Thriving… or Just Surviving? Autistic Journeys in Higher Education
TL;DR Summary
Synthesizing recent research (2021-2024), this paper reveals autistic staff and students in Higher Education persistently face inadequate, inflexible support. Findings show HE environments often remain inherently hostile, creating disclosure dilemmas and missing significant oppor
Abstract
REVIEW Current Psychiatry Reports (2024) 26:771–776 https://doi.org/10.1007/s11920-024-01560-x 100,000 by 2018 [ 9 ], and the most recent estimated adult prevalence being around 1.1% [ 10 ]. This increase in diag - nostic rates is much conjectured upon in the media [ 11 – 13 ], yet is likely a result of growing acceptance, and a more nuanced understanding of autism beyond narrow and rigid historical stereotypes [ 9 ]. Inevitably, increases in recogni - tion and diagnosis will be reflected in increasing numbers of autistic students seeking and transitioning into HE. Indeed, HESA reports for the 2021/2022 academic year report over 18,820 autistic students at university in the UK compared to 6,845 within the 2014/2015 session [ 14 ]. Due to the com - plexities around recognition, disclosure, and a variety of barriers to diagnosis [ 15 ] it is safe to assume these statistics underestimate the true incidence [ 16 ]. The waters, unfortunately, become even murkier when trying to understand the journeys of autistic students after leaving school, with little nuanced information about tran - sition into, progression through, or pathways beyond their undergraduate degrees
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1. Bibliographic Information
- Title: Thriving… or Just Surviving? Autistic Journeys in Higher Education
- Authors: Chiara Horlin, Katie Almond, Alex Bowen, and Ashley Robertson. The paper indicates they are affiliated with an institution labeled "1", but the specific institution is not detailed in the provided text.
- Journal/Conference: The paper appears in a journal published by Springer Nature, a major academic publisher known for reputable scientific and academic content. The specific journal name is not explicitly stated in the header, but the DOI link structure (
/s11920-) is typical for Springer journals. - Publication Year: 2024 (Accepted: 27 October 2024, Published online: 7 November 2024).
- Abstract: The paper synthesizes recent research (2021–2024) on the experiences of autistic staff and students in Higher Education (HE). Key findings from the abstract indicate that autistic individuals continue to lack flexible, consistent, and personalized support. A significant tension persists between the need to disclose their diagnosis to receive support and the risk of discrimination. The abstract concludes that the HE environment can be inherently hostile, requiring immense effort from autistic individuals to navigate it, and that significant opportunities for providing better support are being missed.
- Original Source Link:
/files/papers/68e799668bf05fa320b49b07/paper.pdf. The paper is published under a Creative Commons Attribution 4.0 International License, indicating it is Open Access.
2. Executive Summary
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Background & Motivation (Why):
- Core Problem: The paper addresses the persistent and significant challenges that autistic students and staff face within the Higher Education (HE) system. Despite a notable increase in the number of autistic individuals entering universities, the support systems and institutional cultures have not evolved sufficiently to enable them to thrive.
- Importance & Gaps: The problem is critical due to rising diagnosis rates and university enrolments among autistic people. However, data on their progression, completion, and post-graduation outcomes reveal significant disparities. For example, autistic graduates face much higher rates of unemployment and underemployment compared to both non-disabled graduates and graduates with other disabilities. Previous research has identified barriers, but this paper aims to provide a fresh synthesis of the most recent literature (2021-2024) to assess if any progress has been made.
- Fresh Angle: The paper's novelty lies in its focused timeframe and its dual perspective, examining the journeys of both students and staff. This provides a more holistic picture of the autistic experience across the entire academic community, highlighting that the challenges are systemic and not confined to the undergraduate experience.
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Main Contributions / Findings (What):
- As a narrative review, the paper's main contribution is the synthesis and critical analysis of recent findings. It does not present new empirical data.
- Key Conclusions:
- Support is Inadequate: Support for autistic individuals in HE remains inconsistent, uncoordinated, and insufficiently personalized. The burden of navigating services and advocating for needs falls heavily on the individual.
- The Disclosure Dilemma: A central tension exists for autistic people between disclosing their diagnosis to access necessary adjustments and the very real risk of encountering stigma, ableism, and discrimination from peers and staff.
- HE Can Be Inherently Hostile: The fundamental structure of HE—with its unpredictable social demands, sensory overload, bureaucratic complexity, and unspoken political rules—is often inherently disabling for autistic individuals. Success often feels more like "surviving" than "thriving."
- Transition Points are Critical Failures: The paper highlights a lack of "bookending" support, with critical transition phases—from school to university, and especially from university to employment—being poorly supported.
- Staff Experiences are Bleaker: The situation for autistic staff is even less researched and appears more precarious, marked by systemic ableism in recruitment, promotion, and daily workplace culture.
3. Prerequisite Knowledge & Related Work
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Foundational Concepts:
- Autism: A neurodevelopmental condition characterized by differences in social communication, interaction, sensory processing, and patterns of interests and behaviors. The paper adopts a modern, non-pathologizing view, framing it as a form of neurodiversity.
- Neurodiversity: The concept that variations in brain function and behavioral traits (like those associated with autism, ADHD, etc.) are a natural part of human diversity. A
neurotypicalperson has a brain that functions in ways society considers "standard," while aneurodivergentperson's brain functions differently. - Higher Education (HE): Refers to post-secondary education, typically at universities or colleges.
- Disclosure: The act of informing others (e.g., an employer or university) about one's disability or diagnosis. This is often required to access formal support or
reasonable adjustments. - Reasonable Adjustments (or Accommodations): Modifications to the environment, tasks, or procedures that allow a disabled person to participate fully (e.g., extra time on exams, access to lecture recordings).
- Stigma: Negative and often unfair beliefs that a society or group of people have about something. In this context, it refers to prejudice against autistic people.
- Ableism: Discrimination and social prejudice against people with disabilities based on the belief that typical abilities are superior.
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Previous Works: The paper positions itself as an update to a limited but growing body of literature. It cites statistics showing a dramatic increase in adult autism diagnoses and university enrolments in the UK [9, 14], establishing the growing relevance of the topic. It also references previous reviews [18, 19, 20] which had already identified significant challenges, suggesting that the problems discussed are long-standing. Crucially, it highlights stark data on post-graduation outcomes from Vincent & Ralston [16] and Lucas et al. [17], which found that autistic graduates are far more likely to be unemployed or underemployed than their peers, providing a strong motivation for examining the HE experience that precedes these outcomes.
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Differentiation: While earlier reviews covered the landscape, this paper distinguishes itself by:
- Focusing on very recent research (2021-2024): This allows it to assess the current state-of-the-art understanding and determine if conditions are improving.
- Synthesizing experiences of students and staff: This broadens the scope beyond the typical focus on undergraduate students to reveal systemic issues affecting the entire academic pipeline.
- Adopting a critical, neuro-affirming tone: The paper uses language like "inherently hostile" and frames "reasonable adjustments" as "basic rights," aligning with a disability rights perspective rather than a purely medical or deficit-based model.
4. Methodology (Core Technology & Implementation)
- Principles: The paper employs the methodology of a narrative review or synthesis. This involves collecting, organizing, and critically analyzing existing published research on a specific topic within a defined timeframe to identify patterns, themes, and gaps in knowledge.
- Steps & Procedures:
- Literature Search: The authors conducted a review of recent literature published between 2021 and 2024.
- Thematic Organization: The collected findings are organized into two primary themes: "The Experiences of Autistic Students in HE" and "The Experiences of Autistic Staff in HE."
- Synthesis and Analysis: Within each theme, the authors synthesize findings from multiple studies to build a coherent narrative about the key challenges (e.g., transitions, social support, academic barriers, disclosure) and opportunities.
- Conclusion: The paper concludes by summarizing the overarching patterns and offering recommendations for policy and practice in HE institutions.
- Mathematical Formulas & Key Details: This paper is a qualitative review and does not use any mathematical formulas or quantitative methods. Its analysis is based on the interpretation and synthesis of qualitative and quantitative findings from other studies.
5. Experimental Setup
As a narrative review, this paper does not have a traditional experimental setup. The "data" are the findings from the reviewed articles. The core studies synthesized include:
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For Student Experiences:
- Scott & Sedgewick [21]: A qualitative study on the challenges, opportunities, and support needs of autistic UK university students.
- Goddard & Cook [22]: A qualitative study focusing on the social experiences of autistic university students in the UK.
- McPeake et al. [29]: A qualitative analysis of autistic student experiences in France, highlighting anxiety, fatigue, and barriers.
- Kim & Crowley [30]: A study on autistic students' perceptions of disability support offices in the US.
- Pesonen et al. [32] and Vincent & Fabri [33]: Studies focusing on the critical transition from university to employment and the support needed.
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For Staff Experiences:
- Mellifont [20]: A narrative review (2010-2020) on the experiences of neurodivergent staff, setting the stage for more recent work.
- Martin [34]: A thematic analysis of the barriers faced by autistic researchers and lecturers in UK universities.
- Jones [35]: A thematic analysis of barriers and facilitators for autistic academics.
- Dwyer et al. [40] and Jones [41]: Papers sharing personal accounts, advice, and roundtable discussions from autistic academics themselves.
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Datasets, Evaluation Metrics, Baselines: These categories are not applicable to this type of review paper.
6. Results & Analysis
The paper's core findings are presented as a synthesized analysis of the literature, which can be summarized as follows:
Core Results: The Experiences of Autistic Students in HE
- Transition and Mental Health: The transition to university is a source of immense anxiety and often triggers or worsens mental health issues. While students value the opportunity for independence, the shift from a structured to an unpredictable environment is overwhelming [21, 22].
- Social Life: Contrary to stereotypes, autistic students strongly desire social connection. However, they struggle with navigating unpredictable social events like "Freshers' week." Formal and informal peer support, especially from other neurodivergent students, is highly valued and acts as a protective factor [22, 29].
- Academic and Sensory Barriers: Students face challenges with executive functioning (e.g., managing coursework), unclear teaching materials, and overwhelming sensory environments. The lack of standardized, proactive adjustments (like universally available lecture recordings) places an extra burden on them [22, 29].
- The Burden of Self-Advocacy: A major theme is the relentless need for autistic students to self-advocate. They must repeatedly disclose their diagnosis to different staff members, many of whom have varying levels of understanding or willingness to help. This cycle is emotionally exhausting and frustrating [21, 30, 31].
- Fragmented Support: Institutional support is often siloed and inconsistent. Disability services may not communicate effectively with academic departments, leaving the student to bridge the gap. Formal support is often insufficient and needs to be supplemented by informal peer and emotional support [21, 30, 32].
- Failed Transition to Employment: HE institutions are failing to prepare autistic students for the workplace. Career services are often too generic, unstructured, and do not provide the practical, skill-based rehearsal autistic students need. This contributes to the dire employment statistics post-graduation [17, 32, 33].
Core Results: The Experiences of Autistic Staff in HE
- A Bleaker Landscape: The literature on autistic staff is much sparser, but the picture it paints is grim. Experiences are polarized and often hinge on the outcome of disclosure—which can lead to either support or systemic ableism and questions about professional competence [20].
- Systemic Barriers: Autistic staff face significant obstacles from the very beginning, including recruitment processes that favor neurotypical communication styles, unnavigable bureaucracy, and unclear expectations [34].
- Intense Social and Cognitive Demands: The academic workplace is highly demanding. Staff must navigate a high volume of superficial social interactions (with students and colleagues), unspoken political dynamics, and constant task-switching. These demands tax executive functions and can lead to burnout [35].
- A Neurotypically Hegemonic Culture: The culture of academia—often competitive, fast-paced, and prioritizing "customer satisfaction"—is not neuro-inclusive. Autistic staff report that the environment is inherently challenging and requires a constant, exhausting effort to simply survive, let alone thrive [35].
- The Weight of Advocacy: Personal accounts reveal that the effort to create change and fight against a hostile system often falls on autistic individuals themselves, who may feel pressured to be advocates while also trying to manage their own careers [38, 39, 40].
7. Conclusion & Reflections
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Conclusion Summary: The paper concludes that despite increasing numbers of autistic people in HE, the environment remains precarious and often hostile for both students and staff. Progress is slow, and many of the recommended solutions—clearer materials, personalized support, better transition planning—are well-known but not implemented systematically. The authors frame these not as optional "adjustments" but as "basic rights." A fundamental shift is needed at an institutional level to move from a reactive model, which burdens the individual, to a proactive, neuro-affirming culture. Without this, HE will continue to be a place of "survival" for many, not "thriving."
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Limitations & Future Work:
- Authors' Limitations: The authors acknowledge that the research base, particularly qualitative studies, may not be fully representative of the diverse autistic community. They also highlight that funding for participatory and emancipatory research, which centers autistic voices, is scarce, with funding bodies often prioritizing biological research.
- Future Work: The clear path forward is to secure funding for more inclusive research and, most importantly, for HE institutions to finally implement the practical, evidence-based recommendations that have been repeated for years. This includes creating coordinated, person-centered support systems that span the entire HE journey, from pre-entry to post-graduation employment.
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Personal Insights & Critique:
- This paper is a concise, well-argued, and impactful synthesis of the current state of affairs for autistic people in Higher Education. Its primary strength is its clear, critical voice and its powerful framing of the problem as a systemic failure of the institution, not a deficit of the individual.
- The title, "Thriving… or Just Surviving?", effectively captures the central tension and emotional weight of the experiences described.
- The dual focus on students and staff is highly effective, illustrating that the issues are woven into the fabric of academia itself. The challenges don't disappear upon graduation; they simply morph into a new set of barriers in an academic career.
- A key takeaway is the concept of the "same old songbook"—the solutions are known, but the will or capacity to implement them is lacking. This points to deep-seated institutional inertia and systemic ableism. The paper serves as an urgent call to action for HE leaders, policymakers, and all members of the academic community to move beyond awareness and toward meaningful, structural change.
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