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The Deficit View and Its Critics
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This paper investigates what it is to understand human differences in terms of deficits and examines criticisms of this approach. In the past few decades, across many fields of inquiry and outside the academy there has been a surge of interest in critiquing "the deficit view" of all manner of group differences and deviations from the norm. But what exactly is meant by "deficit view" and related terms when they figure in accounts of human differences? Do critics of the deficit view claim that they are never appropriate or that particular applications of the approach are inappropriate? The aim of this paper is twofold: to identify and articulate some of the conceptual issues at the heart of debates about deficit approaches and to examine how these issues matter. Autism is my focus case. As we will see, many critiques of the deficit view of autism tend to characterize what is problematic about taking a deficit view in terms of the personal and social harm that deficit views can or do effect. One important upshot of my discussion, I argue, is that there is another kind of drawback to deficit thinking that is independent of the deficit view's potential negative personal and social consequences, a drawback that deserves serious consideration and sustained critical attention: in some instances, at least, deficit views impede scientific and philosophical progress in our understanding of the phenomena themselves. Thus, articulating and assessing deficit approaches is of practical and theoretical importance.
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“In a number of cases, conventional autism research describes ways in which autistic people outperform nonautistic people in scientific tasks yet interpret those achievements as somehow revealing a problem.”
From Annual Research Review: Shifting from ‘normal science’ to neurodiversity in autism science (2022) · cites this paper as Dinishak, 2016
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“The adoption of a predominantly deficit‐focused view therefore tends to present autism as a lack or absence of something that someone ought to have, an undesirable individual experience (Dinishak, 2016; Robertson, 2010).”
From Annual Research Review: Shifting from ‘normal science’ to neurodiversity in autism science (2022) · cites this paper as Dinishak, 2016
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“That is, data that in fact reveal strengths in autistic people are paradoxically – and bizarrely – interpreted in a negative way, as a consequence of a ‘deficit’ or ‘impairment’ (Dawson & Mottron, 2011; Dinishak, 2016; Gernsbacher, Dawson, & Mottron, 2006; Robertson, 2010).”
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“Dissatisfaction with care,9 high levels of unmet needs,10 and harmful effects11 suggest that mental health services do not currently provide sufficient support for many autistic individuals with co-occurring mental health difficulties.”
From Approaches to improving mental healthcare for autistic people: Systematic review (2024) · cites this paper as [11]
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“and lack of evidence on best approaches.11,17–20”
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“Impediments to delivering appropriate support include lack of staff training and knowledge on how services could be adapted”
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- I am grateful to anonymous reviewers' of submissions for the conference "Re-conceptualizing Mental Illness" (London, April 2014) for their comments on an earlier articulation of this third line of thought. Return to Text
- I am grateful to Nameera Akhtar, Mandel Cabrera, Jonathan Ellis, Mona Gupta, Andrew Hsu, Rebekah Johnston, Kara Richardson, Paul Roth, Rasmus Winther, an anonymous reviewer for Disability Studies Quarterly, and the audiences at the 2015 annual meeting of the Association for the Advancement of Philosophy and Psychiatry in Toronto and the 2015 annual meeting of the British Society for the Philosophy of Science in Manchester for helping me to shape the ideas in this paper. Return to Text
- Dinishak, J. (2016) 'The Deficit View and Its Critics', Disability Studies Quarterly. 36(4) doi: 10.18061/dsq.v36i4.5236
- Dinishak, J. The Deficit View and Its Critics. Disability Studies Quarterly. 2016 12; %}36(4) doi: 10.18061/dsq.v36i4.5236
- Dinishak, J. (2016, 12 2). The Deficit View and Its Critics. Disability Studies Quarterly 36(4) doi: 10.18061/dsq.v36i4.5236
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“Sometimes the deficit is blamed on a group’s genes or brains and sometimes on their family background or “cultural deprivation” (Dinishak, 2016; Dudley-Marling, 2007; García-Coll et al., 1996; Miller & Sperry, 2012; Valencia & Black, 2002).”
Background
Metadata
- Authors
- Dinishak, J.
- Affiliations
- University of California, Santa Cruz (US)
- Corresponding author
- Dinishak, Janette
- ORCID
- Dinishak, Janette
- Venue
- Disability Studies Quarterly
- Publisher
- The Ohio State University Libraries
- Published
- 2016-12-02
- Volume
- 36
- Issue
- 4
- ISSN
- 1041-5718 (ISSN-L)
- 2159-8371
- OpenAlex
- W2559516930
- Cited by
- 132
- References
- 0
- Citations by year
- 2026: 17 · 2025: 19 · 2024: 19 · 2023: 16 · 2022: 20 · 2021: 22 · 2020: 9 · 2019: 6 · 2018: 3 · 2017: 1
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Disability Studies Quarterly (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Disability Rights and Representation
- Social Sciences › Sociology and Political Science › Feminist Epistemology and Gender Studies
- Social Sciences › Education › Inclusion and Disability in Education and Sport
- Keywords
- deficit views, autism spectrum disorder, human difference, group differences, normativity, social harm, disability studies, philosophy of disability, scientific progress
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