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Mapping experiences of pathological demand avoidance in Ireland

Bibliographic Data

ID21722976
AuthorsAlison Doyle (0000-0002-2121-0109, Caerus Education Ireland, corresponding author), Neil Kenny (0000-0002-2340-6586, School of Inclusive & Special Education Dublin City University Ireland)
Year2023
Volume23
Issue1
Pages52-61
Publication date2023-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Research in Special Educational Needs (JOURNAL)
Journal identifiersISSN: 1471-3802 • E-ISSN: 1471-3802
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1471-3802.12579
OpenAlexW4308914907
LanguageEN
Citations received4
References cited22

Pathological demand avoidance (PDA) is contended to be a distinct presentation within autism characterised by extreme levels of anxiety in response to the demands of everyday life, manifested in excessive levels of demand avoidance. This results in complex interactions with service providers in education and health settings, impacting on outcomes for individuals and their families. This national study sought to gather the viewpoints of individuals who experience PDA, families, and practitioners, with the intention of determining levels of knowledge, recognition and understanding of PDA; exploring current pathways to assessment and diagnosis; capturing experiences of access to education and healthcare services; identifying effective intervention and support strategies; and illuminating education and health outcomes for individuals and families. This mixed‐method study collates survey responses from N = 264 parents, N = 9 life partners, N = 6 individuals experiencing PDA and N = 54 practitioners, and in‐depth individual and focus group interviews from these cohorts. Findings suggest that a flexible, informed and individualised approach to assessment and service provision for individuals presenting with a PDA profile is essential. Practitioners universally referred to the necessity for a streamlined, integrated and multi‐disciplinary approach. The reported disconnect between education and health systems indicates a need for access to services on an equitable basis

Business · Focus group · Medical education · Psychological intervention · Service provider · Viewpoints · Autism Spectrum Disorder Research · Child Nutrition and Feeding Issues · Family and Disability Support Research · Medicine · Nursing · Psychology · Marketing

  • Examining the relationship between anxiety and pathological demand avoidance in adults

    Open Access•Maria S Johnson, Matt Johnson et al.•Frontiers in Education•2023

  • Methods of studying pathological demand avoidance in children and adolescents

    Open Access•Lauren Haire, Jennifer E Symonds et al.•Frontiers in Education•2024

  • Practicing psychologists’ accounts of demand avoidance and extreme demand avoidance in children and adolescents

    Open Access•Lauren Haire, Jennifer E Symonds et al.•Frontiers in Education•2023

  • “I Saw Things through a Different Lens…”

    Open Access•Claire O’neill, Neil Kenny•Education Sciences•2023

  • A Hybrid Approach to Thematic Analysis in Qualitative Research

    Jon Swain•A Hybrid Approach to Thematic…•2018

  • Anxiety in children and adolescents with autism spectrum disorders

    Open Access•Susan W White, Donald P Oswald et al.•Clinical Psychology Review•2009

  • Using Ecological Frameworks to Advance a Field of Research, Practice, and Policy on Aging-in-Place Initiatives

    Emily A Greenfield•The Gerontologist•2012

  • An approach to supporting young people with autism spectrum disorder and high anxiety to re-engage with formal education – the impact on young people and their families

    Open Access•David Preece, Marie Howley•International Journal of…•2018

  • Pathological demand avoidance

    Open Access•Allison Moore•Global Studies of Childhood•2020

  • Research Design

    Open Access•Atlanta Sloane-Seale•Canadian Journal of University…•2009

  • Designing and Conducting Mixed Methods Research

    John W Creswell, Vicki L Plano Clark•Designing and Conducting Mixed…•2017

  • Demonstrating Rigor Using Thematic Analysis

    Open Access•Jennifer Fereday, Eimear Muir-Cochrane•International Journal of…•2006

Unique citing works4
Citations per year1,33
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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Open DOIOpen Access
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