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Title: How parents build a case for Autism Spectrum Disorder during initial assessments: “We’re fighting a losing battle”
Authors: O'Reilly, Michelle J.
Lester, Jessica N.
Muskett, Tom
Karim, Khalid
First Published: 25-Jan-2017
Publisher: SAGE Publications
Citation: Discourse Studies, 2017,19(1), pp. 69-83
Abstract: Integral to the diagnosis of autism spectrum disorder (ASD) is the initial assessment through which the existence of a ‘problem’ is first ascertained. Despite this, there remains limited research on this early part of the diagnostic pathway. In this paper, we utilised conversation analysis to examine relevant issues in relation to the practitioner-family interactions that take place within this initial assessment context. Our findings illustrated that parents typically first raised the possibility of the presence of an ASD diagnosis through ‘building a case’, which professionals were then able to ratify or negate. Further, we found that the assessments unfolded sequentially and clinical decisions were typically reached through a distinctive pattern of interaction. These findings have important implications for clinical practice, including for the study of ASD assessments and diagnosis.
DOI Link: 10.1177/1461445616683590
ISSN: 1461-4456
eISSN: 1461-7080
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2017, SAGE Publications. Deposited with reference to the publisher’s open access archiving policy.
Appears in Collections:Published Articles, Dept. of Sociology

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