Autism has bedeviled psychiatric classifiers for decades because it is not a single, discrete disease. It’s usually described as a “spectrum” disorder because people can be more or less autistic, and it’s not clear where to draw the line between those who have a serious mental illness and those who are just not very good at reading other people. At the extreme end of the spectrum, autistic people are “mind-blind.”12 They are missing the social-cognitive software that the rest of us use to guess the intentions and desires of other people.