Is the Idea of the Autism Spectrum Completely Wrong?


New Scientist Magazine’s lead article considers if the idea of autism as a spectrum is completely wrong.

Team member and geneticist Olga Troyanskaya at Princetown University and the Flatiron Institute states, “the researchers were surprised by how strongly the four groups came out of the data. "Every individual is unique, but there do seem to be these replicable groups."

New Scientist discusses the study by Geneticist Natalie Sauerwald and her colleagues at the Flatiron Institute in New York. “They used a dataset from Simons Powering Autism Research, a research study that is led by the autistic community, which included 5392 autistic people—an order of magnitude more than previous studies”. They too found patterns in the combinations of traits that fell into four subgroups. It is unclear how these two studies and other subtype studies fit together.

In the article, Anoushka Pattenden of the National Autistic Society has concerns, "We fear that further categorising of autism is unhelpful and may lead to more stigma or discrimination,"

New Scientist science writer Michael Marshall considers “The idea of an autism spectrum, where autistic people have similar traits only to a greater or lesser extent […] is challenged by studies that find that autism may come in multiple distinct forms. These subtypes have more in common with the colour wheel picture of autism […], which plots the extent to which an autistic person experiences each trait as you move around the spokes of the wheel”. 

”The researchers hope that a respectful approach to subtyping can reveal autism's underlying biology in a way that also brings this colour wheel, and the lived experiences it contains, into focus”.

The full article (pay to subscribe) is at the link, but New Scientist and other magazines and books are available to read free of charge through public libraries. You need to become a member first and then download the Libby app to read.

https://www.newscientist.com/article/2509117-what-if-the-idea-of-the-autism-spectrum-is-completely-wrong/

I’m content to take a ‘wait and see’ approach to what future research might reveal. I believe there are potential benefits to moving to four subtypes, but I have concerns that some people might end up not in any category and that it could end up stigmatising some groups more than others. As it is, the spectrum model of autism does not reflect what it is to be autistic and I don’t consider myself ‘disordered’ (Perhaps it would be more accurate to suggest that the thinking that lead to such a label was disordered?). I’m glad that the value of the autism colour wheel model is recognised by scientific researchers and New Scientist Magazine. Perhaps that is a big step towards encouraging psychiatrists to evaluate their terminology when talking about and to autistic people.

Any thoughts?

Parents
  • https://www.nature.com/articles/s41588-025-02224-z

    For information ; I believe this is the study that the pop-psychology/science articles about the four genetic categories of autism are based on. 

    I have a dilemma about the genetic research. Primarily I find it intellectually very interesting…. but beyond that I can’t see the point other than for eugenics - which is not at all my bag. 

  • There are a few reasons:

    1. You could have a non-subjective test, so diagnosis could be simpler and/or more reliable. It could also rule out ASD making other diagnoses easier. This would be an advantage as many women have been misdiagnosed in the past.
    2. You could catch high masking people or diagnose earlier. Allowing more help.
    3. A simpler diagnosis process would remove the backlogs.
    4. It may be possible to determine what is genetic and what is nurture or circumstance.
    5. It would be interesting to discover if they are people that have all the genetic markers but have no issues. This would show whether there is something more.

    It isn't always the case that knowing there is a genetic component leads to something bad. I also expect that too many genes will be involved for there to be a realistic prospect of screening them out. I also think that your success or otherwise is linked to environment as much as genetics.

    Moving into the commercial sector was a mistake for me. 

  • I agree about the environmental elements being important (see my comment in reply to Martin’s comment).

    If we could study the intersection of nature and nurture without risking eugenics (which we can’t given the amount of powerful people who aim to “cure” autism) , then it may have some benefits.

    Eugenics isn’t just about tinkering scientifically with genes, it can also be putting children with particular genetic markers in camps, offering prenatal tests to screen for autism and advising abortion for the “wrong type” of autistic genetics etc. 

    It’s a good point about waiting times for tests. I hadn’t thought of that. I remember a few years ago reading about a test they were developing based on stool samples - I have no idea where they are with this now. 

    Ultimately we already know that autism is genetic and have identified quite a lot of genes that are likely contributory.  I believe that the limited money available would be better spent researching how to directly improve quality of life of autistic people. 

  • Oh, I see, the threads double back on themselves…. 

  • On a side note - I don’t understand why (for me at least) my comment starting “yes, all true” appears above you’re comment starting “the problem is…” when at other times the comments appear in chronological order…. 

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