Dimensions of difficulty in children reported to have an autism spectrum diagnosis and features of extreme/'pathological' demand avoidance

Child and Adolescent Mental Health
Elizabeth O'NionsFrancesca Happé

Abstract

A subset of individuals with autism spectrum disorder (ASD) resemble descriptions of extreme/'pathological' demand avoidance, displaying obsessive avoidance of everyday demands and requests, strategic or 'socially manipulative' behaviour and sudden changes in mood. Investigating challenging presentations using dimensional description may prove preferable to identifying subgroups. However, there remains an imperative to explore which behavioural traits appear most problematic to inform quantitative investigation. This study provides an in-depth exploration of parent perspectives on maladaptive behaviour in children reported to have an autism spectrum diagnosis and features of extreme/'pathological' demand avoidance. Parents completed a tailored semistructured interview about their child's behaviour, focusing on difficulties relevant to descriptions of extreme/'pathological' demand avoidance. The 26 interviews rated as scoring above threshold for 'substantial' features of extreme/'pathological' demand avoidance on relevant indicators were analysed qualitatively using a general inductive approach. New themes that emerged from these data included attempts by the child to control situations and others' activities. Avoidance behaviou...Continue Reading

References

Apr 12, 2002·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Lorna WingMichael Larcombe
Oct 16, 2004·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Beth Werner DeGrace
Jan 27, 2009·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Argyris Stringaris, Robert Goodman
Apr 10, 2010·Journal of Intellectual Disability Research : JIDR·M ChowdhuryC J McDougle
Jan 24, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·Lawrence ScahillUNKNOWN Research Units on Pediatric Psychopharmacology Autism Network
Oct 30, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·L Eugene ArnoldKimberly A Stigler
Oct 10, 2013·Autism : the International Journal of Research and Practice·Elizabeth O'NionsFrancesca Happé
Oct 15, 2013·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Elizabeth O'NionsFrancesca Happé
Nov 26, 2013·Journal of Autism and Developmental Disorders·Christina BoulterJacqui Rodgers
Nov 16, 2014·European Child & Adolescent Psychiatry·Christopher GillbergEva Billstedt
Jun 1, 2004·Research and Practice for Persons with Severe Disabilities : the Journal of TASH·Joseph M LucyshynJeffrey R Sprague
Feb 13, 2016·Journal of Applied Research in Intellectual Disabilities : JARID·Anna R HodgsonJacqui Rodgers

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Citations

Aug 25, 2018·Journal of Autism and Developmental Disorders·Vincent EganElizabeth O'Nions
Nov 1, 2018·Child and Adolescent Mental Health·Elizabeth O'Nions, Ilse Noens
Feb 9, 2019·Journal of Autism and Developmental Disorders·Alexandra M SlaughterElena L Grigorenko

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