4.8. DSM-5 Framing and Pathologized Comparison
Autism’s clinical definition in the DSM-5 remains rooted in behavioral observation and deficit comparison. The model is defined by what autistic individuals are perceived not to do, such as maintaining eye contact, engaging in small talk, or transitioning easily between tasks.
Monotropic Expansion critiques this framing at its root. These “deficits” are better understood as the observable consequences of monotropic cognition in environments and systems optimized for polytropic behavior. The model proposes that behaviors listed in the DSM are surface-level artifacts of a different cognitive orientation—not impairments in themselves.
This critique is not merely philosophical—it is foundational. Monotropic Expansion positions autism not as a disorder of development, but as a structurally divergent cognitive mode. The implications are both theoretical and practical: the model encourages the development of support systems, educational tools, and diagnostic criteria that are aligned with how autistic cognition actually functions, rather than how it diverges from neurotypical norms.
Taken together, these comparisons reveal that Monotropic Expansion does not discard prior theories—it clarifies and reorganizes them within a more accurate structural model. It provides a scalable, directionally grounded framework for understanding how autistic cognition functions, and why external behaviors alone are an insufficient measure of cognitive integrity.
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