09/01/2026
"๐๐จ๐ฃ'๐ฉ ๐๐ช๐ฉ๐๐จ๐ข ๐ ๐ข๐๐ก๐ ๐ฉ๐๐๐ฃ๐?"
Today, as I was waiting for my family to finish an activity that I had to sit out, I was reading a book called ๐๐ฉ๐ฆ ๐๐ฐ๐ด๐ต ๐๐ช๐ณ๐ญ๐ด ๐ฐ๐ง ๐๐ถ๐ต๐ช๐ด๐ฎ. An elderly man in our tour group, who was sitting the activity out with me, asked me: โIsnโt autism a male thing?โ
His tone wasn't dismissive; he seemed genuinely puzzled. I also know that this is a widely held belief and is still propagated by the misleading and oft-quoted 4:1 figure of male:female autism ratio.
So I gently explained that it only looks like autism appears more in men, because the history of autism is male. Men like Kanner and Asperger, who were instrumental in autism going into the DSM, appropriated the work of female researchers (Grunya Sukhareva and Anni Weiss), so from the beginning, women were written out of the story. Add to this a huge bias in diagnostic criteria and research towards men, making it easier for them to get diagnosed, that most media representations are of Autistic men and that we've only recently really started researching the experiences of Autistic women, it all points to Autistic women being left out of diagnosis rather than not being Autistic.
This means that the 4:1 figure represents not who is actually Autistic, but rather, who has been able to get a medical autism diagnosis.
Sadly, this man represents mainstream views not just among the general public, but also among professionals. Most websites that talk about an autism ratio, will quote the 4:1 ratio without providing any additional comment about what this ratio actually means.
The idea that autism is โa boysโ conditionโ isnโt biology, itโs systemic. The system was built to see boys, and it's built on biased research, diagnostic tools, and cultural norms rooted in patriarchy and colonialism.
When you only look for autism in boys, you only find it in boys.
If this resonates, I recently ran a workshop on the five most common myths about Autistic peopleโwhere they came from, how they harm, and how to counter them in everyday conversations. You can access the onโdemand version (with resources) here:
https://www.ndats.com.au/on-demand-workshops/p/breaking-autism-myths
Also, if you're interested, here is a recent study that found that the autism ratio is closer to 1:1 - https://www.sciencedirect.com/science/article/abs/pii/S0006322325013125
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4:1. This is the most commonly quoted male:female autism ratio. It is incorrect.