14 November 2008

Preventing Explosions 2

Some individuals with autism have explosive outbursts – dropping to the floor or scratching their arms or throwing items. Some people rock vigorously, bite and hit their hands and legs, shout loudly, grab and throw items, or strike out at others. One key to preventing explosions is to determine the catalyst. What causes our friend with autism to start screaming, hitting, or biting without warning or apparent provocation?

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In part 1 of “Preventing Explosions,” we discussed some of the common catalysts for emotional turmoil, including physical discomfort, inflexibility, sensory issues, and neurological issues. In part 2 of the discussion, we will take a look at some of the communication issues that can cause hurtful or disruptive explosions.

In some cases, individuals with communication deficits find it difficult to get the attention of caregivers. In spite of our best intentions, most of us tend to ignore a person who does not talk to us about their needs, feelings, and choices. But most of our friends with autism have learned that we suddenly pay attention when they scream, cry, bite, hit, or throw objects. These outbursts can mean different things, so we might want to document circumstances when the behaviors occur to see if a pattern develops.

When a person with autism suddenly displays disruptive or destructive behavior, it usually can be translated to one of the following: (1) “I don’t want to do what you are asking.” (2) “I am bored.” (3) “I’m tired of doing what I’m doing.” (4) “This is too hard.” (5) “I want you to pay attention to me.” (6) “My tummy / ears / foot / head hurts.” (7) “I’m overstimulated and need to calm down.” (8) “I don’t like / understand this change in routine.” (9) “I’m very tired.” (10) “I’m very hungry” or “I really want a snack.” (11) “I need to go to the bathroom.” (12) “I just need a hug.”

Frustration over the inability to communicate clearly is one of many catalysts for explosive outbursts. Sometimes we can make connections and develop methods for more effective reciprocal communication. This is a very challenging task, but worth the effort in the long run.

TIP FOR THE DAY. Rather than assuming our friends with autism have bad tempers, we need to recognize that disruptive or hurtful behaviors can be caused by unconventional factors. Physical discomfort, boredom, obsessive interests, inflexibility, sensory issues, inability to communicate effectively, and other issues can cause individuals to see red. Once we recognize those issues, we can help our friends take steps toward preventing explosions.

NOTE TO READERS AND LISTENERS: I am Cathy Knoll, a board certified music therapist and long-time friend of many folks with autism. At FAQautism.com we are committed to providing free, practical, everyday tips for making life better for people with autism. Feel free to send me a confidential email at talk@FAQautism.com with your thoughts or challenging situations or innovative solution. And don’t forget to check out our website for a wealth of ideas and a glimpse into the world of autism. http://FAQautism.com

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