I came across this image that displays DSM-5 autism and various things like co-occurring conditions, and it's specifiers. link.springer.com/article/10.100…
article is open access.
I like this diagram, I think it is informative.
What has caught my eye, is how I could could compare PDA to autism using the this diagram. It is not a straightforward task, as PDA features would be smeared around the edges of the autism criteria.
The diagram is not designed to compare PDA to autism. So these issues are to be expected.
Many of you will be familiar with this diagram of mine. Comparing DSM-5 autism criteria to Aggregated PDA.
So I have used the Rosen et al (2021) diagram as a basis for this comparison of autism DSM-5 criteria vs aggregated profile.
I have tried to align PDA features to their equivalent position on Rosen et al image. Working from ADHD through to anxiety, then onto OCD. Yet, obviously is not full on OCD/ ADHD.
I have also tried to use research results to inform PDA features on there. So like PDA being predicted by hyperactivity.
I will give Newson's diagnostic grouping.
My previous Autism vs PDA image.
Rosen et al image.
Mine Rosen et al derivative comparison vs PDA.
You should see a consistency in conceptualisations on what is autism, & how PDA is not autism.
You want this version of my latest diagram. I missed an M out DMS-5.
For the record Newson does view Autistic Disorder & Asperger's to be the autism spectrum, so it would not extend to cover PDA, under her views. Which is probably why she does not have PDA overlapping autism. adc.bmj.com/content/archdi…
*Yes* it conformed to accepted understandings of autism. Problem there is, it would require a fundamental shift in how PDA is conceptualised. It mean not basing PDA on anxiety driven features/ behaviours.
It would mean PDA strategies not being about anxiety/ stress managment. It would mean not focusing on the demand avoidance, in order for it conform to accepted autism understandings.
I do not think such a reconceptualisation of PDA should happen. Or is required. I accept that for many persons PDA is providing an "understanding" of their behaviours/ features. Enabling appropriate support strategies.
@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 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).
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.
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...
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)."