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Cultural Perceptions of Autism, Diagnostic Instruments, and Healthcare Resources in Romania: A Situational Analysis

Bosutar, Aniela-Georgeana (2025) Cultural Perceptions of Autism, Diagnostic Instruments, and Healthcare Resources in Romania: A Situational Analysis. Master thesis, Psychology.

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Abstract

Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition characterized by difficulties in social interaction, communication, and restricted or repetitive behaviors. Although ASD is highly prevalent worldwide, most research has been conducted in high-income countries, leaving low- and middle-income countries underrepresented. This thesis analyzes the interaction between social norms and their impact on treatment selection and diagnostic processes for children diagnosed with autism in Romania. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, both peer-reviewed studies and gray literature were reviewed in English and Romanian. Data was extracted, translated, and qualitatively synthesized to identify patterns across healthcare practices, treatment availability, and cultural perceptions. Findings reveal that Romanian families navigate a paradox of high awareness but limited access: while many therapies exist, services remain unevenly distributed and financially burdensome. Stigma strongly influences both family experiences and professional practices, leading to diagnostic delays, school exclusion, and concealment of diagnoses. Recent policy changes, including a 2023 national reform providing reimbursement for autism therapies, represent progress. However, systemic barriers such as corruption, regional disparities, and limited professional training persist. Thus, ASD in Romania emerges not only as a clinical condition but also as a cultural and structural phenomenon. For children with autism and their families, meaningful change will come only when policies are implemented fairly, professionals are equipped to provide help, and fragmented services are unified into a reliable system

Item Type: Thesis (Master)
Supervisor name: Purnama Sari, N.
Degree programme: Psychology
Differentiation route: Clinical Neuropsychology (CN) [Master Psychology]
Date Deposited: 20 Oct 2025 06:11
Last Modified: 20 Oct 2025 06:11
URI: http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/5965

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