Exploring a Later in Life Diagnosis and Its Impact on Marital Satisfaction in the Lost Generation of Autistic Adults: An Exploratory Phenomenological Qualitative Study

Abstract

The diagnostic criteria for autism spectrum disorder (ASD) have undergone substantial modifications over the years, resulting in an increased understanding of the autism spectrum and a more inclusive approach to its diagnosis. However, there is growing concern surrounding the underdiagnosis and lack of clinician training of assessing adults on the spectrum. Adults well into marriage and family life tend to seek assessment when a child or family member is diagnosed, or they are experiencing ongoing unresolved marital challenges. This study explores the potential impact of undiagnosed autism on marital dynamics, emphasizing the need for increased awareness and support for couples who are navigating the complexities of a mixed neurology relationship, and further training for clinicians who assess adult autism and work with neurodiverse couples.