Pathological demand avoidance (PDA): Its four schools of thought
Woods, R. (2021). Pathological demand avoidance (PDA): Its four schools of thought. Developmental Psychology Forum, 1(94), 10-14. https://doi.org/10.53841/bpsdev.2021.1.94.10
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Abstract
Pathological Demand Avoidance (PDA) is a proposed Disorder, which is sometimes viewed to be an autism spectrum disorder. Is characterised by persistence avoidance of ordinary demands by non-autistic society, with persons frequently displaying social avoidance behaviours which can be considered "manipulative" or "strategic". Presently, there is much controversy surrounding PDA, partly because there is no conclusive evidence to indicate which features comprise PDA, and how it should be conceptualised. Thus, there are competing divergent schools of thought on how to view PDA. This short paper describes the four main worldviews on PDA besides it being an autism spectrum disorder. Firstly, PDA is also conceptualised as "rebranded autism", pathologising characteristics not assessed in an autism diagnosis. Secondly, a common disorder. Finally, PDA could be a pseudo-syndrome resulting from the simultaneous interaction between autism and common co-occurring conditions. I call for treating with PDA caution until good quality scientific method-based research indicates which outlook should be adopted.
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Elizabeth O’Nions , Judith Gould , Phil Christie , Christopher Gillberg , Essi Viding , Francesca Happé (2016). Identifying features of ‘pathological demand avoidance’ using the Diagnostic Interview for Social and Communication Disorders (DISCO) . European Child & Adolescent Psychiatry, 25(4), 407-419. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Absoud, M (2019). Pathological Demand Avoidance: Clinic prevalence and characteristics. PDA Society Research Meeting.Type: OtherCrossref
-
E Newson (2003). Pathological demand avoidance syndrome: a necessary distinction within the pervasive developmental disorders . Archives of Disease in Childhood, 88(7), 595-600. BMJ.Crossref OpenAlex OpenCitations
-
Elizabeth O’Nions , Phil Christie , Judith Gould , Essi Viding , Francesca Happé (2014). Development of the ‘Extreme Demand Avoidance Questionnaire’ (EDA ‐Q): preliminary observations on a trait measure for Pathological Demand Avoidance . Journal of Child Psychology and Psychiatry, 55(7), 758-768. Wiley.Crossref OpenAlex OpenCitations
-
Janina Brede , Anna Remington , Lorcan Kenny , Katy Warren , Elizabeth Pellicano (2017). Excluded from school: Autistic students’ experiences of school exclusion and subsequent re-integration into school . Autism & Developmental Language Impairments, 2, 1. SAGE Publications.Crossref OpenAlex OpenCitations
-
Judy Eaton , Rosie Banting (2012). Adult diagnosis of pathological demand avoidance – subsequent care planning . Journal of Learning Disabilities and Offending Behaviour, 3(3), 150-157. Emerald.Crossref OpenAlex OpenCitations
-
Christie (2007). The distinctive clinical and educational needs of children with pathological demand avoidance syndrome: guidelines for good practice . Good Autism Practice (GAP), 8(1), 3.Type: OtherCrossref
-
Elizabeth O’Nions , Francesca Happé , Essi Viding , Judith Gould , Ilse Noens (2018). Demand avoidance is not necessarily defiance . The Lancet Child & Adolescent Health, 2(7), e14. Elsevier BV.Crossref OpenAlex OpenCitations
-
Vincent Egan , Elinor Bull , Grace Trundle (2020). Individual differences, ADHD, adult pathological demand avoidance, and delinquency . Research in Developmental Disabilities, 105, 103733. Elsevier BV.Crossref OpenAlex OpenCitations
-
Emma Gore Langton , Norah Frederickson (2018). Parents’ experiences of professionals’ involvement for children with extreme demand avoidance . International Journal of Developmental Disabilities, 64(1), 16-24. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Eaton (2018). Modification of the Coventry Grid Interview (Flack-hill et al., 2017) to include the Pathological Demand Avoidant profile . Good Autism Practice (GAP), 19(2), 12.Type: OtherCrossref
-
Elizabeth O’Nions , Judith Eaton (2020). Extreme/‘pathological’ demand avoidance: an overview . Paediatrics and Child Health, 30(12), 411-415. Elsevier BV.Crossref OpenAlex OpenCitations
-
Jonathan Green , Michael Absoud , Victoria Grahame , Osman Malik , Emily Simonoff , Ann Le Couteur et al. (2018). Pathological Demand Avoidance: symptoms but not a syndrome . The Lancet Child & Adolescent Health, 2(6), 455-464. Elsevier BV.Crossref OpenAlex OpenCitations
-
Egan, V., Linenberg, O., Trundle, G. & Bull, E (2019). The assessment of adult PDA: Implications from studies in the general population. PDA Society Research Meeting.Type: OtherCrossref
-
Richard Woods *Autistic author. Learn more… (2020). Commentary: Demand Avoidance Phenomena, a manifold issue? Intolerance of uncertainty and anxiety as explanatory frameworks for extreme demand avoidance in children and adolescents – a commentary on Stuart et al. (2020) . Child and Adolescent Mental Health, 25(2), 68-70. Wiley.
-
Flackhill (2017). The Coventry Grid Interview (CGI): exploring autism and attachment difficulties . Good Autism Practice (GAP), 18(1), 62.Type: OtherCrossref
-
Arvid N Kildahl , Sissel B Helverschou , Anne L Rysstad , Elisabeth Wigaard , Jane MA Hellerud , Linn B Ludvigsen et al. (2021). Pathological demand avoidance in children and adolescents: A systematic review . Autism, 25(8), 2162-2176. SAGE Publications.Crossref OpenAlex OpenCitations
-
Jonathan Green , Michael Absoud , Victoria Grahame , Osman Malik , Emily Simonoff , Ann Le Couteur et al. (2018). Demand avoidance is not necessarily defiance – Authors' reply . The Lancet Child & Adolescent Health, 2(9), e21. Elsevier BV.Crossref OpenAlex OpenCitations
-
Elizabeth O’Nions , Eva Ceulemans , Francesca Happé , Paul Benson , Kris Evers , Ilse Noens (2020). Parenting Strategies Used by Parents of Children with ASD: Differential Links with Child Problem Behaviour . Journal of Autism and Developmental Disorders, 50(2), 386-401. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Lisa Stuart , Victoria Grahame , Emma Honey , Mark Freeston (2020). Intolerance of uncertainty and anxiety as explanatory frameworks for extreme demand avoidance in children and adolescents . Child and Adolescent Mental Health, 25(2), 59-67. Wiley.Crossref OpenAlex OpenCitations
-
Richard Woods *Autistic author. Learn more… (2019). Is the concept of Demand Avoidance Phenomena (Pathological Demand Avoidance) real or mythical? Research Open (London South Bank University). Unpublished.Type: Article DOI: 10.13140/rg.2.2.35499.18728/2 OpenAlex: https://openalex.org/W3095406137 Crossref: not found
-
Allison Moore (2020). Pathological demand avoidance: What and who are being pathologised and in whose interests? Global Studies of Childhood, 10(1), 39-52. SAGE Publications.Crossref OpenAlex OpenCitations
-
Gould (2011). Missed diagnosis or misdiagnosis? Girls and women on the autism spectrum . Good Autism Practice (GAP), 12(1), 34.Type: OtherCrossref
-
McElroy, R. (2016). PDA – is there another explanation? The Psychologist, Vol. 29.Type: OtherCrossref
-
Milton, D. (2013). ‘Natures answer to over-conformity’: Deconstructing Pathological Demand Avoidance. Autism Experts Online article.Type: OtherCrossref
-
Sarah Potts (2020). Personality and pathological demand avoidance – identifying areas for future research . PsyPag Quarterly, 1(116), 23-26. British Psychological Society.Crossref OpenAlex OpenCitations
-
O’Nions, L., Noens, I. & Happé, F (2019). Child Behaviour & Parenting Strategies – a research update. PDA Society.Type: OtherCrossref
-
Woods, R (2021). PDA behaviour intensity and prevalence at different thresholds (Blog post). Retrieved 12 August 2021 from rationaldemandavoidance.comType: OtherCrossref
-
Woods, R (2020). Updating my current thoughts on the medical nature of demand avoidance phenomena (Blog post). Retrieved 12 August 2021 from rationaldemandavoidance.comType: OtherCrossref