Background: Research about the experience of autistic adults has highlighted the interests and challenges related to engaging in romantic and sexual relationships. Many autistic adults identify these topics as a crucial unmet service need. To address the complexities of autistic individuals’ experiences related to dating and sex, the increasing demand for autism-specific interventions, and the relatively scarce strengths-based literature, in this article, we aim to center autistic voices to explore their experiences firsthand. Our goal was to identify strengths of autistic individuals and barriers they may face in identifying and realizing their intimate relationship ideals. Methods: Participants ( N = 28) were autistic adults aged 19–28. Participants completed semi-structured qualitative interviews (mean length 44 minutes), addressing their experiences, challenges, desires, and goals for romantic or sexual relationships. Each interview was manually transcribed verbatim and double-checked for accuracy before analysis. Analysis utilized conventional content analysis and consensual qualitative research processes to identify repeating ideas and inductively derive higher order themes from participants’ narratives. We ensured rigor and consistency between coders through regular team meetings, iterative codebook development, double-coding of all transcripts, and consensus-based discrepancy resolution procedures. Results: Themes include (1) navigating implicit social cues, (2) self-perceptions shaping current attitudes and expectations for the future, (3) barriers and facilitators to relationship success, and (4) social support influencing knowledge and expectations. Conclusions: Some of our findings align well with the existing literature on gaps in sex education, and others offer novel insights into how autistic identity shapes dating and sexual experiences. Participants reported strengths, such as high levels of acceptance and empathy, and vulnerabilities, including difficulties navigating social communication and engaging in partnered relationships. Results contribute to a growing body of work advocating for more nuanced and individualized health care approaches to relationship development and sexual health for people on the autism spectrum, emphasizing the importance of centering autistic perspectives.
Kohn et al. (Mon,) studied this question.