Pathological demand avoidance syndrome: a necessary distinction within the pervasive developmental disorders
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    Pathological demand avoidance syndrome or psychiatric disorder?

    Dear Editor

    In the recent issue of the Archives, Newson et al.[1] make the case for a distinctive "pathological demand avoidance syndrome". This arose out of the work by the authors in a clinic for children with problems in communication.

    These children are described as having a tendency to avoid or resist ordinary demands, to have surface sociability but a lack of sense of identity, pride and sham...

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    Conflict of Interest:
    None declared.