic accounts are taken to mean either that the person is not happy or that they are not autistic.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    On the interpretation that an autistic account means the person is not happy, the statement 'I am autistic and I am flourishing' is not intelligible; it is not possible to be both.

    “On the former interpretation, “I am autistic and I am flourishing” is not intelligible; it is not possible to be both.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationnone given

    Both components of this dynamic are reflected not just in everyday responses to autism; they are also embedded in clinical practice.

    “Importantly, both components of this dynamic are reflected not just in everyday responses to autism; they are also embedded in clinical practice.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The diagnostic construction of autism makes the very concept of autism at odds with thriving, so that one can only be recognized as autistic if one's life is not going well.

    “More specifically, it constructs autism so that the very concept is at odds with thriving: you can only be recognized as autistic if your life is not going well.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    Some manifestations of autism can make life inherently harder in important respects, but life being hard is not the same as it being at odds with happiness as such.

    “In saying this, we do not mean to deny that some manifestations of autism can make life inherently harder in important respects; only that life being hard is not the same as it is at odds with happiness as such (Booth, 2016, Chapman, 2020;Carel, 2016).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Booth, 2016

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Chapman, 2020 source
    • cites Carel, 2016 source
  • May combine two claims.

    Interpretationreasoning

    If the neurodiversity perspective is seriously entertained or convincing to an extent, then, given the diversity of preferences that comes with a neurologically diverse species, we should expect a plurality of ways of flourishing within the human species, many diverging from species-standard thriving, and some rendered invisible due to overly restricted conceptions of human flourishing.

    “If the neurodiversity perspective is seriously entertained or is convincing to an extent, then, given the diversity of preferences that comes with a neurologically diverse species, we should expect there to be a plurality of ways of flourishing within the human species, many of which diverge from species-standard thriving, and some of which may be rendered invisible due to overly restricted concep”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: There are many different, yet equally legitimate, ways of functioning within humanity.
  • May combine two claims.

    Interpretationreasoning

    Autistic individuals encounter testimonial injustice when they claim to be happy or living good lives, and hermeneutical injustice in the exclusion of neurodivergent modes of flourishing.

    “We've suggested that autistic individuals encounter testimonial injustice, when they claim to be happy or living good lives, and hermeneutical injustice, seen in the exclusion of neurodivergent modes of flourishing.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationcitation

    Virtues should be understood as shared but relative to the individual rather than the species.

    “This allows us to understand virtues as shared but importantly relative to the individual rather than the species.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Carel, 2017 source
  • May combine two claims.

    Interpretationcitation

    If autistic individuals are not happy or flourishing, then not only is the autism recognized, but the suffering is automatically taken to stem from the autism.

    “On the other hand, if they are autistic and not happy or flourishing, then not only is the autism recognized, but the suffering is automatically taken to stem from the autism.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    The issue arises from a hermeneutical lacuna, not testimonial injustice, for it stops us from being able to envision minority modes of flourishing, despite reason to think such modes exist.

    “This time, however, the issue arises from a hermeneutical lacuna, not testimonial injustice, for it stops us from being able to envision minority modes of flourishing, despite, as we have seen, there being reason to think that such modes of flourishing exist.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    The development of new post-medicalized vocabularies will be necessary for further articulating an accurate and nuanced understanding of autistic forms of flourishing.

    “the development of new post-medicalized vocabularies will be necessary for further articulating an accurate and nuanced understanding of autistic forms of flourishing.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Merriam (2009) has proposed turning away from Aristotle and toward stoic philosophy, to shift focus onto how well individuals do given their specific limitations instead of measuring them against the species-standard norm.

    “Merriam (2009) has proposed turning away from Aristotle and toward stoic philosophy, to shift the focus onto how well individuals do give their specific limitations instead of measuring them against the species-standard norm.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Merriam, 2009 source
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    It is feasible that similar dynamics may also emerge for other neuro-cognitive disabilities.

    “Given this, it is also feasible that similar dynamics may also emerge for other neuro-cognitive disabilities.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    Our analysis gives good reason to ask whether similar dynamics are also at play in other cases.

    “our analysis does give good reason to ask whether similar dynamics are also at play in other cases.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Carel (2012) developed a phenomenological toolkit meant for use in a healthcare context, to support patients to cultivate new existential relationships to and understandings of their condition, bracketed off from purely medical meanings.

    “Carel (2012) developed a phenomenological toolkit meant for use in a healthcare context, to support patients to cultivate new existential relationships to and understandings of their condition, which are bracketed off from purely medical meanings.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Carel, 2012 source
  • Classified as probably not a substantial claim.

    Premisecitation

    For Baron-Cohen, the issue is one of autism causing the person to suffer.

    “For Baron-Cohen, the issue is one of autism “causing [them] to suffer” (2008, p. 11).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Baron-Cohen, 2008 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Milton (2014b) draws on phenomenology to critique the normalization of autistic 'dispositional diversity.'

    “Milton (2014b) draws on phenomenology to critique the normalization of autistic “dispositional diversity.””
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Milton, 2014b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Other neuro-cognitive disabilities are also routinely framed via the species-norm.

    “For other neuro-cognitive disabilities are also routinely framed via the species-norm.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Updating our theories of the good life to reflect the neurodiversity paradigm may be as important as neurodiversity proponents take updating models of disability to be.

    “Updating our theories of the good life to reflect the neurodiversity paradigm may therefore be as important as neurodiversity proponents take updating models of disability is, in light of such a paradigm shift.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    The concept of neurodiversity is not supposed to be autism-specific.

    “the concept itself is not supposed to be autism-specific”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Armstrong, 2010
    • cites Chapman, 2019a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Interpretationreasoning

    If autistic distress is extraneous and the result of social conditions under which autistic persons live, it may be that instead of adapting to their condition, autistic persons need to adapt to the barriers, prejudices, and stigma they face throughout their lives as 'tracker obstacles.'

    “If autistic distress is extraneous and the result of social conditions under which autistic persons live, it may be that instead of adapting to their condition, autistic persons need to adapt to the barriers, prejudices, and stigma they face throughout their lives as “tracker obstacles,” that track them in education, health, employment, housing, and so on.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Pantazakos (2019) develops the concept of the autistic 'life-world' as expressing a different structure to the neurotypical life-world in order to critique medicalized, behavioral understandings.

    “Pantazakos (2019) develops the concept of the autistic “life-world” as expressing a different structure to the neurotypical life-world in order to critique medicalized, behavioral understandings”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Pantazakos, 2019 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisereasoning

    Disabled people also face similar forms of discrimination and epistemic injustice.

    “Disabled people also face similar forms of discrimination and epistemic injustice.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Anita Ho (2011) uses the term 'catch 22' to describe a different situation, in which disabled people put themselves at risk if they do not trust their physician, but equally so if they do, since physicians can be epistemically overconfident and hence make harmful decisions.

    “Anita Ho (2011) uses the term “catch 22” to describe a different situation, in which disabled people put themselves at risk if they do not trust their physician, but equally so if they do, since physicians can be epistemically overconfident and hence make harmful decisions.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Ho, 2011

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Wardrope (2015) claims that impaired or ill persons acknowledge the utility of medical framings and find instrumental value in treatments, but resist the idea that the biomedical model says all there is to say about their conditions and identities.

    “Wardrope's (2015) claim that impaired or ill persons do “acknowledge the utility of medical framings and find a certain instrumental value in the treatments consequently made available, but resist in varying fashions the idea that the biomedical model says all that there is to say about their conditions and identities””
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Wardrope, 2015

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    Carel (2017) has stressed the need to relativize our understanding of the virtues in light of individual cognitive limitations.

    “Carel (2017), who in discussion of the neurodevelopmental disorder fetal alcohol spectrum disorder has stressed the need to relativize our understanding of the virtues in light of individual cognitive limitations.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Carel, 2017 source
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Neurodivergent people must adapt to an environment not built for them rather than having to adapt to diminished health.

    “If so, neurodivergent people must adapt to an environment not built for them rather than having to adapt to diminished health.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    Our analysis may bear significance more widely, beyond the case of autism.

    “In closing, we suggest that our analysis may bear significance more widely, beyond the case of autism.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Cultivating epistemic humility among the broader neurotypical public would help establish epistemic justice.

    “cultivating epistemic humility among the broader neurotypical public would help establish epistemic justice too.”
    Quote in the paperNot a substantial claim
63 of 63
  • The authors state this as an assumption.

    The neurodiversity framing can be applied to the autism spectrum to some extent at least.

    “For the purposes of this article, we will suppose that the neurodiversity framing can be applied to the autism spectrum to some extent at least, as even critics of the broader application of the neurodiversity framing admit (e.g., Jaarsma & Welin, 2012;Wakefield et al., 2020).”
  • The paper relies on this without support.

    There are many different, yet equally legitimate, ways of functioning within humanity.

    “and that there are many different, yet equally legitimate, ways of functioning”
  • The paper relies on this without support.

    Autistic individuals can live good lives and flourish.

    “if a person who identifies as autistic and who fulfills the diagnostic criteria is living a good life”
  • The paper relies on this without support.

    Autistic individuals' declarations about their own quality of life should not be overridden by the presumption that autism causes their low quality of life.

    “even if they declare otherwise”
4 of 4

Cites

Flagged first, then by citations

Research works printed but not linked: 12

  1. Gilbert D., 2006, Stumbling on Happiness
  2. Gross Z., 2012, Loud Hands: Autistic People, Speaking
  3. Heller J., 2011, Catch 22
  4. Higashida N., 2017, Fall Down Seven Times: Get Up Eight. A Young Man’s Voice From the Silence of Autism
  5. McCafferty K. R., 2018, My Son With Autism's Joyous Moments Help Us Get Through the Tougher Ones
  6. Mitchell D., 2017, Almost Everything I'd Been Told About My Son's Autism Was Wrong, Newstatesman (July 5)
  7. Montgomery C., 2012, Critic of the Dawn. Loud Hands: Autistic People, Speaking
  8. Singer J., 1999, Disability Discourse
  9. Solomon M., 2017, Philosophical Issues in Psychiatry IV: Classification of Psychiatric Illness
  10. Sontag S., 1978, Illness as Metaphor
  11. Walker N., 2012, Throw Away the Master's Tools: Liberating Ourselves from the Pathology Paradigm
  12. Walker N., 2015, The Real Experts: Readings for Parents of Autistic Children, 1

Cited by

Sorted by citations

Authors
Chapman, R., & Carel, H.
Affiliations
  • Sheffield Hallam University (GB)
  • University of Bristol (GB)
Corresponding author
Chapman, Robert
Venue
Journal of Social Philosophy
Publisher
Wiley
Published
2022-03
Volume
53
Issue
4
Pages
614-631
ISSN
  • 0047-2786 (ISSN-L)
  • 1467-9833
OpenAlex
W4214900417
Cited by
231
References
82
Citations by year
2026: 65 · 2025: 80 · 2024: 40 · 2023: 38 · 2022: 8
FWCI
58.78
Type
journal article
Language
en
Open access
Locations
  • Journal of Social Philosophy (publishedVersion, cc-by)
  • Explore Bristol Research (acceptedVersion, cc-by)
  • SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University) (acceptedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Feminist Epistemology and Gender Studies
  • Social Sciences › Safety Research › Disability Rights and Representation
  • Social Sciences › Arts and Humanities › Philosophy › Epistemology, Ethics, and Metaphysics
Keywords
neurodiversity, epistemic injustice, testimonial injustice, hermeneutical injustice, disability, good human life, epistemic agency

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-23.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-23.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

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