Practitioner Development

Explicit stigma and implicit biases toward autism in South Korea versus the United States.

Kim et al. (2023) · Autism : the international journal of research and practice 2023
★ The Verdict

Korean adults carry heavier explicit and hidden bias against autism than US adults—cultural competence training is not optional.

✓ Read this if BCBAs serving Korean families or working in South Korea.
✗ Skip if Clinicians with caseloads that rarely involve Korean culture.

01Research in Context

01

What this study did

Kim et al. (2023) asked adults in South Korea and the United States about autism. They used quick computer tests to measure hidden bias and paper surveys for open stigma. The goal was to see which culture holds stronger negative views.

02

What they found

Korean adults showed more negative explicit and implicit bias than American adults. Cultural values and prior contact with autistic people shaped these attitudes. The pattern held across age, gender, and education levels.

03

How this fits with other research

Prigge et al. (2013) already showed Korean families face stigma and late diagnosis. Yoon’s 2023 numbers give the first direct, cross-cultural proof that bias is stronger in Korea.

Armstrong et al. (2021) found South-East Asian parents in Australia felt better and saw fewer child problems than Australian parents. This seems opposite to Yoon’s finding, but the two studies looked at different groups: Jodie studied parents already in intervention, while Yoon surveyed the general public. Access to services may buffer stress once families are enrolled.

Farley et al. (2022) warned that Western autism tools miss culturally normal behaviors. Yoon’s results back that warning—collectivist values partly explain the higher stigma scores.

04

Why it matters

If you work with Korean families, expect stronger hidden bias from teachers, relatives, and even yourself. Add explicit cultural-competence lessons to your parent training and staff meetings. Ask families what autism means in their culture and validate those views before teaching new skills. Small shifts—like using Korean-culture examples in social stories—can cut shame and boost engagement.

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Start your next parent meeting by asking, 'What words does your family use for autism?' and adjust your language to match.

02At a glance

Intervention
not applicable
Design
survey
Population
not specified
Finding
not reported

03Original abstract

How people report their feelings about autism may be different from how they actually think about autism because some people may not want to reveal their true feelings. People who value the group's goal tend to present themselves as more socially acceptable than people who value one person's interests. We studied how people in South Korea and the United States report their feelings about autism and think about autism. Koreans tend to value the group's goals. Americans tend to prefer one person's goals. Koreans reported that they wanted more space from autistic people than Americans did. Koreans were more likely to think about autism with negative words (and think more negatively about autism). How Koreans and Americans report their feelings about autism was not related to their thoughts about autism. People who knew about autism and liked meeting with autistic people wanted to get closer to autistic people in South Korea and the US, Koreans who had met autistic people and thought that people who newly came to Korea from abroad should be more like Koreans did not want to get very close to autistic people. This could be because very few foreign people live in South Korea compared to the United States. Teaching Koreans that all cultures have values and should be appreciated will help them like autistic people more.

Autism : the international journal of research and practice, 2023 · doi:10.1177/13623613221140695