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Sep 21, 2020 19 tweets 29 min read Read on X
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety Newson did not systematically assess for autism features because she was trying to show PDA was different to autism, to warrant PDA being a "thing". She originally conceptualised it as a new type of disorder. Spent 15 years researching that behaviour profile.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety "Clearly, “hanging together as an entity” is not enough
if that entity is not significantly different from both autism
and Asperger’s syndrome, either separately or apart"
Newson et al, 2003, p599.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety Newson was not trying to make PDA an autism subgroup, but was trying to show PDA was different to autism. Her research has a seletion bias, it is really poor quality generally.
link.springer.com/article/10.100…
You really need to read this:
thepsychologist.bps.org.uk/pda-new-type-d… Image
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety These reasons are one reason why I struggle to take anyone seriously who insists PDA is an autism subgroup, because it does not represent what Newson did, or was trying to do. It is the PDA development group who are trying to make PDA an autism subgroup.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety I am pretty certain Newson would have been perfectly happy to have PDA diagnosed outside of autism, considering she consistently did things to help other stakeholders. Take note @sallyrssll
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll I started reading Newson's 2003 article supplementary notes to see if "surface sociability" trait is mandatory for a PDA dx. It is not, at least in Faroe Islands paper.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll Back to these side notes. I have just broken down in tears & hysterics. One Newson seems to have a broader conceptualisation of PDDs, that is broader than autism. I.e. my critique of her "The “family” of pervasive developmental disorders." is valid. Image
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll Also note that Faroe Islands paper did not view manipulative demand avoidance as essential for a PDA dx. Some would challenge if Gillberg et al dx PDA.
link.springer.com/article/10.100… ImageImage
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll The point about surface sociability not being an essential PDA trait means, if it is not seen in all diagnosed with PDA, one cannot argue PDA must be an autism subtype due to clustering of RRBIs & this surface sociability trait.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll I think this argument is weak anyway as having social communication issues is common in mental health disorders, most do not include them in their dx criteria.

Back to Newson's notes.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll This is Newson herself saying PDA is NOT autism, but is a PDD due to her broader conceptualisation of it.
adc.bmj.com/content/archdi…
Supports my view Newson was trying to PDA is different is autism, not to make it an autism subgroup. Image
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll I am crying tears of joy at this. It means despite everything I have been put through by the PDA supporters. The name calling, doubting me, complaints @SallyRussll interfering in my research.

It means I am right on PDA.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll "PDA is a pervasive developmental disorder but not an
autistic spectrum disorder: to describe it as such would be like describing every person in a family by the name of one of its members."
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll Quote is important as it is fallacious to assume PDA is an autism subgroup, i.e. Christie cannot say PDA is an ASD due to it being a PDD.

It also means as PDA is not autism, it would have changed diagnostic groups if it had been included in the DSM-5.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll It means that majority of PDA research, lobbying & campaigning for the last 10 years is based on mistaken belief.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll Actually checked Newson et al (2003) for stats on surface sociability prevalence among sample. Short answer, it is not a universal trait in Newson's research. Which means one cannot use it to argue PDA is an ASD.
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll Basically around one in sixth of Newson's sample did not have surface sociability traits.
adc.bmj.com/content/archdi… ImageImage
@tinkerbellbites @milton_damian @martinbeecher @GillLoomesQuinn @PDASociety @sallyrssll I think this is enough for this thread. @threadreaderapp please could you unroll ?

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More from @Richard_Autism

Jan 26
Next videos I wish to make:
Why I use a "post-Autistic" identity.
Commentary that those using problematic & controversial diagnoses have some ethical responsibility.
When will "PDA Profile of ASD" advocates stop their attacks: before, or after their attacks drive someone to suicide?!?
Last issue is bothering me a lot. Not only due to the effects of their attacks on me. Also that their is a pattern in their behaviour. One can reasonably label a dangerous group (ironically, how they label some critiquing PDA).
One would think after:
@milton_damian threatened to take legal action against Sally Cat for a defamatory petition which had 700+ responses in 48 hours in 2018.
Their attacks against Harry Thompson, apparently made HT heavily suicidal in 2023.
...
Read 13 tweets
Dec 4, 2024
"Facing Change and Uncertainty: Lessons Learned from Autistic Children and their Families During the COVID-19 Pandemic"
Open access article
link.springer.com/article/10.100…
This is one is interesting talking about demands. It also seems to talk about how avoidance is relating to anxiety (stress). There is also an example of demand-avoidance in their which highlights why proposed rational-irrational demand-avoidance split is problematic.
This one p9. It discusses how some children avoided demand to learn/ do education activities at home. While it is positioned as "refusal", it is a form of demand-avoidance. One can question if demand-avoidance is rational, or irrational in nature. Answer is subjective! Image
Read 7 tweets
Nov 24, 2024
@milton_damian Does anyone else find it weird considering the high variation in clinical practice assessing autism; that "PDA Profile of ASD" advocates felt the need to prematurely define with a research report, that purports to provide guidance & identification on PDA?
Point here, is one can respect autism identifications from clinics with divergent assessment practices. Why should PDA identifications be treated any differently (if they do identify PDA)? Why should we view divergent PDA identifications as inferiors to others?
Highlight how weird it is some decided "their" PDA identifications better than others.

Suppose those clinics who have supposedly been over diagnosing PDA, got together produced a report on how to assess/ identify PDA & said all "PDA Profile of ASD" identifications are not PDA?!
Read 8 tweets
Nov 21, 2024
Thread on draft slides for “Ethical responsibility for negative responses to encountering critique of “Pathological” Demand-Avoidance (PDA)" video.
Video should be published by end of November 2024 (I am unsure if I will wait for feedback on these slides before recording the video).
Below is the title slide for this presentation. Image
Read 92 tweets
Nov 20, 2024
@forestvanslyke In response to those saying have meltdowns due to critiquing PDA. One could view it as unfortunate & responsibility of those prematurely reifying PDA as a distinct entity...
... PDA literature notes PDA is a controversial & contested topic. Many people have been & are critical of PDA, for many good reasons...
@forestvanslyke for example see this thread on people who have been critical of PDA over a 20 years:
Read 20 tweets
Nov 19, 2024
This is my latest image showing how social avoidance behaviours to demand can escalate. It is adapted from PDA Society's "What is PDA" booklet, p7. Image
It is adapted from this image from PDA Society 2021 p7. Image
Why have I created a new image?

There are aspects of previous image I am uncomfortable with.
Read 18 tweets

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