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Individuals who have autism spectrum disorders (ASD) commonly experience anxiety about social interaction and social situations. Cognitive behaviour therapy (CBT) is a recommended treatment for social anxiety (SA) in the non-ASD population. Therapy typically comprises cognitive interventions, imagery-based work and for some individuals, behavioural interventions. Whether these are useful for the ASD population is unclear. Therefore, the purpose of this paper is to undertake a systematic review to summarise research about CBT for SA in ASD.

Using a priori criteria, the authors searched for English-language peer-reviewed empirical studies in five databases. The search yielded 1,364 results. Titles, abstracts, and relevant publications were independently screened by two reviewers.

Four single case studies met the review inclusion criteria; data were synthesised narratively. Participants (three adults and one child) were diagnosed with ASD and SA. There were commonalities in interventions and techniques used: participants were encouraged to identify and challenge negative thoughts, enter anxiety-provoking social situations, and develop new ways of coping. Unlike CBT for SA in non-ASD individuals, treatment also included social skills interventions. Outcomes were assessed using self- or informant-reports. Improvements in SA, depressive symptoms, social skills, and activity levels were noted. Generalisability of results is hampered, however, by the small number of studies and participants and lack of randomised controlled trial conditions employed.

Future studies should investigate how beliefs and behaviours indicative of SA can be ameliorated in individuals with ASD.

This is the first review to synthesise empirical data about CBT for SA in ASD.

Autistic individuals are at increased risk of trauma exposure and post-traumatic stress disorder (PTSD). Diagnostic overshadowing, however, often results in PTSD symptoms being mislabelled as autistic traits. This study aims to develop professional consensus on the identification and assessment of co-occurring PTSD in autistic adults.

An online modified Delphi design was used to gather professionals’ perspectives on key aspects of the identification and assessment of PTSD in autistic adults. Data were gathered qualitatively in Round 1 and then synthesised using content analysis into a list of statements that were rated in Round 2. Statements reaching 60–79% consensus and additional suggestions were sent out for rating in Round 3. Consensus for the final statement list was set at 80% agreement.

Overall, 108 statements reached consensus. These form the basis of professional-informed recommendations to facilitate the identification and assessment of PTSD symptoms in autistic adults.

The final Delphi statements provide a framework to assist with the assessment and recognition of traumatic stress reactions in autistic adults presenting to mental health, diagnostic or social services.

To the best of the authors’ knowledge, this is the first study to explore the presentation and identification of PTSD in autistic adults (with and without intellectual disability), using a bottom-up approach informed by professional consensus.

Purpose – The purpose of this chapter is to demonstrate how biosociologists can further the understanding of Autism Spectrum Disorders by combining neurology's knowledge of the brain with social scientific knowledge about paraverbal communication and interactional synchrony.

Findings – We theoretically analyze Autism Spectrum Disorders through the lens of neurosociology and develop a research agenda centered on relationships among brain function, interactional symmetry, and autism. We also derive an intervention model involving the artificial manipulation of speech communication. In our analysis we draw attention to multidisciplinary research on vocal and behavioral synchrony and demonstrate how this knowledge contributes to a neurosociological understanding of autism.

Research limitations/implications – We synthesize diverse programs of research from multiple fields and innovate a neurosociological approach to understanding biosocial interaction rituals in relation to autism. We discuss the potential use of “dichotic filtration” of speech to enhance communication efficacy for individuals with autism.

Practical implications – Our arguments suggest that the social difficulties faced by individuals with autism may be rooted in problems associated with the cerebral processing of paralanguage. As a potential remedy for these problems, we suggest an intervention method based on recent technological advancements stemming from decades of theoretical and empirical research.

Social implications – To the extent that the proposed intervention model proves successful, it will enhance the lives of individuals with autism and those with whom they interact by improving social communication and associated channels for creating social bonds.

Originality/value – This work is uniquely important as an example of how biosociologists might move “from bench to application” in the context of a cumulative program of interdisciplinary research, development, and technology transfer.

The purpose of this paper is to provide a commentary on “diagnosis and treatment of asd in women in secure and forensic hospital”.

The approach is a commentary on a personal experience of services.

Women with ASD are often not diagnosed until adult years which may impact on their long-term outcomes. Secure services may not always have care teams who are appropriately trained to support a woman with ASD.

A commentary on an original viewpoint piece published in this special edition on women with autism spectrum disorder.