Toward a more comprehensive autism assessment: the survey of autistic strengths, skills, and interests
Autism is primarily defined by its deficits in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5, 1). However, autism can be defined as a natural, valuable part of human experience in which the ability to thrive depends on the match between the individual and their social context (2,3,4,5,6,7,8). Autistic strengths have been noted since autism was first defined (9). A growing body of literature has demonstrated how strengths in social communication, focused interests, stimming, sensory abilities, systems thinking, and cognition can be part of autism (10,11,12,13). Despite the neurodiversity movement, autism is still associated with stigma (14,15,16). Diagnostic evaluations often focus exclusively on problems without considering strengths (17,18). Most questionnaires, observational tools, and interview questions tabulate problems to determine if someone is autistic, but they miss the comprehensive view of what it means to be autistic. The autism diagnostic evaluation is a critical time in a person's life, with some individuals referring to it as the most important experience of their life (19,20). When an individual is first discovering they or their child is autistic, providing strengths-based information can counter stigma. Interactions with professionals can shape self-understanding and parental understanding of their child (21,22). Autism-specific strengths-based measures that allow clinicians to assess for autistic strengths during diagnosis are needed. ...