Stimming in Autism Spectrum Disorder
The first key autism diagnostic criteria in section B of the DSM-5 entry on ASD is “stereotyped or repetitive motor movements”, which is often referred to as “stimming”. Some of the most frequently cited stimming behaviors in autistic individuals include hand-flapping and rocking, although stimming can take many different forms.
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An 8-year-old child has an all-consuming interest in the schedules of the local bus system, having memorized every route and timetable. They become visibly distressed and agitated if their parents deviate from the planned route to the grocery store. Additionally, when excited, the child frequently and rapidly flicks their fingers in front of their eyes. How would these behaviors, when considered together, best be characterized in a developmental assessment?
A 7-year-old child has an encyclopedic knowledge of every bus route in their city. They spend several hours each day watching videos of buses and meticulously lining up their toy bus collection. The child becomes extremely distressed, crying for over an hour, when their parent takes an unplanned detour on the way to school. Which of the following concepts do these behaviors best illustrate?