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“永不成长的身体”:精神医学对自闭症谱系障碍的理解如何影响自闭症患者在性别、衰老和性欲方面的身体体验。

'Bodies that never grow': How psychiatric understanding of autism spectrum disorders affects autistic people's bodily experience of gender, ageing, and sexual desire.

作者信息

Lo Bosco Maria Concetta

机构信息

Instituto de Ciências Sociais, Universidade de Lisboa, Av. Professor Aníbal de Bettencourt 9, 1600-189 Lisboa, Portugal.

出版信息

J Aging Stud. 2023 Mar;64:101101. doi: 10.1016/j.jaging.2023.101101. Epub 2023 Jan 19.

DOI:10.1016/j.jaging.2023.101101
PMID:36868614
Abstract

This paper investigates the intersections of gender, sexuality, ageing in the way autism spectrum disorder is medically described as a discrete category. On one hand, the construction of autism as a male-centric phenomenon results in a significant gender gap in autism diagnosis, with girls diagnosed with autism significantly less and later than boys. On the other hand, the focus on depicting autism as a pediatric condition exposes adult autistics to discriminatory practices such as infantilization and contributes to the disregard of their sexual desires or to the misconception of their sexual behaviors as dangerous or inappropriate. Both infantilization and the supposed inability of autistic people to "fit" into adulthood have a significant impact on both sexuality's expressions and ageing experiences. My study suggests how fostering knowledge and further learning on the infantilization of autism can bring important insight into understanding disability from a critical angle. By challenging normative notions of gender, ageing, and sexuality, autistic people's different bodily experiences question medical authority and social politics and criticize the public representation of autism in the broader social space.

摘要

本文探讨了在医学上将自闭症谱系障碍描述为一个离散类别的方式中,性别、性取向与衰老之间的交叉点。一方面,将自闭症构建为以男性为中心的现象导致了自闭症诊断中的显著性别差距,女孩被诊断出自闭症的比例明显低于男孩,且诊断时间晚于男孩。另一方面,将自闭症描绘为一种儿科疾病的关注点,使成年自闭症患者面临诸如婴儿化等歧视性做法,并导致对他们的性欲望的忽视,或导致将他们的性行为误解为危险或不适当。婴儿化以及自闭症患者被认为无法“适应”成年期,对性取向的表达和衰老经历都有重大影响。我的研究表明,增进对自闭症婴儿化的认识和进一步学习,如何能从批判性角度为理解残疾带来重要见解。通过挑战性别、衰老和性取向的规范观念,自闭症患者不同的身体体验对医学权威和社会政治提出了质疑,并批评了在更广泛社会空间中自闭症的公众形象。

相似文献

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'Bodies that never grow': How psychiatric understanding of autism spectrum disorders affects autistic people's bodily experience of gender, ageing, and sexual desire.“永不成长的身体”:精神医学对自闭症谱系障碍的理解如何影响自闭症患者在性别、衰老和性欲方面的身体体验。
J Aging Stud. 2023 Mar;64:101101. doi: 10.1016/j.jaging.2023.101101. Epub 2023 Jan 19.
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Autistic Narratives of Sensory Features, Sexuality, and Relationships.自闭症患者对感官特征、性取向和人际关系的叙述。
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Representation of autism in fictional media: A systematic review of media content and its impact on viewer knowledge and understanding of autism.虚构媒体中的自闭症表现:媒体内容及其对观众自闭症知识和理解的影响的系统综述。
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Short report: Recommendations for education, clinical practice, research, and policy on promoting well-being in autistic youth and adults through a positive focus on sexuality and gender diversity.简短报告:关于通过积极关注性取向和性别多样性促进自闭症青少年和成年人福祉的教育、临床实践、研究及政策建议。
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J Autism Dev Disord. 2016 Sep;46(9):3155-65. doi: 10.1007/s10803-016-2855-9.

引用本文的文献

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Adults with Autism Have Numerous Needs, and So Do Their Parents!患有自闭症的成年人有诸多需求,他们的父母亦是如此!
J Autism Dev Disord. 2025 Sep 9. doi: 10.1007/s10803-025-06975-w.
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Sexual Affectivity in Autism Spectrum Disorder: Bibliometric Profile of Scientific Production.自闭症谱系障碍中的性情感:科研产出的文献计量学概况
Arch Sex Behav. 2025 Feb;54(2):673-684. doi: 10.1007/s10508-024-02996-1. Epub 2024 Sep 13.
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Made to feel different: Families perspectives on external responses to autism and the impacts on family well-being and relationships.
被视为异类:家庭对外界对自闭症反应的看法,以及这些反应对家庭幸福感和人际关系的影响。
Autism. 2024 Aug;28(8):2120-2139. doi: 10.1177/13623613231221684. Epub 2024 Jan 19.