Understanding “School Can’t” and Pathological Demand Avoidance (PDA) Shifting from a ‘school refusal’ to a ‘school can’t’ lens Often there are experiences around school participation and engagement that can be worrying, exhausting, and confusing. With an increase in disengagement and reduced attendance at school, followed by avoidance, distress, and feeling emotions intensely, these can be an indication that there are environmental factors in the learning environment signifyi