Understanding Neuroaffirming Practice

Neuroaffirming practice adopts a strengths-based approach that celebrates the diversity of human minds, shifting away from the deficit-focused medical model.

5

MIN READ TIME

3/3/25

Photo of a mother and her daughter exploring sensory play.
Photo of a mother and her daughter exploring sensory play.
Photo of a mother and her daughter exploring sensory play.

Neuroaffirming Practice

The way we understand and support neurodevelopmental differences is undergoing a significant shift. We are moving away from a deficit-based, "medical model" and embracing a neuroaffirming approach, one that celebrates the diversity of human minds. This is not merely a change in terminology; it is a fundamental change in how we perceive and interact with neurodivergent individuals.

What is Neurodiversity?

As Fung (2011) articulated, neurodiversity recognises that differences in brain function and behaviour are a natural part of human variation. It acknowledges that brains, like fingerprints, are unique. This perspective moves us beyond viewing neurodevelopmental differences as disorders, and instead frames them as natural variations within the human population.

The Power of Affirmation

A neuroaffirming approach to therapy and support is built on the foundation of acceptance. It means:

  • Celebrating Differences: We acknowledge and value the unique strengths and perspectives that neurodivergent individuals bring to the world.

  • Focusing on Support and Accommodation: Rather than seeking a "cure," we prioritise providing the necessary accommodations and support to enable individuals to thrive.

  • Embracing Identity-First Language: Recognising the preference of the majority of the neurodivergent community, particularly autistic individuals, we prioritise identity-first language ("autistic person" rather than "person with autism"). This reflects the understanding that autism and ADHD are integral parts of an individual's identity. We always prioritise individual preference in language.

  • Honouring Unique Communication and Being: We recognise and respect the diverse ways neurodivergent individuals communicate, interact with the world, and process information.

Moving Beyond the Medical Model

The traditional "medical model" often frames neurodevelopmental differences as disorders requiring treatment or cure. This approach can lead to pathologising natural variations and focusing on deficits rather than strengths. In contrast, a neuroaffirming approach:

  • Acknowledges neurodevelopmental differences as normal variations in brain development.

  • Shifts the focus from "fixing" to supporting and empowering.

  • Recognises the value and contributions of neurodivergent individuals.

Current Evidence and Growing Support

The neurodiversity paradigm is gaining increasing traction, supported by growing evidence and advocacy.

  • Community Driven: The neurodiversity movement is largely driven by neurodivergent individuals themselves, who are advocating for their rights and challenging traditional perspectives.

  • Shifting Clinical Practices: Many therapists and interventionists are adopting neuroaffirming practices, recognising the limitations of the medical model. This includes prioritising client autonomy, sensory sensitivities, and individual strengths.

  • Research Focus: There is a growing body of research exploring the strengths and unique abilities of neurodivergent individuals, further supporting the neurodiversity paradigm.

The Importance of Inclusion

Ultimately, a neuroaffirming approach is about creating a more inclusive and equitable society. By embracing the spectrum of human minds, we can build communities where everyone feels valued, respected, and supported.

By adapting this way of thinking, we help to create a world where neurodivergent individuals are not just tolerated, but celebrated for their unique contributions.

Neuroaffirming resources for Children and Adults:

  • “The Brain Forest” by Sandhya Menon

  • “The Rainbow Brain” by Sandhya Menon

  • “Some Brains” by Nelly Thomas

  • “A Day with No Words” by Tiffany Hammond

  • NeuroWild Visuals and Books by AuDHDer Speech Pathologist Emily Hammond

  • “Unmasking Autism” by Devon Price

  • “Start Here: a guide for parents of autistic kids” by Autistic Self Advocacy Group

Speech Pathologist

Lucy McKay

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