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This complexity strains care providers\u2019 ability to act swiftly and decisively. An integrative autopoietic-enactive approach may offer guidance by taking the individual\u2019s interactional social-ecological system as the central unit of analysis. In clinical practice and research, however, this approach is only beginning to take shape. A lack of definition and codification hinders practical guidance and clinical innovation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>To explore what autopoietic-enactive autism healthcare might mean in practice, this scoping review maps healthcare practices that are already based on autopoietic enactivism or bear affinity with it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty-nine publications met with inclusion, representing 2.21% of the initial corpus. Findings were synthesized using four analytical lenses: aspects of (I)\n                      <jats:italic toggle=\"yes\">ecological-,<\/jats:italic>\n                      (II)\n                      <jats:italic toggle=\"yes\">tangible-,<\/jats:italic>\n                      (III),\n                      <jats:italic toggle=\"yes\">intersubjective-<\/jats:italic>\n                      , and (IV)\n                      <jats:italic toggle=\"yes\">socio-cultural life<\/jats:italic>\n                      , representing distinguishable albeit not separable dimensions of a person\u2019s social-ecological system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings present a rich but still loosely integrated picture of healthcare practices. This scoping review provides a reference point from which the approach may be further defined and consolidated into a clinical research field.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261467452","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:05:58Z","timestamp":1783944358000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enactivism in Autism Healthcare Practices: A Scoping Review"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5548-6894","authenticated-orcid":false,"given":"Johannes Cornelis","family":"van Huizen","sequence":"first","affiliation":[{"name":"School of Social Studies, HAN University of Applied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Pieter","family":"Teunisse","sequence":"additional","affiliation":[{"name":"School of Social Studies, HAN University of Applied Sciences"},{"name":"Research and Development, Leo Kannerhuis, Arnhem, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa H.","family":"van Doormaal","sequence":"additional","affiliation":[{"name":"Independent researcher, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Orgassa","sequence":"additional","affiliation":[{"name":"School of Social Studies, HAN University of Applied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wouter G.","family":"Staal","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center"},{"name":"Leiden Institute for Brain and Cognition (LIBC), Leiden University"},{"name":"University Centre, Karakter Child and Adolescent Psychiatry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek W.","family":"Strijbos","sequence":"additional","affiliation":[{"name":"Radboud University"},{"name":"Specialist Centre for Developmental Disorders, Dimence Group Mental Health Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1089-4"},{"key":"e_1_3_7_3_2","article-title":"Complexity and health care: health practitioner workforce services, roles, skills and training, to respond to patients with complex needs","author":"Kuipers P","year":"2011","unstructured":"Kuipers P, Kendall E, Ehrlich C, et al. 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