Commentary: “Why Not Both?” Negotiating Ideas About Autism in Italy, Brazil, and the US

  • Francisco Ortega
Part of the Culture, Mind, and Society book series (CMAS)


This chapter is a commentary on “Autism Policy in Brazil and the USA” and “Psychiatric Reform and Autism Services in Italy and Brazil.” It examines a range of views on autism theory and practice, policies relating to autism, and options for treatments in the United States, Italy, and Brazil. These pieces offer insightful perspectives on how global issues and controversies around ASD take local form. The chapter argues that the notorious polarizations around autism might hide important negotiations and spaces beyond such antagonism. Examining systems of care delivery for individuals living with autism in their historical and social context enables us to see how binaries and polarizations (global/local, organicism/anti-organicsm, biological/relational, mental suffering/disability) are challenged and transcended through the pragmatic negotiation and integration of those binaries in the everyday work of those affected by the condition.


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Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Francisco Ortega
    • 1
  1. 1.Institute for Social MedicineState University of Rio de JaneiroRio de JaneiroBrazil

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