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


Journal

Journal of child psychology and psychiatry, and allied disciplines
ISSN: 1469-7610
Titre abrégé: J Child Psychol Psychiatry
Pays: England
ID NLM: 0375361

Informations de publication

Date de publication:
08 2021
Historique:
received: 06 09 2020
accepted: 29 09 2020
pubmed: 9 12 2020
medline: 21 10 2021
entrez: 8 12 2020
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 33289092
doi: 10.1111/jcpp.13344
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Comment

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : CIHR
ID : PJT 159578
Pays : Canada
Organisme : CIHR
ID : GSB 171373
Pays : Canada
Organisme : Department of Health
Pays : United Kingdom
Organisme : Medical Research Council
Pays : United Kingdom
Organisme : NIMH NIH HHS
ID : R01 MH104438
Pays : United States
Organisme : NICHD NIH HHS
ID : U54 HD079125
Pays : United States
Organisme : NICHD NIH HHS
ID : P50 HD093079
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH114879
Pays : United States
Organisme : Wellcome Trust
Pays : United Kingdom

Commentaires et corrections

Type : CommentOn

Informations de copyright

© 2020 Association for Child and Adolescent Mental Health.

Références

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Borsboom, D., Cramer, A., & Kalis, A. (2019). Brain disorders? Not really… Why network structures block reductionism in psychopathology research. The Behavioral and Brain Sciences, 42(e2), 1-63.
Dean, M., Harwood, R., & Kasari, C. (2017). The art of camouflage: Gender differences in the social behaviors of girls and boys with autism spectrum disorder. Autism, 21(6), 678-689.
Fombonne, E. (2020). Camouflage and autism. Journal of Child Psychology and Psychiatry, 61(7), 735-738.
Hull, L., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., Petrides, K.V., & Mandy, W. (2020). Gender differences in self-reported camouflaging in autistic and non-autistic adults. Autism, 24(2), 352-363.
Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K.V. (2019). Development and validation of the camouflaging autistic traits questionnaire (CAT-Q). Journal of Autism and Developmental Disorders, 49(3), 819-833.
Lai, M.-C., & Baron-Cohen, S. (2015). Identifying the lost generation of adults with autism spectrum conditions. Lancet Psychiatry, 2(11), 1013-1027.
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Mandy, W. (2019). Social camouflaging in autism: Is it time to lose the mask? Autism, 23(8), 1879-1881.
Parish-Morris, J., Liberman, M.Y., Cieri, C., Herrington, J.D., Yerys, B.E., Bateman, L., … & Schultz, R.T. (2017). Linguistic camouflage in girls with autism spectrum disorder. Molecular Autism, 8, 48.
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Auteurs

Meng-Chuan 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.

Laura Hull (L)

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

William Mandy (W)

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Bhismadev 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.

Christine Wu Nordahl (CW)

The MIND Institute and Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA, USA.

Michael V 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.

Stephanie H 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.

Peter 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.

Simon Baron-Cohen (S)

Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.

Francesca Happé (F)

Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Lucy Anne 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.

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