Autism's existential crisis: a reflection on Livingston et al. (2018)

Abstract

Livingston and colleagues present an empirical investigation of the compensatory framework describing the autism clinical phenotype as the sum of intrinsic neurocognitive deficits and compensatory mechanisms. This commentary highlights several methodologic features of the study that are pertinent to interpretation and reflects on the reduction of social behavior to cognitive processes. Taken together, the notion of compensation calls into question the validity and utility of the current behavioral diagnosis of autism.