Does Graham now or does he have the potential threat of later displaying self-injurious behavior? In either case, what do you suggest as a technique to handle a mild to medium display?
Graham has never been truly self-injurious, although I have seen behaviors in him that, taken to an extreme, probably would be. He sometimes gets so “disorganized,” laughing, silly, unresponsive, that his tolerance for pain skyrockets–like he’s a drunk falling down in the street and not knowing that his face is bleeding. I think a lot of SIB stuff is probably experienced as something other than pain as we understand it in these kids (and I am definitely not an expert here–this is just from what I know about sensory integration). I do believe that the best way to treat much of this behavior is to try to respond to the underlying sensory integration dysfunction, to try to normalize the child’s response to sensory input. Some kids bite themselves or pinch themselves or bang their heads (I believe) because the stimulation, the input, gives them something that they crave. I do not think you can control it by extinguishing it. A lot of people struggle to stop their kids from hurting themse
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