Autism and the “I-Who-Feels”

Abstract

Sela-Smith referred to the phenomenological experience of the individual as the “I-who-feels.” This article discusses the implications for mental health practitioners of using the approach that J. F. T. Bugental called presence to actively explore the lived experience of psychotherapy clients with autism spectrum disorder. For clients experiencing diverse ways of what Heidegger termed being-in-the-world, this approach is especially relevant from a social justice standpoint. It allows the space for the client’s lived experience—as opposed to the stringent clinical etiology of mental health symptoms—to be acknowledged, valued, and given a voice. This approach can transcend beyond the container of the psychotherapy room and affect how the client views and appreciates the benefits, and sometimes the adversities, that come with diverse ways of being. Autism spectrum disorder, in particular, presents unique challenges to being-in-the-world and the ability to communicate one’s lived experience; attendees will leave with a better understanding of the phenomenology of the condition. Discussion will also focus on the implications and social justice ramifications of exploring lived experience in this population.