Objective: To identify evidence-based behavioural interventions used to decrease restricted and repetitive behaviour (RRB) in children with autism (ages 0-18); to understand the application of these strategies within the PEO (Person,... more
Objective: To identify evidence-based behavioural interventions used to decrease restricted and repetitive behaviour (RRB) in children with autism (ages 0-18); to understand the application of these strategies within the PEO (Person, Environment, Occupation) Model of Occupational Performance and the role of the occupational therapist in addressing this limitation. Background: RRB is a core feature of autism that often impedes functional behaviour. Decreasing RRB to enable functional behaviours is central to the occupational therapist's role with this population. Many interventions identified as effective for this impairment are based on the principles of applied behaviour analysis (ABA). Method: An integrative review of the literature was completed to identify interventions targeting RRBs. Those found to be effective are described within an ABA framework and within the PEO Model of Occupational Performance. Results: This review identified twenty-eight effective interventions used to treat RRBs in autism relevant to the field of occupational therapy. Categorization of interventions using an ABA framework and the PEO Model allowed comparison between approaches and application to occupational therapy practice. Conclusion: A functional behaviour approach (FBA) used in combination with the PEO model will enable greater understanding of RRBs and provide a more comprehensive approach to the treatment of RRBs in children with autism.
Psychologists, therapists and other professionals that are concerned in the wellbeing of all creation are in the business of promoting and maintaining good health. The paper titled “Management of Autistic Children’’ discussed how Autistic... more
Psychologists, therapists and other professionals that are concerned in the wellbeing of all creation are in the business of promoting and maintaining good health. The paper titled “Management of Autistic Children’’ discussed how Autistic individuals and their parents can be helped with the emotional and psychological problems they are passing through. The paper highlighted the concept of Autism, its obvious characteristics in communication, social development and repetitive behaviour. Furthermore, it discussed how best to improve the management of Autistic individuals. The roles of parents and guidance Counsellors in the management of Autistic Children were highlighted. It was recommended that there should be testing of Autistic individuals to ascertain the particular learning style he/she is best suited for. Individual counseling of parents of the affected ones would also be of great help and encouragement to them.
A prominent symptom of Autism Spectrum Disorder includes restricted and repetitive behaviours. This symptom has been divided into three subtypes: repetitive motor behaviour, insistence on sameness and circumscribed... more
A prominent symptom of Autism Spectrum Disorder includes restricted and repetitive behaviours. This symptom has been divided into three subtypes: repetitive motor behaviour, insistence on sameness and circumscribed interests. In the past, the neural correlates of these behaviours have been largely understudied. More recently, neuroimaging studies have pointed to a number of neural networks that may underlay these behaviours. However, results from this work have been varied and remain difficult to integrate. The purpose of this review is to summarize recent neuroimaging studies on restricted and repetitive behaviours in autism, and to provide an organized framework that will permit a clearer understanding of the neural correlates of these behaviours. Using a developmental perspective, this review will identify that there are distinct and overlapping neural networks that are associated with repetitive motor behaviour, insistence on sameness and circumscribed interests. In addition, this review will identify a series of executive and affective function tasks that have proven efficacious in the study of repetitive behaviour
