Autism & Developmental

Diagnostic Disclosure and Social Marginalisation of Adults with ASD: Is There a Relationship and What Mediates It?

O'Connor et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Telling co-workers an adult has autism cuts social rejection by lifting warm feelings, not by boosting their mind-reading skills.

✓ Read this if BCBAs helping adults with autism enter work or college settings.
✗ Skip if Clinicians serving only non-verbal or pediatric populations.

01Research in Context

01

What this study did

The team asked the adults to read short stories about a new co-worker.

Half the stories mentioned the co-worker has autism.

After each story, adults rated how close they wanted to be to the worker.

The researchers then tested two possible reasons the label might change minds.

Reason one: the label helps people understand the worker’s thoughts.

Reason two: the label makes people feel warmer toward the worker.

02

What they found

When the story included the autism label, people wanted less social distance.

The label did not improve mind-reading scores.

Instead, the label lifted positive feelings, and those feelings drove the drop in distance.

In plain words, good vibes, not better theory-of-mind, made co-workers more accepting.

03

How this fits with other research

van Timmeren et al. (2016) showed adults with autism read faces worse when emotions are heavy.

Cliodhna et al. now show typical adults also lean on feelings, not cold logic, when judging a peer.

Maddox et al. (2015) found poor emotion perception hurts socialization in autism.

Together the three papers say: train positive affect on both sides of the interaction.

Bhaumik et al. (2008) thought theory-of-mind was key, but the new data say it is not the mediator here.

The field is moving from “fix their ToM” to “boost shared good feelings.”

04

Why it matters

You can soften stigma faster than you can teach neurotypicals to think like BCBAs.

Next time you prepare a client for job placement, add a brief, upbeat disclosure script.

Pair it with smiles, compliments, and shared interests to spark positive affect right away.

Less distance on day one means more natural reinforcement and fewer behavior traps later.

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Write a 20-second script your client can use to share their diagnosis while mentioning a common interest to spark positive affect.

02At a glance

Intervention
not applicable
Design
other
Sample size
170
Population
autism spectrum disorder
Finding
positive

03Original abstract

Adults with autism spectrum disorder (ASD) often experience social marginalisation. This study uses a vignette-based design to clarify whether diagnostic disclosure affects social marginalisation in workplace contexts. It investigates two potential mediators of this relationship: affective response to and theory of mind for people with ASD. Participants (n = 170) read a description of a hypothetical co-worker with ASD traits, whose diagnosis was either disclosed or concealed. Providing a diagnostic label significantly reduced participants' desire to socially distance themselves from the target. This effect was mediated by positive affective responses. Diagnostic disclosure did not influence theory of mind for people with ASD but did increase tendencies to attribute primary emotions to the target; however, this did not relate to social distance outcomes.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04239-y