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)

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Woods, R. (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. https://doi.org/10.1111/camh.12368

Publication date: 16 Jan 2020 Added to AutiHub: 7 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
1
Publication authors identified as autistic
1 / 1 (100.0%)

Abstract

Demand Avoidance Phenomena (DAP) is a neutral term for Pathological Demand Avoidance, which is sometimes conceptualised as an autism subtype. There is much ongoing controversy around the construct. In this commentary, I attempt to contextualise the recent article, Intolerance of Uncertainty and anxiety (Stuart et al., 2019) within wider discourses. This discussion provides tentative support for monotropism autism theory and the growing body of research indicating that DAP may not be developmentally persistent (a high rate of persons not meeting clinical threshold into adulthood). Going forward I would suggest that Stuart and colleagues' research should be replicated, in order to add to the DAP literature.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 01:00.

Cited references
19
With a DOI
9
Without a DOI, from raw bibliography text
8
3 / 19 (15.8%) cited references include at least one author identified as autistic.
References with data to complete
2 / 19 (10.5%)
References with detected author names
17 / 19 (89.5%)
Without detected author names
2
Without a structured title
2
Without a stable identifier
5
References with raw author names still to review
2
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
33
From DOI or external metadata
33
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
3
12 / 33 (36.4%) names are linked to an author already present in AutiHub. 21 / 33 (63.6%) names are not yet linked.
Names linked to a person identified as autistic
3 / 33 (9.1%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 3 / 12 (25.0%). Distinct people identified as autistic: 1 / 26 (3.8%).
  1. 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
  2. Luke Beardon (2017). Autism and Asperger Syndrome in Adults .
    Type: Book OpenAlex: https://openalex.org/W2947511713
    Crossref OpenAlex
  3. 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
  4. Ann Saunders (2014). Understanding pathological demand avoidance syndrome in children: A guide for parents, teachers and other professionals . Education 3-13, 42(5), 564-567. Informa UK Limited.
    OpenAlex
  5. Christie, Phil (2012). Understanding pathological demand avoidance syndrome in children a guide for parents, teachers, and other professionals . Understanding pathological demand avoidance syndrome in children: A guide for parents, teachers and other professionals.
    Type: Other OpenAlex: https://openalex.org/W7034739479
    Crossref OpenAlex
  6. 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
  7. Irene E. Harmsen (2019). Empathy in Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 49(10), 3939-3955. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  8. Iemmi V. Knapp M. &Ragan I. (2017). THE AUTISM DIVIDEND: Reaping the rewards of better investment (Online report). http://nationalautismproject.org.uk/wp-content/uploads/2017/01/autism-dividend-report.pdf[last accessed 14 November 2019].
    Type: Other
    Crossref
  9. 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
  10. McDonnell A. (2019). The reflective journey: A practitioner's guide to the Low Arousal Approach . The reflective journey: A practitioner's guide to the Low Arousal Approach.
    Type: Other
    Crossref
  11. David Jackson‐Perry (2017). Autism and Asperger syndrome in adults . Disability & Society, 32(8), 1280-1282. Informa UK Limited.
    OpenAlex
  12. Moore A. (n.d.). Pathological demand avoidance: What and who are being pathologized and in whose interests? Global Studies of Childhood.
    Type: Other
    Crossref
  13. Margaret Duncan , Phil Christie , Ruth Fidler , Zara Healy , Compton Mackenzie (2011). Understanding Pathological Demand Avoidance Syndrome in Children: A Guide for Parents, Teachers and Other Professionals .
    Type: Book OpenAlex: https://openalex.org/W2900123015
    OpenAlex
  14. Richard Woods *Autistic author. Learn more… (2019). An Updated Interest Based Account (Monotropism theory) & a Demand Avoidance Phenomenon discussion . SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University).
    Type: Article OpenAlex: https://openalex.org/W2972024744
    OpenAlex
  15. Summerhill L. (2018). Developing a multi‐agency assessment pathway for children and young people thought to have a Pathological Demand Avoidance profile . Good Autism Practice, 19, 25.
    Type: Other
    Crossref
  16. Richard Woods *Autistic author. Learn more… (2019). Demand avoidance phenomena: circularity, integrity and validity – a commentary on the 2018 National Autistic Society PDA Conference . Good Autism Practice, 20, 28.
    Type: Article OpenAlex: https://openalex.org/W3095240870
    Crossref OpenAlex
  17. Rebecca Fish (2021). The reflective journey: A practitioner’s guide to the low arousal approach . Disability & Society, 36(5), 844-846. Informa UK Limited.
    OpenAlex
  18. Woods R. (2019a). An updated interest based account (Monotropism theory) & a Demand Avoidance Phenomenon discussion (Conference paper). https://www.researchgate.net/publication/332727790_An_Updated_Interest_Based_Account_Monotropism_theory_a_Demand_Avoidance_Phenomenon_discussion[last accessed 06 November 2019].
    Type: Other
    Crossref