Drawing a line in the sand: affect and testimony in autism assessment teams in the UK
Dados Bibliográficos
AUTOR(ES) | |
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AFILIAÇÃO(ÕES) | Department of Psychiatry University of Cambridge Cambridge UK, College of Medicine and Health University of Exeter Exeter UK, Colleges of Medicine and Health/Social Sciences and International Studies University of Exeter Exeter UK, The City Law School, City University of London, London, United Kingdom of Great Britain and Northern Ireland |
ANO | 2020 |
TIPO | Artigo |
PERIÓDICO | Sociology of Health and Illness |
ISSN | 0141-9889 |
E-ISSN | 1467-9566 |
EDITORA | Wiley-Blackwell |
DOI | 10.1111/1467-9566.13063 |
ADICIONADO EM | 2025-08-18 |
MD5 |
0e3aac195884dddc44053dba2c20fd41
|
Resumo
Diagnosis of autism in the UK is generally made within a multidisciplinary team setting and is primarily based on observation and clinical interview. We examined how clinicians diagnose autism in practice by observing post‐assessment meetings in specialist autism teams. Eighteen meetings across four teams based in the south of England and covering 88 cases were audio‐recorded, transcribed and analysed using thematic analysis. We drew out two themes, related to the way in which clinicians expressed their specialist disciplinary knowledge to come to diagnostic consensus: Feeling Autism in the Encounter; and Evaluating Testimonies of Non‐present Actors. We show how clinicians produce objective accounts through their situated practices and perform diagnosis as an act of interpretation, affect and evaluation to meet the institutional demands of the diagnostic setting. Our study contributes to our understanding of how diagnosis is accomplished in practice.