Lord Catherine, Su Derica J
University of California Los Angeles, Semel Institute for Neuroscience and Human Behavior, Los Angeles, California.
University of Pittsburgh, Autism Center of Excellence, Pittsburgh, Pennsylvania.
J Am Acad Child Adolesc Psychiatry. 2025 Aug;64(8):873-875. doi: 10.1016/j.jaac.2025.01.022. Epub 2025 Jan 31.
There have been many calls in recent years to recognize the value of neurodiversity, particularly for autism. Yet how clinicians in mental health services and psychiatry should do this, beyond monitoring language, is often not clear. The article by Petit and Jurek provides details about a specific program involving a neurodiverse choir for autistic children and other singers as a metaphor for supporting neurodiversity. In the article, a hospital-based choir of 8 neurodivergent autistic children and adolescents, 3 therapists/professionals, and 4 to 5 amateur singers was led by a professional choir director. The authors present neurodivergent perspectives coupled with recognition that the achievements of the choir were not accomplished without challenges for everyone, both for neurodiverse participants and for others. The choir as a metaphor and the broader perspective of neurodiversity both highlight the need to go beyond typical assumptions in medicine and psychology that emphasize individual difficulties. For practicing clinicians and researchers, there are ongoing questions about how to balance respect for neurodiversity with the professional responsibility of clinical practitioners to effectively support individual patients who seek help in reaching their life goals. People come to clinicians wanting help, which sometimes begins with affirming the value of their neurodiversity, but most often that is just the start. Petit and Jurek emphasize the need to support relationships and social connections among environments and people, neurodiverse or not, beyond more typical problem lists.
近年来,有许多呼声要求认识到神经多样性的价值,尤其是对于自闭症而言。然而,除了监测语言之外,心理健康服务和精神病学领域的临床医生究竟应如何做到这一点,往往并不明确。佩蒂特和尤雷克的文章详细介绍了一个具体项目,该项目涉及一个由自闭症儿童和其他歌手组成的神经多样性合唱团,以此作为支持神经多样性的一种隐喻。在文章中,一个以医院为基础的合唱团由一名专业合唱指挥带领,其中包括8名患有神经发育障碍的自闭症儿童和青少年、3名治疗师/专业人员以及4至5名业余歌手。作者呈现了神经发育障碍者的观点,并认识到合唱团的成就并非一帆风顺,对神经多样性参与者和其他人来说都面临着挑战。合唱团作为一种隐喻以及神经多样性的更广泛视角,都凸显了超越医学和心理学中强调个体困难的典型假设的必要性。对于执业临床医生和研究人员来说,如何在尊重神经多样性与临床医生有效支持寻求帮助以实现生活目标的个体患者的专业责任之间取得平衡,仍然存在问题。人们向临床医生寻求帮助,有时这始于肯定他们神经多样性的价值,但这往往只是开始。佩蒂特和尤雷克强调,除了更典型的问题清单之外,还需要支持各种环境和人群之间的关系和社会联系,无论是否具有神经多样性。