Neurodiversity Movement Research Articles

Toward a neuroinclusive culture: designing neuroinclusivity with Triple Empathy Theory

The Neurodiversity Movement has made great strides in persuading against pathologizing of neurodiversity and instead for celebration and inclusion of neurodivergent people. Providing an appraisal of where we are, and where we should focus our efforts based on existing theory, this article considers the theoretical basis for achieving a neuroinclusive society through designing/redesigning human social and physical infrastructure for neuroinclusivity. Complementing and activating Double Empathy Theory, interrelated with Dialectical Misattunement Hypothesis, it argues development of relational (neurodiversity paradigm and ecological functional model) human-rights-rooted Triple Empathy Theory through interdisciplinary networks of research and practice can provide a neuroinclusive social and physical human environment. One supporting interpersonal dynamics which can propel reciprocal and dynamic attunements over time that provide the possibility of a virtuous cycle of increasing convergences in communication styles and interactions. Thereby reducing neurotypical dyspathy and neurodivergent adaptive morphing. Generating a culture where all neurotypes are empowered to achieve self-fulfilment.

Daily living skill support for autistic people through a neurodiversity-affirming practice lens.

Supporting daily living skill (DLS) development for autistic people is a component of occupational therapy practice. DLSs are essential for an increased quality of life (QoL), independent living, and community participation. Autistic young people experience poorer outcomes in terms of QoL and independent living than non-autistic peers. Finding a balance between targeted DLS support to maximise independent living and improve QoL, while avoiding attempts to 'normalise' or 'change' autistic people, presents as a dilemma for therapists striving to align with neurodiversity-affirming practice. This theoretical paper explored literature pertaining to DLS and the neurodiversity movement in the context of occupational therapy values and the Canadian Model of Occupational Participation. Consideration of whether targeted DLS support is neurodiversity-affirming or whether occupational therapists are compelling autistic people to mimic behavioural norms perceived by society was discussed. DLSs are an important factor for maximising QoL, regardless of neurotype. Occupational therapy values align with the core tenets of the neurodiversity movement, and occupational therapists are equipped with the values and skills to support the development of DLSs utilising affirming practice. Occupational therapists should critically reflect on their practice to ensure alignment with the professions core values and recent occupational therapy models, to ensure affirming practice. Further research investigating DLS and neurodiversity-affirming practice would benefit occupational therapists striving to align with neurodiversity-affirming practice. No consumer or community involvement. Consumers have been considered throughout the development of this paper through their representation in the literature. This involved a process of reviewing the literature and considering it in the scope of the questions and how occupational therapy sits within the neurodiversity movement. It is important to help autistic people to learn to do everyday things. Everyday things include activities like showering, cleaning, and cooking. These things are important so that autistic people can live on their own. It has shown that autistic young people are less likely to be able to do everyday activities on their own. It is important that therapists help autistic people learn how to do everyday things; however, do not try and change who they are. This is because completing everyday activities is an important part of QoL for all people.

Social Story Intervention Through the Neurodiversity Lens

The neurodiversity movement is reshaping how we conceptualize neurodevelopmental differences—emphasizing the inherent value of diverse neurological experiences and advocating for meaningful societal inclusion. This article explores the neurodiversity paradigm and considers its implications for the evaluation of social stories intervention based upon metrics that agree with the neurodiversity movement instead of ableist “evidence” of behavioral improvement. Social stories are explained as a strategy aimed at supporting cognition for autistic individuals which respects the autistic experience. Specific guidance is provided for how social stories can be evaluated as a person-centered tool that respects and accommodates individual neurodiversity. Recommendations are made for ways in which to continue to improve and evaluate social story interventions.

The growing definition of Autism

ABSTRACT The definition of autism continually changes over time in line with the growth of autism studies and the influences of the neurodiversity movement. The current paper aims to present the ongoing changes in the definition and diagnostic criteria of Autism as well as to introduce the autistic and neurodiversity movement happening globally. It traces back histories of Autism from myths and legends, cases in history possibly related to autism, Kanner’s and Asperger’s pioneered works on autism, and the ongoing transformation of Autism diagnostic criteria presented by all versions of DSM. The contribution of adults with Autism organisations to the DSM-5 diagnostic criteria is highlighted and future studies aimed to confirm the effectiveness of the newly revised criteria of DSM-5-TR are suggested. Subsequently, the current paper also discusses the brief history and principles of the autistic and neurodiversity movements that are growing globally and reviews the evolving definition of autism. The possible impact caused by the changes in the definition on the well-being of individuals with Autism is presented as well as future predictions of Autism’s definition are discussed.

Community views of neurodiversity, models of disability and autism intervention: Mixed methods reveal shared goals and key tensions.

What is already known about the topic? Some people support the neurodiversity movement and other people criticize it. They often disagree about what the neurodiversity movement means. Confusion about what the neurodiversity movement is makes it hard for people to agree about how best to support autistic or disabled people.What does this article add? We studied autistic and autism community members' views on the neurodiversity movement and autism interventions. Most participants supported the neurodiversity movement. Support for the neurodiversity movement was related to wanting to change society and make places more comfortable for autistic people. Neurodiversity supporters felt autistic children should choose their own intervention goals and that autistic adults should help children choose goals. Neurodiversity supporters did not think autistic people should be taught to act less autistic. Both those agreeing and disagreeing with the neurodiversity movement said that it is important to help autistic people be well. Many participants said that society causes all the difficulties disabled people experience. Yet they were somewhat open to helping people grow by teaching them useful skills and trying to cure depression and epilepsy.Implications for practice, research or policy. To better help autistic people, we should listen to participants in this study. They called for improving society, building more spaces where autistic people feel comfortable and helping autistic people lead change. They warned against teaching autistic people to hide their autism. Critics of the neurodiversity movement should read this article to better understand what neurodiversity movement supporters believe. By taking time to learn from one another, we can work together to better support autistic people.

Exploring the Media Discourse of Neurodiversity and Neurodivergent Individuals: A Step Toward Discovering Possibilities for All People

This study considers how the U.S. news media frame the neurodiversity movement and individuals who are either diagnosed or self-identify as neurodivergent. We used content analysis to examine 354 news articles. Results showed increased coverage of neurodiversity and neurodivergent individuals from 2016 to 2022. Key findings include an increase in calls for representation, advocacy, and the recognition of neurodiversity as a different neurotype rather than a condition to be cured, as well as more diverse voices represented in the media coverage, a diversification of topics covered relating to neurodiversity, and a continued focus on autism in media discourse.

Community Member Views on Autism Intervention: Effects of Closeness to Autistic People with Intellectual Disabilities And Nonspeaking Autistic People.

Controversy regarding the neurodiversity movement (NDM), the social and medical models of disability, autism intervention goals, and causal attributions of disability contributes to divides in the autistic and autism communities. The present study investigates the views of autistic and non-autistic autistic and autism community members on these topics. We explored whether these views are shaped by having close relationships to autistic people with intellectual disabilities (ID) and nonspeaking autistic (NSA) people. A total of 504 autistic and autism community members (278 autistic, 226 non-autistic) completed an online survey about theoretical models and intervention goals. Participants reported whether they had one or more close relationships with NSA people, autistic people with ID, neither, or both. Overall, there was considerable consensus regarding desired intervention goals: normalization goals were generally opposed, while participants generally supported well-being, societal reform, supportive environment, and adaptive skill goals. While autistic participants reported less support for normalization and adaptive skills goals than non-autistic participants, they expressed somewhat more enthusiasm for societal reform and supportive environments than non-autistic people. Autistic people supported the NDM more and the medical model less than non-autistic people. Those close to autistic people with ID gave higher ratings to adaptive skill goals. On average, participants not close to autistic people with ID saw the challenges of those without ID as being slightly more due to environmental/social factors than the challenges of those with ID; there was no such statistical difference among those close to autistic people with ID. Further research investigating community views, with the inclusion of more autistic people with ID and NSA people themselves, is needed, but the results of this study suggest that the broader autistic and autism communities see NDM-consistent intervention goals as appropriate for all autistic people, including NSA people and those with ID. As autism interventions have often pursued unpopular normalization goals, this suggests directions for reform.

‘Children should be raised like this’: A history of the neurodiversity movement in Italy and its implications for children's well‐being

AbstractChildhood Studies scholars have increasingly engaged with the concept of neurodiversity, particularly with respect to neurodivergent children's mental well‐being. The purpose of this paper is to discuss the history of the neurodiversity movement in Italy, and the consequences on children's mental health, drawing on eight in‐depth interviews with movement leaders, researchers and members of parent associations. We argue that Italian education and health services serve as promising sites within which a neurodiversity approach can foster neurodivergent children's self‐esteem and give them powerful tools to fight against oppressive practices.

Sociocultural perspectives on neurodiversity—An analysis, interpretation and synthesis of the basic terms, discourses and theoretical positions

AbstractThe neurodiversity concept can now be found in many places. However, it is often misunderstood and many people are not aware of its complexity. The aim of this paper is to highlight the different facets of the term neurodiversity as well as the discourses around the neurodiversity movement in order to bring together the interconnections around identity politics, diversity and social disadvantage. This article is intended as a contribution to the advancement of neurodiversity studies, which could be understood as a branch of disability studies. Finally, it will be argued that neurodiversity can be understood (1) as a natural and equal diversity of neuronal structures, (2) as a concept of identity politics, (3) as social critique of hegemonic structures and practices, and (4) as a subject that can be examined systematically on the basis of a praxeological research methodology that integrates neurodiversity in the concept of performativity of embodied thought and action.

Neurocognitive features in childhood & adulthood in autism spectrum disorder: A neurodiversity approach.

Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a diverse profile of cognitive functions. Heterogeneity is observed among both baseline and comorbid features concerning the diversity of neuropathology in autism. Symptoms vary depending on the developmental stage, level of severity, or comorbidity with other medical or psychiatric diagnoses such as intellectual disability, epilepsy, and anxiety disorders. The neurodiversity movement does not face variations in neurological and cognitive development in ASD as deficits but as normal non-pathological human variations. Thus, ASD is not identified as a neurocognitive pathological disorder that deviates from the typical, but as a neuro-individuality, a normal manifestation of a neurobiological variation within the population. In this light, neurodiversity is described as equivalent to any other human variation, such as ethnicity, gender, or sexual orientation. This review will provide insights about the neurodiversity approach in children and adults with ASD. Using a neurodiversity approach can be helpful when working with children who have autism spectrum disorder (ASD). This method acknowledges and values the various ways that people with ASD interact with one another and experience the world in order to embrace the neurodiversity approach when working with children with ASD.

Speech and language therapy services for autistic children in Munster: An interpretative phenomenological analysis of parental experiences and expectations

BACKGROUND: From a medical perspective, autism is characterised by a dyad of impairments in social communication and interaction, and restricted, repetitive behaviours. However, the neurodiversity movement sees autism as a difference and not as a disability. Autistic individuals account for 1–2% of the population and many autistic children and their families access Speech & Language Therapy (SLT). In Ireland, SLT is provided across primary care, childrens’ disability network teams, as part of the progressing disability services for children and young people, and private providers. However, little is known about parents’ experiences accessing SLT services for autistic children. METHODS: This study aimed to investigate the parental experiences of SLT services for autistic children in the province of Munster, Ireland. Interpretative Phenomenological Analysis was used as a methodological framework. Semi-structured online interviews were carried out with six participants to identify their experiences of receiving SLT services for their autistic children. Data analysis followed a structured process, starting with in-depth explorations of individual datasets before cross-case analysis of the whole sample. FINDINGS: Participants expressed a variety of experiences and expectations of SLT provision, which centred on three thematic journeys: 1) Parenting an autistic child, 2) Experiencing and navigating SLT services for autistic children and 3) Evolving expectations of SLT service changes. CONCLUSIONS: Findings provide insight into parents’ individual and shared experiences of SLT services for autistic children, which may enrich service providers’ understanding of parents’ perceptions of SLT services. Future research should focus on exploring the experiences of autistic individuals and Speech and Language Therapists providing services for autistic children.2

Systemic Silencing Mechanisms in Autism/Autistic Advocacy in Ontario, Canada

This article reveals how systemic ableism operates within grassroots organizations in Ontario, formulating a normative standard for being an autistic person. In‐depth interviews were conducted with 50 participants in the years 2021 and 2022, triangulated with document analysis from 2018 and 2022. The study participants consisted of autistic adults, parents, disability advocates, organizers of grassroots organizations, social workers, policy insiders, and academics. The findings show that most autistic adults are pressured to choose sides, either to join autism advocacy that is parent‐led or expert‐led or to become self‐advocates in autistic advocacy. This article offers an original finding that the value policy of pro/anti‐ABA of two grassroots organizations in the field of autism/autistic advocacy contributes to identity politics. Ableism operates through Pierre Bourdieu’s symbolic power, excluding autistic adults who do not fit into these two main categories of advocacy. Social oppression becomes multi‐directional as identity politics takes the stage and diverts from the original goals of social inclusion in advocacy. The concept of a grey area is introduced in theory building, to trouble the essentialist categories of autism/autistic advocacy and invite readers to commit to disability solidarity by moving beyond the dichotomy of sameness and difference.

Developmental language disorder and neurodiversity: Surfacing contradictions, tensions and unanswered questions.

Neurodiversity is increasingly discussed in relation to autism research and practice. However, there is a lack of scholarship concerning the neurodevelopmental condition of Developmental Language Disorder (DLD) and the neurodiversity movement. While this movement may hold opportunities for the DLD community, the application of the concept of neurodiversity to DLD research and practice needs consideration, as DLD and autism have very different levels of public and professional awareness and understanding. In this article, we discuss what the concept of neurodiversity and the associated neurodiversity movement could mean for DLD research and practice. We aim to critique some assumptions that may arise from the application of neurodiversity principles (or assumed principles) to the field of DLD. This is a discussion paper, drawing on the personal experiences and reflections of the author team. We make the case for why DLD should be included in discussions about neurodivergence and outline considerations for doing so, and why some issues and applications may be particular to DLD. We outline points of similarity and contrast with autism in relation to our understanding of neurodiversity. We consider the issues around diagnosis and terminology and urge practitioners to continue to diagnose DLD using currently agreed terminology, so as not to undermine recent awareness efforts. We note that a neurodiversity-informed perspective challenges us to offer interventions that operate at the level of our environments, not just at the level of an individual. Indeed, neurodiversity offers a platform to argue for better rights and more inclusive spaces in mental health settings, education and work for children and adults with DLD. DLD should be considered from a neurodiversity-informed perspective, and it is our hope that this will lead to neurodiversity-affirming practice that will afford young people with DLD better understanding from members of the public and the professionals who work with them. Further work is needed to better support children, young people and adults with DLD to have a voice in the neurodiversity movement. What is already known on the subject Neurodiversity approaches are increasingly being taken up in research and practice in relation to autism, meaning that our understanding of autism and how autistic people are supported is increasingly drawing on the principles of neurodiversity. However, autism is not the only neurodivergent population. Developmental Language Disorder (DLD) is another neurodevelopmental condition; however, relative to autism, DLD has lower awareness amongst professionals and the public. There has been no scholarship that has examined DLD through the lens of neurodiversity, or considered the application of neurodiversity-affirming approaches to DLD. What this paper adds to existing knowledge In this paper, we examine what the neurodiversity movement means for DLD research and practice. In particular, we consider what neurodiversity in the field of autism might teach us about the application of neurodiversity in the field of DLD, and highlight where we believe there are important differences between the two populations. We reflect on what neurodiversity means for intervention, diagnosis, terminology and championing the need for accessibility, especially with regard to mental health support, education and employment. What are the potential or actual clinical implications of this work? Neurodiversity highlights the need to consider interventions at the level of an individual's environment (e.g., how can we make this space more inclusive?) as well as interventions operating at the level of the individual themselves (e.g., interventions focusing on an individual's language skills). We challenge the notion that neurodiversity-affirming approaches mean not diagnosing DLD or changing DLD's terminology: we argue that this is not in the spirit of the original neurodiversity movement, but also that for a condition with such low public awareness, these actions could do more harm than good for families affected by DLD. We call for more in-depth scholarship and discussion around the application of neurodiversity approaches to DLD and argue that the neurodiversity movement offers an important opportunity to raise better awareness and understanding of DLD in multiple sectors, including (but not limited to) mental health, education and employment.

Why critical psychology and the neurodiversity movement need each other.

Critical psychology is a discipline that can be defined in a variety of ways, though common themes include critiquing mainstream psychology as well as critiquing society at large and engaging in social change to respond to those critiques. The neurodiversity movement is a political movement that emerged in response to the dehumanizing treatment of Autistic and other neurodivergent individuals by society in general and by mainstream psychology specifically. In this article, I describe five ways in which critical psychology and the neurodiversity movement can and have begun to benefit from each other: (a) by critical psychologists embracing neurodivergent epistemologies in the way they embrace other diverse epistemologies; (b) by resisting attempts within mainstream psychology to pathologize difference or "treat" these so-called psychopathologies by modifying behavior; (c) by practitioners developing cultural competency around neurodivergent culture within the psychotherapeutic practice; (d) by challenging the homogenization and whitewashing within the neurodiversity movement through leveraging lessons from within various critical psychologies; and (e) by researchers and practitioners recognizing and combatting instances of ableism embedded in other forms of oppression and within the field of critical psychology itself.

Changing perspectives on autism: Overlapping contributions of evolutionary psychiatry and the neurodiversity movement.

Perspectives on autism and psychiatric conditions are affected by a mix of scientific and social influences. Evolutionary psychiatry (EP) and the neurodiversity movement are emerging paradigms that reflect these distinct influences, with the former grounded in scientific theory and the latter driven by political and social principles. Despite their separate foundations, there is a significant overlap between EP and neurodiversity that has not been explored. Specifically, both paradigms reframe disorders as natural cognitive differences rather than disease; expand the concept of "normal" beyond that implied in modern psychiatry; focus on relative strengths; recognize that modern environments disadvantage certain individuals to cause functional impairment; emphasize cognitive variation being socially accommodated and integrated rather than treated or cured; and can help reduce stigmatization. However, in other ways, they are distinct and sometimes in conflict. EP emphasizes scientific explanation, defines "dysfunction" in objective terms, and differentiates heterogenous cases based on underlying causes (e.g. autism due to de novo genetic mutations). The neurodiversity movement emphasizes social action, removes barriers to inclusion, promotes inclusive language, and allows unrestricted identification as neurodivergent. By comparing and contrasting these two approaches, we find that EP can, to some extent, support the goals of neurodiversity. In particular, EP perspectives could be convincing to groups more responsive to scientific evidence and help achieve a middle ground between neurodiversity advocates and critics of the movement.

Neurodiversity and third-level education: A lacuna between the strength-based paradigm shift and the lived experience

There has been a notable change in how third-level institutions perceive and interact with students who do not meet historically typical expectations regarding education. This is evidenced by an increased emphasis on equality, diversity, and inclusion in terms of access and retention across the sector. The extent to which this includes a neurodiversity focus varies significantly across jurisdictions. However, research suggests a gap between rhetoric and reality concerning neurodiversity at the third level, with many students’ lived experiences being reported as challenging, and at times compounding stigma, masking, and feelings of inadequacy. Moreover, it is unclear whether third-level institutions understand the nuance of neurodiversity and the significance of the neurodiversity movement. This project utilised the Global Café methodology to explore the above phenomenon from a participatory lived experience perspective. The project found that, despite the increase in focus by third-level institutions in the area of neurodiversity, this cohort is still disadvantaged when compared to their neurotypical peers and indeed may be experiencing greater exclusion as a result of the overemphasis upon what is perceived to be a singular and neurotypical understanding of the strength-based model within the third-level sector. Lay abstract This study looks at how colleges and universities treat students who learn differently. Even though colleges and universities talk a lot about being fair and inclusive, the research shows that many students who think and learn differently still face a lot of difficulties. This study explored this using a method called the Global Café. The Global Café method gathers information with students about their own experiences, allowing the students to direct the research. The findings reveal that, despite colleges and universities saying they support students who learn differently, many students still face challenges compared to those who learn in more traditional ways. The study highlighted that terms used in the area of neurodiversity were open to question/debate with different terms being preferred by different people in different contexts. It also found that many supports and initiatives are steeped in neurotypical (typical learning approaches) assumptions and therefore do not always apply to the needs of students who think and learn differently. Finally, the study found that more needs to be done to make sure students with different learning styles have the same opportunities in higher education, not just when they are entering it.

POPULARIZATION OF SCIENCE FICTION: FORMULA ANALYSIS ON ELLE McNICOLL’S NOVEL SHOW US WHO YOU ARE

This research is the formula analysis of popularization of science fiction in representing the neurodivergent character, Cora, in Show Us Who You Are. The novel, exposes the female autistic who would be the next hologram creation of Pomegranate’s experimentation. The method used in this study is an inductive-qualitative approach with comprehensive data collection and analysis that generate arguments and critical thinking. The material object used is the novel Show Us Who You Are written by Elle McNicoll, while the formal object is the formula put forward by Raymond Williams about conventions and inventions in the science fiction genre. The combination of science fiction and middle grade makes Elle McNicoll's work unique in reconstructing the romanticization of neurodivergent character from the neurodivergent perspective. Thus, these innovations are presented in various formulas which deconstruct the binary narrative through feminist critique in soft SF formed by the author in the delivery of an inclusive neurodiversity movement.

Autistic phenomenology: past, present, and potential future.

We are now at a transition point in autism conceptualisation, science, and clinical practise, where phenomenology could play a key role. This paper takes a broad view of the history of phenomenological perspectives on the autism concept and how this has evolved over time, including contemporaneous theory and methods. Early inquiry from a clinical perspective within the tradition of classical continental phenomenology, linked closely to the consideration of schizophrenia, is contrasted with emerging observations of child development and a period in the second half of the twentieth century of scientific inquiry into a behavioural autistic phenotype where there was little or no phenomenological aspect; a phenotype that has determined the recent scientific and clinical conceptualisation of autism within current nosology. We then mark a more recent reawakening of interdisciplinary interest in subjective experience and phenomenological inquiry, which itself coincides with the increasing prominence and salience of the neurodiversity movement, autistic advocacy, and critical autism studies. We review this emerging phenomenological work alongside a contemporaneous clinical phenomenology perspective and representations of autistic experience from within the extensive literature (including life writing) from autistic people themselves; all perspectives that we argue need now be brought into juxtaposition and dialogue as the field moves forward. We argue from this for a future which could build on such accounts at a greater scale, working toward a more co-constructed, systematic, representative, and empirical autistic phenomenology, which would include citizen and participatory science approaches. Success in this would not only mean that autistic experience and subjectivity would be re-integrated back into a shared understanding of the autism concept, but we also argue that there could be the eventual goal of an enhanced descriptive nosology, in which key subjective and phenomenological experiences, discriminating for autism, could be identified alongside current behavioural and developmental descriptors. Such progress could have major benefits, including increased mutual empathy and common language between professionals and the autistic community, the provision of crucial new foci for research through aspects of autistic experience previously neglected, and potential new supportive innovations for healthcare and education. We outline a programme and methodological considerations to this end.

Neurodiversity and double empathy: can empathy disconnects be mitigated to support autistic belonging?

Within disability studies in general, and autism research in particular, a neurodiverse perspective has been gaining traction. Since the 1990s, and with increasing intensity recently, the neurodiversity movement has reshaped narratives about autism, has refocused research priorities, as well as the ways supports are conceived and delivered. The neurodiversity movement has brought autistic-led theories to the center of research agendas including the Double Empathy theory. Most of the double empathy theory research to date has examined communication patterns between less familiar partners, but there is so much more to learn. The purpose of this paper is to (a) review the science relative to communication and social interaction, the double empathy theory, and belonging for autistic people, (b) consider the future of autistic wellbeing through prioritizing belonging, (c) examine intersubjectivity, meaning making, and empathy as factors in belonging, and (d) propose a framework for reducing empathy disconnects in cross-neurotype interactions.

Conversations on echolalia: A qualitative inquiry into autistic adults’ views on echolalia, language, and music

ABSTRACT Introduction Considering the growing influence of the Neurodiversity movement on the literature on autism, we attempted to shed a new light on autistic echolalia in music therapy by exploring the topic from an identity-first viewpoint. We interviewed autistic adults and studied this phenomenon from their perspective. Method Five adults on the autism spectrum were interviewed. For the data collection phase, Reductive Phenomenology was used. The participants were asked to reflect on the need to echo as they understand it and discuss possible reasons that may lead autistic clients to echo during music therapy. They were also asked about musical aspects that echolalia may have. For the analysis of the data, the guidelines of Interpretative Phenomenological Analysis were followed to extract themes and categories from the data. Results The interviewees pointed at two main reasons for echolalia in their opinion: (a) intra-personal reasons that mainly function to self-regulate the echoing person; and the much less frequently mentioned (b) inter-personal reasons that relate to interactions with others. They also pointed at several connections between music and echolalia, for example, the heightened awareness to the prosody of words rather than their content and the use of songs as echolalia. Discussion The information provided by the interviewees is compared to descriptions of echolalia in the literature. Enabling the participants to share their autistic experience, we believe, is an opportunity to hold back preconceived assumptions about echolalia made by non-autistic music therapists and other professionals, and to help them improve their clinical understanding of echolalia.