Catastrophic Reactions of a Child with an Autism Spectrum Disorder: A Social Phenomenon

Kathleen J. Abendroth, Jack S. Damico
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Abstract

Abstract This investigation presents analysis of the catastrophic reactions of a child with pervasive developmental disorder—not otherwise specified (PDDNOS). Upon analysis, these catastrophic reactions are effectively described as social phenomena. That is, although maladaptive coping patterns in children with autism spectrum disorders often lead to catastrophic reactions including tantrums, self-injury, and aggression, these behaviors are often oriented to social interactions. The authors discuss three themes that permeate such social interaction: collaboration, negotiation, and control. By recognizing these themes, in this participant, the data suggest that it is possible that at least some catastrophic reactions by children are not totally irrational, but rather social in nature. Clinical implications include the consideration of the importance of family centered intervention for children with developmental disorders. Clinicians are encouraged to identify patterns of interaction with the child's social partners to best meet the communicative needs of the client.
自闭症谱系障碍儿童的灾难性反应:一个社会现象
摘要:本研究分析了一例广泛性发育障碍(PDDNOS)患儿的灾难性反应。经过分析,这些灾难性的反应被有效地描述为社会现象。也就是说,尽管自闭症谱系障碍儿童的不适应应对模式经常导致灾难性的反应,包括发脾气、自残和攻击,但这些行为通常是面向社会互动的。作者讨论了渗透这种社会互动的三个主题:合作、协商和控制。通过认识到这些主题,在这个参与者身上,数据表明,至少有一些孩子的灾难性反应可能不是完全非理性的,而是社会性的。临床意义包括考虑以家庭为中心的干预对发育障碍儿童的重要性。鼓励临床医生识别与儿童的社会伙伴互动的模式,以最好地满足客户的沟通需求。
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