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Summary Notes on Repetitive and Restrictive Behaviors (RRBs) in Autism

Jun 21, 2024

Repetitive and Restrictive Behaviors (RRBs)

Definition and Context

  • Source: Journal of Neurodevelopmental Disorders
  • Definition:
    • RRBs range from stereotypic body movements to rituals to restricted interests.
    • Most strongly associated with autism but also occur in other clinical disorders and typical development.

Examples of RRBs

  • Lining toys up
  • Repeating words or phrases
  • Requiring sameness
  • Becoming agitated when things change

Causes and Functions

  • Common Belief: Often thought to be a reaction to anxiety.
  • Personal Example: Shannon's rule about not sitting on the bed in outdoor pants.
  • Eating Habits: Eating only one type of food or one color of food.

Impact of RRBs

  • Negative Impact: Sometimes they can interfere with desired activities like social relationships.
    • Example: Howie Mandel’s germaphobia affects public interaction and requires adaptations like fist bumps.
  • Positive Impact: Can indicate strong passion and focus in certain areas.

Approach to RRBs

  • Function Over Form: Understand the purpose behind the behavior before attempting to change it.
  • Avoid Immediate Removal: Removing the behavior without addressing the underlying cause may increase anxiety.
    • Example: An OCD person who needs to touch a doorknob 5 times.
  • Productive Alternatives: Find alternative, more productive behaviors that fulfill the same need.
  • Medication: For some, medication may be necessary to manage the compulsion.

Compassionate Approach

  • Acceptance: Everyone has some level of RRBs; it’s not all bad and often necessary.
  • Intervention: Should be compassionate and understanding.
  • Contextual Examples: Reference to behaviors in popular culture like the character in The Big Bang Theory knocking three times.

Summary Notes

  • Understand and appreciate the context and necessity of RRBs before attempting to mitigate them.
  • Use compassionate and functional approaches to address these behaviors, keeping the individual’s well-being in focus.

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Tags: #RRBs #Autism #NeurodevelopmentalDisorders #CompassionateCare


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This content is adapted from a video by Autism Live.


Further Exploration

  • Consider looking into more research and practical examples about RRBs and their impact on various aspects of life.
  • For clinical advice and updated practices, consult neurodevelopmental specialists or related healthcare providers.

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References

  • Journal of Neurodevelopmental Disorders
  • Autism Live video content

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