@tinkerbellbites @milton_damian @Allison66746425 Apparently, it happens. I have been such things happen with at least one clinician in the UK. Told by a respected clinician/ academic. Maybe to not that extreme.

Yet, it is the extreme end of argument that mental disorders are needed as they help persons.
@tinkerbellbites @milton_damian @Allison66746425 It can be considered the logical extent of using mental disorders, to assist persons (& it does not even need to help those diagnosed with them).
@tinkerbellbites @milton_damian @Allison66746425 The other end of debate around using mental disorders is that they need standardised behaviour profiles & validated tools.
@tinkerbellbites @milton_damian @Allison66746425 PDA tends to be at the "it helps people" end of the debate. One of the reasons PDA is controversial is that it lacks a standardised behaviour profile & validated tools. Some like @Allison66746425 contest PDA technically cannot be diagnosed due that.
@tinkerbellbites @milton_damian @Allison66746425 If you want proof PDA is at the "non-scientific" end of this debate & practice. Quote by Christie. From slide 19, here :
dp.dk/decentrale-enh…

That quote is often used in Christie's conference talks.
@tinkerbellbites @milton_damian @Allison66746425 Goldberg (2013)
"… both ICD and DSM focus more on the reliability than the validity of the disorders they describe…
@tinkerbellbites @milton_damian @Allison66746425 no iteration of either DSM or ICD has acknowledged the fundamental distinction between researchers and practioners…who uses diagnostic classifications and for what purpose?"
@tinkerbellbites @milton_damian @Allison66746425 What that quote means is that a mental disorder (social construct)/ dx category can be used on any population group/ demographic, if a particular stakeholder group thinks said dx entity benefits someone.
@tinkerbellbites @milton_damian @Allison66746425 From what I can tell that is why Christie mentions it in his talks, as it is justification for using PDA in clinical practice despite it lacking relevant evidence, agreed behavioural profile & validated tools.
@tinkerbellbites @milton_damian @Allison66746425 As I point out here:


Said quote by Christie is also applicable to using PDA on non-autistic persons... Which he I doubt he has even considered as he views PDA to be a rate autism subtype (from 2019 NAS PDA conference).
@tinkerbellbites @milton_damian @Allison66746425 *rare autism subtype*

How PDA helps people in under Christie's talks/ scholarship is that PDA has specific strategies which are different to autism one's & provides a better understanding for person's behaviours/ features than other dx categories.
@tinkerbellbites @milton_damian @Allison66746425 I discuss such things (nature & purpose of mental disorders) in a submitted essay on PDA being a mental disorder. The feedback will be interesting.

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More from @Richard_Autism

23 Feb
@tinkerbellbites @milton_damian @Allison66746425 PDA is not a good defense against FII. I explain why on my blog (somewhere). I think PDA is related to stress management, which is obviously affected by trauma (as most people's ability to manage stress is).
@tinkerbellbites @milton_damian @Allison66746425 I should be discussing this with @Andylowarousal at some point soon.
Read 20 tweets
21 Feb
I think I am going to record updated versions of my conference talks, where possible. I am not going to fundamentally update them, just try to make them accessible & provide new information if relevant.
Probably one a month.
I have uploaded a new recording of this talk to Youtube (currently set to private):
openresearch.lsbu.ac.uk/item/8v192

Does anyone wish me to share it with them (it is about 85 minutes long)?

I will make it public soon.
Read 4 tweets
15 Feb
On a tangent it has made me re-read O'Nions and Neons (2018). I think their arguments in there quickly fall down and are largely not credible.
At least some of them anyway. Probably explain later.
"Once anxiety or aversion have been triggered by
demands, parents report that increasing pressure on
the child to comply can precipitate more severe forms of
problem behaviour (e.g. threats, meltdowns, destructive...
Read 24 tweets
13 Feb
I cannot believe I crying over a peer review.

The peer review accepts:
"The author is clearly passionate about his view"
"It is clear the author has very good knowledge of PDA and related issues"
""challenging whether PDA should just be seen as a subcategory of ASD as to a behavioural profile that can be seen in children who do not ASD". There are strong arguments for this"
"(perhaps 2 head-to-head articles in a special issue written by invitation may be better)."
Read 28 tweets
30 Dec 20
Oh crikey. Looking briefly at OCD again. Notice this in its DSM criteria:
"Young children may not be able to articulate the aims of these behaviors or mental acts."
Applying the same logic to PDA debate. If we do not expect non-autistic children to not always be able to understand/ rationalise their behaviours. Why are we expecting autistic CYP to be able to do the same to have a "Rational Demand Avoidance" group?
As I state elsewhere are good reasons to expect many autistic CYP being labelled with "Rational Demand Avoidance" who CAN NOT rationalise their behaviours, their demand avoidance.
…emandavoidancecom.files.wordpress.com/2020/08/01-aug…
Read 36 tweets
26 Dec 20
I am going to say this, I am confident that anyone saying that original PDA DISCO questions viewed PDA social manipulative behaviours as being "Strategic"/ not "manipulative" are either mistaken or lying.
The reasons for this, is that literature before O'Nions et al (2016), the LWC PDA DISCO paper viewed social demand avoidance to be manipulative. Also that two tools derived from original PDA DISCO questions view such behaviours as manipulative.
Definition of manipulation:
"to control or play upon by artful, unfair, or insidious means especially to one's own advantage"
&
"to change by artful or unfair means so as to serve one's purpose"
merriam-webster.com/dictionary/man…
Read 39 tweets

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