An integrative approach between neurodiversity perspectives and quality of life models for autistic people across the spectrum of support needs

Six principles emerge: (i) well-being depends on both self-acceptance and the quality of supports; (ii) language should balance contextual function with individual preference; (iii) identity has transformative value, requiring diagnostic practices that are inclusive, participatory, and non-deficit oriented; (iv) supports are essential mechanisms for participation, not threats to identity; (v) interventions should promote autonomy, belonging, and growth without enforcing normalization; and (vi) research must ensure autistic participation across all stages, with accessible processes and priorities aligned with autistic preferences. Together, these principles offer a framework for integrating QoL and neurodiversity approaches in ways that advance rights, inclusion, and well-being.