This article proposes a link between autistic people being misperceived by the neurotypical majority and their being at risk of poor mental health and well‐being. We present a transactional account of development in which the misperceptions (and consequent behaviour) of the neurotypical majority influences the perceptions and behaviour of autistic people such that they become increasingly separate and indeed isolated from mainstream society. This jeopardizes their mental health and prevents autistic people from developing to full potential. The situation is not only problematical for the development of autistic people but is also to the detriment of wider society, in so far as autistic people are effectively prevented from contributing fully. This account assumes that some (not necessarily all) autistic people yearn to be included, to be productive and to be useful. It thus directly opposes accounts that view autism as an extreme case of diminished social motivation.

中文翻译：

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自闭症和双重同理心问题：对发展和心理健康的影响

本文提出了自闭症患者被神经典型的大多数误解与他们面临心理健康和幸福感不佳的风险之间的联系。我们提出了一个关于发展的交易性描述，其中神经典型的大多数人的错误认知（以及随之而来的行为）影响了自闭症患者的认知和行为，使他们变得越来越独立，甚至与主流社会隔绝。这会危及他们的心理健康，并阻止自闭症患者充分发挥潜力。这种情况不仅对自闭症患者的发展造成问题，而且对更广泛的社会有害，因为自闭症患者被有效地阻止了充分的贡献。这个帐户假设一些（不一定是全部）自闭症患者渴望被包括在内，变得富有成效和有用。因此，它直接反对将自闭症视为社会动机减弱的极端情况的说法。