Pain and autism

Lévesque, M.; Gaumond, Isabelle; Marchand, Serge

doi:10.1007/s11724-011-0264-6

Cited by 6 publications

(2 citation statements)

References 54 publications

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“…The consequence is not a reduction in pain sensation, but a different expression of pain, determined by that individual's particular communicative, cognitive, or physiological challenges (Tordjman et al, 2009). Controlled laboratory studies (Levesque, Gaumond, & Marchand, 2011) as well as literature reviews (Allely, 2013) of the pain response for those on the spectrum support this conclusion and make a strong case for the development of more appropriate pain monitoring systems for those with ASD.…”

Section: The Pain Responsementioning

confidence: 88%

What Happened to Paul? Manifestation of Abnormal Pain Response for Individuals With Autism Spectrum Disorder

Goldschmidt

2016

Qual Health Res

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During the progression of a pilot nutrition intervention designed to teach cooking skills to young adults with autism spectrum disorder (ASD), one participant-Paul-fell in the parking lot. Prior to the accident, Paul had been making significant gains in the program and had communicated in a number of ways his enthusiasm. After his accident, which resulted in broken and dislocated bones in his ankle, his demeanor was dramatically altered, program gains were lost, and staff noted the appearance of many new challenging behaviors. This article analyzes Paul's behavior in reference to the pain response in autism. For some time, it was believed that many individuals with ASD did not experience pain based on anecdotal reports of how individuals responded to injury with seeming indifference. This view has given way of late to a more nuanced understanding of how atypical sensory processing and stimulus over-selectivity spill over into pain pathways and pain amplification mechanisms. The consequence is not a reduction in pain sensation, but a different expression of pain, determined by that individual's particular communicative, cognitive, or physiological challenges. From this perspective, many of the disruptive and harmful behaviors that emerged after Paul's accident can be seen as a delayed response to the incident. This article concludes by arguing that professionals across all domains of health care need to begin to see behavior as communicative for those with ASD. This is particularly true of changes in behavior, which can be significant indicators of health care problems rather than something to be dismissed as another manifestation of the condition.

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Section: The Pain Responsementioning

confidence: 88%

What Happened to Paul? Manifestation of Abnormal Pain Response for Individuals With Autism Spectrum Disorder

Goldschmidt

2016

Qual Health Res

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“…Considérant les déficits présents dans l'autisme (trouble de la communication verbale, des interactions sociales, troubles cognitifs, troubles émotionnels), il pourrait y avoir une altération dans l'une ou l'autre de ces sphères ou encore dans l'ensemble de paramètres contribuant à l'altération apparente de la douleur dans la maladie [11,12]. L'hypothèse d'une insensibilité à la douleur est née, d'une part, de l'observation, chez certains enfants, de comportements particuliers en réaction à cette sensation tel l'absence du réflexe nociceptif, une absence de protection de zones cutanées ou absence de position antalgique [7,13], et d'autre part, du fait que les enfants autistes présentent souvent des comportements d'automutilation [14], avec une prévalence de blessures qui est environ deux fois plus élevée [10,15].…”

Section: Introductionunclassified