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Dimensions of difficulty in children reported to have an autism spectrum diagnosis and features of extreme/‘pathological’ demand avoidance.
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- Author(s): O'Nions, Elizabeth; Viding, Essi; Quinlan, Emma; Pidgeon, Connie; Happé, Francesca; Floyd, Caroline; Gould, Judith
- Source:
Child & Adolescent Mental Health. Sep2018, Vol. 23 Issue 3, p220-227. 8p. - Source:
- Additional Information
- Subject Terms: DIAGNOSIS of autism; CONTROL (Psychology); ADAPTABILITY (Personality); AFFECTIVE disorders; AUTISM; AVOIDANCE (Psychology); CHILD behavior; INTERVIEWING; MANIPULATIVE behavior; RESEARCH methodology; PHOBIAS; QUALITATIVE research; PARENT attitudes; PERVASIVE child development disorders; DISEASE complications
- Abstract: Background: 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. Method: 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. Results: New themes that emerged from these data included attempts by the child to control situations and others’ activities. Avoidance behaviours in this sample could be described as ‘strategic’ rather than ‘manipulative’. A range of factors, including a negative emotional response to demands, but also phobias, novelty, and uncertainty, were perceived to play a role in triggering extreme behaviour. Conclusions: These descriptions highlight the importance of systematically measuring noncompliance, attempts to control situations and others' activities, and extreme mood variability in individuals with ASD. These dimensions represent important targets for intervention, given their considerable impact on daily life. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Child & Adolescent Mental Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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