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从青少年期过渡到成年期的自闭症谱系障碍:规划与法律问题概述

Transitioning from Adolescence to Adulthood with Autism Spectrum Disorder: An Overview of Planning and Legal Issues.

作者信息

Elster Nanette, Parsi Kayhan

机构信息

Neiswanger Institute for Bioethics, Loyola University Chicago Stritch School of Medicine, 2160 South First Avenue, Maywood, IL 60153, USA.

Neiswanger Institute for Bioethics, Loyola University Chicago Stritch School of Medicine, 2160 South First Avenue, Maywood, IL 60153, USA. Electronic address: https://twitter.com/kayhanparsi.

出版信息

Psychiatr Clin North Am. 2020 Dec;43(4):723-733. doi: 10.1016/j.psc.2020.08.008.

Abstract

The transition to adulthood is complex. It is defined by many objective and subjective milestones. Transition from adolescence to young adulthood is challenging for both neurotypical individuals and individuals with autism spectrum disorders. However, for autistic individuals, this transition is even more complicated and poses a range of legal and ethical considerations. This article discusses how existing legal and social constructs may exacerbate rather than diminish barriers and access for autistic adults and identifies current and potential legal and policy solutions to reducing current systemic barriers. This article ultimately supports a supported decision-making model for autistic adolescents transitioning into adulthood.

摘要

向成年期的过渡是复杂的。它由许多客观和主观的里程碑所界定。从青少年向青年期的过渡对神经发育正常的个体和患有自闭症谱系障碍的个体来说都具有挑战性。然而,对于自闭症个体而言,这种过渡更加复杂,并带来了一系列法律和伦理方面的考量。本文探讨了现有的法律和社会结构如何可能加剧而非减少自闭症成年人面临的障碍及获取机会,并确定了减少当前系统性障碍的现有和潜在法律及政策解决方案。本文最终支持为过渡到成年期的自闭症青少年采用支持性决策模式。

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