Miedzianik's works have been extensively analyzed by noted autism researchers, who describe his writing as thoughtful, sophisticated, and displaying an unusually strong awareness of his social difficulties.

In 1970, he was diagnosed with autism after being admitted to Middlewood Hospital,[3] but did not start attending special education classes until two years later.

[citation needed] Miedzianik's works have been extensively analyzed by noted autism researchers, who describe his writing as thoughtful, sophisticated, and displaying an unusually strong awareness of his social difficulties.

Francesca Happé has described Miedzianik's writing as the "least autistic" from the authors that he was compared to including Temple Grandin, as he demonstrated the greatest awareness of his limitations and how others perceived him.

[7] Professor Newson of the University of Nottingham noted that despite his difficulty with holding down a job, he manages to be involved in a wide variety of activities.

[15] The novelist Lawrence Osborne in his book American Normal: The Hidden World of Asperger Syndrome compared Miedzianik to the autistic author Jonathan Mitchell in the respect that his writings portray the more difficult aspects of autism.

[16] Additionally, the British metal band Solitary wrote a song named "Twisted" in 1998, which was released on their album Nothing Changes and dedicated to Miedzianik.

"[4][17] Jez Lowe and The Bad Pennies wrote a song about his experiences titled "A Lass to Want Me".

According to Professor Elizabeth Newson, who wrote the foreword, Miedzianik's writing ability was so strong that only minor edits were required before publication.

[6] Francesca Happé has described Miedzianik's autobiography as possessing the "least autistic" writing from the authors that he was compared to including Temple Grandin, as he demonstrated the greatest awareness in his novel of his limitations and how others perceived him.