Richard Woods Profile picture
Apr 21, 2021 21 tweets 8 min read Read on X
So I have been looking at Soppitt's PDA and how it relates to other conditions diagram. This is my version of Soppitt's diagram (2021, p299). I fully spelled out ADHD's name.
This is my version of the diagram. I might change the "Rational Demand Avoidance" to "Pathological Demand Avoidance", as to me its the same thing. Nominally using RDA as it is a better name than PDA.
I have added anxiety in between autism and trauma circles. I have added trauma/ developmental trauma to recognise some view PDA to be developmental (even though that is optional for a PDA dx/ not needed).
Trauma being properly included as I think PDA is can be caused by trauma, especially at lower diagnostic thresholds & under transactional approaches to PDA.
…emandavoidancecom.files.wordpress.com/2020/08/06-aug…
I have changed the wording to be a bit more specific. Does this look OK, or should I go back to ones where I use "Features overlap"?
I need to explain why PDA is shown as a star, this is because PDA as a construct seems to have features of many conditions. Most diagnostic thresholds are relatively broad, including Newson's.
It does not seem right to me, that PDA is shown as small dot compared to other constructs.

The advantage of this image it shows that PDA has a "spikey profile" of features (symptoms depending on the outlook).
This makes sense considering comments of PDA seems to contain features from other conditions/ constructs. It supports various research results which indicate PDA is predicted by OCD/ ADHD (hyperactivity)/ Conduct issues/ Personality Predictors.
Or other research that find associations between autism, anxiety and conduct problems.

It helps to explain the diverse amount of perspectives on PDA, like some view it as autism. Some think PDA is seen in non-autistic persons.
What can happen is that features of PDA that are associated with other conditions/ constructs, that a person expresses can change over time (lifespan)/ person's transient situations. Also explains how observer's bias can see different aspects of PDA.
I also think it helps to explain, why PDA is striking to people, that it just seems to have a unique blend of features from established constructs, that make it so recognisable.
At the same time it underlies how PDA has no feature that is specific to it. Which is noted many times in the PDA literature.
I think the diagram makes sense within the literature. I tried to accommodate various outlooks on PDA. Personally, I considered renaming autism circle with anxiety. You know professionalism and personal integrity.
@milton_damian @Allison66746425 @PDASociety @Autism @Shona_Mu
Here is the current version & my version of Soppitt's (2021, p299) for reference. Open to feedback on it.
@Georgin24661487 you will probably be interested in this thread.
Oh Soppitt's original, image is a scan. I also changed "ASD" to "Autism".
Just including other relevant information before tagging thread reader app. So this is my version of Rosen et al (2021) image for comparing PDA to autism. It just shows PDA being rather clunky in constituent features compared to autism.
Just other relevant issues with Developmental definition and reasons why PDA is not intrinsically developmental in nature.
Sorry I need to re-upload comparing Soppitt's original venn diagram to editing of his.
I have added capitals to my edits of Soppitt (2021, p299). It is only a minor thing, but if people are going to use it, best to maintain standards.
I would happily receive feedback on it the image.
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More from @Richard_Autism

Dec 4, 2024
"Facing Change and Uncertainty: Lessons Learned from Autistic Children and their Families During the COVID-19 Pandemic"
Open access article
link.springer.com/article/10.100…
This is one is interesting talking about demands. It also seems to talk about how avoidance is relating to anxiety (stress). There is also an example of demand-avoidance in their which highlights why proposed rational-irrational demand-avoidance split is problematic.
This one p9. It discusses how some children avoided demand to learn/ do education activities at home. While it is positioned as "refusal", it is a form of demand-avoidance. One can question if demand-avoidance is rational, or irrational in nature. Answer is subjective! Image
Read 7 tweets
Nov 24, 2024
@milton_damian Does anyone else find it weird considering the high variation in clinical practice assessing autism; that "PDA Profile of ASD" advocates felt the need to prematurely define with a research report, that purports to provide guidance & identification on PDA?
Point here, is one can respect autism identifications from clinics with divergent assessment practices. Why should PDA identifications be treated any differently (if they do identify PDA)? Why should we view divergent PDA identifications as inferiors to others?
Highlight how weird it is some decided "their" PDA identifications better than others.

Suppose those clinics who have supposedly been over diagnosing PDA, got together produced a report on how to assess/ identify PDA & said all "PDA Profile of ASD" identifications are not PDA?!
Read 8 tweets
Nov 21, 2024
Thread on draft slides for “Ethical responsibility for negative responses to encountering critique of “Pathological” Demand-Avoidance (PDA)" video.
Video should be published by end of November 2024 (I am unsure if I will wait for feedback on these slides before recording the video).
Below is the title slide for this presentation. Image
Read 92 tweets
Nov 20, 2024
@forestvanslyke In response to those saying have meltdowns due to critiquing PDA. One could view it as unfortunate & responsibility of those prematurely reifying PDA as a distinct entity...
... PDA literature notes PDA is a controversial & contested topic. Many people have been & are critical of PDA, for many good reasons...
@forestvanslyke for example see this thread on people who have been critical of PDA over a 20 years:
Read 20 tweets
Nov 19, 2024
This is my latest image showing how social avoidance behaviours to demand can escalate. It is adapted from PDA Society's "What is PDA" booklet, p7. Image
It is adapted from this image from PDA Society 2021 p7. Image
Why have I created a new image?

There are aspects of previous image I am uncomfortable with.
Read 18 tweets
Nov 19, 2024
This meme was first published by Sally Cat on facebook. It is not a "joke". Its bullying by its creator.

If I edited this meme to have Sally Cat's face on it, & saying "It is all makes sene of why she was such an incompetent, arrogant, under-qualified twat"; that edited meme would be viewed as bullying.Image
Sally Cat's views on me, since they created this meme, also show that this meme is an accurate reflection of their views on me; i.e., the meme is not meant to be taken as a "joke".
I would ask anyone who claims the meme is a "joke", how is claiming anyone is "incompetent, arrogant, under-qualified twat", is being nice towards the target of the "joke"? Would you be happy if someone called you "incompetent, arrogant, under-qualified twat"?
Read 7 tweets

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