I found this piece to be excellent (and still do, for the most part), but I have some conflicted feelings about these sentences:
… however people may feel about seemingly functional, nerdy, socially awkward individuals using the term “autism” to refer to themselves, it is not an instance of clinical overdiagnosis. It is an instance of people reclaiming a clinical concept and extending it beyond the clinical sphere because of its epistemic value, because it allows them to make better sense of who they are.
I agree that self-diagnoses isn’t an instance of clinical over-diagnosis, and I agree that these kinds of conceptual extensions (a.k.a. instances of “concept creep”) help some people to make better sense of who they are. But personally I know some people who have self-diagnosed in an attempt to make sense of their psychological distress or social difficulties, and most of the people that I know who have done this seem to me to be either (1) inaccurately describing themselves—thus, making it harder for them to make sense of themselves, or (2) using their self-diagnosis as a way to criticize themselves for traits and tastes that are, as far as I’m concerned, very normal, very mundane, positive in some circumstances, and, at the very least, very tolerable and un-problematic.
… I don’t know; I just assume, until evidence proves me wrong, that the psychological effects of self-diagnosis are more disparate and varying than these sentences suggest. 🤷♂️