Pathological Demand Avoidance Syndrome

Pathological Demand Avoidance Syndrome - Psychology, Special Needs, Health - Posted: 17th Apr, 2009 - 11:52am

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Pathological Demand Avoidance syndrome (PDA) is a pervasive developmental disorder.
13th Apr, 2009 - 6:24pm / Post ID: #

Pathological Demand Avoidance Syndrome

PATHOLOGICAL DEMAND AVOIDANCE SYNDROME

LDS_forever led me to this and I found it very close to Felipe's characteristics:

QUOTE
PDA is related to, but separate from, what is currently termed the autistic spectrum, namely autism and Asperger syndrome. Individuals with PDA are typically socially manipulative with people, and are thus superficially socially skilled, which sets them apart from autism and Asperger syndrome.

People with PDA usually have good eye contact, and use this to good effect when socially manipulating others. They lack self identity, and children find it difficult to recognise that they are not adult, and seldom identify with other children. While people with PDA usually know how others should behave, they are unable to include themselves within these expectations. They are often imitative of inappropriate behaviour, and it is for this reason that, wherever feasible, support should be given in mainstream school to provide them with as normal a peer group as possible. They show an obsessive need to dominate in social interactions, and to ensure that everything is done on their own terms, and often come across as overbearing. It is helpful to view this behaviour as a defensive strategy that is borne out of deep anxiety about the demands that they fear will be made of them, and a need to control their environment to prevent this.

Ref. Source 7

I marked the parts in bold that are very akin to Felipe's outlook and what we have to deal with on a daily basis. Now here is some key info:

QUOTE
Some children try to keep a very low profile, trying to blend in to avoid any attention being drawn to them, and this has been described by some as the 'Camouflage Effect'; however, when they receive unwanted attention they may become actively disruptive. Some hit out or swear as another way of stopping imminent demands. These two types of PDA behaviour both seem anxiety-induced and might be described as 'actively passive' to 'actively disruptive'; they could be seen as possible sub-groups, but some children move from one type of behaviour to another at different ages. It is important to remember that these children do not choose to behave in these ways. It is their inability to cope with what they perceive as the stress of everyday demands that manifests itself differently according to their individual personalities, and possibly underlying cognitive deficits and neurological pathologies.


With Felipe he does not fit the "Some children try to keep a very low profile", but he does hit out when asked for the most simple of things such as to pick up his shoes or bring a book, so I would say that he is actively disruptive PDA.



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13th Apr, 2009 - 7:03pm / Post ID: #

Syndrome Avoidance Demand Pathological

It seems this is what Felipe has since most with PDA are diagnosed later having been diagnosed first with autism. Having said that, the key elemeny is:

QUOTE
It is important to remember that these children do not choose to behave in these ways. It is their inability to cope with what they perceive as the stress of everyday demands that manifests itself differently according to their individual personalities, and possibly underlying cognitive deficits and neurological pathologies.


It is not something the child chooses to do but his inability to cope with also underlying cognitive deficits, in Felipe's case clearly ADHD.



13th Apr, 2009 - 7:42pm / Post ID: #

Pathological Demand Avoidance Syndrome Health & Special Psychology

Yes, well regardless to the specifics it is obvious he is not willfully behaving like that it is rather spontaneous and reactive. It is like someone being thrown into a cold lake, they just shout and act without much thought about the surrounding but instead react to the freezing water, in Felipe's case the 'cold lake' is just basic tasks of day to day living. It will be nice to read something on how it is managed in adulthood. I noticed there was some listed source material, hopefully we can get a hold of those. There is an Email listed, you should check if its listed.



17th Apr, 2009 - 11:52am / Post ID: #

Syndrome Avoidance Demand Pathological

This is a very new diagnosis because it is based on a single study with very few children so doctors continue diagnosing PDA children with autism. Lots of more research is needed.




 
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