【科普】为什么被说了就不做?病理性要求回避 |Pathological Demand Avoidance|PDA|孤独症谱系障碍|阿斯伯格|ASD|自闭症

合集 · 谱系宝如何学习? (5)

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    【科普】谱系宝宝健康适合的学习方式有哪些?(1)VARK学习方式 | 孤独症谱系障碍 | Autism Spectrum | 阿斯伯格 | 星星的孩子
  2. 8:26
    【科普】我们谱系宝的小脑瓜里都在想什么?独特思维VS如何学习 |孤独症谱系障碍|Autism Spectrum Disorder |阿斯伯格|自闭症谱系障碍
  3. 7:23
    【科普】孤独症谱系人群的执行能力特点与挑战 | ASD | 阿斯伯格综合征 | 自闭症 | 学习 | Autism Spectrum | Aspie
  4. 8:14
    【科普】为什么被说了就不做?病理性要求回避 |Pathological Demand Avoidance|PDA|孤独症谱系障碍|阿斯伯格|ASD|自闭症
  5. 8:43
    【科普】PDA如何预防与恢复?病理性要求回避|Pathological Demand Avoidance|PDA|孤独症谱系障碍|阿斯伯格|ASD|自闭症
Description
写作业!就不写!
洗衣服!就不洗!
去扫地!就不去!
哪怕是原本想要做的事情,一旦被说就浑身抗拒~
你也有遇到类似的烦恼吗?
希望这个视频能给你带来一些帮助
下一期:病理性要求回避 如何预防与恢复~

【参考文献】
PDA 最早期、最具影响力的定义文章,提出 PDA 作为一种独特特质的原因:
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. https://doi.org/10.1136/adc.88.7.595
提出“不确定性容忍度低 + 高焦虑”是 PDA 行为的核心机制之一:
Stuart, L., Grahame, V., Honey, E., & Freeston, M. (2020). Intolerance of uncertainty and anxiety as explanatory frameworks for extreme demand avoidance in children and adolescents. Child and Adolescent Mental Health, 25(2), 59–67. https://doi.org/10.1111/camh.12336
通过大量访谈数据总结 PDA 的典型行为特征,是目前最常被引用的特质描述研究:
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. https://doi.org/10.1007/s00787-015-0740-2
关注“成人 PDA 特质”的量化研究,说明 PDA 并非仅限儿童阶段:
Tyrer, P., Cooper, S.-A., & Smith, P. (2019). The measurement of adult pathological demand avoidance traits. Journal of Autism and Developmental Disorders, 49(2), 481–494. https://doi.org/10.1007/s10803-018-3722-7
介绍 PDA 目前的四种学术观点,是了解 PDA 争议性与多元解释的好入口:
Woods, R. (2021). Pathological demand avoidance (PDA): Its four schools of thought. Developmental Psychology Forum, 94, 10–14. https://doi.org/10.53841/bpsdev.2021.1.94.10
总结 PDA 最新研究现状,并讨论为何 PDA 仍未被所有诊断系统正式接受:
Unver, M. (2023). Pathological demand avoidance: Current state of research and critical discussion. [Preprint]. https://doi.org/10.31234/osf.io/87azd
父母报告服务对他们孩子的复杂/非常规ASD-型 PDA 表现理解不足,需要更个性化和基于个案构式的服务:
Nawaz, S., & Speer, S. (2025). What are the experiences and support needs of families of autistic children with Extreme (or Pathological) Demand Avoidance behaviours? Research in Autism Spectrum Disorders. doi:10.1016/j.rasd.2024.102515