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Autism. Social scientists have long recognised that diagnosis is not as straightforward as us medics might think, but is rather an interactive process that is imbued with uncertainty and contradiction. A UK research team recently sought to examine the ‘process of resolving contradiction’ in autism diagnosis for adults and adolescents.1 They analysed audio recordings of 18 specialist clinical assessment meetings in four teams in England covering 88 cases in total. They identified a three-part interactional pattern, which allows clinicians to forward evidence for and against a diagnosis. Pragmatism was found to operate as a strategy to help assign diagnosis. Resolution of contradiction from different aspects of the assessment, the authors conclude, serves to create a narratively-coherent, intelligible clinical ‘entity’ that is autism.

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