Resources
Module Content
You can download a document that includes all content from the module, with the exception of videos. This resource can support your learning while completing the module or be saved for future reference.
Additional Documents
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Reflection Questions
The Reflection Questions document can be downloaded at any time and used in a variety of ways. You can view it before starting your work so that you know which questions will be asked in the videos and/or on the webpages. You can also access it at the end of your work so that you can see all your responses to the questions. This tool can be helpful for documenting your learning and referring to later or for sharing it with others in group discussions or as demonstration of your online progress.
Discussion Questions
The Discussion Questions provided below can supplement and extend your individual learning and be used by facilitators or coaches to prompt meaningful discussions.
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Question: Why is it important to know about restricted and repetitive behaviors interests and activities?
Answer: It is important to know about restricted and repetitive behaviors interests and activities because this is one of the defining characteristics of autism. Restricted patterns of behavior, interests, and activities serve a purpose for persons on the autism spectrum; we need to try to understand why they do what they do and how we can help them make changes to allow learning and growth to happen. In addition, we need to recognize when the special interests may be a strength for an individual and how to harness the need for routine for the person's benefit.
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Question: What is the difference between routines and rituals?
Answer: Rituals are a pattern of behavior regularly performed in a specific sequence with no obvious function. Rituals can be very strong for people on the spectrum. If the ritual cannot be carried out, anxiety and anger may set in very quickly. A nonfunctional ritual may include touching the same spot on the wall on the way to the bathroom every time, opening and closing a lunchbox five times before eating, or eating a bite of foam soap before washing hands. Some rituals build over time while others become part of the repertoire from the very first time they happen. Routines are the steps to an activity that provide pattern and predictability. Some helpful routines include: using a timer for transitions between activities, providing designated baskets for turning in assignments, moving completed tasks from a schedule to a finish envelope or basket, and completing uniform activities in a consistent order at Morning Circle. The power of routines may be harnessed to help those with autism to participate in daily activities. Including functional routines into the day is an important way to reduce stress for people on the spectrum.
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Question: Describe how perspectives on restricted and repetitive behaviors are changing.
Answer: Perspectives on restricted and repetitive behaviors are in an era of change. The field, led by individuals on the spectrum, is leaning towards a more accepting and understanding approach to these behaviors. When repetitive behaviors and interests interfere with healthy functioning or learning it is important to find ways to add support, decrease stressors, and increase skills. At the same time, it is no longer considered to be necessary to decrease or eliminate all restricted interests or repetitive behaviors related to this characteristic of autism. As a matter of fact, it is increasingly considered to be insensitive and at times abusive.
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Question: Explain how repetitive movements are sometimes adaptive for people with autism.
Answer: For some people with ASD, the movements are exciting. In some cases, their sensory systems are under-responsive, so they need a high degree of movement and input to wake up their bodies and minds. For some these behaviors are rewarding. Indeed, researchers have found that some repetitive behaviors activate the reward pathways in the brain and provide a source of pleasure (Zamzow, 2019). Repetitive movements sometimes serve as a way for those on the spectrum to express or regulate emotions (Kapp et al., 2019).
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Question: How can special interests be used as reinforcers to increase important skills?
Answer: Using the interest as a reward has great potential. As seen in the case of Georgia, who was given an opportunity to earn a motorcycle model for bringing her homework to school, special interests may be a helpful source of reinforcers. Researchers have found that from early development people on the spectrum respond differently to objects and to people than do their typically developing peers. They develop different reward pathways in the brain. This helps to explain the motivating power of special interests (Clements et al., 2018). When developing a list of possible reinforcers, it makes sense to consider items and activities related to intense interests. Finding something that is reinforcing to an individual with autism can be difficult, so making use of what the person already likes can be effective. Choosing the interest or behavior that fits with the person and activity is crucial. If the interest or behavior takes too long or is so strong that it cannot be interrupted, try a different one. Make sure there is a plan for the reward and that everyone is using it consistently. If a student likes car racing, it might be helpful to use car stickers on his papers or reward systems, use phrases like, "Rev up your engines, it's time for reading," and find a way to use car racing for math problems or history.
Activities on this page are provided at both the introductory and advanced level and can be copied and used within existing professional development or university coursework.
Introductory Activities
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Observation Table
Based on your own observations of individuals with autism or on an interview with a person who works with individuals on the spectrum, provide an example of each of the behaviors, interests, or activities listed in the first column.
Restricted Behavior, Interest, or Activity
Example Observed
Not responding to rewards and reinforcers like those that their typically developing peers prefer
Having intense or unique preoccupations or interests that interfere with daily tasks or social functioning
Having difficulty with transitions
Expressing distress with "small" changes in routine
Having difficulty ending a task before it is finished
Displaying rigid thinking patterns or rituals
Developing nonfunctional routines for daily tasks/activities
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Role Play
Choose a special interest topic and role play how it can interfere with a social interaction with others in group conversation. Have a discussion about how you might support an individual with ASD in social interactions.
Advanced Activities
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Special Interest Reinforcers
If you were working with a person on the spectrum to help them to gain a new skill, how could you harness the special interests listed in the first column to use it as a reinforcer?
List at least two possible reinforcement strategies for each interest. The first one has been completed as an example. Be creative!
Special Interest
Reinforcer
Subways maps in London
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15 minutes to research the London subway on the internet
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A token reinforcer chart where each token is placed as a stop along a subway map
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Opportunity to draw a subway route after completing a math sheet
The music of The Eagles
The family trees of Greek gods and goddesses
Sponge Bob Squarepants™
Helicopter repair
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Group Discussion about Article
Read the following article: Kapp, S. K., Steward, R., Crane, L., Elliott, D., Elphick, C., Pellicano, E., & Russell, G. (2019). "˜People should be allowed to do what they like': Autistic adults' views and experiences of stimming. Autism, 23(7), 1782-1792. doi:10.1177/1362361319829628
Then discuss the objection of many autistic adults to treatments that aim to eliminate repetitive behaviors. What are some strategies for increasing acceptance of these behaviors among those who do not have autism?