PSHA Position Statements

Position Statement from the Pennsylvania Speech-Language-Hearing Association on Recent Comments Regarding Autism Spectrum Disorder

The Pennsylvania Speech-Language-Hearing Association (PSHA) is committed to promoting evidence-based practices in the evaluation and treatment of communication disorders, including those associated with autism spectrum disorder (ASD). In light of recent public comments regarding the causes of autism, we feel it is important to provide clarity based on current scientific understanding and professional standards.

Autism spectrum disorder is defined by the American Speech-Language-Hearing Association (ASHA) as a neurodevelopmental disorder characterized by difficulties with social communication and interaction, and the presence of restricted, repetitive patterns of behavior, interests, or activities. 

Speech-language pathologists and audiologists play a critical role in the early identification, evaluation, and treatment of individuals with ASD. Our services include comprehensive assessments of communication abilities, the development of individualized treatment plans, and collaboration with families, educators, and other professionals to support individuals with autism across the lifespan.

As licensed professionals, we rely on peer-reviewed scientific research and evidence-based practices to guide our clinical decision-making. We do not base our services or public health recommendations on anecdotal claims or unverified statements.  As an organization representing speech-language pathologists and audiologists, PSHA has both the responsibility and the platform to actively combat ableist messages—both within the field and in broader public discourse.

We also want to emphasize that medical decisions during pregnancy should be made in consultation with a licensed healthcare provider. Expectant parents should feel empowered to discuss any questions or concerns with their treating physicians, who are best equipped to provide individualized, evidence-informed guidance.

We encourage the public to seek information from reputable medical and scientific sources and to consult with qualified professionals when making decisions that affect the health and development of children.

For more information about autism spectrum disorder, the role of speech-language pathologists and audiologists, and resources for combating ableist messages, please visit www.asha.org or www.psha.org.

1. Framing Disability as a Tragedy or Something to “Fix”

Message to combat:

• "People with autism are broken or need to be cured."
  
  

• "We need to eliminate disabilities through prevention at all costs."
  
  

Why it's harmful:
This view devalues neurodivergent people and others with disabilities, reducing their identity to a "problem" to be solved. It ignores the richness of human diversity and the many ways people can thrive with support and accommodation.

PSHA stance:
Promote acceptance, support, and self-advocacy. Emphasize person-centered care that respects individual strengths, goals, and communication preferences.

2. Speaking About People with Disabilities Instead of With Them

Message to combat:

• "Experts know what's best; we don't need to ask people with disabilities what they want."
  
  

Why it's harmful:
This reinforces power imbalances and silences the voices of those most affected. It perpetuates the idea that people with disabilities are passive recipients of care rather than experts in their own lives.

PSHA stance:
Advocate for inclusion of disabled voices in policy, research, treatment planning, and public conversations. Uphold the principle of nothing about us without us.

3. Treating Communication Differences as Deficits

Message to combat:

• "Non-speaking individuals can't communicate."
  
  

• "There is one 'right' way to talk or express yourself."
  
  

Why it's harmful:
This dismisses alternative and augmentative communication (AAC) methods and reinforces a narrow view of communication. It can lead to misdiagnosis, exclusion, and loss of autonomy.

PSHA stance:
Affirm that all forms of communication are valid. Speech-language pathologists should support individuals in finding the most effective and empowering means of communication—whether spoken, signed, written, or via AAC.

4. Equating Intelligence with Speech or Hearing Ability

Message to combat:

• "If someone can't talk, they must not understand."
  
  

• "People with hearing loss are less capable."
  
  

Why it's harmful:
This is a deeply ingrained and dangerous stereotype. It leads to underestimating individuals, denying them access to education, employment, and healthcare, and ignoring their potential.

PSHA stance:
Educate the public and professionals that speech and hearing are not measures of intelligence. Promote accessible environments and inclusive attitudes.

5. Pity-Based Narratives

Message to combat:

• "You're so brave for living with a disability!"
  
  

• "Look how amazing this child is despite their disability!"
  
  

Why it's harmful:
These narratives center the perspective of nondisabled people and treat disabled individuals as objects of inspiration or pity, not full, complex people.

PSHA stance:
Promote dignity and equity, not pity or voyeuristic admiration. Celebrate achievements without framing disability as a burden or tragedy.

6. Promoting Unproven or Harmful "Treatments"

Message to combat:

• "Autism can be reversed with the right diet or detox."
  
  

• "Speech delays are caused by parenting choices or screen time."
  
  

Why it's harmful:
These ideas mislead families, foster guilt and misinformation, and can delay or replace legitimate interventions.

PSHA stance:
Stand firmly for evidence-based practice. Dispel myths and educate families on credible, science-backed approaches.