The role of physiological arousal in the management of challenging behaviours in individuals with autistic spectrum disorders

McDonnell, Andrew; McCreadie, Michael; Mills, Richard; Deveau, Roy; Anker, Regine; Hayden, Judy A.

doi:10.1016/j.ridd.2014.09.012

Cited by 36 publications

(27 citation statements)

References 99 publications

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“…In individuals with limited cognitive and verbal abilities aggressive behaviour often occurs, with anger as a potential risk factor (Novaco, 1994;Taylor & Novaco, 2005). Due to the experiential nature of PMT that relies less on clients' verbal skills, PMT seems feasible as a treatment for individuals with limited cognitive and verbal abilities such as individuals with mild intellectual disabilities (MID, or borderline intellectual functioning (BIF, (McDonnell et al, 2015;Kay, Clegg, Emck, & Standen, 2016). As these two groups share many characteristics and needs (namely, deficits in cognitive and adaptive functioning and psychosocial problems), they are merged in both scientific literature and Dutch clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Psychomotor therapy for anger and aggression in mild intellectual disability or borderline intellectual functioning: an Intervention Mapping approach

Bellemans

Didden

Visser

et al. 2018

Body, Movement and Dance in Psychotherapy

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Difficulties with anger regulation in individuals with mild intellectual disability or borderline intellectual functioning (MID-BIF) are often associated with aggressive behaviour. Psychomotor therapy (PMT), a mind-body intervention often applied in Dutch facilities for this target group, uses body awareness and physical activities as a medium to learn how to gain control over one's anger and reduce aggressive behaviour. With Intervention Mapping as a framework, 17 Dutch psychomotor therapists were asked to describe their PMT programme to investigate its content and coherence. Results suggested that interoceptive awareness (IA) and adaptive coping skills (ACS) are key elements of the PMT programmes. The theoretical basis of the PMT programmes is however limited and specific instruments for evaluating PMT are not available yet, especially for IA. Psychomotor therapists would gain from a welldescribed PMT programme. Future research is warranted on IA, and specific instruments need to be developed and validated for this target group.

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Section: Introductionmentioning

confidence: 99%

Psychomotor therapy for anger and aggression in mild intellectual disability or borderline intellectual functioning: an Intervention Mapping approach

Bellemans

Didden

Visser

et al. 2018

Body, Movement and Dance in Psychotherapy

View full text Add to dashboard Cite

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“…Because certainty of evidence of the majority of studies is rated as inconclusive mostly due to absence of experimental control, this review does not yet support the use of these procedures in contexts where researchbased or evidence-based practices are mandated. However, in cases where existing evidence-based practices (e.g., function-based operant interventions) have failed to yield desired outcomes or when research indicates that an individual's characteristics are not well suited for a treatment approach tailored for a different population (e.g., when CBT is precluded by an individual's verbal or cognitive deficits), PMT may be considered a potential treatment option (McDonnell et al, 2015;Reynolds & Field, 2013). Because PMT is primarily a nonverbal approach for teaching skills that can be used across environments and social situations it may be best used as a complementary therapy to augment other approaches such as CBT and function-based behavioural intervention (Probst et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, for individuals with MBID and verbal or cognitive abilities that might constrain effective CBT, add-on approaches to target arousal reduction in a less verbal manner could be considered. For example, body-oriented techniques used in Psychomotor therapy (PMT), including behavioural relaxation techniques (e.g., Progressive Relaxation or "Soles of the Feet", a meditation procedure) to reduce arousal and support anger regulation might be feasible (Kay, Clegg, Emck, & Standen, 2016;McDonnell et al, 2015;Sturmey, Lindsay, Vause, & Neil, 2014).…”

mentioning

confidence: 99%

Psychomotor therapy targeting anger and aggressive behaviour in individuals with mild or borderline intellectual disabilities: A systematic review

Bellemans

Didden

Busschbach

et al. 2017

Journal of Intellectual & Developmental Disability

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Background: Poor anger regulation is considered a risk factor of aggression in individuals with mild or borderline intellectual disabilities. Psychomotor therapy (PMT) targets anger regulation through body-and movement-oriented interventions. This study aims to inform practitioners on efficacy and research-base of PMT in this population. Method: This systematic review evaluated nine studies which met inclusion criteria in terms of participants, intervention procedures, outcomes and certainty of evidence. Results: Seven studies revealed a substantial reduction of aggressive behaviour or anger. Certainty of evidence was rated inconclusive in most cases due to absence of experimental control. Conclusions: We can conclude that body-oriented PMT, involving progressive relaxation and meditation procedure "Soles of the Feet", is a promising approach. However, the paucity of studies and methodological limitations preclude classifying it as an evidence-based practice. This suggests stronger methodological research and research aimed at PMT's mechanisms of action (e.g., improved interoceptive awareness) is warranted.

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“…Tujuan utama penatalaksanaan adalah untuk meminimalkan disabilitas yang terkait, dan memaksimalkan fungsinya agar tidak bergantung terhadap orang lain (Lobar, 2016). Penatalaksanaan anak dengan GSA hingga saat ini banyak mengalami kemajuan mulai dari penatalaksanaan perilaku, teknik visualisasi, pengaturan diet dan nutrisi, dukungan psikologi pada anak dan keluarga, dan penatalaksanaan farmakologi (Mcdonnell et al, 2015).…”

Section: Gangguanunclassified

The Relationship of Visual Support Toward The Clinical Improvement In Children With Autism Spectrum Disorders

Koesdiningsih¹,

Basoeki

Febriyana

et al. 2019

JBE

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Background: The prevalence of autism spectrum disorders (ASD) has increased in the last 30 years from 0.04 to 0.50. This condition increase the parents’ awareness and understanding in early diagnosis, education, management and health services for children with ASD. Purpose: This study aims to analyze the relationship between the uses of visual support for clinical improvement of children with ASD. Method: This study is an observational analytic study. The research was conducted at UPTD ABK Sidoarjo from March to June 2018. The research subjects in this study were four to seven years children with ASD condition. The sampling technique was consecutive sampling and was accomplished during the pre-test and post-test design. The measurement tool for using the Indonesian version of childhood autism rating scale (CARS) that has been validated. Management of visual support has been done for 120 minutes in three months (12 times) consisted of six activities, each activity for 20 minutes with one-one technique (one subject with one therapist). Results: There was no relationship improvement of the CARS based on the pre and post visual support management for three months (12 times) on general impression data, level, and consistency of intellectual responses. The results of paired t-test on the pre and post visual support management for three months (12 times) showed decreasing value of CARS. This result means that social, communication and psychomotor interactions have p<0.01. Conclusion: Management of visual support is associated with clinical improvement in social interaction, communication (non-verbal) and psychomotor (especially gross motoric).

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The role of physiological arousal in the management of challenging behaviours in individuals with autistic spectrum disorders

Cited by 36 publications

References 99 publications

Psychomotor therapy for anger and aggression in mild intellectual disability or borderline intellectual functioning: an Intervention Mapping approach

Psychomotor therapy for anger and aggression in mild intellectual disability or borderline intellectual functioning: an Intervention Mapping approach

Psychomotor therapy targeting anger and aggressive behaviour in individuals with mild or borderline intellectual disabilities: A systematic review

The Relationship of Visual Support Toward The Clinical Improvement In Children With Autism Spectrum Disorders

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