Abstract
The neurodiversity movement has influenced the way people think about mental health and disability around the world. Emerging during the turn of the 21st century, it has simultaneously incorporated ideas from mainstream science and challenged the authority of scientists and clinical professionals as the sole arbiters of what those diagnosed with neurodevelopmental disorders are capable of. In the process, it has spawned a unique approach to identity politics, evoking questions about the body, mind, and culture too often ignored in critiques commonly directed at it. This paper combines concepts from posthumanist, feminist, and queer theorists with writings from neurodiversity scholars and activists to highlight how differences in embodied disposition are policed under neoliberal capitalism. This sets a foundation for a nuanced understanding of neurodivergent identity as an expression of neurodiversity culture. Drawing on Karen Barad’s agential realism, neurodivergence is construed as a form of agency produced through processes of disidentification with mainstream cultural norms rather than identification with a particular social category. It is suggested that any critique of the neurodiversity movement should account for how those who participate in it use its language to distance themselves from neoliberal institutional norms and engender community through a counterculture of embodied knowledge.
Introduction
Over the past 20 years, the neurodiversity movement has grown from a small network of fringe online forums and message boards run largely by autistic individuals to an increasingly inclusive and powerful cultural force. The idea that traits linked to diagnoses like autism and ADHD are not inherently pathological, but instead represent alternate variations of human biological expression, has had an indelible impact on the ways institutions around the world understand and accommodate psychological difference. Transnational companies like Microsoft and Virgin have adopted phrases like “neurodiversity in the workplace” as part of ongoing marketing campaigns to attract a broader range of employees. Medical departments at universities including Stanford and Duke have incorporated similar terminology into their educational programs and conferences, aiming to make them more welcoming for those who think and learn differently. All the while conversations about neurodiversity remain active across digital spheres including social media platforms, websites, blogs and TV shows.
The term neurodiversity is often traced to sociologist Judy Singer’s 1998 thesis research, which combined personal insight from her experiences being autistic with observations from participant research in online communities maintained by autistic individuals. Singer (1998) noticed that the word autism had come to refer to such a broad range of experiences that it was becoming impossible to distill into a single set of symptoms or even traits. Nor could autism be defined by human deficiencies alone. And yet, for many who had either been diagnosed or otherwise come to identify with the term, it had become inseparable from how they thought of and talked about themselves. Autism, Singer observed, had become an identity. Similar to other forms of disability before it (see Jones, 2022), an autistic culture started to emerge around this identity, whereby greater acceptance and more accurate knowledge was sought regarding the diversity of experiences reported by individuals who have often been relegated to the edges of society.
As Singer (2017) explains in a later book, her unique approach to studying the experiences of autistic people was heavily influenced by the work of journalists like Jon Katz and Harvey Blume as well as other writers/activists including Temple Grandin, Donna Williams, Mertijn Dekker and Jim Sinclair. Some accounts trace the history of the neurodiversity movement generally to Sinclair’s (1993) essay, “Don’t Mourn for Us” (see Pripas-Kapit, 2020). Singer (2017) also cites influence from academics theorizing social models of disability that “opposed what they called the Medical Model which locates disability in impairments of individual bodies and seeks cures rather than social change” (p. 10, emphasis in original), taking a social constructionist, rather than realist, approach to disability.
At the same time, Singer maintained a critical distance from many earlier iterations of the social model of disability. Rather than marginalize the significance of biology and medicine wholesale, as earlier movements (e.g., anti-psychiatry) have, Singer (1998) noticed that many autistic individuals online considered “neither social constructionism nor biological determinism adequate on their own, but instead prefer[ed] to make a new synthesis by picking and choosing the best of both worlds” (pg. 40). During the early 2000s, such hybrid models of autism were gradually refined through discussions across online forums, conferences, and message boards like Aspergia, AutAdvo, Aspies for Freedom, The Autist, Autcom, Wrongplanet and Neurodiversity.com (Dyck and Russell, 2020). The result was a new (largely virtual) counterculture for individuals who had, for various reasons, previously been considered social outcasts, mentally ill, or both. Essays about autism as a social disability encouraged such individuals to share concerns and difficulties, reinterpret experiences that would have otherwise been considered pathological, and reimagine what is possible for themselves and others like them.
Today, it has become impossible to mark a clear and distinct boundary around the neurodiversity movement, as experiences related to an increasing number of diagnoses and types of subjectivity have been included under its umbrella. While some advocates offer guidelines for terms associated with the movement (see Walker, 2014), there is no single set of principles that define neurodiversity exhaustively. Contradictions in how neurodiversity is understood across contexts, as well as points of conflict between the neurodiversity movement and the medical model, are further glossed over as both it and autism have become increasingly commodified under neoliberal capitalism (Mcguire, 2013; Runswick-Cole, 2014). With the term neurodiversity circulating unrefereed across popular media, academia, industry, and clinical settings, it is worth questioning whether the core values and principles of the movement out of which it emerged have become obscured, and if so, at what point might a growing plurality of meanings result in a lack of usefulness as a symbol of identity.
Conversations about neurodivergent identity have become as much, if not more, about the politics of affect and emotional life as they are about the brain. While many have reported the neurodiversity movement having a positive influence in their lives, it likewise serves as the target of criticism by a growing range of researchers, advocates, and practitioners. Areas of disagreement regarding its terminology and their relationship to neuroscience have become proxy battles over longstanding ideological differences regarding binaries like nature/society, individualism/collectivism, and body/mind. While themes related to these binaries have a long history throughout academia, the neurodiversity movement has democratized the sociopolitical questions they evoke, repackaging them in terms of a new psychosocial paradigm that, contrary to popular critique (see, for instance, Vidal & Ortega, 2017), offers concepts that can transcend conventional, oversimplified narratives about disability, mental health, and identity.
After overviewing some common critiques of identity politics and its relationship to the neurodiversity movement, the middle sections of this article build on insights from neurodiversity scholar-activists and cultural theorists to explore how anti-disability discrimination and ableism relate to the ways that more general social expectations are policed under neoliberal capitalism. This sets a foundation for the final section, where these insights are combined with concepts proposed by feminist, post-humanist theorists to argue that the primary reason the neurodiversity movement has become so influential is not because it has established new social categories that can reliably parse one type of brain from another, but because the culture generated through it has successfully altered the way diverse individuals think about, feel into, and relate with their bodies in societies where they have traditionally lacked a sense of belonging. The word, neurotypical—rather than referring to some innate, individual identity—can thus be understood as a set of culturally relative demands to support institutional imperatives to generate capital and police behavior in oneself and others. Such a reframing of both neurodivergent and neurotypical identities allows for a nuanced understanding of how bodily capacities can both shape and be shaped by what can be imagined as possible for oneself and others within a certain kind of (neoliberal) society.
Neurodiversity: Neurological Identity, Collective Advocacy, or Both?
Over the last several decades, identity politics has become an increasingly divisive, yet nonetheless vague, term. Across different contexts, it can refer to a wide range of political positions that take shared experiences of a particular social, cultural, or ethnic group as the point of departure. Some have traced the origins of identity politics, in this sense, to the Black feminist group, the Combahee River Collective, who declared in a 1977 essay that “the most profound and potentially most radical politics come directly out of our own identity, as opposed to working to end somebody else's oppression” (pg. 43). Their intention, however, was not to isolate different groups from one another, ignoring challenges they might share, but to begin their analyses of social power by focusing on how it operates specifically in their own lives. This was around the same time that social identity theory (Tajfel, Henri, and Turner, 1979) and self-categorization theory (Turner, 1985) emerged in UK social psychology circles as novel approaches to rethink relations between language, culture, and sense of self. A common insight offered by these theories is that identity is not simply a personal or individual matter; it is reinforced through culturally specific processes of identification with certain in-groups that can be differentiated for practical reasons from distinct out-groups.
Like autism and its relationship to identity, the term neurodiversity is used in a growing variety of ways. Some use it as a placeholder for a range of neurodevelopmental conditions, including autism, ADHD, and dyslexia (see Lorenz et al., 2017). Others opt for more inclusivity, defining it as a characteristic of any living creature with a central nervous system—akin to biodiversity, although specific to neurological functioning. Neurodivergent scholar Nick Walker (2014) addresses this variability in meaning by distinguishing between what she considers the three most useful meanings of the term: (a) to describe diversity across human body-minds (not just brains), (b) to refer to a particular paradigm of human difference, and (c) to name the corresponding social movement. As a paradigm, Walker explains, neurodiversity can be understood as conceptual framework built on certain presuppositions including, on the one hand, that brain differences are natural and valuable to the human species and, on the other, that common notions about “normal brains” rest on social fictions that have harmed those who, for whatever reason, cannot conform socially without considerable bodily distress. There are thus ethical imperatives built into the neurodiversity paradigm, beyond the idea of neurodiversity as a biological fact, which challenge conventional assumptions that everyone who meets criteria for a neurodevelopmental (or any other psychiatric) diagnosis is necessarily disordered and requires treatment. The neurodiversity movement, then, can include any person or group promoting the values underpinning the neurodiversity paradigm, understood as such.
Walker further distinguishes neurodiversity, as a description of general neurological difference, from the more specific concept of neurodivergence; the latter being an umbrella term that can refer to any pattern of behavior, experience, or ostensive brain activity that diverges from whatever is considered typical functioning by conventional social standards. This, she explains, can include traits that are “largely or entirely genetic and innate,” or those “produced by brain-altering experience, or some combination of the two” (para. 25). Certain forms of neurodivergence, like autism, are considered inseparable from the person’s general experience of the world and are as such considered essential to one’s sense of self. While those in the neurodiversity movement would argue against pathologizing these forms of neurodivergence, it is acknowledged that they can be coupled with undesirable experiences, like inordinate anxiety, overthinking, or depression. Such experiences, however, would be construed as consequences of marginalization in an ableist society as much as, if not more than, effects stemming from any innate condition. Other forms of neurodivergence, like epilepsy, might be regarded as less intrinsic to the identity of the person, with attempts to cure considered more desirable. According to Walker, there is no one-size-fits-all model of neurodivergence. While the concept of neurodivergent identity is largely based on this sense of neurodivergence, I explain below why it is important to maintain a distinction between the terms neurodivergence and neurodivergent insofar as they serve different cultural purposes for those who identity with the neurodiversity movement.
Critiques of Identity Politics in and out of the Neurodiversity Movement
As Ginny Russell (2020) explains, one of the most common critiques of identity-based movements in general is “that they dichotomize allied groups into factions (this prevents smaller identity groups from linking up, causing rivalries and discord)” (pg. 287). More specific critiques of the neurodiversity movement include: (a) it does not represent the perspectives of all those with neurodevelopmental diagnoses (a critique common from parents and clinicians), (b) its paradigm is reductive in nature, favoring genetic or brain-based explanations for behavior over others (a critique common from academics), and (c) charges along the lines of Audre Lorde’s (1983) famous maxim that “the master’s tools will never dismantle the master’s house” (Russell, 2020, pg. 94). Critiques like these characterize the neurodiversity movement as not inclusive enough, not radical enough, or both. With neuroscience and psychiatry both representing fields of expanding social and economic power, many of such critics cast doubt on whether it is possible to work within either profession, or even use their tools, to achieve the radical sociopolitical change called for by many of the most vocal participants in the neurodiversity movement.
Russell (2020) goes on to assess several of the most popular critiques of the neurodiversity movement, noting similarities with criticism levied at earlier social movements that linked identity, in one form or another, to culture and politics. The neurodiversity movement is not even the first social movement to use some form of identity politics to oppose psychiatry’s policing of mainstream societal norms. For centuries, it was standard psychiatric practice to pathologize most non-normative sexual relations and gender expressions without regard for the experiences of those behaving as such. Towards the end of the 20th century, such behaviors were still highly pathologized, but diagnostic stipulations were outlined in the DSM so as to focus mainly on situations in which the person experienced notable psychological distress due to such experiences (Drescher, 2015). As of the most recent version of the DSM, same-sex attraction does not play a role in any diagnostic criteria, while gender dysphoria is defined as “the distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender” (APA, 2013, pg. 451). Importantly, this gradual reframing of non-normative expressions of gender and sexuality—with the DSM moving from a focus on identity and behavior to experiences of distress—can be attributed in large part to sustained pressure from decades of LGBTQ + activism. In these ways, conversations about gender identity, sexual orientation, and their roles in mediating biology and social expectations have spurred changes in psychiatric discourse in ways that resemble what has occurred more recently through the neurodiversity movement.
Mark Sherry (2004) outlines how theorists in disability studies and queer theory have navigated similar critiques aimed at their respective forms of identity politics, noting that many such critiques presuppose a concept of identity that is in some sense immutable or representative of an essential, core self. This is curious, Sherry suggests, because an explicit goal of many writing within disability studies and/or queer theory, especially those interested in intersectionality, is to deconstruct normative assumptions about self and other (e.g., notions of essentialism, binary gender, medical models of disability, etc.). Jones (2022), for instance, explains how “disability interweaves with other aspects of identity—comparing, compounding, or nuancing people’s experiences of the world . . . The interweaving of cultural membership and identity requires perpetual (re)appraisal,” which “prevents a reductivist account of people’s experiences” (pg. 496). And focusing specifically on Deaf culture, Chapman (2021) underscores the “shifting dynamics of [Deaf] identity,” which “mirrors how the context for Deaf identity has shifted radically over these participants’ lives and sheds light on the dilemmas facing the Deaf community,” which cut across many different areas of life (pg. 388). In these ways, identity in such cases is construed as fluid, contextual, and continually reconstructed as part of counter or sub-cultural practices that cannot be divorced from other areas of life.
In a recent interview between Nick Walker and Dora Raymaker (2021), they discuss the intersection between gender and neurodiversity with the concept of neuroqueer, alluding to the ways many forms of neurodivergence “subvert, disrupt, and deviate from the embodied performance of being neurocognitively ‘normal’.” (para. 45). Neuroqueering, as it were, refers to a cultural practice of disidentifying with what’s taken for granted as socially normative, which effectively unties the concept of neurodivergent identity from any particular form, while engendering new possibilities for community through intersecting social narratives and modes of expression (see Egner, 2019). Identity, in this sense, is not some immutable sense of self that exists inside a person’s mind or brain; it is a culturally constituted concept that affords a reimagination of what one’s body can do in relation to other people and things in the material world. Any critique of neurodiversity as a form of identity politics must, therefore, consider whether, and if so how, those who participate in the movement invoke this legacy—evidenced across both queer and disability studies (e.g., crip theory)—of subverting normative notions about self, embodiment, and identity (see also McRuer, 2006).
An overarching concern for many of those within the neurodiversity movement is that atypical styles of thinking, feeling, and navigating the world are too often monitored and policed by social institutions granted unilateral authority to make decisions that affect their lives. Claims about brains and how to intervene on them when something is perceived as wrong are refereed primarily by neuroscientists, clinicians, and increasingly policy makers who stand to benefit personally and professionally from the ongoing reframing of social, cultural, or economic problems into ones of brain chemistry or genetics (Fitzgerald, 2017; Gomory et al., 2011). With the neurodiversity movement gaining worldwide notoriety, the lack of general inclusion of neurodivergent people in decisions that affect them has become a growing concern within any setting that neurodivergent people navigate (e.g., mental health contexts, workplaces, schools, etc.). The ability to participate in conversations about such topics presupposes certain degrees of privilege and agency that can facilitate social power within groups traditionally excluded from public conversations about their own experience. And yet, frameworks that focus exclusively on approaches to treatment and/or accommodation could themselves risk marginalizing those for whom participating in such form of self-advocacy does not come as easily. As such, there remains a notable lack of consensus among those working across such diverse settings regarding whether, and if so how, dominant social institutions can in fact become more inclusive and supportive of neurodivergent voices.
Rethinking Neurotypicality and Neoliberalism as Cultural Expressions of Capitalist Value
In a debate published on the University of Exeter website, Damian Milton (sociologist and autistic/neurodivergent activist) and Sami Timimi (child psychiatrist who is generally critical of the field of psychiatry) cover a wide range of topics related to neurodiversity culture and psychology reflecting much of what has been overviewed so far (Milton & Timimi, 2016). Challenging what he perceives to be a latent essentialism underlying its identity politics, Timimi, for instance, questions why the neurodiversity movement would divide “humanity into ‘neurotypical’ and ‘neurodiverse’ [groups] and [whether] such a categorical division is [even] possible” (para. 5). He then proposes that such an idea “is different to medical diagnostic discourse only in its value judgments about such categorical divisions” (para. 5). Milton disagrees with this characterization of the movement altogether, replying that the “division between neurotypical and neurodivergent (not neurodiverse) is an arbitrary and social one,” adding that: The term neurotypical originated as a mickey-take of the way medics describe ‘autistic people’– for me it has come to mean an idealised fantastical construction of neoliberal ideology – the ‘mythical norm’ . . . Yes – there are ‘autistic people’ who see this as a distinct biological line – not me – and not many others. (para. 6)
Milton’s longer elaboration on this response reflects a nuanced understanding of neurodivergent identity that does not fit neatly into any critiques of the neurodiversity movement discussed so far. As he explains, there can be no litmus test for neurodivergence in the same way there is no biological test for autism. Rather, neurotypicality exists as what he describes as a ‘mythical norm’ part and parcel with broader ideologies of neoliberal capitalism, reflecting concerns raised by those like Rose and Abi-Rached (2013) and McGuire (2013) about how biologically based narratives regarding selfhood and identity are at the core of most popular models of the self.
This particular use of the term neoliberalism aligns with trends in recent psychological literature (Cosgrove & Karter, 2018; Sugarman, 2015; Teo, 2018) that expand its meaning beyond the conventional sociopolitical sense to explain how structures of governmental authority have gradually become internalized within each citizen’s psyche during the 20th and early 21st centuries. In this way, neoliberalism can be understood as a model for contemporary subjectivity as much as a political platform or guiding ideology. This expanded sense likewise reflects gradual societal transitions from rigid, top-down disciplinary mechanisms like punishment and brute violence—ala Foucault’s (1977) disciplinary societies—to more decentralized systems of regulation, which combine disciplinary techniques with newer mechanisms of self-management—a transition which Deleuze (1992) described as one towards societies of control. As others (e.g., Osbeck, 2004) have explained in more detail, the ideological push to privatize economic markets has thus become a mandate to market (and fashion) oneself, with the individual mind being reconceived as an information processor whose primary purpose is to support this self-marketing.
Historically, such conceptual changes to the term neoliberalism have occurred alongside growing austerity measures and the expansion of insurance mediated mental health care, which authorizes private companies to determine how diagnoses in the DSM are defined as well as which treatments can be implemented and reimbursed for (Cosgrove and Karter, 2018). The mechanisms linking neurotypical culture and neoliberalism under contemporary capitalism are thus psychosocial and economic in nature, operating to both create and enforce perceived lines between normal and abnormal by way of the cultural values we assign to diverse bodies, behaviors, thoughts, and emotions. To call such narratives about neuro-normalcy ideologies or myths, as Milton does above, does not necessarily mean that they present lies as facts—there are certainly statistical norms that can be measured in both biology and human behavior—but that they determine which facts are most culturally relevant and which should be ignored. As Adams et al. (2019) outline, American psychologists historically have served an essential role in upholding the values of this culture of neoliberalism, insofar as notions like individualism, growth, and affect management have been presented as psychological facts rather than cultural artifacts.
Staying true to the initial ideas about neurodiversity outlined by Singer (1998), Milton carves out a middle ground between social constructionism and biological science, noting that if he were pressed to pinpoint an essential distinction between neurodivergent and neurotypical individuals, he would say that: autistic culture is a subculture that has developed in reaction to being so labelled and the various constructions of ‘autism’. I do think there are also embodied differences between people in terms of ‘disposition’ though, and that some of this has a biological aspect.
As with Sherry’s (2004) discussion about non-essentialist identity across queer theory and disability studies, neither neurodivergent identities nor neurodevelopmental diagnoses are understood by Milton as concrete things that exist somewhere specific in the brains or bodies of individuals. The boundaries around either are fluid, yet Milton emphasizes that each body and hence brain nonetheless possesses singular capacities to sense, experience, and act upon the world. Such embodied dispositions are likewise not static, but shaped variably across social institutions through forms of conditioning that are alternately intentional and unintentional—reflecting contemporary ideas about culture and embodiment in cultural psychology (e.g., Adams et al., 2019).
As social learning theorist Etienne Wenger-Trayner (2013) explains in more detail, such embodied dispositions are essentially what constitute Pierre Bourdieu’s notion of habitus, which Wenger-Trayner describes as the “subconscious aspect of identity” (pg. 112) and contrasts with identity in a more general sense insofar as the latter “involves more negotiated processes of identification” (pg. 112). Wenger-Trayner proposes the idea of communities of practice to ecompass the way social norms, cultural practices, and bodily capacities all contribute to our sense of subjectivity in ways that are too often unacknowledged in psychological literature. For many neurodivergent individuals, for instance, conditions that have shaped their unique embodied dispositions often includes bullying encountered from early in life, which for Milton, personally, started “before [he] was labelled autistic,” being labeled terms ranging from “lazy, stupid, underachiever, BPD, catatonic schizophrenic” to “such nicknames as ‘Frankenstein’ and ‘Herman’ and ‘Bolts’ at school due to the way other children perceived [him].” The way others treated him had nothing to do with psychiatry or biomedical science, Milton suggests, but with the way his bodily comportment and sensations were interpreted as being somehow ‘outside the norm’ by those in his everyday life—something reported by many neurodivergent individuals (Milton & Sims, 2016). Going further, Walker (2021) explains how “most autistics today constantly received the message—again, starting in very early childhood—that the ways they naturally think, feel, move, and communicate are all wrong; that who they are is wrong” (p. 89). Attempts to attribute any and all distress experienced by autistic people to their own neurobiology or genetics is, therefore, bound to ignore a broad range of social, cultural, and economic variables that unavoidably condition human experience in ways that psychological researchers have traditionally struggled to parse.
Towards the Creation of Embodied Strategies to Counter Ableism, a Violence of Positivity
The conversation between Milton and Timimi highlights how neurodivergent individuals are commonly stuck in between competing narratives about who they are and what they are capable of. There are, of course, overtly violent messages like the ones Milton shares, where the goal is obviously to make the person feel inferior to others. Such intentionally violent acts, however, are always embedded within more implicit, all-encompassing neoliberal narratives about freely acting individuals unencumbered by physical or social constraint. Milton (2014) refers to, for instance, the “appearance of a unified self with a coherent consciousness able to freely act” as “an illusion created by each embodied person being conditioned uniquely. . . [and] dependent on the somatic affordances (physical limitations) of [their] physical brain” (para 8).
Going further along these lines, Erin Manning (2016) identifies: the neurotypical [as] the very backbone of a concept of individuality that is absolutely divorced from the idea that relation is actually what our worlds are made of. The neurotypical does not need assistance, does not need accommodation, and certainly does not need facilitation. The neurotypical is independent through and through. (pg. 6)
Another word for what Manning describes above is ableism, which is premised on the assumption that everyone, regardless of bodily constitution and social position, should be able to work hard enough to be successful according to accepted social standards. In short, it is generally assumed (and unquestioned) that everyone should strive to be able to generate capital for themselves and others. While some psychologists (see Sugarman, 2015; Teo, 2018) have used the term neoliberalism to explain similar phenomena in other contexts, Manning opts for neurotypicality, describing it “as a central but generally unspoken identity politics, [which] frames our idea of which lives are worth fighting for, which lives are worth educating, which lives are worth living, and which lives are worth saving. (pg. 3). Neurotypicality, in other words, is proposed as an implicit, prescriptive set of cultural demands rather than an individual identity, which subtly shapes our perceptions and beliefs about which lifestyles (and even lives) are most valuable.
Although the violence stemming from neurotypical culture, in the sense described above, might not always be intentional, it nonetheless has material and psychological consequences in the lives of a broad range of people with and without formal diagnoses. In a book titled Burnout Society, Byung-Chul Han (2018) echoes these concerns, explaining how certain mechanisms of violence under contemporary capitalism operate beyond what might be considered negative acts, like bullying, by promoting an “excess of positivity, the accumulation of the positive, which manifests as over-achievement, overproduction, overcommunication, hyper-attention, and hyperactivity” (pg. vii). This, once again, overlaps with critiques of neoliberalism outlined elsewhere, where persistent messages from sources outside of oneself (e.g., school, work, social media, etc.) equate financial success and independence with happiness and freedom. Despite the ostensibly positive tone of such notions, they can be internalized as individual mandates that are impossible to meet, with the compulsion to monitor one’s progress toward some imaginary goal becoming even more pervasive and harmful than any policing done by others.
Going further, Han (2018) claims that such a violence of positivity is “possibly even more disastrous than that of negativity because it is neither visible nor evident,” adding that paranoiac fears related to phenomena such as “[i]nfection, invasion, and infiltration—which are characteristic of the violence of negativity—now give way to infarction” (Han, 2018, vii). Infarction is a medical term that refers to any condition where bodily tissue deteriorates from restricted blood flow, usually because of sustained changes to the body’s vital systems. As a framework for neurodivergent experience, it is not difficult to imagine, for instance, how self-questioning in the form of pervasive thoughts like ‘my experience of the world is wrong’ or ‘my brain won’t allow me to succeed like others,’ which are at first enforced through persistant normative policing by others, can lead to not only rigid beliefs about one’s bodily abilities but also rigid behaviors in public. Given what we know about how neurons in areas of the brain with reduced blood flow can be pruned through processes of neural plasticity (Edelman, 1987), the idea of infarction likewise offers a novel way to think about how embodied dispositions and capacities might become constrained or even extinguished if their neurological correlates are not exercised often enough.
In some cases, neurodivergent individuals invent or learn certain embodied coping strategies to help modulate their experience in circumstances where they feel marginalized or otherwise sensorially overwhelmed (Connolly, 2008). Many autistic individuals have described certain “self-stimulatory” (i.e., stimming) behaviors as serving such a purpose (Kapp, 2019). And yet, the lived importance of such behaviors has historically been marginalized by those occupying traditional roles of authority (e.g., parents, teachers, behavioral therapists) or labeled symptoms to be intervened upon and extinguished through Applied Behavioral Analysis or other mental health treatments. Some neurodivergent individuals might, out of fear of discrimination, consciously avoid or become anxious performing their preferred stim in public. Others might achieve conventional notions of social success only by learning early in their lives how to simulate neurotypical behaviors in public to avoid discrimination from others. Those who engage camouflaging, in this sense, despite any level of social success they might attain, have been shown to incur significant psychological distress—including inordinate anxiety or even depression—especially when camouflaging is experienced as compulsory and not aligned with the person’s goals (Miller et al., 2021). In a society where success, even personhood, is defined according to what Milton identifies as the mythical norm of neurotypicality, such relatively covert forms of violence can be debilitating for those who, for whatever reason, cannot comfortably present themselves to others as independent and self-motivated agents.
What should we make, then, of critiques that charge the neurodiversity movement with downplaying experiences of distress related to diagnoses alike ASD and ADHD, as if neurodivergent activists are not intimately familiar with the effects such distress has on their everyday lives? While this aspect of the movement is often not emphasized explicitly enough, there are spaces within it for divergent cultures of embodied knowledge, which is specifically different from (but perhaps complementary to) neuroscientific knowledge about the body. With the latter, the brain is taken as an object to be controlled, measured, and mapped. With the former, the brain is understood as part of an experiencing body, with the goal being greater attunement to sensation and feeling in relation to others and the world more generally. Nick Walker (Walker & Raymaker, 2021, para. 24), for example, describes most current scholarship on neurodiversity as working “toward a future in which neurodiversity is embraced and neurominorities are accommodated and welcomed,” but suggests that: the most inspiring and engaging neurodiversity scholarship—the work that’s taking things to the next level—aims higher still, toward a future in which we engage with neurodivergence in ways that unleash previously undertapped creative potentials of individuals, communities, and humanity as a whole.
As opposed to trying to pin down exactly what neurodiversity has meant in the past, what is likely to be most important moving forward is whether the term facilitates a (counter)culture for neurodivergent individuals to both connect with community and experiment with what their always diverse bodies are capable of.
As Walker suggests above, this goes far beyond advocating for greater cultural acceptance for some subset of individuals who express certain atypical behaviors or neurological processes, to acknowledging the infinitely diverse array of experiences (ranging from positive to negative) that have traditionally been policed by mainstream social institutions, often under the auspices of psychiatry and other professions related to mental health. Psychological disorder in general is never experienced as a stable state; in any form, it is diagnosed through a discontinuous and unpredictable series of events, some of which will feel considerably more challenging than others. And yet, clinical applications of neuroscience tend to present the appearance of psychiatric diagnoses with definite boundaries, defined strictly on the basis of negative experiences or what a person appears to lack. Manning (2020) adds that “the dominant neuroscientific literature works with a deficit model of sensation that is neurotypical through and through, most emphatically in its presupposition of a body schema which acts as the normative ground on which all divergent experience is mapped” (pp. 148–149). Here, non-normative experiences of one’s own body—those traditionally labeled mystical or even synesthetic, for instance—tend to be pathologized, while bodies “that sense too much, bodies that feel the touch of the world and are moved by it, are deficient” (pg. 150). Such a situation, she argues, calls for theoretical concepts that move beyond classic binaries like individual/society, normal/abnormal, and identity/difference, toward more nuanced understandings of the ways bodily capacities are expressed in relation with others and the world. Otherwise Timimi could end up being right to call the neurodiversity paradigm “different to medical diagnostic discourse only in its value judgments,” rendering it an easy target for appropriation under neoliberal capitalism.
Queering Neurological Identity by way of Karen Barad’s Concept of Agential Cut
Beyond questioning whether each person’s identity is determined by their brain, or who benefits most from such a conceptualization, there are good reasons to question, on the one hand, whether we can know with certainty what any brain is capable of and, on the other hand, whether knowledge about the brain, mind, and/or body serves the same purposes outside of neuroscience as within. In a series of interviews, Des Fitzgerald (2017) poses similar lines of questioning to neuroscientists directly, learning very quickly that: despite my own self-consciously bland and uncritical presentation, interviewees from cognitive neuroscience consistently, and often with some vehemence, drew my attention to the problem of false positives, the distance between what their methods measured and what they purported to measure, the degree to which neuroimaging simply replicates what is already known through other means, and even the basic inadequacy of brain imaging to phenomena like autism in the first place. (pp. 67).
Given the inherent limits of brain-imaging technologies and the high degrees of subjectivity involved in interpreting data they produce, critics like Rose and Abi-Rached (2013) have gone even further, describing the “visual imaginary that is the result [of neural imaging as] . . . no different from that of the phrenologists of the 19th century” (p. 79). Essentially, such critiques suggest that the tools available to neuroscientists are, at least at this point in history, relatively blunt and the knowledge we have about the brain not only incomplete but influenced by a range of factors related to culture, history, and economics in ways that double back on, and hence influence, these same domains (see Choudhury et al., 2009).
In Meeting the Universe Halfway, Karen Barad (2007) takes a similarly reflexive and critical approach to scientific research more broadly, suggesting that most attempts on the part of Western academics to create reliable categories of knowledge have presupposed that “the world is composed of individual entities with separately determinate properties,” whether they be atoms, bodies, or monads. Barad explains furthermore that “most forms of realism [e.g., biological determinism] presuppose a metaphysics that takes for granted the existence of individual entities, each with its own roster of nonrelational properties” (pg. 55). In other words, most Western philosophers and scientists have taken for granted that each object in the universe exists independently from all others, possessing attributes unique to it that can be observed and measured apart from its corresponding ecologies.
Drawing on new research across various fields of science, however, Barad paints a much more complex (and perhaps for some, counterintuitive) picture of reality. Here, the building blocks of nature are not pre-existing objects with intrinsic properties, about which scientists invent theories to test; rather, “experimenting and theorizing are dynamic practices that play a constitutive role in the production of objects and subjects and matter and meaning” (p. 56). From this perspective, concepts, objects, and individuals are said to emerge out of complex networks of cultural meaning and physical forces and it is only from within a given ecology, as such, that any object can be observed and categorized as an individual (brain, body, or otherwise). As opposed to attempts at intervention, defined as something that happens to a thing from outside of it, Barad describes scientific knowledge as being constituted through intra-actions that occur, simultaneously, within and in relation to the circumstances needed to produce the object of interest. In other words, researchers unavoidably become part of the ecologies they study to generate meaningful knowledge about the world, but upon doing so, they both change and are changed by the very “things” they intend to objectify through their research.
Barad describes the way otherwise disparate things become simultaneously harmonized and differentiated in this way as an agential cut, signifying that, similar to the concept of neuroqueering described above, agency can be produced momentarily, at once locally and non-locally, through a disidentification with normative forces that might otherwise fade into the background without being noticed. Agency, in this sense, is conceived as a process rather than a thing, which emerges out of a particular sociomaterial arrangement and sets a frame around which certain elements of this arrangement are infused with cultural value. There is, as such, always more matter or force included within any given situation than can be made explicit through existing mediums of human meaning-making, rendering knowledge about nature always partial and our stories about the world incomplete.
Using neuronal receptors cells of stingrays as an example, Barad (2012) alludes to the “mysterious clairvoyancy” biologists are beginning to learn underpins brain processes in general, insofar as such cells appear to act in concert with each other in anticipation of electrochemical reactions that have yet to occur, only to adjust their arrangement in unpredictable ways as new signals arrive. In analogous fashion, Barad explains how lightning is not generated via electricity propelling itself down from the sky, instead “the ground responds next with an upwards signal of its own,” informing the downward electricity where to flow next (pg. 35, italics in original). Within such intra-active ecologies, responsibility for the dynamics of any given situation cannot be attributed to any single element; causality is distributed throughout the local area and conditioned by the ways diverse entities act and react together.
Meeting the notion of neuroqueer halfway, Barad (2012) describes phenomena like those above in terms of “nature’s queer performativity,” not to “invite nonhuman others into the fold of queerness, but to interrogate the binaries that support the divisions that are at stake” (pp. 29–30). In this sense, the universe is (by nature) queer in the way it subverts scientists’ expectations about human constructed categories like identity, essence, and causation, while directly implicating scientists’ subjectivities in the very processes they intend to control and observe. While this certainly does not diminish the value of neuroscience, per se, it does force us to acknowledge certain inescapable limits to claims neuroscientists make about people and their brains. Scientific research, while useful for generating knowledge and creating technology within a certain scope, is necessarily constrained by assumptions unique to each discipline and field of study. In neuroscience, this might include assumptions like “brain areas showing greater glucose metabolism or differential disturbance of hydrogen ions during a particular thought process are causally involved in that thought process” or “thoughts can correctly be attributed to the participants and then that those thoughts are suitable proxies for the behaviors that are the ultimate object of interest” (Longino, 2013, pg. 77). Conclusions about the ways brains, thoughts, and behaviors relate to one another, however, cannot be reached through empirical research alone. They require certain agential cuts on the part of researchers that can sometimes obscure the uncertainty underpinning neuroscientific knowledge.
As aforementioned writers about neurodiversity illustrate, neurodivergent activists have not only shined a spotlight on this uncertainty but relish in the possibilities it affords for recreating oneself, engendering spaces for what can be very novelforms of agential cut. At the very least, such uncertainty warrants a degree of intellectual modesty in line with calls made by growing numbers of feminist scientists and philosophers (see Keller & Longino, 1996) over the last several decades. Donna Haraway (1988), for instance, explains how theorists working towards such a feminist informed materialism: seek [knowledges] ruled by partial sight and limited voice—not partiality for its own sake but, rather, for the sake of the connections and unexpected openings situated knowledges make possible. Situated knowledges are about communities, not about isolated individuals. The only way to find a larger vision is to be somewhere in particular (p. 590).
Haraway’s concept of situated knowledges, which has become popular in social justice circles (see Grasswick & McHugh, 2021), is meant to underscore the simple fact that every idea we believe to be true—whether it is about a brain, a person, or an atom—must come from somewhere. Some person, somewhere, must perceive and interpret whatever evidence is used as a basis for any truth, and this process will invariably be influenced by more variables than could ever be accounted for by scientific methods alone. In terms of our knowledge about the brain, for instance, neural imaging data cannot generate and interpret themselves. To find meaning in them, neuroscientists must first train their sight over decades by reviewing countless already-generated images, while memorizing the highly technical vocabularies required to identify patterns in the data that laypersons would be unable to perceive at all. In short, what neuroscientists see in ‘the brain’ is unavoidably going to have a different significance within their unique communities of practice than how neurodivergent non-scientists experience their neurological processes, whatever this might be like for them.
The approaches to knowledge construction offered by those like Barad and Haraway could have wide reaching implications for social movements in the vein of the neurodiversity movement, as well as how psychologists think about psychosocial distress more generally (see Traversa, 2022, for more discussion about Barad and psychology). As Barad (2007) explains, it is all too common, even among feminist researchers, for “social variables like gender, race, nationality, class, and sexuality [to be considered] properties of individual persons, thereby reinstalling the metaphysics of individualism” (pg. 57). With obvious overlaps with the concept of intersectionality (see Strand, 2017), discussions about neurodiversity (especially as it relates to the concept of neuroqueer) traverse back and forth across cultural, economic, and scientific fields, challenging common sense notions about how mind relates to the body, and identity to society.
Elaborating further, Barad (2012) suggests that: what is or isn’t an “in-dividual” is not a clear and distinct matter, and that seems to be precisely the scientific sticking point: the question of the nature of identity is ripe here – it’s what’s so spectacularly exciting from a scientific point of view. (p. 26)
Mind, culture, and matter are always enmeshed in collective ecologies such that it is impossible to neatly separate them into clearly demarcated categories, despite it being at times useful to assume otherwise for convenience. This poses conceptual challenges to the conventional notion of social identity, as an identification with certain pre-determined physical or cultural attributes, which seems to be the true target of many critiques directed at the neurodiversity movement. Rather than premising agency on the autonomy of any individual person or social group, however, Barad’s framework construes agency as a power that emerges out of the transitory coordination of irreducibly different entities and forces. There is no need to either pit the individual against the group or make one dependent on the other—there are more complex and dynamic networks at play.
In terms of neurodiversity, then, conversations about ‘the brain’ are unavoidably also about culture, science, our capacities to think and interact as well as so much more. For neurodivergent identity to continue to have utility for socially marginalized groups, it must allow for an appropriate degree of cultural indeterminacy, whereby those included under its umbrella can become capable of acting fluidly in coordination with each other over and against the normative imperatives of neoliberal capitalism. Just as importantly, though, it must help such groups express collectively the effects stemming from both overt violence and the violence of positivity described above, as well as any associated trauma lingering from such encounters. Diagnostic categories traditionally associated with neurodivergence (e.g., autism, attention-deficit disorder, etc.) have tended to trouble clinicians’ attempts to define them; all the while the bodies to which such diagnoses have been applied continue to exhibit capacities that previous generations of scientists agreed, almost universally, they could not. It is thus also necessary to acknowledge the particular ecologies of knowledge out of which the neurodiversity movement itself emerged, spurred by activists and writers at the edges of society when ideas about the brain were being popularized over the internet and around the world to an extent never before possible (see Rose and Abi-Rached, 2013). For most of these activists, the goal has never been to create a framework that satisfies academics and/or mental health professionals; their emphasis has always been on supporting marginalized communities through grassroots education and engendering cultures in which those who experience the world differently can reimagine what is possible for themselves.
Donna Haraway’s conceptualization of situated knowledges goes beyond questions about meaning and interpretation, designating an integral role for the whole body-mind-culture system (and not just the brain) in how we think, talk, and feel ourselves into existence. From this perspective, capacities for emotion, affect, and sensation in general are considered as important to sense of self as those for cognition and rationality, with each of our variable styles of thought and feeling rendered meaningful only insofar as they are distributed throughout our bodies and into the social world where they link us with one another in community. The intersectionality underpinning neuroqueer disidentification presents possibilities to counter taken-for-granted assumptions about what constitutes identity within neoliberal politics. It likewise illustrates why the neurodiversity movement has become so successful, given how it continues to evolve across intra-actions with diverse individuals and emerging technologies and integrates a growing variety of experiences and cultures in ways that sustain vital life-threads.
To say that the neurodiversity movement can engender community through a counterculture of embodied knowledge is thus meant to highlight how it provides otherwise marginalized individuals new ways of imagining what their unique body-minds are capable of, all the while reorienting their actions in relation to the world and allowing them to better anticipate each other’s needs and desires. The irony that such a social movement is sustained largely by those who scientists have, even quite recently, described as devoid of basic human capacities like empathy and understanding other’s motivations should be evident to anyone familiar with this troubling history. Unfortunately, insofar as assumptions about what constitutes ‘normal behavior’ remain tethered to neoliberal models of individual identity, certain categories of people are more likely than others to be marked as abnormal and, in turn, excluded from public discourse simply because their embodied expressions trouble the status quo.
Conclusion
This article has explored how the neurodiversity movement can provide a sense of culture for marginalized individuals to rethink what is possible beyond the boundaries of their individual brains and facilitate community despite ableist maxims reinforced by mechanisms of neoliberal capitalism. Rather than follow popular critiques of the movement that evaluate it in terms the accuracy with which it represents characteristics of certain individual people and/or their brains, this article has argued it would be more relevant to consider how neurodivergent identity can facilitate a certain form of agency that emerges out of complex ecologies that can include trauma, ableism, diagnostic terminology, neuroscientific knowledge, and economic imperatives related to capitalism. Given our increasingly global capitalist society where norms related to positivity and ability are continually policed by both oneself and others via intra- and inter-personal interactions in everyday life, I have suggested that the neurodiversity movement can present opportunities for reimagining agency by way of challenging the neuroscientific status quo and the cultural assumptions underpinning it, which have come to dominate global discussions about neurological development and disability.
The neurodiversity movement has spawned a unique form of identity politics, evoking important questions about the body and society that are too often ignored in popular critiques of it. Many of such critiques are aimed at the way neurodivergence is sometimes defined as an act of identification made with some particular group or type of brain, implying that neurodivergence is an essential identity inherent to some people but not others. This article, by contrast, has drawn on neurodivergent activists and scholars to trace a concept of neurodivergence as a process of disidentification rather than identification, a verb representing action in opposition to neoliberal norms (e.g., neuroqueering) rather than a noun or stable trait. In this sense, what it means to be neurodivergent will necessarily differ depending on how the dominant culture (e.g., neoliberalism) conditions what is considered possible for one’s own body within the local community. As a nexus of biological, psychological, and sociocultural events, the intersectionality of neurodivergent identity complicates any attempt to distill it to a certain set of attributes in ways that mirror the history of neurodevelopmental diagnoses themselves. While some critics have alluded to Audre Lorde’s (1983) famous maxim that “the master’s tools will never dismantle the master’s house” (see Russell, 2020, pg. 94) as a way to challenge the neurodiversity movement’s use of brain-related vocab, neurodivergent activists like Nick Walker and Damian Milton highlight a subterranean potential in the intersection of neuroscience and activism that has until now remained mostly latent in contemporary scientific models of the brain. Exemplifying Barad’s concept of an agential cut, the queering influence that the neurodiversity movement has had on how we can think, talk about, and identify with our bodies highlights new cultural arrangements for living and expressing life together, particularly for those who have traditionally been excluded from public discourse about what their unique bodies are capable of.
Footnotes
Acknowledgements
I would like to thank Stellan Kersey, whose countless conversations with me about neurodiversity helped shape many ideas in the paper, and Aaron Cantrell, whose feedback on an earlier draft pushed me to clarify several key points.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
