Is Autism a Disability or a Difference?

So many ideas in the larger autism community often become a debate. As an autistic this black-or-white, choose-your-side sort of thinking is very neurologically friendly to me. I like clear choices. But I also believe we are often unwittingly duped into believing we need to choose a side only because an idea is presented as a dichotomous choice.

“Is autism a disability or a difference?” is one of these questions posed as a dichotomous choice in the autism community. The way the question is posed gives the impression that there is one correct answer.

When Autism is a “Difference”
Many autistic adults would like if autism were recognized as a difference rather than a disability. Many in this group are the walking, talking autistics. We can go out in public by ourselves. Some of us are parents. We are your friends, neighbors and co-workers. We might seem to be a bit odd, but we can fit in enough to at least be allowed a place in the world at large.

Even so, being out and about in the community poses significant challenges. The sensory overload and neurological processing differences dictated by our brain along with ever present challenges with communication and conventional social understanding are such big differences, even though we can accommodate for them, we are usually exhausted from doing so by the end of the day.

It seems to me that when we are able to be out and about in our communities unassisted by a hired person we are often expected to look and act like typical people regardless of the challenges imposed by the neurological difference of our autism. Because we appear to be like others our difficulties and needs are thought to be our own personal problems. Even though we have an Autism Spectrum Disorder diagnosis, that by definition means we have significant difficulties in many areas of life, others often look at us and ascribe negative intentionality and character flaws to us.

When Autism is a “Disability”
For some of us, the way our autism plays out in our body means we are faced with numerous obstacles to overcome every day of our lives. We may need communication devices, occupational therapy equipment and to employ personal care workers. For those of us whose autism presents challenges with these sorts of needs – we understand the disability aspect of our autism.

We often need a hired person to accompany us when we go out into the community or to support us so that we can communicate. In fact, we may require 24/7 support staff. And for some, our autism plays out in our body in such a way that people can see it as we approach! For us, people can see we need help. Rarely do others look at us and attribute our difficulties to laziness, lack of motivation, self-centeredness or any other negative character trait.

But because our autism is so visibly noticed along with the significant support we often need, people make other sorts of assumptions about us. Our needs are so obvious that people do not always consider that we also have strengths and abilities along with likes and dislikes. Often we are placed in menial jobs as adults (if we are even deemed capable of working) and our support staff is switched around as if people are interchangeable and relationships do not matter to us. We are not often seen us people who have preferences, desires, abilities, skills and talents as the time and energy of others are focused on the meeting deficits and needs imposed by our disability.

Negative Outcome of Choosing Disability OR Difference
As an autistic person when I am asked to choose one – either “disability” or “difference” – I feel like I am being asked, in essence, which part of me I would like to ignore. When I choose “disability” it means my talents, strengths, abilities and preferences are ignored. When I choose “difference” my very real difficulties and needs are not only ignored, but I am often blamed for what others consider my stubbornness in hanging on to negative “character flaws.”

Might We Incorporate Both Disability AND Difference?
What if we all chose both disability and difference? Would we then be totally ignored or totally supported? There it is again – another dichotomous choice posed as if it were a real choice!

In the meantime please know when you ponder whether autism is a disability or difference this is a false choice sort of deal. It serves nobody well and has poor outcomes. And yet we somehow feel that we need to choose between disability or difference. Why is that?

Tips to Make the Future Better For Today’s Younger Autistics:

  • Question the dichotomies presented in the autism community. Does choosing one side or the other make the world better in terms of ability to serve the needs of all autistics and their families?
  • Autism presents as such a wide spectrum. What is fair is that everyone gets the support needed to be the best they can be in the body they live in. Don’t accept support for one faction of autistics at the expense of another faction. Remember we are stronger together than when divided into factions.
  • Find out from adult autistics how the numerous dichotomously presented issues play out for them personally. You will likely find autistic people fervently on both sides of each issue!Will a more global reckoning of both sides produce a better outcome going forward allowing all autistics to better find their place in both the autism community and in the world at large?

References

Endow, J. (2012). Learning the Hidden Curriculum: The Odyssey of One Autistic Adult. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2009).  The Power of Words: How We Talk About People With Autism Spectrum Disorders Matters! Shawnee Mission, KS: AAPC Publishing.

Painting by Judy Endow
. The Art of Judy Endow. 2012. www.judyendow.com/Art.html.

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Judy Endow, MSW About Judy Endow, MSW

Judy is an author and international speaker on a variety of autism-related topics. She is actively involved in many autism organizations. Besides having autism herself, Judy is the parent of three now grown sons, one of whom is on the autism spectrum. Learn more about Judy Endow .



  • Kathleen

    Well said. It is a question worth discussing. As a blogger I see a huge divide between people. Not just between disability and difference..but on so many other levels. Best thing ever said to me about autism was “If you have met one autistic person-you have met one autistic person. Sometimes I think that in this ongoing debate-that we forget that there are people behind these sides. People with different ideas and experiences. We seem to side only with those that we agree with-forgetting that other points of view are equally as valid..even if they aren’t exactly what we want to hear..

  • http://www.facebook.com/char.brandl Char Brandl

    Thanks, Judy, for saying this so well – as always. Lots of food for thought, and lots of future blogging ideas once you have opened the topic of things we feel passionate about, and can’t seem to agree on, in the field of autism. I think hanging out somewhere in the gray area trying to see both sides makes the most sense.

  • http://www.facebook.com/lindaschuckman.breuer Linda Schuckman Breuer

    There’s a song from one of my favorite children’s groups – Tickle Tune Typhoon – that sings “Everyone’s Differently Abled”. Its not one or the other in the melting pot of humanity.

  • Katie

    To me, it is a false dichotomy. By definition, disability is a kind of difference. It is non-sensical to say that something is a difference, not a disability, because disability is a kind of difference! That said, I do consider myself disabled as do all o my autistic friends, as far as I know. I think the problem is that some people, especially parents, have a problem with the word disability because to them it is something bad. To me, it is something neutral and is simply a descriptor.

  • http://www.facebook.com/CMR21 Chloe Rothschild

    Great article Judy! I agree with what you said above. Everyone should get the support they need. I like to think of Autism and having Autism as simply a difference and being different, but at times it can be a disability. Autism is such a wide spectrum as well.

    I work so hard, as do many people who have Autism, on a day to day basis, surviving and coping in what can sometimes be a confusing world that I live in. Somedays and sometimes and some moments I do better at this than others. Sometimes, I don’t always do a great job at coping, sometimes my emotions just get too big, communication becomes hard, and I struggle, sensory overload happens, and at times like this, my Autism becomes more apparent, I need more help. I realize that it must be hard for people to come to the realization and think that I can be okay with one or one moment, or day and need help the next. One example is, sometimes, and for the most part I have gotten to the point where I can regulate and accept changes in my schedule and routine, but sometimes, when a change occurs and it happens to be an activity that I do not like, I break down into tears. This is one of those times when I need people to really see my Autism as a disability, because I need help, instead it is seen as me choosing not to comply, when in reality I can’t comply, because my body and brain won’t work together to let me comply in that moment.

  • http://www.facebook.com/profile.php?id=1378492352 Joanna Keating-Velasco

    Great article Judy. I am often in the middle of such a debate with some very, very talented and productive individuals with autism on one side and with parents struggling to help their child with autism (who may not be able to groom, dress, or speak for themself)on the other end. With one seeking to let those with autism be and some seeking a “cure,” I try to deal with the subject on an individual by individual basis as there is no “right answer.” Thank you for clarifying much that is discussed.

  • sondra

    Judy I loved of this as have been asked over the years to make of that choice and often would say it is of a disability as for me could not see of my strengths and ability levels being at a place of andy sense of success and did not feel as if my autism was of a level of it being just a difference but the way you have shared it makes of sense and I can now see of my strengths and such now and so can see of that allowing me to have a level of both places..

  • http://www.facebook.com/gbollard Gavin Bollard

    Great points and some solid foundations for the rest of us to build upon.

  • Lea

    I see Nts both as different and disabled – but they also have good sides in them ^_^

  • http://twitter.com/Katie_Kelly_Law Katie Kelly

    I just love you, Judy Endow. You always get it right.

  • Janet Amorello

    Good article. Thanks!

  • http://www.facebook.com/JudyEndow Judy Endow

    Sounds like a great song, Linda!

  • http://www.facebook.com/JudyEndow Judy Endow

    You are welcome, Janet!

  • http://www.facebook.com/JudyEndow Judy Endow

    What a nice thing to say, but shhhhh (sometimes I don’t get it right, but then I keep trying :)

  • http://www.facebook.com/JudyEndow Judy Endow

    We all have good sides whether we have autism or lack autism :) ))))

  • http://www.facebook.com/JudyEndow Judy Endow

    Glad to know you think so, Gavin!

  • http://www.facebook.com/JudyEndow Judy Endow

    I am in both places too, Sondra. Each place has it’s blessings and it’s struggles.

  • http://www.facebook.com/JudyEndow Judy Endow

    There are ever so many aspects of autism that somehow turn into debates. I think if divides us into more and more factions and we lose the benefit of having a larger community for autistics. It is difficult when the struggles and strengths are varied across so many domains.

  • http://www.facebook.com/JudyEndow Judy Endow

    I bet you can outsmart that Chloe! Maybe try to figure out the pattern that ends with the tears. Once you find the pattern then you can know when you see it early on and do something then so you do not progress to tears. I have had to learn to outsmart many things along the way and can tell you it is best done by knowing what happens 1st, next and next and then the meltdown. The trick is to identify these places so when they come up you can see them and stop them. It is the basis of Outsmarting Explosive Behavior.

  • http://www.facebook.com/JudyEndow Judy Endow

    Thanks for your comment Katie! Many share your point of view.

  • http://www.facebook.com/JudyEndow Judy Endow

    With the new popular book out I now have to rethink how to present my “shades of grey” visual that I help others to make – white square on one end, black square on the other end and then shades of grey in the middle – to visually support a way to expand black and white thinking. :)

  • http://www.facebook.com/JudyEndow Judy Endow

    Totally agree, Kathleen! Thanks for weighing in.

  • http://www.facebook.com/CMR21 Chloe Rothschild

    Great tip Judy! And I have come so far. My meltdowns used to be much more intense in nature, and happen more often. The tears seem so random, cause sometimes I react fine to a change, and other times I don’t and end up in tears. Good idea about identifying what comes first, next, then next before the meltdown. :) Stopping it in its tracks. :) If I can feel the tears coming on, I can take a break and or do what I ned to do to regulate my body before it builds up to the point of tears.
    Thanks Judy!

  • http://www.facebook.com/CMR21 Chloe Rothschild

    Well said Sondra and Judy. :)

  • http://www.facebook.com/pdurbinwestby Paula C. Durbin-Westby

    Autism is a disability. It is a difference by default. I do not think there is a divide where “walking talking Autistics,” whatever that is, prefer to say autism is a difference only. And, I don’t see that Autistics who have significant disabilities only say that autism is a disability (that actually does not make sense to me as any disability is always a difference from the supposed “norm.”) I know very few Autistics who say that autism is a difference only although there are a few.

  • http://www.facebook.com/JudyEndow Judy Endow

    Thanks for weighing in Paula! I like to see the various responses and opinions of others.

  • Elaine Hall

    Dear Judy,
    Thank you so much for your most powerful, poignant blog piece. As the mother of a young adult with autism who is nonverbal, I, too am often perplexed as to how to reference his autism. Disability or Difference. One thing I am quite certain about are the terms “high functioning and low functioning.” I truly detest these terms. As I write about in my book, “Seven Keys to Unlock Autism: making miracles in the classroom” I believe these terms are irrelevant and that we all are high and low functioning depending on what environment we are in. My son in a loud, overly stimulating cafeteria – may run around in circles and appear ‘low functioning. Put him in the Santa Monica Mountains and he is a leader among men. Go figure.
    Thank you for all you do and for who you are. You help to make the world a more understanding place for people like my son.
    All the best,
    Elaine
    PS I would be happy to send you a copy of my book if you would like.

  • ccfchung

    I felt quite moved after read this article. I’ve a son now 17yrs. he is very Autistic, non verbal, hyper active and challenge behaviours. He attends an Autism specialist school till he reachs 19. Do not know what will the future for him. I would like to meet someone has similar conditions and is in their young adulthood.
    Thanks.

  • Laurentius Rex

    I suggest you look up the social model of disability as disability is not an entity or state of physical or mental being, but an act of disempowerment. What one is allowed or not allowed to do, what one is expected or not expected to do and how one is valued or otherwise due to the societal perception of individual impairments. As to what the impairments of autism are; that is still open to debate, but at this current time, society defines autistic people as less than fully ‘able’ and as such discriminates for the most part negatively against us on that basis.

  • http://www.facebook.com/people/Andrew-Kilroy/601159353 Andrew Kilroy

    The
    part arguing for difference quickly begins arguing against it, and from
    there the article switches to claiming both things at the same time.

    This does not seem to be a balanced argument, and it seems that you forget there is a spectrum where there are Autistics who know they aren’t disabled. And nobody should feel threatened by that

  • http://www.facebook.com/leneh.buckle Leneh Buckle

    *Of course* it’s a difference, disabling or not. How could it possibly be a disability and /not/ a difference (or collection of differences)? The debate is really disability vs. not disability rather than disability vs. difference.

  • http://www.facebook.com/JudyEndow Judy Endow

    One time while at a pottery class for adults and completely out of the context of anything autism related a fellow potter asked, “So Judy, are you high-functioning?” I thought the comment was in reference to pottery and replied, “Some days. And you?” It got very quiet, but I didn’t realize my mistake until after the moment had passed – that the person was actually referring to my autism. I would love to see your book!

  • http://www.facebook.com/JudyEndow Judy Endow

    Thanks for your comment and yes, I am much aware of the social model of disability, but chose to write from the voice of my own experience as an autistic living today. As such, the blog is just that – the voice of my experience – not intended to be with rooted in scholarly referenced material. My personal experience matches in different degrees with that of other adult autistics as is reflected in some of the comments logged here.

  • http://www.facebook.com/JudyEndow Judy Endow

    There are many adult autistics all over!

  • http://www.facebook.com/JudyEndow Judy Endow

    Yes, in the strict definitions of these words you are correct. I was writing from personal experience and the way in which the words are practically used in today’s society – at least amongst the people I live out my life with – so isn’t it amazing that we are both correct even though we each have a different take on this? Thanks for your comment!

  • http://www.facebook.com/JudyEndow Judy Endow

    Thank you for your comment. As a 57 year old autistic I have experienced both sides of this dichotomy. I spent some of my growing up years living in an institution and today am a college graduate and a professional in my field. Disability or difference is important because of how this plays out practically in our lives. I think we can, as a society, do better than the current status quo which seems to be to construe ideas as dichotomies which only encourages people to choose a side and argue it. What if we looked at both sides globally and simply supported people to be all they want to be? There will be many arguments as to why this will not work, but practically, will we be any further ahead to continue to engage in such debates?

  • http://www.facebook.com/CMR21 Chloe Rothschild

    Judy, I find it odd that people find it acceptable to ask individuals with Autism if they are high or low functioning. I mean think about it, this is not a question that people ask neurotypicals. So why would they find it okay to ask this question to someone who has Autism?

  • Stephanie Crist

    I always answer that question with a resounding “Yes!” Autism is both a difference and a disability. When autism is disabling, it is still a difference. When autism is “only” a difference, it can become disabling if not sufficiently accommodated.
    The problem is that so many people have internalized the idea that “disability” somehow means bad or “less than” or inequal. Until we accept that it is this mindset that is wrong, we’ll struggle (as individuals and as a society) to acknowledge that autism is both disability and difference, with varying degrees of each.

  • http://www.facebook.com/JudyEndow Judy Endow

    The terms high function and low functioning are commonly used descriptors of people with autism. They are not commonly used descriptors of any other group of people so it makes perfect sense that the terms are used to describe autistics. It is sort of like a shuffling gait is used to describe the walk of a person with Parkinson’s, but is not typically used to describe the way people without Parkinson’s walk.

  • http://www.facebook.com/JudyEndow Judy Endow

    Exactly!

  • http://www.facebook.com/CMR21 Chloe Rothschild

    Good point. I really dislike the terms high and low functioning though. Also the fact that people assume something about your functioning level from just knowing you for a short period of time. Someone just told me today that it didn’t seem like I had Autism to them, because I was so smart and intelligent. I just said, thanks, and yes, I do have Autism.

  • http://www.facebook.com/JudyEndow Judy Endow

    Chloe, this happens all the time. Not saying it is right that so many people are ignorant, but if you let it upset you you will spend lots of days being upset. Don’t let uninformed people dictate how often you will be upset.

  • http://www.facebook.com/CMR21 Chloe Rothschild

    Good advice Judy. :) It doesn’t really upset me, or cause a meltdown or anything, just people’s ignorance annoys me sometimes.

  • http://www.facebook.com/people/Andrew-Kilroy/601159353 Andrew Kilroy

    Unfortunately I don’t think you brought that across well. It is all very nice to throw away dichotomies, but the fact is that I don’t think difference was adressed properly. You switched to talking about disability after the first paragraph and after then that was it.

    I get where you are coming from but I don’t see much of a dichotomy. Autistics are always different, even when they are disabled. But the fact is we cannot sharply exclude Autistics who are not disabled just because we ourselves might be.

    The fact is we must be frank and we would be no different to parents excluding Autistics from a discussion on Autism just because we were not like their child if we insisted Autistics had to be disabled or not disabled

  • shari sandouga

    thank you so much for sharing this ..we haveto keep up the support for autism ..it is on the rise ..more so than ever before

  • http://www.facebook.com/profile.php?id=607239319 facebook-607239319

    This is just fabulous! I totally agree and as a mother find myself frustrated with those who go too far to one side or the other. (kind of like politics, and yes I tend to see both sides so maybe I share some traits) My son is an Aspie and he’s so normal that society will only see him as a rude person. They won’t know that he has an impairment that makes it difficult to sense social cues or feel empathy. He has to learn how to fit in. He’s 16 and very depressed. I don’t blame him, I can empathize with that. But society will never be that understanding. He has to learn the rules and fake them if he can’t feel them. Fortunately he has gifts of creativity and a razor sharp memory that he can be thankful for.