Autism & Developmental

Buried by autism: older parents' perceptions of autism.

Hines et al. (2012) · Autism : the international journal of research and practice 2012
★ The Verdict

Older parents often cope by viewing autism as masking their adult child's real personality, a belief that can both comfort and constrain them.

✓ Read this if BCBAs serving adults with autism who still live with aging parents
✗ Skip if Clinicians focused only on early-intervention toddlers

01Research in Context

01

What this study did

Hines et al. (2012) talked with older parents who have adult children with autism. They used long, open interviews to learn how these parents make sense of the diagnosis after many years.

Parents shared stories about daily life, hopes, and struggles. The team read the transcripts and pulled out common themes.

02

What they found

Many parents said, "Autism hides my child's real self." They believed kind, funny, or smart traits were buried under autism. This idea helped them stay hopeful, but it also made them feel stuck.

Seeing autism as a mask gave comfort, yet it set up a lifelong search for the "normal" child they thought was inside.

03

How this fits with other research

Stephens et al. (2018) asked a wider age range of parents to fill out surveys. They found that parents who view autism as a burden report more behavior problems in their kids. Monique’s deeper interviews show one reason why: the "mask" idea can quietly feed stress.

Harrington et al. (2006) ran an earlier survey and saw that long diagnosis waits hurt trust in doctors. Monique’s work adds that even after diagnosis, older parents still craft their own private stories to cope.

Neuringer et al. (2007) measured vicarious hope and despair in parents. The "buried child" theme in Monique’s study gives words to the mixed feelings those numbers capture.

04

Why it matters

If you work with adults with autism, ask parents how they see the diagnosis now. When they talk about "the real child inside," echo the feeling, then gently shift focus to present strengths. This small move can lower hidden stress and boost teamwork on daily goals.

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Ask one parent, "What do you see as your child’s strongest trait right now?" and build the next goal around that strength.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
16
Population
autism spectrum disorder
Finding
not reported

03Original abstract

In this study, we explored older parents' perceptions of their adult sons and daughters with autism in order to gain insights into how parents' beliefs about autism may influence their coping. Narrative analysis of in-depth interviews held with 16 parents aged 60 years and older of adults with autism revealed that these parents perceived that their son's or daughter's intelligence, sense of humour and social personality are blocked by autism. Adherence to these beliefs appeared to comprise important coping strategies that supported these parents in their caregiving roles by assisting them to maintain positive perceptions of their son or daughter with autism. Yet such beliefs also held costs for the parents, including reinforcing the belief that they need to regulate their own behaviour in order to realize the true son or daughter buried by autism.

Autism : the international journal of research and practice, 2012 · doi:10.1177/1362361311416678