Autism & Developmental

Variability in first impressions of autistic adults made by neurotypical raters is driven more by characteristics of the rater than by characteristics of autistic adults.

Morrison et al. (2019) · Autism : the international journal of research and practice 2019
★ The Verdict

Stigma lives in the rater, not the autistic person—so change the rater to improve first impressions.

✓ Read this if BCBAs working with autistic teens or adults in inclusive settings
✗ Skip if Clinicians focused only on early-childhood discrete-trial training

01Research in Context

01

What this study did

Barton et al. (2019) asked 159 neurotypical adults to watch short videos of 20 autistic adults. Each rater said how much they wanted to talk with the person on screen.

Half the raters were told the person had autism. Half were told nothing. The team then looked at what best predicted the rater’s choice: the autistic traits shown in the video or the rater’s own stigma and autism knowledge.

02

What they found

The rater’s stigma level, not the autistic traits seen in the video, most strongly shaped their willingness to interact. When raters had low stigma, saying “this person has autism” helped a little. When raters already had high stigma, the label made things worse.

03

How this fits with other research

Higgins et al. (2021) conceptually replicate this finding with college students. They showed that special interests do not add extra stigma to an autism label—again, the label itself drives rejection.

Someki et al. (2018) extend the line by showing that a 30-minute online training can lower stigma in US and Japanese students. The training works because it targets the rater, not the autistic person.

KAgiovlasitis et al. (2025) look at the same population from a different angle. They find that higher autistic traits predict less eye gaze to social pictures in Indian adults. This supports the idea that autistic traits are real and measurable, yet E et al. show that stigma still comes mainly from the observer.

04

Why it matters

If you run social-skills groups or workplace inclusion programs, focus on the environment, not just the learner. Brief stigma-reduction lessons for peers, teachers, or co-workers can open doors faster than teaching autistic adults to mask their traits. Try adding a short autism facts sheet or 10-minute discussion before peer-mentoring starts.

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02At a glance

Intervention
not applicable
Design
survey
Sample size
525
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

Previous work indicates that first impressions of autistic adults are more favorable when neurotypical raters know their clinical diagnosis and have high understanding about autism, suggesting that social experiences of autistic adults are affected by the knowledge and beliefs of the neurotypical individuals they encounter. Here, we examine these patterns in more detail by assessing variability in first impression ratings of autistic adults (N = 20) by neurotypical raters (N = 505). Variability in ratings was driven more by characteristics of raters than those of autistic adults, particularly for items related to "intentions to interact." Specifically, variability in rater stigma toward autism and autism knowledge contributed to first impression ratings. Only ratings of "awkwardness" were driven more by characteristics of the autistic adults than characteristics of the raters. Furthermore, although first impressions of autistic adults generally improved when raters were informed of their autism status, providing a diagnosis worsened impressions made by neurotypical raters with high stigma toward autism. Variations in how the diagnosis was labeled (e.g. "autistic" vs "has autism") did not affect results. These findings indicate a large role of neurotypical perceptions and biases in shaping the social experiences for autistic adults that may be improved by reducing stigma and increasing acceptance.

Autism : the international journal of research and practice, 2019 · doi:10.1177/1362361318824104