Identification of Autism in Girls: Role of Trait Subtleties, Social Acceptance and Masking.

Authors

  • Paula Corscadden
  • Ann Marie Casserly ST ANGELA'S COLLEGE,

Keywords:

Girls and Autism, masking, traits, social acceptance, anxiety

Abstract

In reaction to the increased amount of autism research and the greater prevalence of autism in boys, this study explored if autism traits in girls are more socially accepted and if this might be a factor in girls masking their difficulties/needs and prevent early identification. Using a Pragmatist paradigm, ten semi-structured interviews were carried out with five parents of daughters with autism, four teachers of female students with autism and a young woman with autism. The findings indicate that the traits of autism often present more subtlety in younger girls. It is this subtlety that suggests that their traits may be socially accepted and therefore a factor in their under-identification. The data also revealed that girls increasingly mask their social difficulties as they reach adolescence, as social pressures increase which simultaneously elevates anxiety. In conclusion, this study highlights that those involved in identification/intervention of autism should be aware of the trait subtleties of autism in girls, masking and mental health in order to improve identification.

References

Baldwin, S. and Costley, D. (2016) The Experiences and Needs of Female Adults with High-functioning Autism Spectrum Disorder, Autism, Vol. 20 (4), pp. 483-495.

British Educational Research Association (2018) Ethical Guidelines for Educational Research (4th ed), London.

Carpenter B., Happé, F. and Egerton J. (2019) Girls and Autism, Educational, Family and Personal Perspectives, Oxon & New York: Routledge.

Chevallier C., Kohls G., Troiani V., Brodkin E.S. and Schultz, R.T. (2012) The Social Motivation Theory of Autism, Trends in Cognitive Sciences, Vol. 16 (4), pp. 231–239.

Clarke, V. and Braun, V. (2017) Thematic Analysis, The Journal of Positive Psychology, Vol. 12 (3), pp. 297- 298.

Dean, M., Harwood, R. and Kasari, C. (2017) The Art of Camouflage: Gender Differences in the Social Behaviors of Girls and Boys with Autism Spectrum Disorder, Autism, Vol. 21 (6), pp. 678-689.

Dworzynski, K., Ronald, A., Bolton P. and Happe, F. (2012) How Different are Girls and Boys above and below the diagnostic threshold for autism spectrum disorders? Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 51 (8), pp. 788-797.

Geelhand, P., Bernard, P., Klein, O., Van Tiel, B. and Kissane, M. (2019) The Role of Gender in the Perception of Autism Symptom Severity and Future Behavioural Development, Molecular Autism, Vol. 10 (16), pp. 1-8.

Gonzales, L., Brown, M.S. and Slate, J. R. (2008) Teachers who left the Teaching Professions: A Qualitative Understanding, The Qualitative Report, 13 (1), pp.1-11.

Government of Ireland (2018) Data Protection Act 2018, Dublin: The Stationary Office.

Kirkovski, M., Enticott, P.G., and Fitzgerald, P.B. (2013) A Review of the Role of Female Gender in Autism Spectrum Disorders, Journal of Autism Developmental Disorders, Vol. 43, pp. 2584 -2603.

Lai, M.C., Baron-Cohen, S. and Buxbaum, J.D (2015) Understanding Autism in the Light of Sex/Gender, Molecular Autism, Vol. 6 (24).

Mandy, W. and Lai, M. C. (2017) Towards Sex and Gender - informed Autism Research, Autism, Vol. 21 (6), pp. 643-645.

May, T., Cornish, K. and Rinehart, N. (2014) Does Gender Matter? A One-year Follow-up of Autistic, Attention and Anxiety Symptoms in High-functioning Children with Autism Spectrum Disorder, Journal of Autism and Developmental Disorders, Vol. 44, pp. 1077-1086.

Milner, V., McIntosh, H., Colvert, E. and Happe, F. (2019) A Qualitative Exploration of the Female Experience of Autism Spectrum Disorder, Journal of Autism and Developmental Disorders, Vol. 49, pp. 2389-2402.

Rabbitte, K., Prendeville P. and Kinsella W. (2017) Parents’ Experiences of the Diagnostic Process for Girls with Autism Spectrum Disorder in Ireland: An Interpretative Phenomenological Analysis, Educational & Child Psychology, Vol. 34 (2), pp. 54-64.

Rucklidge, J.J. (2010) Gender Differences in Attention-deficit/Hyperactivity Disorder, Psychiatric Clinics of North America, Vol. 33 (2), pp.357-373.

Sedgewick, F., Hill, V. and Pellicano, E. (2019) ‘It’s different for girls’: Gender Differences in the Friendships and Conflict of Autistic and Neurotypical Adolescents, Autism, Vol. 23 (5), pp. 1119-1132.

Sucksmith, E. (2012) The Broader Autism Phenotype in the Parents of Children with Autism Spectrum Conditions (unpublished PhD thesis), The Open University.

Tashakkori, A. and Teddlie, C. (1998) Applied Social Research Methods Series, Vol. 46. Mixed Methodology: Combining Qualitative and Quantitative Approaches. Sage Publications, Inc.

The American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM-5), American Psychiatric Publishing.

Tierney, S., Burns, J. and Kilbride, E. (2016) Looking Behind the Mask: Social Coping Strategies of Girls on the Autistic Spectrum, Research in Autism Spectrum Disorders, Vol. 23, pp. 73-83.

Van Wijngaarden-Cremers, P.J.M., Van Eeten, E., Groen, W.B., Van Deurzen, P.A., Oosterling, I.J. and Van der Gagg, R.J. (2013) Gender and Age Differences in the Core Triad of Impairments in Autism Spectrum Disorders: A Systematic Review and Meta-analysis, Journal of Autism and Developmental Disorders, Vol. 44, pp. 627-635.

Werling D.M. (2016) The Role of Sex-differential Biology in risk for Autism Spectrum Disorder. Biology of Sex Differencces, Vol. 7, DOI 10.1186/s13293-016-0112-8.

Werling, D.M. and Geschwind, D.H. (2013) Understanding Sex Bias in Autism Spectrum Disorder, Proceedings of the National Academy of Sciences of the United States of America, Vol. 110 (13), pp. 4868- 4869.

World Health Organisation (2018) International Classification of Diseases, (11th revision), World Health Organisation.

Young, H., Oreve, M. J. and Speranza, M. (2018) Clinical Characteristics and Problems Diagnosing Autism Spectrum Disorder in Girls, Archives de Pédiatrie, Vol. 25, pp. 399-403.

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Published

2021-09-19

How to Cite

Corscadden , P., & Casserly, A. M. (2021). Identification of Autism in Girls: Role of Trait Subtleties, Social Acceptance and Masking. REACH: Journal of Inclusive Education in Ireland, 34(1). Retrieved from https://reachjournal.ie/index.php/reach/article/view/313