Autism Answers Back

Locked Out and Talked Over: When Autism Research Excludes Autistic Voices

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Recently, I came across an academic article published in the Journal of Autism and Developmental Disorders by Yanchao Li, Yuwei Jiang and Xinming He. The title stopped me cold:

"Are autistic individuals more confused when making choices? Choice architecture interventions to reduce choice confusion among individuals with autism" (Springer, 2024)

Even before reading a word of the study, the framing alone felt offensive — and for good reason. The title implies autistic people are inherently confused, as if “confusion” is a built-in trait rather than a response to poorly designed systems. Spoiler: we’re not confused. We’re navigating environments that weren’t built with us in mind.

What’s Wrong With This Kind of Framing?

Let’s start with the obvious: language matters. Describing autistic people as “more confused” than neurotypicals reinforces tired stereotypes that pathologize difference instead of appreciating neurodiversity.

This study — based on its abstract — seems to treat “choice confusion” as a kind of deficit or cognitive flaw. It doesn't ask “How can systems be made more inclusive?” It asks “How much more confused are autistic people?” The focus is not on accessibility but on comparison and diagnosis.

And Then… the Paywall

If the title didn’t make it clear enough that this wasn’t written for autistic people, the paywall sealed the deal.

This is a paper about autistic people —
written without us
published without our input
and locked so we can’t even read it.

When marginalized groups are excluded from both the research process and access to its results, that’s not just bad science — it’s unethical.

Research About Us Needs to Include Us

We’re not research subjects or diagnostic puzzles. We’re people. Many of us are academics, professionals, creators and decision-makers in our own right. And we deserve:

If your work depends on us then you have a responsibility to include us.

Want to Study “Choice Confusion”? Here’s a Thought…

Start by asking:

Spoiler again: we can tell you. Just ask.

Article citation:

Li, Y., Jiang, Y. & He, X. (2024). Are autistic individuals more confused when making choices? Choice architecture interventions to reduce choice confusion among individuals with autism. Journal of Autism and Developmental Disorders. Springer. Read it here (if you can access it)

#autistic voices #medical ethics #neurodiversity