Fun fact. 10 clinicians (many highly specialised autism specialists) who consulted on developing EDA-Q, suggested adding question that assess for communication issues. These two questions failed to make it into the "validated" version of the EDA-Q.
"Has difficulty reading body language, facial expression"

&

"Slow to process or respond to questions/ comments"
It is ironic that persons that viewed PDA as an ASD, often from autism specialist settings, suggested questions that would potentially be indicative of autism for the EDA-Q and these questions are not in the final 26 item tool.
The point that these questions were suggested in the first place, underscores the point that some people were trying to make PDA an ASD.

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More from @Richard_Autism

21 Mar
I am getting the impression that O'Nions arguments for viewing social demand avoidance in PDA as "strategic" are contradicted by her early work".
O'Nions is partly trying to argue that PDA social demand avoidance behaviours are not the same as "sophisticated" behaviours of those with callous-unemotional traits. (O'Nions and Eaton, 2020).
In their previous work, they viewed PDA social demand avoidance to be manipulative in nature. See O'Nions et al, 2014 and 2015. This matters as O'Nions helped to develop two tools that view PDA social demand avoidance to be manipulative.
Read 10 tweets
5 Mar
I think I have found a copy of @HappeLab & O'Nions 2011 NAS PDA conference slides!
school.youngepilepsy.org.uk/dmdocuments/mi…
Scratch that, I think it is this one. Apparently, they gave different versions of the talk under the same title!
anyflip.com/yexu/wqpc/basi…
Can anyone download this?

I can not, I print it off. I cannot save it except as a internet page.
Read 30 tweets
4 Mar
The Richard Soppitt book chapter is interesting, there are some issues with it. I will probably do a full lists of pros/ cons with the piece in the next few days.

Need to check his version of the original 15 PDA DISCO questions by Wing & Gould.
Unsure they align to what Gillberg et al (2015), or other information I have on the topic. For one, he seems to be conflating passive early history with speech delay questions, which were either in full DISCO/ removed.
The PDA literature contradicts itself over if there were 17/ 15 original PDA DISCO questions.

Interesting case study and comments about trauma.
Read 65 tweets
28 Feb
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.
Read 11 tweets
26 Feb
Right. Would I ever consider PDA to be an ASD?

*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.
Read 6 tweets
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

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