OTSLPQualitativeAutism : the international journal of research and practice2026

Good intentions are not enough: Autistic perspectives on structural ableism within the walls of our classrooms.

Nicole Nadwodny, Ben VanHook, Brady Esham and 3 others

PMID 41807125

WHAT IT FOUND

Autistic students said what stopped them speaking up at school was not their own lack of skill but the system: autism erased from lessons, inflexible staff, punishment for being different, isolation, hidden rules and top-down authority.

Teaching self-advocacy alone will not fix that.

Key findings

01Participants described the main barrier to self-advocacy as structural ableism built into how schools work, not a lack of individual skill.

02Structural ableism showed up in six domains: erasure, conformity, isolation, oppression, hidden expectations and authority.

03Even well-intentioned individual teachers could not remove these barriers, because the barriers operated above the level of the individual.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

This is a qualitative study with 19 participants. It describes what these people experienced and does not measure how common those experiences are. The sample did not include autistic people with a known intellectual disability, nor people who use AAC as their main way of communicating, so the findings mostly represent autistic people who speak and do not have an intellectual disability. Most participants had attended public schools, so private schools, therapeutic day schools and home schooling are barely represented. Only 4 of the nine participants approached completed the member-checking survey that rated the themes. The recommendations for schools come from the research team's professional and lived experience. No school tried them and no outcomes were measured. Interviews ask people to recall school, sometimes many years later, so the accounts are retrospective for the adult participants.

Declared interests

The study was funded by University of Massachusetts Boston grants (a Public Service Grant, a Proposal Development Grant and a College of Liberal Arts Dean's Research Grant) awarded to one of the authors. The authors declared no conflicts of interest. The research team, which was mostly autistic and neurodivergent, designed the study, set the questions, analysed the data and wrote the paper.

The easy way to misread this

Do not read the recommendations in the paper's final table as evidence that any of these changes work. They were written by the research team from their own professional and lived experience; no school tried them and no outcomes were measured. The participants' accounts describe what went wrong for them, not what fixes it. Equally, do not read this as evidence that self-advocacy training for autistic students is useless. The authors' point is that it is unlikely to be enough on its own while the school environment stays as it is.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →