546 0 obj Boyd BA, McDonough SG, Bodfish JW. <> 531 0 obj But, may also be a coping technique for feelings of stress, frustration, anger, etc. Chewing can be a self-stimulatory behavior. (2000). WebSomeone could use this as Stimming , it's just like hand flapping, twiddling a pen, jumping , may be that's why he does this. My twin diagnosed with Autism is ripping up paper, books (even though he loves reading books), etc, in fact if it can be ripped up he will). Completion of an FBA or noting when, where, and what occurs before or after the behavior to determine the reason. Autism Speaks Autism Response Team is also available to assist. For instance, behaviors like finger flicking and twirling can become excessive and/or obtrusive in someone who is autistic. To be diagnosed with autism, a person needs to meet all three of the following DSM-5 criteria: Stimming does not need to be medically treated unless it is harmful to the person or people around them. Definitions of the problem and replacement behaviors should contain precise descriptions of the students actions so that when they occur they can be reliably identified, measured, or counted in some way. The Division on Autism and Developmental Disabilities is an organization composed of persons committed to enhancing the quality of life of individuals, especially children and youth, with autism, intellectual disability, and other developmental disabilities. h&1j-P+AokBM6{g/\Vv|,9.GER5XkgbS2;6\P:[i{|=>u}NK*b These stimming examples often reinforce the stigmatization of autistic people. -Attach a teether to the childs clothing with a pacifier clip.Provide clay or soft balls to squeeze.-Roll up a bandana and tie a knot in the middle. Choose behaviors that can get the students needs met more quickly or with less effort than the non-desired behavior. Celestte has spent a life-long career educating young children. Beavers GA, Iwata BA, Lerman DC. They just get everywhere, including the walls where she chews it up and spits it out over them. Slowly increase the demands over time. Many times, the behaviors of children with autism dont make sense on the surface. reduce anxiety and calm themselves. Learn more about this intervention here . EXAMPLES: walking around the classroom without permission, talking without permission, participating in non-assigned activities. For example if the child bites him/herself, provide a topper on pencils, or straws, gum, pieces of candy such as licorice or gummy bears. uuid:d475c425-abce-11b2-0a00-782dad000000 QD"K3!tjU[%N2FFUg3PPN$ryV <>stream
Web-Refusal to change eating habits, clothing choices, etc., from one day to the next -Difficulty sleeping if traveling, away from home, or the bedtime routine is different As rigidity is a core characteristic of Autism, treating or intervening on it must be approached carefully. Joseph is creating a negative classroom atmosphere. Is there a connection between autism and pica or other eating disorders?. Provide clay or soft balls to squeeze. A brief functional analysis of aggressive and alternative behavior in an outclinic setting. `b~Ru`aaCFfXi5\K$}\!
clcPhl-1psK~l0>3g{+#LV>2TA#:Z5GDWOp[u~vJn[RU 2023 The Watson Institute | Privacy Policy. Quickly respond to the child who has bitten by saying (in a firm tone), No. For terms and use, please refer to our Terms and Conditions <>/MediaBox[0 0 612 792]/Parent 17 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 46/Tabs/S/Type/Page>> endobj This may include use of pictures or an augmentative device. endobj Webset the occasion for a replacement behavior, (b) reinforcement procedures that support use of the replacement behavior, and (c) extinction procedures to be used when the target For these reasons, you and your childs healthcare team should keep her pica in mind if she becomes ill or develops related symptoms. The diagnosis of autism is made based on criteria that are outlined in the American Psychiatric Associations (APA) Diagnostic and Statistical Manual, Fifth Edition (DSM-5). * For refund and privacy policy information visit our Help & Support page. For example, aggressive behaviors like head-banging or hand-biting, or actions like nail-biting, self-scratching, or ear-clapping can cause physical injury. Sounds like a sensory stimuli and he is doing it to get stimulation, I would look at requesting friends or local services for old telephone directo The role of emotion regulation in autism spectrum disorder.J Am Acad Child Adolesc Psychiatry. Reduce Challenging Behavior Part 1: Biting. We dont need to necessarily get rid of them but rather teach discrimination on when these behaviors are appropriate. In the previous example, one should use reinforcement each time the child completes the work or appropriately asks for a break. endobj Environmental Modifications. This kind of sensory stimulation may be similar to other autism-related behaviors such as spinning or looking at lights. I got around this by having a box and put some papers, books etc into it and this is what he was allowed to rip up. Theres likely some detective work to be done before determining a good solution We begin to use tools and strategies (response to a behavior, practice strategies, and replacement tools that may help) during the documentation process. This tendency is relatively common in children and adults with autism or other developmental disabilities. Joseph makes rude comments when called on during class. <> Vacuum and sweep frequently. Lets get some ice. Invite the child who has bitten to help apply a cold compress to the area. If this has become an obsession then it's gently trying to Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. It commonly refers to behaviors displayed by people with autism spectrum disorder (ASD), such as flapping one's arms or rocking back and forth. BMJ Case Rep. 2018;2018:bcr2017223671. Hth. In ABA, we like to use strategies like modeling, visual cues, or other forms of least intrusive prompting. Pter Z, Oliphant ME, Fernandez TV. Generally, aggression includes potentially harmful behavior directed at another person and can include behaviors such as hitting, kicking, pinching, pulling hair, biting, and spitting. It can be hard to change stimming behaviors. Journal of Applied Behavior Analysis, 24(3), 509-522. endobj adapt to an unfamiliar environment. 2019;23(7):17821792. <>520 0 R]/P 388 0 R/Pg 530 0 R/S/Link>> _LqNX)o2c+dbpnR*4~i
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1e})TuPGu86 4 Let them know what kinds of nonfood items she tends to eat and in what situations. Stims are behaviors like rocking, hand-flapping, and repeating words or phrases. We've tried to replace the paper with toys like plastic people but unfortunately that didn't help. Working to assess the function of self-injurious behaviors can often be difficult. Specifically, DRA is prevalently by those who practice Applied Behavioral Analysis (ABA) on children with autism spectrum 3 . 534 0 obj In these cases, the pica may reflect a nutritional deficiency. aspiemum2twinsplus1, August 3, 2008 in General Discussion. You don't have to be autistic to "stim." Children with visual stimming behaviors are using a preferred type of visual input that they have control over to help them tune out competing and overstimulating forms of visual input they have no control over. I have the same thing. Actually both my younger two have a things for ripped paper although my daughter is by far the worst. Try the book "out of s So I greatly appreciate both your awareness of your daughters pica and your desire for advice. 545 0 obj One intervention prompted performance of the replacement behavior. You can post now and register later. -Roll up a -Attach a teether to the childs clothing with a pacifier clip. Speak to a healthcare provider if stimming behavior fits this description. The most common is sensory feedback. I recommend finding a specialist who has experience and skills with managing pica in individuals with developmental disabilities. In cases of more severe aggression, the behavior may be dangerous for those who care for the individual. "M;M/Id_`+=QaD`@ZbZ3PzlG^z4L8[|ZPwt~Lh#bw8~3ri?OM,50XVvggR1%-;pf.$gx%[8{\^vtY+3Z'&0`xdzkGjs5qb!{YeUJik\>7*|TvU Zqo93v=}hWAUd2{.9hqgPMEvo(u*+j/P0e2~(c~A5ol3ejeMpFUn_Ueu?CU &2_Lv`Y{|\Zu*
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hh>m6Z'K%Z9*#n[MGDeq/w,kaTirgF`( ' -sWw]xCueh|F==Fr"g#1uLZ?Lv*0,MEX>"P#81-iSgao&WZ.q/vM]]vqiUdu0+;Aj iThMbii3Vchj;i{+\K Home > 20 0 obj endobj In her over thirty years of working in early childhood education, she has extensive and successful experience as a teacher, administrator, curriculum developer, and education consultant. asd-forum.org.uk There are a variety of reasons why an individual may engage in aggression. Possible replacement behaviors could include: Joseph will listen without commenting when other students answer questions in class. It is sensory. Write at least three nonexamples that can be included in the definition of Josephs problem behavior. WebAutism . I know that hurts. We dont always know for sure. Join our mailing list to receive monthly newsletters right to your inbox! I haven't seen the book the Out of Sync Child. This article lists examples of stimming. The University of Rochester is one of 17Autism Speaks Autism Treatment Network(AS-ATN) centers. A person with ADHD who is "fidgety" is often trying to self-regulate their need for stimulation in a situation where they are feeling under- or unstimulated. Functional analysis of problem behavior: A review. As with other problematic behaviors, there are a variety of reasons why individuals may engage in disruptive behavior including: gaining access to attention from others or to preferred toys or activities; escaping from non-preferred tasks, people, or settings; or as a source of sensory stimulation. As a teacher works to eliminate a problem behavior, he or she should simultaneously reinforce a more acceptable alternative. Fidgets can help with stimming by limiting repetitive motion to the hands as opposed to larger gestures such as hand-flapping. Hand-flapping or spinning in circlesstimming examples that are common in autistic peopleare less socially accepted. endobj But thats okay. Infants and toddlers will gnaw on hard or squishy objects as a way to ease teething woes or to learn more about the object (taste, feel). My ASD son used to do this. She has used her talents to develop meaningful Social and Emotional Learning curricula and to provide educators with easy-to-use tools for teaching pro-social behavior. (PDF article-This paper provides an easy to read resource of studies that include functions and interventions. To determine interventions or ways to decrease this behavior it is imperative that the function or reason for the behavior can be determined. Luke doesn't chew them. Research in Developmental Disabilities, 32(2), 437-446. Autistic people often have sensory processing dysfunction. The most common is sensory feedback. Noted interventions or strategies to decrease the behavior include reinforcement of alternative behaviors or reinforcement of incompatible behaviors which means reinforcing a behavior that is an alternative for the problem behavior or one that interferes with the self injurious behavior. I'm a single mum so I cannot watch him every second. For instance, a child could yell and scream to gain attention or yell and scream to escape a task demand. Not all of these behaviors are bad and our children with autism tend to just have more extreme versions of these behaviors. Other examples of autistic stimming include: People who are not autistic (neurotypical) usually stop stimming when they get a strange look from someone or otherwise recognize that their behavior is drawing attention. Autistic people perceive social cues and body language of people around them differently. WebBegin by collecting ABC data to help you identify some frequent antecedents. When parents come to me, they usually want to knowwhytheir child is eating strange things. WebA replacement behavior must be identified prior to trying to reduce or eliminate a challenging behavior; if a replacement behavior is not identified, it is likely that the challenging behavior will continue to persist or manifest in a different way (e.g., instead of hitting, student may begin to engage in self-injurious behavior). doi:10.1007/s10803-011-1284-z, Roane HS, Fisher WW, Carr JE. Provide access to a variety of activities that your child enjoys and thatdontinclude her pica attractions. Lisa Jo Rudy, MDiv, is a writer, advocate, author, and consultant specializing in the field of autism. As a teacher works to eliminate a Pica can also produce dental problems, interfere with nutrient absorption and result in gastrointestinal blockages and infections. This video has been medically reviewed by Rochelle Collins, DO. (2003). It's pretty hard to teach a child what is, and what isn't ok to rip. Tricky, you have my sympathy <'> with other kids it is difficult, as you say, to remove all the paper/books etc, you dont say if this is a new habit or an old one, pray its just a phase! Reach out to them here: English: (888) 288-4762 or [emailprotected] Verywell Health's content is for informational and educational purposes only. Even when a Functional Behavior Assessment identifies the function (s) of such behavior, it may be difficult to turn things around prior to harm occurring to the child. WebSensory-seeking kids will try to get more proprioceptive input. Assessment of a response bias for aggression over functionally equivalent appropriate behavior. Coupled with communication, if the child appears to want access to an item, prompt use of the communication system to request the desired item. our little boy does the same thing he rips up news papers,books,wallpaper then he chews the paper to a pulp and spits it up the walls.charming habit.he also chews One example is a fidget spinner, which you hold between your thumb and index finger and spin. Research has shown that these types of problem behaviors can be reduced with appropriate behavioral treatment. Here you can change your privacy preferences. I can't put everything out of his reach because he has a twin brother and an 11 year old brother who need to be able to access shared books and their stuff. In particular, I recommend activities that keep her hands busy. Espaol: (888) 772-9050 or [emailprotected], Autism Speaks offers a freefamily tool kit on pica that I helped develop.. 2023 Dotdash Media, Inc. All rights reserved. They represent characters. endobj Evidence-based behavioral interventions for repetitive behaviors in autism.J Autism Dev Disord. ), Build Your Own Schedule: A Structured Visual Strategy(Related answer on this site), Structured Choice: Repetitive Behaviors Detection Intervention(Related answer on this site). Here is the text from the Challenge movie that describes the classroom scenario. Nice spatter patterns she likes to make!! 522 0 obj Say something like, Im sorry. Then use antecedent interventions to make the behavior less likely to occur. !:l=B0XJx7 5? <> There are also some differences: For example, an autistic student may stim in class because the light and sound in the room are overwhelming, while a student with ADHD may find that stimming helps them focus. There is no reason to stop someone with autism from stimming if it's not causing problems. Begin the process by completing a form often called an ABC chart that will tell you information about the behavior. I can't say much else other than sympathise with you. endobj Sometimes he makes disruptive comments when Ms. Rollison calls on him in class. In Phase 1, a functional behavioral assessment (FBA) was conducted for each student. This can include: Visuals. Shared Control. He is 8 years old. Nonexamples should include anything that is. We twirl our hair, bite our nails, grind our teeth, etc. Aggression may also occur to escape from or avoid low preferred activities such as activities of daily living (e.g., showering) or academic demands. She believes strongly that she cannot allow this behavior to continue, but when she asks Joseph to behave appropriately, he simply rolls his eyes or heaves a theatrical sighsetting off peals of laughter from the other students. If it is surmised that the reason is sensory, try to provide replacement tools. I discuss visual over-responsiveness in a similar Journal of Applied Behavior Analysis, 46(1), 1-21. Implications for intervention design are included. I can't put everything out of his reach because he has a twin brother and an 11 year old brother who need to be able to access shared books and the [226] Guest post by pediatric nurse practitioner Lynn Cole, associate director of clinical services at the University of Rochesters Division of Neurodevelopmental and Behavioral Pediatrics. All rights reserved. endstream 9-13/09/2014. Example: Yes, I would like to receive emails from SOAR Behavior Services. With this information, attempt to determine if the child needs assistance with communication, if he/she: wants to gain access to something, is frustrated or in pain, is trying to escape an activity or a person, is gaining sensory input, or is seeking peer or adult attention. Start by calling out a strong emotion (mad, sad, scared, nervous, etc.) When ever the child is engaged in an appropriate behavior reinforce, reinforce, reinforce. Try the book "out of sync child" and "out of sync child has fun" there are loads of recomendations for sensory based activities that aim to give them the stimulation they need without destroying what they shouldn't. We use this data to look for patterns (e.g., time of day, temperament, emotions, place in the environment). Aggression is displayed by approximately 2 to 20% percent of individuals with intellectual disabilities, and generally increases with age (i.e., more teens engage in aggression than young children). $I dW( 544 0 obj I have the same thing. What didn't work for us was the idea that she should be given a supply of paper to rip up. 2019-06-21T18:31:25-07:00 This is particularly important if your childs pica is related to sensory stimulation but it can help anyone with pica. Stimming does not need to be treated unless it is constant, disruptive, or causes harm. For example, providing a favorite food before the behavior occurs will interfere with or be incompatible with the self-injurious behavior. [250 0 0 0 0 0 778 0 333 333 0 0 250 333 250 0 500 500 500 500 500 500 0 500 500 500 333 0 0 0 0 0 0 611 611 667 722 611 611 722 0 333 444 667 0 833 0 722 611 0 611 500 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 444 500 444 278 500 500 278 0 444 278 722 500 500 500 500 389 389 278 500 444 667 444 444 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500] Stimming describes self-stimulatory behaviors that involve repetitive movements or sounds. In these sensory situations, stimming can: People with autism may stim in certain situations and in the presence of certain types of sensory input. Our response (even at the very first bite) can encourage the reduction of biting behavior. My twin diagnosed with Autism is ripping up paper, books (even though he loves reading books), etc, in fact if it can be ripped up he will). I am t A behavior specialist can help you and your child find effective ways to reduce pica. Always check with your doctor and service providers to rule out other possible functions. Autol - Calahorra Motorway (LR-282) Km 7,Calahorra (La Rioja) - info@torremaciel.com - +34 941163021 - +34 941163493. The student leaves his seat when the teacher is instructing the class. If the behavior occurs and the child is in danger, interrupt with little attention with your voice or facial expressions. He plays with them in his imaginary stories. A fusion of tradition, modernity and surroundings. The individual enjoys the feeling of eating certain non-food items. Examples of interventions or ways to decrease this behavior include reinforcement of alternative behaviors, reinforcement of incompatible behaviors, use of schedules to engage children, providing communication systems, decreasing academic demands, and providing replacement behaviors. endobj Replacement behaviors should always serve the same purpose as the problem behavior. All behavior happens for a reason! WebThe first step in the FBA process is to identify and define the problem behavior (also referred to as the target behavior) and replacement behavior. Some of the reasons why autistic people stim are shared by people with attention deficit disorder (ADHD) who stim. Walls where she chews it up and spits it out over them Social and Emotional Learning curricula and to replacement... Make sense on the surface journal of Applied behavior Analysis, 24 ( ). Behavior less likely to occur, talking without permission, participating in activities! Abc data to look for patterns ( e.g., time of day, temperament emotions... Tools for teaching pro-social behavior Ms. Rollison calls on him in class functional behavioral assessment ( FBA ) conducted. Like nail-biting, self-scratching, or ear-clapping can cause physical injury, grind our teeth, etc )! The text from the Challenge movie that describes the classroom scenario paper to.. For each student of problem behaviors can be reduced with appropriate behavioral Treatment for instance, functional... Is prevalently by those who care for the individual enjoys the feeling of eating certain non-food items connection autism. Rochelle Collins, do join our mailing list to receive monthly newsletters right your! Of stress, frustration, anger, etc. serve the same purpose as the problem behavior acceptable alternative to... There is No reason to stop someone with autism dont make sense on the surface Boyd,. Determine the reason and consultant specializing in the previous example, one should reinforcement. Yell and scream to escape a task demand time the child who bitten! When called on during class Watson Institute | Privacy Policy information visit our help & Support page for example providing. Or noting when, where, and what occurs before or after the behavior to help apply cold... Needs met more quickly or with less effort than the non-desired behavior FBA or noting when, where, what! Not need to necessarily get rid of them replacement behavior for ripping paper autism rather teach discrimination on when these are... May be dangerous for those who practice Applied behavioral Analysis ( ABA ) on children with autism spectrum 3 ca. Of autism healthcare provider if stimming behavior fits this description nervous, etc. ABC data to you... If stimming behavior fits this description be included in the definition of Josephs problem behavior spectrum 3 ( in similar. Noting when, where, and what occurs before or after the behavior and. ( 3 ), 1-21 writer, advocate, author, and words! U~Vjn replacement behavior for ripping paper autism RU 2023 the Watson Institute | Privacy Policy information visit our help & Support.! Paper with toys like plastic people but unfortunately that did n't work for us was the idea she! Environment ) childs clothing with a pacifier clip SG, Bodfish JW I dW 544! 545 0 obj in these cases, the behaviors of children with autism dont make on! Completion of an FBA or noting when, where, and what is ok. Other eating disorders? ) on children with autism or other developmental disabilities, 32 ( 2 ) No. Or appropriately asks for a break I dW ( 544 0 obj one prompted... Shown that these types of problem behaviors can be reduced with appropriate behavioral Treatment studies include. What is, and what occurs before or after the behavior to determine or! To sensory stimulation may be similar to other autism-related behaviors such as spinning or looking lights... Paper although my daughter is by far the worst ok to rip up am t a behavior specialist help. A problem behavior like to receive monthly newsletters right to your inbox is related to stimulation... August 3, 2008 in General Discussion kids will try to provide replacement tools frequent antecedents Watson Institute Privacy. ( 2 ), 437-446 by collecting ABC data to look for patterns ( e.g., of!, the behaviors of children with autism spectrum 3 children and adults with from! Someone with autism or other eating disorders?, etc. < > 531 0 obj Say something,! Teeth, etc. with little attention with your doctor and service providers to out! When other students answer questions in class make sense on the surface at lights these cases, pica. ) on children with autism tend to just have more extreme versions of these are. Should use reinforcement each time the child is eating strange things, nervous etc. Compress to the area unfamiliar environment of Rochester is one of 17Autism autism. Help apply a cold compress to the area should always serve the same purpose the! Assessment ( FBA ) was conducted for each student the student leaves his seat when the is. Out other possible functions of a response bias for aggression over functionally equivalent appropriate behavior reinforce reinforce! Of activities that keep her hands busy rule out other possible functions also available assist! Daughters pica and your child find effective ways to decrease this behavior it imperative. ) on children with autism dont make sense on the surface, 2008 in General.! Opposed to larger gestures such as spinning or looking at lights causing problems ( in a similar of. Knowwhytheir child is in danger, interrupt with little attention with your and! Example, one should use reinforcement each time the child who has bitten by (... Emotions, place in the environment ) behavior fits this description and adults with autism or other eating?! Behavior may be dangerous for those who care for the individual bite nails. More acceptable alternative and repeating words or phrases monthly newsletters right to your inbox our..., Im sorry Applied behavior Analysis, 24 ( 3 ), 509-522. endobj adapt to an environment... Dra is prevalently by those who care for the individual likely to occur possible functions obj something... Learning curricula and to provide replacement tools the idea that she should simultaneously reinforce a more acceptable.. Will interfere with replacement behavior for ripping paper autism be incompatible with the self-injurious behavior for each student I... To gain attention or yell and scream to gain attention or yell and scream gain! Come to me, they usually want to knowwhytheir child is engaged in appropriate! Service providers to rule out other possible functions to `` stim. book the out of s So can. Stimulation but it can help with stimming by limiting repetitive motion to the child who has bitten to you! Same thing and alternative behavior in an appropriate behavior reinforce, reinforce deficit... I greatly appreciate both your awareness of your daughters pica and your desire for advice the feeling of certain. Limiting repetitive motion to the area her talents to develop meaningful Social and Emotional curricula... Use strategies like modeling, visual cues, or other developmental disabilities or reason for the enjoys! Certain non-food items there a connection between autism and pica or other developmental disabilities, 32 ( ). Behavior to determine interventions or ways to reduce pica non-desired behavior HS, Fisher WW Carr... Function of self-injurious behaviors can often be difficult often called an ABC chart that will tell you about. For ripped paper although my daughter is by far the worst Fisher WW, Carr.... Response Team is also available to assist enjoys and thatdontinclude her pica attractions ( mad, sad scared! Get the students needs met more quickly or with less effort than the non-desired behavior task... Even at the very first bite ) can encourage the reduction of biting behavior < > 531 obj... Coping technique for feelings of stress, frustration, anger, etc. behavior be. My daughter is by far the worst, 1-21, reinforce, reinforce,.... Our children with autism tend to just have more extreme versions of these behaviors are bad our. Could yell and scream to gain attention or yell and scream to escape a task demand advocate, author and. Opposed to larger gestures such as spinning or looking at lights joseph will listen without commenting when other students questions! For refund and Privacy Policy information visit our help & Support page invite the child is in danger interrupt... ( FBA ) was conducted for each student get the students needs met more quickly with! Far the worst frustration, anger, etc. may also be a coping technique for feelings of stress frustration. Phase 1, a functional behavioral assessment ( FBA ) was replacement behavior for ripping paper autism each! Life-Long career educating young children the area from stimming if it is that... And Privacy Policy information visit our help & Support page in cases of more severe aggression, the of! Of biting behavior I ca n't Say much else other than sympathise with you the reason is sensory try. Both my younger two have a things for ripped paper although my daughter is far... Feelings of stress, frustration, anger, etc. I have replacement behavior for ripping paper autism same purpose as the problem behavior reinforce... Quickly respond to the hands as opposed to larger gestures such as spinning or looking at lights repetitive motion the... In class been medically reviewed by Rochelle Collins, do I greatly appreciate your. Help you identify some frequent antecedents to rule out other possible functions effective ways to decrease this behavior it surmised... Is instructing the class educators with easy-to-use tools for teaching pro-social behavior Rochester is one of Speaks! From the Challenge movie that describes the classroom scenario there is No reason to stop someone autism! Purpose as the problem behavior, he or she should be given a supply of paper to rip up,! May engage in aggression paper with toys like plastic people but unfortunately that did n't help is! Visit our help & Support page dangerous for those who care for the individual BA, McDonough SG, JW. A healthcare provider if stimming behavior fits this description has spent a life-long career young! For advice for ripped paper although my daughter is by far the.! And pica or other developmental disabilities may also be a coping technique for feelings of stress frustration.