Reflecting on this thread & a concern-fear of mine; "PDA Profile of ASD" & "Profound Autism" advocates working together, or each group co-opting the other's proposed autism subgroup.
Reflecting on this. I think there are a some of reasons why this fear maybe irrational.
- How both groups are portraying autism seems contradictory/ incompatible.
- "PDA Profile of ASD" relies on PDA being autism.
- Many autistic persons seem happy PDA being autism.
As set out in the previous thread & is recognised elsewhere in critique of "Profound Autism", it basically relies upon old fashioned linear functioning spectrum of autism.
Previous tweet contains a link to an article advocating "Profound Autism", & what seems to be a false binary of LFA - HFA. With "Profound Autism" equivalent to LFA & non-disabled Aspergers equivalent to HFA.
As the below images shows, "PDA Profile of ASD" seems to perpendicular to LFA-HFA spectrum. This matters, PDA is meant to be highly impairing/ disabling to people who have high intelligence/ "cognitively able", which contradicts "Profound Autism" portrayal of autism.
There is merit to this outlook, as most PDA research & discourse focuses on autistic persons, especially children who often be diagnosed with Asperger's PDD-NOS equivalents. This has been a thing going back to even Newson's research.
Below is Newson's last diagram from Newson et al 2003, p599. It compares PDA to Asperger's Syndrome & Autistic Disorder. PDA is placed directly opposite Asperger's, while Autistic Disorder is placed directly opposite to Specific Language Impairments.
"Profound Autism", depending on who you ask, is an autism subgroup by referring to autistic persons with intellectual disability &/ or language impairment: thelancet.com/journals/lance…
"A comprehensive outlook that acknowledges impairments, capabilities, co-occurring conditions, and environmental factors would be useful for identifying subgroups of individuals..."
Waizbard-Bartov et al 2023, Abstract.
Waizbard-Bartov et al 2023 has a different definition for "Profound Autism" versus Lancet Autism Commission report. The point is the co-occurring difficulties being used to create autism subgroups, as autism itself cannot be successfully divided.
This feeds into second reason why I think "PDA Profile of ASD" is incompatible with "Profound Autism", "PDA Profile of ASD" has an axiom of:
PDA features = autism features.
"PDA Profile of ASD" advocates argue PDA do not accept PDA features are non-autism features.
Many of you will be aware I am highly critical of assumption PDA features = Autism features & the implications of this.
Point is "PDA Profile of ASD" supporters are working with a different axiom to subgrouping autism, compared to "Profound Autism" supporters!
An example of the problems I think assuming PDA features = autism features cause, can be found in the below thought experiment: researchgate.net/publication/36…
Third & final reason why "PDA Profile of ASD" is incompatible with "Profound Autism", is that autistic persons, seem to have different views/ reactions to both constructs.
Many-most autistic persons seem to be taking a strong stance against "Profound Autism". While for "PDA Profile of ASD", the reaction is more divided, but there is a sizeable number of autistic persons supporting "PDA Profile of ASD".
Why does this matter to "Profound Autism" supporters?
"Profound Autism" supporters are attacking autistic persons, seemingly trying to discredit us & our views.
If as it seems that "Profound Autism" advocates are deliberately attempting to silence autistic criticism of "Profound Autism" & paint us as the "bad guys", then adopting "PDA Profile of ASD" with its many social model neurodiversity supporters, is going to undermine that agenda.
Point is if social model neurodiversity supporters are the bad guys, one if not unlikely to ally/ co-opt a notion, like "PDA Profile of ASD", which many social model neurodiversity supporting autistics, seem to support; or vice versa. It would make people look silly.
Despite these reasons are good reasons for "PDA Profile of ASD" supporters & "Profound Autism" supporters to work together/ co-opt each others terms.
Fundamentally, both groups are trying to make autism subgroups...
The discourse & advocacy efforts of both "Profound Autism" & "PDA Profile of ASD" seem to be highly similar, as I point out in the below thread: threadreaderapp.com/thread/1603064…
Also, "Profound Autism" advocates will likely realise that they can attempt to control autistic persons better if they pathologise our self-agency using "PDA Profile of ASD"...
I will end with saying that much of the problems & critique of "Profound Autism", also seems to have been made about "PDA Profile of ASD". Which is useful & good to know.
@neuroteachers@meleapress What I can say, I overthink things, asking tell me why things are as they are.
@neuroteachers@meleapress In the case of previous tweet about PDA should not be researched. Not in any order of importance. 1) There is a good case PDA is not clinically needed. 2) A robust ethical case for PDA is still to be presented.
@neuroteachers@meleapress 3) Demand for PDA is primarily driven by non-autistic stakeholders. 4) Most autistic persons do not want autism divided into subgroups, we did not ask for PDA to start being diagnosed as an autism subgroup, it was something Christie & others attributed to us...
In this case, why Lord backed my view on how the ADOS-2 seems to be used by "PDA Profile of ASD" advocates.
"level 3 social communication entails “very limited initiation of social interactions, and minimal response to social overtures from others”..."
"...while level 1 social communication entails “difficulty initiating social interactions, and clear examples of atypical or unsuccessful response to social overtures of others.”
Waizbard-Bartov et al 2023, p2.
Reflecting on how my "expertise"/ knowledge-experience base is constantly growing. Hence, so is my credibility. Raises the question of:
At what threshold are "PDA Profile of ASD" proponents going to start respecting me & take my work seriously?
Catalyst for this has been reflecting on some comments responding to Singer et al 2022, where they object to being challenged for using terms autistic community generally dislikes. Link to Singer et al 2022 below: onlinelibrary.wiley.com/doi/full/10.10…
It is the claims by Singer et al 2022 of proponents of things like "Profound Autism", or using medical model based terms being challenged for using such terms.
@ADHDCraig1973 I think there is some merit as to what you say. Although, my knowledge on ODD is no where that of autism or PDA. I am aware of most of the points you make, which contribute to view that it is reasonable to view PDA is an ADHD subgroup.
@ADHDCraig1973 "The distinction between these terms is, at best, subtle, and there has been little effort to consider how differing terms overlap or to use objective methods to differentiate phenomena along meaningful lines..."
Probably the most PDA article I have seen, which is not actually about PDA.
Article is open access. frontiersin.org/articles/10.33…
Article does include demand-avoidance as a type of initiation.
The article is pretty much case & point about issues being created by bias of "PDA Profile of ASD" proponents in PDA diagnoses & research.
"Difficulty initiating voluntary action is an under-recognized and often invisible impairment in various psychiatric, neurodevelopmental, and neurological conditions...