Table 1.
Three-part interactional pattern.
| Case no | Age | Sex | ADOS result | Pattern | 1. Preface | 2. Contradictory evidence | 3. Re-alignment | Helpfulness | Co-conditions | Outcome |
|---|---|---|---|---|---|---|---|---|---|---|
| Adult team 1 (11 cases discussed in total, 1 with outcome) | ||||||||||
| 2 | 51–60 | Male | Under threshold (4) | Three part | Constraining | Under threshold on ADOS | Compensatinga; under-reporting | Yes | Yes | Diagnosed ASC |
| Adult team 2 (16 cases discussed in total, 10 with outcome) | ||||||||||
| 12 | 26–35 | Female | ADOS score not mentioned | No (straightforward) | Constraining | n/a | No contradictory evidence | No | Yes | Diagnosed ASC |
| 13 | 36–50 | Female | Under threshold (2) | Three part | Constraining | Under threshold on ADOS | Compensating | Yes | None mentioned | Diagnosed ASC |
| 14 | 18–25 | Male | Too difficult to score | Three part | Constraining | Traits; social difficulties; variable eye contact; delayed language development | BEDCb (schizoid personality disorder) | Yes | Yes | Not diagnosed |
| 15 | 51–60 | Female | ADOS not mentioned | No (straightforward) | Constraining | n/a | No contradictory evidence | Yes | Yes | Diagnosed ASC |
| 16 | 18–25 | Female | Meets threshold (7) | No (straightforward) | Constraining | n/a | No contradictory evidence | Yes | None mentioned | Diagnosed ASC |
| 19 | 26–35 | Female | Under threshold (2) | No (straightforward) | Constraining | n/a | No contradictory evidence | No | None mentioned | Not diagnosed |
| 21 | 36–50 | Female | Under threshold (2) | Three part | Constraining | History and AQ10/RQ suggestive of ASC; repetitive behaviours | BEDC (OCD/ADHD/attachment) | Yes | Yes | Not diagnosed |
| 22 | 36–50 | Female | Meets threshold (9) | Three part | Constraining | Social interaction ok; lot of gesture | Compensating | Yes | Yes | Diagnosed ASC |
| 25 | 26–35 | Male | Under threshold (4) | Three part | Constraining | Special interests | BEDC (anxiety) | Yes | Yes | Not diagnosed |
| 26 | 26–35 | Male | Meets threshold (11) | No (straightforward) | Constraining | n/a | No contradictory evidence | Yes | None mentioned | Diagnosed ASC |
| C&YP Team 1 (20 cases discussed in total, 12 with outcome | ||||||||||
| 28 | 5–10 | Female | Under threshold | Two part | Neutral | Parental report | Over-reporting | Yes | Yes | Not diagnosed |
| 31 | 14–18 | Female | Meets threshold | Three part | Constraining | Over threshold on ADOS; history and symptoms suggestive of ASC | BEDC (depression/neglect) | Yes | Yes | Not diagnosed |
| 32 | 14–18 | Male | Under threshold | Three part | Constraining | Language difficulties; traits; repetitive behaviours | BEDC (neglect/language difficulties) | Yes | Yes | Not diagnosed |
| 34 | 14–18 | Female | Not discussed (didn't do full ADOS) | Two part | Neutral | Good eye contact, insight, facial expression; no language difficulties | Compensating (gender) | Yes | Yes | Diagnosed ASC |
| 36 | 14–18 | Male | Meets threshold | Three part | Constraining | Good social manner, eye contact, social play | Compensating | Yes | Yes | Diagnosed ASC |
| 37 | 11–13 | Male | Meets threshold (9) | Three part | Constraining | Other prof and one parent believes not-ASC | ADOS is clearly above threshold; some compensating | Yes | Yes | Diagnosed ASC |
| 38 | 5–10 | Male | Meets threshold | No (straightforward) | Constraining | n/a | No contradictory evidence | Yes | Yes | Diagnosed ASC |
| 40 | 5–10 | Female | Meets threshold | Three part | Constraining | Non verbals under threshold on 3di; some gesture | Compensating; under-reporting | Yes | Yes | Diagnosed ASC |
| 41 | 11–13 | Female | Meets threshold | Three part | Constraining | Absence of observed repetitive behaviours | Subsequent report of repetitive behaviours; no other explanation | No | Yes | Diagnosed ASC |
| 42 | 5–10 | Male | Meets threshold (9) | Three part | Constraining | Eye contact, non-verbals, emotion recognition OK; other profs believe not-ASC | Compensating | Yes | Yes | Diagnosed ASC |
| 44 | 5–10 | Male | Meets threshold | Three part | Constraining | Gets on well socially, lots of friends; language within normal limits | Parents under reporting; compensating | Yes | Yes | Diagnosed ASC |
| 47 | 5–10 | Male | Meets threshold | Three part | Constraining | Good non-verbals, eye contact, language, pretend play/conversation; no echolalia | Compensating | Yes | Yes | Diagnosed ASC |
| C&YP Team 2 (4 cases discussed, all outcomed) | ||||||||||
| 48 | 14–18 | Female | Meets threshold (not yet scored up) | Three part | Constraining | Early to talk; no mannerisms; uncertain about stereotypical/repetitive language | High 3di scores; ‘enough there' | Yes | Yes | Diagnosed ASC |
| 49 | 5–10 | Male | Meets threshold (not yet scored up) | Three part | Constraining | Good at recognising emotion, social/creative play; some gesture; socially motivated | Compensating | Yes | Yes | Diagnosed ASC |
| 50 | 14–18 | Female | Under threshold | Three part | Constraining | Under threshold on ADOS; good gestures, rapport, eye contact, facial expressions, imagination, building conversation | Compensating (gender); complicated by anxiety | Yes | Yes | Diagnosed ASC |
| 51 | 14–18 | Female | Meets threshold (not yet scored up) | Three part | Constraining | Good insight, gesture; some emotion recognition, roleplay/creativity | Compensating | No | Yes | Diagnosed ASC |
a
Compensating includes: learned behaviours, taught strategies, training (eg in presentation skills), masking and camoflauging; putting on a show.
b
BEDC Better explained by different condition.