Pritchard-Rowe Emma, de Lemos Carmen, Howard Katie, Gibson Jenny
Play & Communication Lab, Play in Education, Development and Learning (PEDAL) Centre, Faculty of Education, University of Cambridge, Cambridge, United Kingdom.
School of Education, University of Exeter, Exeter, United Kingdom.
Autism Adulthood. 2024 Jun 17;6(2):218-228. doi: 10.1089/aut.2023.0008. eCollection 2024 Jun.
Play is important for mental health and well-being. Descriptions of autistic play have typically focused on "deficits" and are based on comparisons to neurotypical "norms". According to the neurodiversity paradigm, it is important that autistic voices are highlighted and that difficulties, differences, and strengths are explored. With this in mind, we designed the present study to focus on the experiences and perspectives of autistic people concerning the topic of autistic play.
We conducted a consultation with autistic stakeholders, as well as with parents and teachers of autistic individuals to help us design the study and interview questions. We used semi-structured interviews with 22 autistic adults aged 18-57 years (clinically confirmed diagnosis, = 21; self-diagnosed, = 1) who live in the United Kingdom. We analyzed the data using interpretative phenomenological analysis to identify themes.
We found important commonalities and differences in the ways that socialization in play, imaginary play, and flow (a state involving intense focus on the play) are experienced. Autistic adults discussed the importance of both solitary play and social play, with solitary play having an important recuperative function. They also reported preferences for parallel play and playing with similar autistic people. They also discussed imaginary play experiences, including social role-play and grounded-in-reality play, and the dual nature of flow experiences during play.
The findings of this study contrast with deficit-focused understandings of autistic play and build on neurodiversity-informed studies. We highlight, for example, the importance of considering the different circumstances under which solitary play or social play are preferred, as well as the importance of taking an individual approach to play. We encourage wider understanding and acceptance of these play preferences and experiences to support autistic people's well-being.
玩耍对心理健康和幸福至关重要。对自闭症患者玩耍的描述通常聚焦于“缺陷”,且基于与神经典型“规范”的比较。根据神经多样性范式,突出自闭症患者的声音并探索其困难、差异和优势很重要。考虑到这一点,我们设计了本研究,以关注自闭症患者关于自闭症玩耍主题的经历和观点。
我们与自闭症利益相关者以及自闭症个体的家长和教师进行了咨询,以帮助我们设计研究和访谈问题。我们对22名年龄在18至57岁之间的自闭症成年人进行了半结构化访谈(临床确诊,=21;自我诊断,=1),他们生活在英国。我们使用解释性现象学分析来分析数据以确定主题。
我们发现在玩耍中的社交、想象性玩耍和心流体验(一种对玩耍高度专注的状态)的体验方式上存在重要的共性和差异。自闭症成年人讨论了独自玩耍和社交玩耍的重要性,独自玩耍具有重要的恢复功能。他们还报告了对平行玩耍以及与类似自闭症患者一起玩耍的偏好。他们还讨论了想象性玩耍经历,包括社会角色扮演和基于现实的玩耍,以及玩耍过程中心流体验的双重性质。
本研究的结果与以缺陷为重点的自闭症玩耍理解形成对比,并建立在神经多样性研究的基础上。例如,我们强调考虑更喜欢独自玩耍或社交玩耍的不同情况的重要性,以及采取个性化玩耍方式的重要性。我们鼓励更广泛地理解和接受这些玩耍偏好和经历,以支持自闭症患者的幸福。