High Masking for neurodivergent women…

Wednesday, February 21, 2024.

I’d like to discuss some recent research concerning High Masking among neurodivergent females…

Masking refers to the social camouflage or suppression of autistic traits and behaviors, often observed in individuals with neurodevelopmental differences such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD).

Despite growing recognition of masking behaviors, particularly among females, the literature remains relatively sparse, necessitating a critical synthesis of existing studies.

Drawing upon various empirical investigations, I’ll examine the prevalence, manifestations, underlying mechanisms, consequences, and potential interventions for masking in neurodivergent females. Additionally, I’ll highlight a few possible gaps in current research and offer hopeful suggestions for fertile future lines of inquiry.

Masking and Social Camouflage

The concept of high masking in neurodivergent humans, especially among females, has garnered increased attention in recent years, and for good reason.

Masking involves the suppression or alteration of autistic traits and behaviors to conform to social norms, often leading to challenges in accurate diagnosis, access to support services and mental health outcomes.

While masking has been predominantly studied in the context of autism spectrum disorder (ASD), emerging evidence suggests its relevance across various neurodevelopmental conditions, including attention deficit hyperactivity disorder (ADHD) and specific learning disabilities.

Let’s discuss some of the latest research findings on high masking in neurodivergent females, elucidating its multifaceted nature and implications for clinical practice and intervention.

Prevalence and Manifestations of High Masking in neurodivergent females…

Research indicates that masking is prevalent among neurodivergent females but often underrecognized and underreported.

Females with ASD, in particular, tend to exhibit subtler and more socially acceptable masking strategies compared to males, such as mimicry, imitation, and camouflaging of social difficulties. These masking behaviors often manifest in various contexts, including social interactions, academic settings, and employment environments, contributing to the invisibility of neurodivergent traits and delayed or missed diagnoses.

Several factors contribute to developing and perpetuating masking behaviors in neurodivergent females.

  • Sociocultural norms and gender expectations exert significant pressure on females to conform to neurotypical standards of social behavior, amplifying the propensity to mask autistic traits.

  • Additionally, internalized stigma, fear of rejection, and the desire for social acceptance drive individuals to conceal their neurodivergent characteristics, further complicating the identification and understanding of their support needs.

Neurobiological differences in social cognition and emotion regulation may also shape masking behaviors among neurodivergent females.

Consequences of Masking for neurodiverse females…

The masking of neurodivergent traits poses various psychosocial consequences for women, including heightened stress, anxiety, and depression.

The effort expended in maintaining a façade of neurotypicality often leads to exhaustion, burnout, and diminished self-esteem, exacerbating mental health disparities among neurodivergent females. Moreover, masking impedes accurate diagnosis and intervention planning, hindering access to appropriate support services and accommodations.

How do we Intervene as couples therapists and understand High Masking & Social Camouflage?

: Effective interventions for addressing masking in neurodivergent females will be most informed by effective psychoeducation, social skills training, and therapeutic support. I could see well-trained therapists having a role in HR departments, perhaps in a way that has never been done before.

Clinicians and educators must adopt a strengths-based perspective that validates and celebrates neurodiversity while providing tailored strategies for navigating social challenges. We need all sorts of wonderful human brains.

Another thing. There is a critical need for more inclusive and culturally sensitive diagnostic criteria for the diverse presentation of neurodevelopmental conditions across genders. We have so much to learn as a community of practice, it’s humbling.

Future research might prioritize longitudinal studies examining the long-term outcomes of masking and evaluate the efficacy of interventions in mitigating its adverse effects on neurodivergent females' well-being. I’d also like more in-depth qualitative research on this narrow topic. Just sayin’.

Be well, stay kind, and Godspeed.

REFERENCES:

Bargiela S, Steward R, Mandy W. The experiences of late-diagnosed women with autism spectrum conditions: An investigation of the female autism phenotype. J Autism Dev Disord. 2016;46(10):3281-3294. doi:10.1007/s10803-016-2872-8

Lai MC, Lombardo MV, Ruigrok AN, et al. Quantifying and exploring camouflaging in men and women with autism. Autism. 2017;21(6):690-702. doi:10.1177/1362361316671012

Tierney S, Burns J, Kilbey E. Looking behind the mask: Social coping strategies of girls on the autistic spectrum. Res Autism Spectr Disord. 2016;23:73-83. doi:10.1016/j.rasd.2015.11.005

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