The power of language cannot be underestimated; it shapes our perceptions and influences how we view others. At Cedar Counseling & Wellness, we uphold the principle that individuals should have the autonomy to choose the language that resonates with their experiences and identities. As Rachel Boggan, LCSW from The Properties of Light stated, “We respect the right of all individuals to use language that is meaningful to them and their identities. We default to identity-first language unless/until an individual lets us know they use different language to describe themselves.”
Shifting the language we use might not come easily—we understand it takes practice and we want to provide some guidance on commonly used or misused terms and concepts.
Identity-First Language vs Person-First Language:
Identity-First Language: Many Autistic self-advocates have shared their preference for identity-first language. Using identity-first language acknowledges that Autism is a fundamental part of an individual’s identity. This means, we say “Autistic individual” rather than “person with Autism.”
Person-First Language: Historically, most people as well as professionals were taught to use person-first language, this emphasizes the personhood of an individual before mentioning their condition. For instance, saying “person with Autism” rather than “Autistic person.”
It is essential to recognize that language preferences can vary among individuals, and some may still prefer person-first language. Respect for individual choices and open communication allow us to create an inclusive and supportive environment for everyone.
How do we talk about Autism in a neurodiversity affirming way?
Again, we want to defer to the neurodivergent community and recognize that individuals may have different preferences. The following language shifts were compiled from Jennifer Kemp, MPsych.
Autism vs Autism Spectrum Disorder (ASD)
Under the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Autism is referred to as Autism Spectrum Disorder, many folks shorten this by saying “ASD”. The word ‘disorder’ falls under the medical model of disability and implies that Autism is something that needs to be ‘fixed’ or ‘cured’— which goes against our values. Instead, we can say, “Autism or Autistic.”
Asperger’s Syndrome or Aspie
This term is no longer used diagnostically and was removed during the publication of the DSM-5 in 2013. We understand that language shifts take time, even for folks within the mental health field. However, using this term can have additional controversy as Hans Asperger collaborated with the Nazis. Use of this term can reflect ableist attitudes. Instead, we can say, “Autism or Autistic.”
Functioning Labels and Support Needs
When discussing autism, you may have heard people say, “they’re high functioning” or “low functioning.” In the DSM-5 they refer to levels of support to describe “severity.” Functioning labels make assumptions about what people can do or what they may need. Support needs change over time, even day by day. To be more affirming, we encourage describing an individual’s specific support needs, strengths, and differences.
At Cedar Counseling & Wellness, we stand by our commitment to using neurodiversity affirming language, fostering an environment where all individuals feel seen, valued, and empowered. If you are looking for neurodiversity affirming care, Counseling & Wellness would love to hear from you. Get started by calling (443) 924-6344, emailing info@cedarcounselingandwellness.com, or utilizing our online scheduling tool.
To learn more, check out these links below:
Neurodiversity: Some Basic Terms & Definitions by Dr. Nick Walker
https://neuroclastic.com/resources/
References:
Autistic Not Weird Autism Survey 2022
http://autisticnotweird.com/autismsurvey/?fbclid=IwAR3jiAHJUY1FJ8pjvWkWTSB S54afrp82gusB0IEgRJqwY4zlbQJuUUHngX8
Jennifer Kemp, MPsych
