Visual Stereotypes of Autism Spectrum in Janus-Pro-7B, DALL-E, Stable Diffusion, SDXL, FLUX, and Midjourney

TL;DR

This study investigates whether six popular text-to-image AI models perpetuate autism-related stereotypes, finding that despite technical improvements, stereotypical depictions remain prevalent across models and over time.

Contribution

It provides a comparative analysis of multiple models' tendencies to generate stereotypical autism-related images, highlighting persistent biases despite technological advancements.

Findings

Autistic individuals depicted with homogeneity in skin color, gender, and age

Models show significant stereotypes in generated images, with little change over time

Control prompts produce fewer stereotypes, confirming model biases.

Abstract

Avoiding systemic discrimination of neurodiverse individuals is an ongoing challenge in training AI models, which often propagate negative stereotypes. This study examined whether six text-to-image models (Janus-Pro-7B VL2 vs. VL3, DALL-E 3 v. April 2024 vs. August 2025, Stable Diffusion v. 1.6 vs. 3.5, SDXL v. April 2024 vs. FLUX.1 Pro, and Midjourney v. 5.1 vs. 7) perpetuate non-rational beliefs regarding autism by comparing images generated in 2024-2025 with controls. 53 prompts aimed at neutrally visualizing concrete objects and abstract concepts related to autism were used against 53 controls (baseline total N=302, follow-up experimental 280 images plus 265 controls). Expert assessment measuring the presence of common autism-related stereotypes employed a framework of 10 deductive codes followed by statistical analysis. Autistic individuals were depicted with striking homogeneity in skin color (white), gender (male), and age (young), often engaged in solitary activities, interacting with objects rather than people, and exhibiting stereotypical emotional expressions such as sadness, anger, or emotional flatness. In contrast, the images of neurotypical individuals were more diverse and lacked such traits. We found significant differences between the models; however, with a moderate effect size, and no differences between baseline and follow-up summary values, with the ratio of stereotypical themes to the number of images similar across all models. The control prompts showed a significantly lower degree of stereotyping with large size effects, confirming the hidden biases of the models. In summary, despite improvements in the technical aspects of image generation, the level of reproduction of potentially harmful autism-related stereotypes remained largely unaffected.