ArticlePsychopathology2026
Enactive Mind Autism: Autopoietic Enactivism as a Practical Framework for Autism Healthcare.
Article in Psychopathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionAutism healthcare has traditionally focused on individual biological and behavioral factors. In recent decades, there has been growing recognition that the outside world also plays an enabling if not constitutive role in the development of support needs. This broader view complicates healthcare delivery as the traditional person-centered focus 'diffuses' into the environment. An integrative approach, rooted in autopoietic enactivism, can provide guidance here - aimed at establishing stable, authentic, and health-promoting patterns of engagement between an autistic individual and their surroundings. Although the application of autopoietic enactivism has gained popularity among philosophers of psychiatry, its clinical consolidation remains limited.
methodsIn addressing this gap, this paper presents a preliminary practical framework called enactive mind autism (EMA). EMA consists of five dimensions to explore the relevance and implications of an autopoietic-enactive approach in autism healthcare: aspects of (1) ecological, (2) historical, (3) tangible-embodied, (4) intersubjective, and (5) socio-cultural life.
conclusionTo conclude, this paper draws a connection with design research to imagine new methodological directions for clinical research and practice, which, from an autopoietic-enactive perspective, is encouraged to take a phenomenological, pragmatic, and material turn.
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