Skip to main content

Double Empathy

  • Reference work entry
  • First Online:
Encyclopedia of Autism Spectrum Disorders

Definition

The double empathy problem (DEP) refers to a “disjuncture in reciprocity between two differently disposed social actors” who hold different norms and expectations of each other, such as is common in autistic to non-autistic social interactions (Milton 2012, p. 884). With different dispositional outlooks and personal conceptual understandings, interactions involving autistic and non-autistic people are susceptible to frequent misunderstandings. It is a “double problem” as both people experience it, and so it is not a singular problem located in any one person. However, “the disjuncture may be more severe for the non-autistic disposition as it is experienced as unusual, while for the ‘autistic person’ it is a common experience” (Milton 2012, p. 885).

In principal, the DEP becomes more marked the wider the disjuncture in dispositional perceptions of what constitutes the social context. It is suggested that “social subtext is never fully given as a set of a priori...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+
from $39.99 /Month
  • Starting from 10 chapters or articles per month
  • Access and download chapters and articles from more than 300k books and 2,500 journals
  • Cancel anytime
View plans

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 3,499.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 3,499.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References and Reading

  • Beardon, L. (2017). Autism and Asperger syndrome in adults. London: Sheldon Press.

    Google Scholar 

  • Bolis, D., Balsters, J., Wenderoth, N., Becchio, C., & Shilbach, L. (2017). Introducing the dialectical misattunement hypothesis and a Bayesian account of Intersubjectivity. Psychopathology, 50(6), 335–372.

    Google Scholar 

  • Brewer, R., Biotti, F., Catmur, C., Press, C., Happé, F., Cook, R., & Bird, G. (2016). Can neurotypical individuals read autistic facial expressions? Atypical production of emotional facial expressions in autism spectrum disorders. Autism Research, 9(2), 262–271.

    PubMed  Google Scholar 

  • Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of autism acceptance and mental health in autistic adults. Journal of Autism and Developmental Disorders, 48(2), 473–484. https://doi.org/10.1007/s10803-017-3342-7.

    PubMed  Google Scholar 

  • Chown, N. (2014). More on the ontological status of autism and double empathy. Disability & Society, 29(10), 1672–1676.

    Google Scholar 

  • Collins, H., & Evans, R. (2007). Rethinking expertise. Chicago: University of Chicago Press.

    Google Scholar 

  • Crompton, C., Ropar, D., Evans-Williams, C., Flynn, E., & Fletcher-Watson, S. (2019). Autistic peer to peer information transfer is highly effective. https://doi.org/10.31219/osf.io/j4knx

  • Dean, M., Harwood, R., & Kasari, C. (2017). The art of camouflage: Gender differences in the social behaviors of girls and boys with autism spectrum disorder. Autism, 21(6), 678–689. https://doi.org/10.1177/1362361316671845.

    PubMed  Google Scholar 

  • Dewinter, J., Van Parys, H., Vermeiren, R., & Van Nieuwenhuizen, C. (2017). Adolescent boys with an autism spectrum disorder and their experience of sexuality: An interpretative phenomenological analysis. Autism, 21(1), 75–82. https://doi.org/10.1177/1362361315627134.

    PubMed  Google Scholar 

  • Edey, R., Cook, J., Brewer, R., Johnson, M. H., Bird, G., & Press, C. (2016). Interaction takes two: Typical adults exhibit mind-blindness towards those with autism spectrum disorder. Journal of Abnormal Psychology, 125(7), 879–885.

    PubMed  Google Scholar 

  • Faso, D. J., Sasson, N. J., & Pinkham, A. E. (2015). Evaluating posed and evoked facial expressions of emotion from adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(1), 75–89.

    PubMed  Google Scholar 

  • Fletcher-Watson, S., Adams, J., Brook, K., Charman, T., Crane, L., Cusack, J., Leekham, S., Milton, D., Parr, J. R., & Pellicano, E. (2019). Making the future together: Shaping autism research through meaningful participation. Autism, 23(4), 943–953.

    PubMed  Google Scholar 

  • Garfinkel, H. (1964). Studies of the routine grounds of everyday activities. Social Problems, 11(3), 225–250.

    Google Scholar 

  • Gernsbacher, M. A., Stevenson, J. L., & Dern, S. (2017). Specificity, contexts, and reference groups matter when assessing autistic traits. PLoS One, 12(2), e0171931.

    PubMed  PubMed Central  Google Scholar 

  • Goffman, E. (1958). The presentation of self in everyday life. Edinburgh: Edinburgh University Press.

    Google Scholar 

  • Grossman, R. B., Edelson, L. R., & Tager-Flusberg, H. (2013). Emotional facial and vocal expressions during story retelling by children and adolescents with high-functioning autism. Journal of Speech, Language, and Hearing Research, 56(3), 1035–1044.

    PubMed  Google Scholar 

  • Hacking, I. (1995). The looping effects of human kinds. In D. Sperber, D. Premack, & A. J. Premack (Eds.), Symposia of the Fyssen Foundation. Causal cognition: A multidisciplinary debate (pp. 351–394). New York: Clarendon Press/Oxford University Press. https://doi.org/10.1093/acprof:oso/9780198524021.003.0012.

    Google Scholar 

  • Heasman, B. (2018). Enabling autistic sociality: Unrealised potentials in two-sided interaction. Autism. PhD thesis, The London School of Economics and Political Science (LSE). http://etheses.lse.ac.uk/3864/

  • Heasman, B., & Gillespie, A. (2018). Perspective-taking is two-sided: Misunderstandings between people with Asperger’s syndrome and their family members. Autism, 22(6), 740–750. https://doi.org/10.1177/1362361317708287.

    PubMed  Google Scholar 

  • Heasman, B., & Gillespie, A. (2019a). Neurodivergent intersubjectivity: Distinctive features of how autistic people create shared understanding. Autism, 23(4), 910–921. https://doi.org/10.1177/1362361318785172.

  • Heasman, B., & Gillespie, A. (2019b). Participants over-estimate how helpful they are in a two-player game scenario toward an artificial confederate that discloses a diagnosis of autism. Frontiers in Psychology, 10(JUN), 1–15. https://doi.org/10.3389/fpsyg.2019.01349.

  • Hendricks, D. (2010). Employment and adults with autism spectrum disorders: Challenges and strategies for success. Journal of Vocational Rehabilitation, 32(2), 125–134. https://doi.org/10.3233/JVR-2010-0502.

    Google Scholar 

  • Jaswal, V., & Akhtar, N. (2019). Being versus appearing socially uninterested: Challenging assumptions about social motivation in autism. Behavioral and Brain Sciences, 42, E82. https://doi.org/10.1017/S0140525X18001826.

    Article  Google Scholar 

  • Kite, D. M., Gullifer, J., & Tyson, G. A. (2013). Views on the diagnostic labels of autism and Asperger’s disorder and the proposed changes in the DSM. Journal of Autism and Developmental Disorders, 43(7), 1692–1700. https://doi.org/10.1007/s10803-012-1718-2.

    PubMed  Google Scholar 

  • Macdonald, H., Rutter, M., Howlin, P., Rios, P., Conteur, A. L., Evered, C., & Folstein, S. (1989). Recognition and expression of emotional cues by autistic and normal adults. Journal of Child Psychology and Psychiatry, 30(6), 865–877.

    PubMed  Google Scholar 

  • Maras, K. L., & Bowler, D. M. (2014). Eyewitness testimony in autism spectrum disorder: A review. Journal of Autism and Developmental Disorders, 44(11), 2682–2697. https://doi.org/10.1007/s10803-012-1502-3.

    PubMed  Google Scholar 

  • Mead, G. H. (1934). Thought, communication, and the significant symbol. In C. W. Morris (Ed.), Mind, self, and society from the standpoint of a social behaviorist (pp. 68–75). Chicago: University of Chicago Press.

    Google Scholar 

  • Milton, D. (2012). On the ontological status of autism: The “double empathy problem.”. Disability & Society, 27(6), 883–887. https://doi.org/10.1080/09687599.2012.710008.

    Google Scholar 

  • Milton, D. (2014a). Embodied sociality and the conditioned relativism of dispositional diversity. Autonomy, the Critical Journal of Interdisciplinary Autism Studies, 1(3), 1–7. http://www.larry-arnold.net/Autonomy/index.php/autonomy/article/view/AR10.

    Google Scholar 

  • Milton, D. (2014b). Autistic expertise: A critical reflection on the production of knowledge in autism studies. Autism, 18(7), 794–802. https://doi.org/10.1177/1362361314525281.

    PubMed  Google Scholar 

  • Milton, D. E. (2016a). Disposable dispositions: Reflections upon the work of Iris Marion young in relation to the social oppression of autistic people. Disability & Society, 31(10), 1403–1407.

    Google Scholar 

  • Milton, D. (2016b). Educational discourse and the autistic student: A study using Q-sort methodology. Birmingham: University of Birmingham.

    Google Scholar 

  • Milton, D., & Bracher, M. (2013). Autistics speak but are they heard. Journal of the BSA MedSoc Group, 7, 61–69.

    Google Scholar 

  • Milton, D., & Sims, T. (2016). How is a sense of well-being and belonging constructed in the accounts of autistic adults? Disability and Society, 31(4), 520–534. https://doi.org/10.1080/09687599.2016.1186529.

    Google Scholar 

  • Moore, H., & Gillespie, A. (2014). The caregiving bind: Concealing the demands of informal care can undermine the caregiving identity. Social Science and Medicine, 116, 102–109. https://doi.org/10.1016/j.socscimed.2014.06.038.

    PubMed  Google Scholar 

  • Morrison, K. E., DeBrabander, K. M., Jones, D. R., Faso, D. J., Ackerman, R. A., & Sasson, N. J. (2019). Outcomes of real-world social interaction for autistic adults paired with autistic compared to typically developing partners. Autism. https://doi.org/10.1177/1362361319892701.

  • Murray, D. (1992). Attention tunnelling and autism. In P. Shattock, & G. Linfoot (Eds.), Living with autism: The individual, the family and the professional. Durham Research Conference, April 1995, Sunderland. pp. 183–193.

    Google Scholar 

  • Murray, D., Lesser, M., & Lawson, W. (2005). Attention, monotropism and the diagnostic criteria for autism. Autism, 9(2), 136–156.

    Google Scholar 

  • Pellicano, E., Dinsmore, A., & Charman, T. (2014). What should autism research focus upon? Community views and priorities from the United Kingdom. Autism, 18(7), 756–770. https://doi.org/10.1177/1362361314529627.

    PubMed  PubMed Central  Google Scholar 

  • Sasson, N. J., & Morrison, K. E. (2017). First impressions of adults with autism improve with diagnostic disclosure and increased autism knowledge of peers. Autism. https://doi.org/10.1777/1362361317729526.

  • Sasson, N. J., Faso, D. J., Nugent, J., Lovell, S., Kennedy, D. P., & Grossman, R. B. (2017). Neurotypical peers are less willing to interact with those with autism based on thin slice judgments. Scientific Reports, 7, 40700.

    PubMed  PubMed Central  Google Scholar 

  • Sasson, N. J., Morrison, K. E., Pinkham, A. E., Faso, D. J., & Chmielewski, M. (2018). Brief report: Adults with autism are less accurate at predicting how their personality traits are evaluated by unfamiliar observers. Journal of Autism and Developmental Disorders, 48(6), 2243–2248.

    PubMed  Google Scholar 

  • Schegloff, E. (1992). Repair after next turn: The last structurally provided defense of intersubjectivity in conversation. American Journal of Sociology, 97(5), 1295–1345.

    Google Scholar 

  • Sheppard, E., Pillai, D., Wong, G. T. L., Ropar, D., & Mitchell, P. (2016). How easy is it to read the minds of people with autism spectrum disorder? Journal of Autism and Developmental Disorders, 46(4), 1247–1254.

    PubMed  Google Scholar 

  • Stagg, S. D., Slavny, R., Hand, C., Cardoso, A., & Smith, P. (2014). Does facial expressivity count? How typically developing children respond initially to children with autism. Autism, 18(6), 704–711.

    PubMed  Google Scholar 

  • Usher, L. V., Burrows, C. A., Messinger, D. S., & Henderson, H. A. (2018). Metaperception in adolescents with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(2), 533–548.

    PubMed  PubMed Central  Google Scholar 

  • Volker, M. A., Lopata, C., Smith, D. A., & Thomeer, M. L. (2009). Facial encoding of children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24(4), 195–204.

    Google Scholar 

  • White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229. https://doi.org/10.1016/j.cpr.2009.01.003.

    PubMed  PubMed Central  Google Scholar 

  • Yergeau, M. (2017). Authoring autism: On rhetoric and neurological queerness. Durham: Duke University Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Damian Elgin Maclean Milton .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Milton, D.E.M., Heasman, B., Sheppard, E. (2021). Double Empathy. In: Volkmar, F.R. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-91280-6_102273

Download citation

Publish with us

Policies and ethics