Stimming

Hand rubbing faux-fur
Feeling soft or otherwise enjoyable textures is a common form of stimming.

Self-stimulatory behavior, also known as "stimming"[1] and self-stimulation,[2] is the repetition of physical movements, sounds, words, moving objects, or other behaviors. Stimming is a type of restricted and repetitive behavior (RRB).[3] Such behaviors (also scientifically known as "stereotypies") are found to some degree in all people, but is especially intense and frequent in those with developmental disabilities, attention deficit hyperactivity disorder (ADHD) or autism.[2] People diagnosed with sensory processing disorder are also known to potentially exhibit more stimming behaviors.[4]

Stimming has been interpreted as a protective response to overstimulation, in which people calm themselves by blocking less predictable environmental stimuli, to which they have a heightened sensitivity.[2][4] A further explanation views stimming as a way to relieve anxiety and other negative or heightened emotions.[5]

An autistic adult (center right) stimming with her hands during the 2015 Erasmus Prize ceremony.

Although some forms of stimming behaviors have typically been shown to be healthy and beneficial—as they help regulate intense sensory experiences, relieve intense emotions such as anxiety, may facilitate understanding and social interactions with other autistic people, may promote pleasant emotions, and facilitate sense of security—[6][7][8][9][10] stimming is often socially stigmatized and looked down upon. People who are neurodivergent often feel that they need to hide or decrease their repetitive behaviors, as it appears to not be socially acceptable, and often elicits an undesirable response from those who do not understand the needs or functions behind them. While reducing disruptive or inherently harmful repetitive behaviors can be crucial,[11][12][13] there are also potential risks to mental health and well-being in suppressing and masking some autistic stimming behaviors that are generally not harmful or generally adaptive.[7][14][10][9][15][16][8]

Stimming behaviors can consist of tactile, visual, auditory, vocal, proprioceptive (which pertains to limb sensing), olfactory, and vestibular stimming (which pertains to balance). Some common examples of stimming (sometimes called stims[17]) include hand flapping, clapping, rocking, blinking, pacing, head banging, repeating noises or words, snapping fingers, occasional toe walking, or spinning objects.[18][19] In some cases, stimming may be dangerous and physically harmful to the person doing it; for example, individuals may risk injuring themselves by forcefully banging their body parts against walls.[20] Another issue is that repetitive behaviors can disrupt learning and social communication for some autistic individuals in some situations.[21][22]

  1. ^ Bergemann, Rosalind (2013). An Asperger Leader's Guide to Living and Leading Change. Jessica Kingsley Publishers. ISBN 978-0-85700-872-5.[page needed]
  2. ^ a b c Foley, Valerie (2011). The Autism Experience: International Perspectives on Autism Parenting. ReadHowYouWant.com. ISBN 978-1-4587-9728-5.[page needed]
  3. ^ American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author
  4. ^ a b Cowell, Gretchen Mertz (2004). Help for the Child with Asperger's Syndrome: A Parent's Guide to Negotiating the Social Service Maze. Jessica Kingsley Publishers. ISBN 978-1-84642-042-9.[page needed]
  5. ^ Eileen Bailey (15 July 2011). "Autism Spectrum Disorders and Anxiety". Health Central. Retrieved 25 March 2014.
  6. ^ Morris, Isabelle F.; Sykes, Jesica R.; Paulus, Emilie R.; Dameh, Alharith; Razzaque, Aysha; Esch, Lauren Vander; Gruenig, Jenna; Zelazo, Philip David (2025). "Beyond self-regulation: Autistic experiences and perceptions of stimming". Neurodiversity. 3. doi:10.1177/27546330241311096.
  7. ^ a b Lung, Stephanie Lock Man; Picard, Ève; Soulières, Isabelle; Bertone, Armando (September 2024). "Identifying the functions of restricted and repetitive behaviours and interests in Autism: A scoping review". Research in Autism Spectrum Disorders. 117: 102458. doi:10.1016/j.rasd.2024.102458.
  8. ^ a b Collis, Emma; Dark, Elizabeth; Russell, Ailsa; Brosnan, Mark (30 August 2024). "Self-Report of Restricted Repetitive Behaviors in Autistic Adults: A Systematic Review". Autism in Adulthood. doi:10.1089/aut.2023.0111.
  9. ^ a b Charlton, Rebecca A.; Entecott, Timothy; Belova, Evelina; Nwaordu, Gabrielle (November 2021). "'It feels like holding back something you need to say': Autistic and Non-Autistic Adults accounts of sensory experiences and stimming" (PDF). Research in Autism Spectrum Disorders. 89: 101864. doi:10.1016/j.rasd.2021.101864.
  10. ^ a b Collis, E.; Gavin, J.; Russell, A.; Brosnan, M. (February 2022). "Autistic adults' experience of restricted repetitive behaviours" (PDF). Research in Autism Spectrum Disorders. 90: 101895. doi:10.1016/j.rasd.2021.101895.
  11. ^ Morris, Isabelle F.; Sykes, Jesica R.; Paulus, Emilie R.; Dameh, Alharith; Razzaque, Aysha; Esch, Lauren Vander; Gruenig, Jenna; Zelazo, Philip David (2025). "Beyond self-regulation: Autistic experiences and perceptions of stimming". Neurodiversity. 3. doi:10.1177/27546330241311096.
  12. ^ Ne'eman, A (July 2021). "When Disability Is Defined by Behavior, Outcome Measures Should Not Promote 'Passing'". AMA Journal of Ethics. 23 (7): E569–575. doi:10.1001/amajethics.2021.569. PMC 8957386. PMID 34351268.
  13. ^ Allen, Lauren Lestremau; Mellon, Leanna S.; Syed, Noor; Johnson, Joy F.; Bernal, Armando J. (25 March 2024). "Neurodiversity-Affirming Applied Behavior Analysis". Behavior Analysis in Practice. doi:10.1007/s40617-024-00918-0.
  14. ^ Kapp, Steven K; Steward, Robyn; Crane, Laura; Elliott, Daisy; Elphick, Chris; Pellicano, Elizabeth; Russell, Ginny (October 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. PMC 6728747. PMID 30818970.
  15. ^ McCormack, Lynne; Wong, Sze Wing; Campbell, Linda E. (September 2023). "'If I don't Do It, I'm Out of Rhythm and I Can't Focus As Well': Positive and Negative Adult Interpretations of Therapies Aimed at 'Fixing' Their Restricted and Repetitive Behaviours in Childhood". Journal of Autism and Developmental Disorders. 53 (9): 3435–3448. doi:10.1007/s10803-022-05644-6. PMC 10465631. PMID 35781855.
  16. ^ Waizbard-Bartov, Einat; Ferrer, Emilio; Heath, Brianna; Andrews, Derek S; Rogers, Sally; Kerns, Connor M; Wu Nordahl, Christine; Solomon, Marjorie; Amaral, David G (May 2024). "Changes in the severity of autism symptom domains are related to mental health challenges during middle childhood". Autism. 28 (5): 1216–1230. doi:10.1177/13623613231195108. PMC 10924781. PMID 37691349.
  17. ^ Temple Grandin, PhD (November 2011). "Why Do Kids with Autism Stim?". Autism Digest. Archived from the original on 31 March 2014. Retrieved 25 March 2014.
  18. ^ Eileen Bailey (27 August 2012). "Stimming". Health Central. Retrieved 25 March 2014.
  19. ^ "Stimming: What autistic people do to feel calmer". BBC. 5 June 2013. Retrieved 25 March 2014.
  20. ^ Smith, Lori; Legg, Timothy J. (19 February 2018). "What is stimming?". Medical News Today. Retrieved 19 April 2022. For some, stimming can include higher-risk behaviors such as banging their hands, head, legs, and objects, which may be potentially physically harmful.
  21. ^ Lanovaz, Marc J.; Robertson, Kirsty M.; Soerono, Kara; Watkins, Nicholas (October 2013). "Effects of reducing stereotypy on other behaviors: A systematic review". Research in Autism Spectrum Disorders. 7 (10): 1234–1243. doi:10.1016/j.rasd.2013.07.009. hdl:1866/19828.
  22. ^ Leaf, Justin B.; Cihon, Joseph H.; Javed, Asim; Klick, Sheila; Ferguson, Julia L.; Milne, Christine; Creem, Ashley; Arthur, Shannon; Saunders, Melissa, S.; Olive, Melissa L.; Ross, Robert K.; Leaf, Ronald; McEachin, John (3 July 2022). "A call for discussion on stereotypic behavior". European Journal of Behavior Analysis. 23 (2): 156–180. doi:10.1080/15021149.2022.2112810.{{cite journal}}: CS1 maint: multiple names: authors list (link)

Stimming

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