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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

Nov 19
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
Nov 19
This meme was first published by Sally Cat on facebook. It is not a "joke". Its bullying by its creator.

If I edited this meme to have Sally Cat's face on it, & saying "It is all makes sene of why she was such an incompetent, arrogant, under-qualified twat"; that edited meme would be viewed as bullying.Image
Sally Cat's views on me, since they created this meme, also show that this meme is an accurate reflection of their views on me; i.e., the meme is not meant to be taken as a "joke".
I would ask anyone who claims the meme is a "joke", how is claiming anyone is "incompetent, arrogant, under-qualified twat", is being nice towards the target of the "joke"? Would you be happy if someone called you "incompetent, arrogant, under-qualified twat"?
Read 7 tweets
Nov 17
Title and abstract for my talk next month.

Title.
What are the predicted risks of the proposed autism subtypes of “Profound Autism” & “Pathological” Demand-Avoidance (PDA)?
Abstract.
Leo Kanner suggested autism as a subtype of Childhood Schizophrenia, as part of the historical broader attempts to categorise people expressing social communication via subtypes over the last nine decades. ..
...Other attempts to successfully divide Autistic persons into subtypes have consistently failed to produce stable subtypes which can be reliably identified, and which have been challenged for creating avoidable prejudice and stigma...
Read 10 tweets
Oct 28
There is much to admire about someone's dedication to "PDA Profile of ASD".

Still, @milton_damian have you, or I ever intended Rational Demand Avoidance to say one's demand-avoidance is entirely rational reasons, or only "good reasons"? Image
The assumption that rational demand avoidance, means a person can only experience demands due to "good reasons"/ rational reasons to be used to justify the pretense of the claimed split between RDA & PDA. Image
There does not seem to much consideration that reasons why someone might express "rational" demand avoidance, or for "good reasons", might be irrational, or "random" reasons.
Read 45 tweets
Oct 28
“There is a lot of idiosyncratic interpretation of autism, depending on how much each service adheres to the NHS’s diagnostic criteria and what each psychiatrist’s own interpretation of what autism is.” Prof Marios Adamou.
Would be interested in how "PDA Profile of ASD" is represented in those figures. Theoretically, if "PDA Profile of ASD" advocates are correct PDA is needed to expand definition of autism, PDA diagnoses should be over represented in areas higher positive dx rates!
Read 17 tweets
Oct 25
This is a short thread on the title & abstract for the talk!
Title.
Why is it premature to split “Rational” Demand-Avoidance from “Pathological” Demand-Avoidance?
Abstract.
Since 1983 “Pathological” Demand-Avoidance (PDA) has been a contentious term for a proposed psychiatric disorder partly representing intense responses to demands, rapid mood changes, and sometimes other characteristics....
Read 12 tweets

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