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Richard Woods

21 Mar, 10 tweets, 2 min read

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.

Beyond this. Looking at this original PDA DISCO question:

"Lies, cheats, steals, fantasises, causing distress
to others" is associated to surface sociability & obsessive behaviour (Gillberg et al, 2015).

The EDA-Q is partly derived from the original PDA DISCO questions. This EDA-Q question seems to be derived from the above DISCO question.

"Knows what to do or say to upset specific people" (O'Nions et al, 2014).

If one accepts that in the above question the CYP with PDA is deliberately targeting specific persons because they obsessed with said person. It suggests that the CYP with PDA also has "callous-unemotional traits."

Such an assumption is supported by how some PDA features are criminal in nature and require intent to commit the act.

"Harasses another person—may like or dislike
them"

&

"Lies, cheats, steals, fantasises, causing distress
to others" (Gillberg et al, 2015)

The point I am making here is that just because the behaviours seen in PDA maybe less sophisticated than other types of manipulative behaviour does not mean it is not manipulative if it is serving the same purpose.

Bare in mind PDA is not meant to have Theory of Mind deficits.

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More from @Richard_Autism

Richard Woods

@Richard_Autism

20 Mar

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.

Read 4 tweets

Richard Woods

@Richard_Autism

5 Mar

@HappeLab

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

Richard Woods

@Richard_Autism

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

Richard Woods

@Richard_Autism

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

Richard Woods

@Richard_Autism

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

Richard Woods

@Richard_Autism

23 Feb

@tinkerbellbites

@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).