"Instead, we argue for much-needed research to establish what interventions are most effective
for problematic demand avoidance in autism spectrum disorder." (O'Nions et al. 2018).
thelancet.com/journals/lanch…
Term "problematic" demand avoidance is a HUGE problem
for problematic demand avoidance in autism spectrum disorder." (O'Nions et al. 2018).
thelancet.com/journals/lanch…
Term "problematic" demand avoidance is a HUGE problem
It is an issue due to the subjective nature in what is a problem, dependent on person's views, and the nature of the situation at any given time etc etc.
What is "problematic demand avoidance" in autism, is likely to be different for different stakeholders. I suspect many autistic persons would view certain dogmatic positions by some non-autistic stakeholders to be a "problem".
So, take Help4Psychology "Rational Demand Avoidance" group of autistic CYP, who display PDA behaviours after often after experiencing aversive school situations. I suspect many of these "Rational Demand Avoidance" CYP would be school refusing. 
If a CYP is displaying PDA behaviours to the point they are either meeting threshold on the EDA-Q, &/ or school refusing, it is likely to be problematic/ difficult for other persons to deal with, including the CYP expressing the demand avoidance.
I would say it would difficult for autistic CYP, often aged 5 - 7 years old to manage and cope expressing these behaviours. As the CYP is likely to be highly aroused & distressed while showing those PDA behaviours.
If an autistic CYP is school refusing or meeting threshold on EDA-Q it is likely to be a problem for caregivers etc to deal with due to the sometimes "extreme" nature of some PDA behaviours. Also issues with emotional contagion/ vicarious trauma.
I would also point out, that I doubt many caregivers would not be concerned/ worried/ stressed themselves that THEIR vulnerable CYP is expressing such behaviours/ missing school etc. Some caregivers may have to leave work to homeschool their CYP.
Considering the point of a PDA diagnosis is help to people. PDA is meant to have its own set of strategies/ interventions. It seems that this "Rational Demand Avoidance" group falls under "problematic" demand avoidance that needs intervention & diagnosis.
Considering PDA approaches are good practice, the "Rational Demand Avoidance" group would probably receive same interventions/ strategies as PDA.
Especially when can argue same underlying cognitive processes are occurring.
Especially when can argue same underlying cognitive processes are occurring.
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