Despite being targets of intervention practice and research for over 60 years, autistic people have been left out of the conversation. Until recently, nearly no research or implementation work has sought the input of autistic people in regard to the design of interventions and, more importantly, how the goals for such interventions are prioritized and determined. This reframe has profound implications for autism-focused interventions and research, most of which have aimed to reduce or eliminate autism symptoms, with variable empirical support (Bottema-Beutel, 2023). These outcomes are practically and ethically incompatible with a neurodiversity perspective. Most prominently, applied behavior analysis (ABA), which was the first intervention approach widely applied to autistic people, has come under increasing scrutiny and criticism for failing to include autistic people in the design of intervention elements and consideration of goals; moreover, autistic people are increasingly identifying iatrogenic effects they have experienced when receiving ABA (Bottema-Beutel, 2023), with these concerns often being met with minimization rather than an endorsement of their validity and willingness to hear them out. Thus, there is a pressing need for a neurodiversity-affirming interventions (NAI) framework for autism. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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针对自闭症患者的神经多样性肯定干预措施的框架。


尽管自闭症患者 60 多年来一直是干预实践和研究的目标，但他们却被排除在讨论之外。直到最近，几乎没有研究或实施工作在干预措施的设计方面寻求自闭症患者的意见，更重要的是，在如何优先考虑和确定此类干预措施的目标方面征求自闭症患者的意见。这种重新构建对以自闭症为重点的干预措施和研究具有深远的影响，其中大多数旨在减少或消除自闭症症状，并有不同的经验支持（Bottema-Beutel，2023）。这些结果在实践和伦理上与神经多样性的观点不相容。最突出的是，应用行为分析（ABA）作为第一个广泛应用于自闭症患者的干预方法，由于未能将自闭症患者纳入干预要素的设计和目标的考虑而受到越来越多的审查和批评。此外，自闭症患者越来越多地认识到他们在接受 ABA 时经历的医源性影响（Bottema-Beutel，2023），这些担忧往往被最小化，而不是对其有效性和愿意倾听的认可。因此，迫切需要针对自闭症的神经多样性肯定干预措施（NAI）框架。 （PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。