Episode Details

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It’s great to be back with you all as we continue this deep dive into the world of autism and neurodivergence. Today, we are tackling a topic that has really taken the clinical world by storm over the last several years, and that is the concept of camouflaging and masking. Honestly, this is one of those areas where the research is moving so fast it can be hard to keep up, but it is also deeply personal for so many of the folks we see in our offices. I wanted to take some time to really look at the literature: what we actually know, what we think we know, and where the holes are. Because as much as we talk about “masking,” the science behind it is actually a lot more nuanced and a lot more complicated than it might seem on the surface.

Main Topics

• 00:01: Defining camouflaging as the conscious or unconscious strategies used to hide or compensate for autistic characteristics in social settings
• 01:45: The three core components of camouflaging: compensation, masking, and assimilation according to the Hull et al. (2019) framework
• 04:10: Methods for measuring camouflaging, including the CAT-Q self-report measure and the discrepancy method between cognitive ability and observed traits
• 06:45: The weak correlation between self-report and discrepancy measures and what that tells us about intention versus effectiveness
• 08:15: Prevalence of camouflaging in autistic versus non-autistic populations and its role as a broader form of impression management
• 10:20: Sex and gender differences in camouflaging and why females consistently report higher scores across studies
• 12:40: The significant mental health impact of camouflaging, including burnout, identity confusion, and suicidal ideation
• 15:15: Critical validity concerns regarding the CAT-Q and potential construct overlap with social anxiety

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About Dr. Jeremy Sharp

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