Autism, expert discourses, and subjectification: A critical examination of applied behavioural therapies

Abstract

Applied behavioural therapies are widely adopted interventions that have become the standard of healthcare and expert knowledge for autistic people in Canada. These therapies are methods of individualized behavioural modification whereby skills are taught, and socially "undesirable" or "inappropriate" behaviour is regulated according to expert claims that focus on correction, imitation, repetition, reinforcements, and environmental modification. Despite their prevalence, these therapies are highly controversial methods within autism communities, with mostly non-autistic parents and clinicians as their main proponents, and autistic self-activists as their critics. The ethnographic research presented will examine the culture, training, and knowledge practices of behavioural therapy providers in Ontario, to study disciplinary techniques that are used to create expert subjects. In order to operate as a technology for producing optimal results in the autistic subject, working as a behavioural therapist involves multiple techniques such as completing intensive exercises consisting of audible and textual surveillance, recorded sessions, and intra-therapeutic replicability. These techniques and exercises often work to discipline expressions of care in accordance with a "psychocentric" ramework for understanding autism and supporting autistic people.