Précis of Aging and Autism by Pamela A. Smith
Summary:
Pamela A. Smith examines the intersection of autism and aging, highlighting the challenges faced by autistic individuals and their caregivers as they grow older. The paper emphasizes the lack of research and preparation within healthcare systems to address the unique needs of aging individuals with autism spectrum disorder (ASD). Smith explores various aspects of aging—including physical, psychological, and social changes—and how these intersect with ASD traits, such as sensory sensitivities, executive functioning deficits, and social isolation. Drawing on case studies, the paper illustrates real-world examples of autistic individuals aging in care facilities, revealing systemic gaps in support and understanding.
Key Points:
1. Aging Challenges in Autism:
• Aging adults with ASD face higher rates of anxiety, depression, and unemployment compared to neurotypical peers.
• Physical aging may exacerbate sensory sensitivities or reduce them unpredictably.
2. Systemic Unpreparedness:
• Care facilities often lack training to accommodate autistic residents’ needs, leading to mismanagement and poorer outcomes.
• Screening tools and diagnostic frameworks are inadequate for identifying ASD in older adults, complicating care provision.
3. Case Studies:
• Three case studies showcase the struggles of autistic individuals in institutional settings, including resistance to care, social difficulties, and misaligned interventions.
4. Recommendations:
• Increased research on autism and aging to guide policy and care practices.
• Enhanced training for caregivers and healthcare professionals to better address the needs of aging autistic populations.
Implications:
Smith calls for a paradigm shift in geriatric care to include autism-specific strategies, advocating for collaboration between pediatric and geriatric practitioners to ensure continuity of care. The paper underscores the urgency of addressing the growing population of aging autistic adults to prevent systemic failures.
Citation (APA):
Smith, P. A. (2012). Aging and autism. Perspectives on Gerontology, 17(2), 69–75. https://doi.org/10.1044/gero17.2.69
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