Steinberg Hillary, Garfield Tamara, Roux Anne, Shea Lindsay, Shattuck Paul
AJ Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.
Mathematica, Princeton, New Jersey, USA.
Autism Adulthood. 2024 Jun 17;6(2):152-161. doi: 10.1089/aut.2022.0095. eCollection 2024 Jun.
The transition to young adulthood can be a turbulent life stage, and this is often magnified for autistic youth. Young adults frequently profess different goals and values than their parents. While there is some indication in autism research about how parents, and to a lesser extent, autistic young adults, feel about this transition, little research leverages dyadic interviews with both populations or has used this method with Black and/or low-income families.
We conducted four sets of dyadic interviews with autistic young adults and their parents who live together.
We identified three key themes that both groups found important to the transition: independence, structured transition, and interpersonal relationships. However, we found that how the groups conceptualized these themes were divergent and revealed differences in goals and values. Parents were more oriented toward long-term normative views of fulfillment, whereas young adults spoke about what was meaningful to them currently.
This work has implications for changes to how autism research will conceptualize the transition to young adulthood and how we can create better social opportunities for this population.
Autistic adults are at risk for difficulties getting work and education, which can lead to them feeling alienated or unfulfilled. Most research on autistic people becoming adults is based on White people with more cultural and financial resources and does not ask autistic people themselves or their families with them. Research is needed to improve transition outcomes for these underresearched and underserved groups. This study explored how autistic youth and their parents thought about and experienced the transition to adulthood out of an urban, low-resourced school district. Researchers interviewed four parents and four autistic youth. Three families were Black, and one family was White and from a low-income household. All autistic youth had received special education services, needed support to transition to adulthood, and had finished high school 1 to 6 years before the study. The young adults lived with their mothers and received support from them for daily tasks. We interviewed the parents and then the youth. In some cases, youths joined parents' interviews or parents joined youths' interviews to provide help with remembering information or giving answers. Researchers identified three themes. First, parents and youth thought about independence differently. Parents focused more on work and financial independence. Youth focused more on social aspects of work and having independence in daily activities such as shopping. The second theme was that youth and parents approached ongoing structured supports differently. Youth reported positive experiences with a range of services but did not discuss the need for ongoing supports like their parents did. Third, youth emphasized the importance of social relationships and opportunities to connect with peers through shared interests. We learned that standard questions about transition may not reflect how autistic youth and their parents think about becoming an adult. Interviewing families coming out of a predominantly Black and low-income urban school district helped us to understand how these groups experience and think about the transition to adulthood, even though they did not use these identities as a logic for how they thought about young adulthood. This suggests that parent and youth perspectives differ in groups that are not usually well represented in research studies related to transition for autistic youth. This study only included a small number of youth and parents. These results do not represent all Black autistic youth or low-income autistic youth coming from urban school districts. Families who are less connected to services may have been less likely to hear about or take part in the study. These findings could inform the development of better interviewing approaches and research to address the needs of diverse autistic youth entering adulthood. This work could improve transition support. Parents, youth, support providers, and researchers may think about adulthood differently. Improved support could help build mutual understanding and coordination around youths' and their families' goals.
向青年期的过渡可能是一个动荡的人生阶段,而对于自闭症青年来说,这种情况往往会被放大。年轻人常常表达出与父母不同的目标和价值观。虽然自闭症研究中有一些关于父母以及在较小程度上自闭症青年对这种过渡感受的迹象,但很少有研究利用对这两类人群的二元访谈,或者在黑人和/或低收入家庭中使用这种方法。
我们对共同生活的自闭症青年及其父母进行了四组二元访谈。
我们确定了两组人都认为对过渡很重要的三个关键主题:独立性、结构化过渡和人际关系。然而,我们发现两组人对这些主题的概念化方式存在差异,揭示了目标和价值观的不同。父母更倾向于对成就感的长期规范观点,而年轻人则谈论当前对他们有意义的事情。
这项工作对自闭症研究如何概念化向青年期的过渡以及我们如何为这一人群创造更好的社会机会具有启示意义。
自闭症成年人在获得工作和教育方面面临困难的风险,这可能导致他们感到疏离或不满足。大多数关于自闭症患者成年的研究是基于有更多文化和经济资源的白人,并且没有询问自闭症患者本人或他们的家人。需要进行研究以改善这些研究不足和服务不足群体的过渡结果。本研究探讨了自闭症青年及其父母如何看待和经历从城市资源匮乏学区向成年期的过渡。研究人员采访了四位家长和四位自闭症青年。三个家庭是黑人,一个家庭是白人且来自低收入家庭。所有自闭症青年都接受过特殊教育服务,需要支持以过渡到成年期,并且在研究前1至6年完成了高中学业。这些年轻人与他们的母亲住在一起,并在日常事务中得到她们的支持。我们先采访了家长,然后采访了青年。在某些情况下,青年会加入家长的访谈,或者家长加入青年的访谈,以帮助回忆信息或提供答案。研究人员确定了三个主题。首先,家长和青年对独立性的看法不同。家长更关注工作和经济独立。青年更关注工作的社会方面以及在购物等日常活动中有独立性。第二个主题是青年和家长对持续结构化支持的态度不同。青年报告了在一系列服务中的积极经历,但没有像他们的家长那样讨论对持续支持的需求。第三,青年强调社会关系以及通过共同兴趣与同龄人建立联系的机会的重要性。我们了解到关于过渡的标准问题可能无法反映自闭症青年及其父母对成年的看法。对来自以黑人为主的低收入城市学区的家庭进行访谈,有助于我们了解这些群体如何体验和看待向成年期的过渡,尽管他们并没有将这些身份作为他们对青年期看法的逻辑依据。这表明在与自闭症青年过渡相关的研究中通常代表性不足的群体中,家长和青年的观点存在差异。本研究仅包括少数青年和家长。这些结果并不代表所有来自城市学区的黑人自闭症青年或低收入自闭症青年。与服务联系较少的家庭可能不太可能听说或参与这项研究。这些发现可为开发更好的访谈方法和研究提供参考,以满足不同自闭症青年进入成年期的需求。这项工作可以改善过渡支持。家长、青年、支持提供者和研究人员对成年期的看法可能不同。改进支持有助于围绕青年及其家庭的目标建立相互理解和协调。