Encyclopedia of Autism Spectrum Disorders

Living Edition
| Editors: Fred R. Volkmar

Pathological Demand Avoidance (PDA)

  • Richard WoodsEmail author
Living reference work entry
DOI: https://doi.org/10.1007/978-1-4614-6435-8_102293-1



Elizabeth Newson developed the concept of pathological demand avoidance (PDA) to describe a subset of children referred to her clinic based in Nottingham, UK, in the 1970s (Newson et al. 2003), Newson applied the term PDA to children that were traditionally diagnosed as either having pervasive developmental disorder-not otherwise specified or atypical autism, yet both parents and clinicians thought these terms did not adequately describe the child’s presenting difficulties (Newson et al. 2003). Consequently, PDA was first proposed in 1980 as a distinct pervasive development disorder with the following behavior profile (Gillberg 2014): consistent resistance to every day demands, ease at role play and pretend, language delay due...

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References and Reading

  1. Christie, P. (2007). The distinctive clinical and educational needs of children with pathological demand avoidance syndrome: guidelines for good practice. Good Autism Practice, 8(1), 3–11.Google Scholar
  2. Gillberg, C. (2014). Commentary: PDA – public display of affection or pathological demand avoidance? – reflections on O’Nions et al. (2014). Journal of Child Psychology and Psychiatry, 55(7), 769–770.CrossRefGoogle Scholar
  3. Green, J., Absoud, M., Grahame, V., Malik, O., Simonoff, E., Le Couteur, A., & Baird, G. (2018). Pathological Demand Avoidance: symptoms but not a syndrome. Lancet Child & Adolescent Health, 2(6), 455–464.CrossRefGoogle Scholar
  4. Langton, E., & Frederickson, N. (2016). Mapping the educational experiences of children with pathological demand avoidance. Journal of Research in Special Educational Needs, 16(4), 254–263.CrossRefGoogle Scholar
  5. Milton, D. E. M. (2017). A Mismatch of Salience: Explorations of the nature of autism from theory to practice. Hove: Pavilion Publishing and Media Ltd..Google Scholar
  6. Newson, E., Le Maréchal, K., & David, C. (2003). Pathological demand avoidance syndrome: a necessary distinction within the pervasive developmental disorders. Archives of Disease in Childhood, 88(7), 595–600.CrossRefGoogle Scholar
  7. Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal of Clinical Pediatrics, 7(1), 9–26.CrossRefGoogle Scholar
  8. O’Nions, E., Christie, P., Gould, J., Viding, E., & Happe, F. (2014). Development of the ‘Extreme Demand Avoidance Questionnaire’ (EDA-Q): preliminary observations on a trait measure for Pathological Demand Avoidance. Journal of Child Psychology and Psychiatry, 55(7), 758–768.CrossRefGoogle Scholar
  9. O’Nions, E., Gould, J., Christie, P., Gillberg, C., Viding, E., & Happé, F. (2016). Identifying features of ‘pathological demand avoidance’ using the Diagnostic Interview for Social and Communication Disorders (DISCO). European Child & Adolescent Psychiatry, 25(4), 407–419.CrossRefGoogle Scholar
  10. O’Nions, E., Viding, E., Floyd, C., Quinlan, E., Pidgeon, C., Gould, J., & Happé, F. (2018). Dimensions of difficulty in children reported to have an autism spectrum diagnosis and features of extreme/‘pathological’ demand avoidance. Child and Adolescent Mental Health, 23(3), 220–227.CrossRefGoogle Scholar
  11. Woods, R. (2017). Pathological demand avoidance: my thoughts on looping effects and commodification of autism. Disability & Society, 34(5), 753–758.CrossRefGoogle Scholar
  12. World Health Organisation. (2018). ICD-11: The 11th revision of the international classification of diseases. Geneva: World Health Organisation. Available at: https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/120443468.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Independent ScholarNottinghamUK