Richard Woods Profile picture
Sep 28, 2020 21 tweets 7 min read Read on X
That moment when you realise the "splitters" (instead of lumpers) are trying to split autism using something that is not autism (PDA).
Normally, I would find this ironic, but I am still a bit speechless by realising how arbitrary some some features are assigned.

I have been looking at questions assigned to "Surface Sociability" in EDA-Q & the DISCO.
The intent was to analyse these items to see if any are RRBIs.

I am struck by is just HOW much there is an emphasis on this ONE trait in the tools, compared to Newson's own observations.
There are 9 questions assessing Surface Sociability and lacking pride/ shame/ social identity/ responsibility. In the EDA-Q.
acamh.onlinelibrary.wiley.com/doi/abs/10.111…
To put it this way, that is 9 out of 30 questions assessed. From what I can tell all 9 were included in the 26-item EDA-Q.

There are 4 questions out of the revised 11 PDA DISCO questions.
link.springer.com/article/10.100…
I also looked at the revised 11 PDA DISCO questions directly:
static-content.springer.com/esm/art%3A10.1…
It is not stated in the EDA-Q article what questions belong to which trait, so I was having to cross-reference against Newson's descriptions & LWC PDA DISCO paper, which give us two handy tables.
Revised DISCO items for Surface Sociability, have descriptions:

"tearing up another person’s work, pulling off someone’s spectacles"

"A talk about fantasies as if real, or lie, or cheat, or steal?"
Revised DISCO items for Lability of Mood, have descriptons:

"use age peers solely as aids in own activities, e.g. to collect materials, to assist in building some construction, to take a specified part in a scenario created by A?"
And

"frequently tease, bully, refuse to take turns, make trouble?"

&

"first sight appear to be sociable and friendly but can slip from loving to violent behaviour or vice versa for no apparent reason?
How is "frequently tease, bully, refuse to take turns, make trouble?"

substantially different from

"tearing up another person’s work, pulling off someone’s spectacles"?

Surely, they can be part of "bullying" anyone?
"Does A use age peers solely as aids in own activities, e.g. to collect materials, to assist in building some construction, to take a specified part in a scenario created by A?"
Is listed as Lability of Mood, I think because of how lability of mood is due to "need for control". Behaviours are described as using to control an activity.
The "need for control" is a big assumption, like how assuming persons automatically have "Coding" problems due to presenting demand avoidance.
If you ignore the "need for control" aspect, how is

"Using age peers as mechanical aids, bossy and domineering" representative of "Experiences excessive mood swings and impulsivity" (NAS's version of Lability of mood)?

It is not.
I am not making this up.

For once, can something just be straight forward with PDA.

I am just at facepalm at the moment.
So the reason I am at facepalm, is there is a heavy emphasis on one trait in EDA-Q & DISCO, that has many arbitrary (value laden) decisions around what features are assigned to each specific behaviour trait.
And it is a trait that is not representative of PDA's core impairment & impairment effect, the demand avoidance from anxiety...
@threadreaderapp unroll please?
It must be said, these issues around assigning features to specific traits, are a reason why one should PDA tools with the behaviour profile they are designed for, or you can get some weird results.
@threadreaderapp unroll please?

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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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