Inside out: autistic psychologists on the power structures of diagnosis

Abstract

How do relationships between medicalized diagnostic powers and training intersect with the complex social identity of autism? How does self-identification (self-diagnosis) challenge the diagnostic status quo, created and scaffolded by enormously powerful social systems? In this paper, we reflect on the historical and modern dynamics of these power relations. As autistic psychologists actively working with and diagnosing autistic clients, we end this paper with an autoethnographic interrogation of our own self-diagnostic journeys and ways in which we’ve integrated our identities across personal and professional spheres of functioning.