Paeds Cases · growth-development-and-behaviour
Neurodiversity-affirming care — communication OSCE
OSCE on affirming language, environment fit and co-producing school adjustments without abandoning medical vigilance.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Caregivers and a 10-year-old who identifies as autistic; school wants a behaviour letter; after-school meltdowns; child refuses forced eye contact.
Objectives
- Use preferred language and reduce sensory load in the encounter. [4] [2]
- Reframe "behaviour" as possible person-environment mismatch. [1] [2]
- Co-produce a short affirming plan with school adjustments and review ownership. [6]
- Screen for camouflage cost, burnout and medical red flags without lecture. [3] [5]
References6ShowHide
- [1]Pellicano E Annual Research Review: Shifting from 'normal science' to neurodiversity in autism science J Child Psychol Psychiatry, 2022.PMID 34730840
- [2]Milton D The 'double empathy problem': Ten years on Autism, 2022.PMID 36263746
- [3]Raymaker DM Having All of Your Internal Resources Exhausted Beyond Measure and Being Left with No Clean-Up Crew: Defining Autistic Burnout Autism Adulthood, 2020.PMID 32851204
- [4]Schuck RK Preferences for Identity-First and Person-First Language: A Systematic Review of Research With Autistic Adults/Adults With Autism J Autism Dev Disord, 2025.PMID 41389164
- [5]Hyman SL Identification, Evaluation, and Management of Children With Autism Spectrum Disorder Pediatrics, 2020.PMID 31843864
- [6]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems Pediatrics, 2014.PMID 24777209