autism/functioning

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The idea that individuals with autism can be evaluated in terms of a single dimension describing how well they "function" is both popular within the medical community and viewed as problematic by the autism community.

Labels

The most common functioning labels are "low-functioning" and "high-functioning", usually with "autistic" or "autism" appended ("has low-functioning autism" or "is a high-functioning autistic person"). The now-deleted diagnosis of "Asperger's syndrome" was essentially equivalent to what is now commonly described as "high-functioning autism".

Issues

These "functioning" labels are less than ideal, for reasons that include:

  • Ability to function varies in lots of ways and doesn't really fit well into just two categories.
  • Autism varies in a lot of different ways, so someone's ability to function can vary a lot depending on contexts such as what it is they're trying to do, how much support they have, and generally how they're feeling/coping at any given moment.
  • It can be harmful to "high-functioning" people, as others may assume they don't need support: "but you're high functioning, of course you can do it!"
  • It can be harmful to "low-functioning" people, as others may assume they're incapable of things they can do: "oh, no, of course they can't manage to do this for themself, they're low functioning!"

In general, these evaluations tend to be made from an external perspective (i.e. by others, not by the autist), and also tend to focus on capitalist ideas of merit such as "productivity" rather than being oriented toward the individual's well-being and need for self-expression and agency.