Sunday, February 23, 2025

Long, S. M., Clark, M., Ausloos, C. D., Paul, D., & Finch, K. (2025). A Content Analysis of Neurodiversity Constructs in Counseling Journals. Journal of Mental Health Counseling, 47(1).

 

What They Did

The researchers screened over 4000 articles across 21 counseling journals published from 2013 through 2022, looking for articles related to neurodiversity. They found 33, distributed over 14 of the journals, representing about 0.74% of the articles screened. The screening criteria terms used most frequently in the articles were “autism spectrum disorder”, “ASD”, “attention deficit hyperactivity disorder”, “ADHD”, “autism”, “learning disabilities”, “developmental disabilities”, “intellectual disability”, and “developmental disorder.”  

Nine of the articles used terms that indicated a neurodiversity paradigm, treating neurodivergence as a non-pathological aspect of diversity. The terms the researchers chose to represent a neurodiversity paradigm were: “neurotypical”, “twice exceptional”, “masking”, “neurological difference”, and “neurologically diverse.” About 58% of the articles focused on children and youth, 12% on college students, and 24% on adults or young adults. About half of those articles focused on developing theories and half focused on gathering and analyzing data. Of the empirical articles, only two used any of the neurodiversity paradigm terms: one used “neurologically diverse,” and one used “neurotypical.”

The researchers note that although only 0.74% of the articles related to neurodivergence, a much higher proportion of counseling clients (15% to 20% of the global population) are likely to be neurodivergent. They also point out that, with only about half of that 0.74% being evidence-based research, more study is needed to determine the type of counseling techniques that are most beneficial to neurodivergent clients. Finally, they suggest that counselors need to learn about the neurodiversity paradigm and develop greater understanding of neurodivergent life experience.


Further Exploration

I started exploring neurodiversity a year or two ago when I took a course on psychological theories. My interest in B.F. Skinner led me to an article about Applied Behavior Analysis, a controversial intervention for childhood autism that is widely considered by autistic adults to do much more harm than good (see https://neuroclastic.com/why-autism-aba-goes-against-everything-b-f-skinner-believed-in/.)  I explored a lot more on the Neuroclastic site and other sources and found the autistic experiences highly relatable.

It’s hard to say for sure whether I’m clinically autistic. Diagnosis is particularly difficult for adult women with high IQ, partly because autism presents differently in women, partly because women camouflage more due to gendered socialization, and partly because high IQ can help neurodivergent people camouflage (see https://autismspectrumnews.org/what-happened-to-all-the-females-with-autism-spectrum-disorders/ and https://goldencaretherapy.com/symptoms-of-high-functioning-autism-in-female-adults/.) A diagnosed autistic friend thinks I’m likely autistic as well, but this is the only mind I’ve ever had, so it’s hard to be sure. I do find that almost all my friends are neurodivergent, and internet stories suggest that neurodivergent people are disproportionately likely to befriend each other.

Regardless of whether I’m diagnosable, I’m happier and manage my life more easily if I work from the perspective that I’m neurodivergent.  Some of the ways it seems to manifest are: not easily knowing how I feel, especially when with others; needing a lot of time to process my experience; and feeling like my mind alternates between overdrive and exhaustion. There also seems to be a deep tension between people pleasing and demand avoidance, but that’s a rabbit hole for another day!

solid-colored human silhouettes in reds, yellows, blues, and purples, placed as people standing in a crowd. The brain of each person is shown as an additional colored silhouette on each person's head
Image credit: MissLunaRose12

https://commons.wikimedia.org/wiki/File:Neurodiversity_Crowd_1.png


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