Sensory
Play
By Marilee Nicoll Coots, B.A. and Cyndi Ringoen, B.S., B.A.,
Neurodevelopmentalists. Copyright
2001
Sensory play,
self-stimulating behavior, or “stimming” are all terms used to describe a
group of behaviors seen in many delayed children.
It is repetitive, it often appears compulsive, and it can occur using any
of the senses. Parents usually
describe it as something that doesn’t seem quite right.
As
neurodevelopmentalists we view sensory play as negative, self-perpetuating,
self-isolating behavior. High
functioning children and adults do not engage in significant
amounts of sensory play,
but low functioning individuals do. Our
goal, and the goal of the parents we work with, is to help each individual
develop to their highest potential. Therefore, we discourage any behavior that
will be counter-productive to high function.
Sensory play is a
learned behavior that an individual develops for several reasons.
Primarily, it feels good and so the behavior is repeated.
With typical young children, playing with toes and fingers is
pleasurable, and developmentally it is important as connections are made in the
brain about where their body is, but the child soon moves on to the next
exciting step in development. When
senses are delayed or impaired, the child can become stuck and the behavior
becomes obsessive and can actually stop development.
You may have heard some
say that sensory play is beneficial, calming, a communication attempt, or even a
type of psychological mechanism. It
is possible that on an unconscious level some children use stimming to control
their environment or to avoid the things they wish not to do.
For example, if a child stims he may be able to avoid uncomfortable
social situations. It is important
to consider that many adults engage in various behaviors for the same reasons---
some to note are: smoking, drinking, drugs, overwork etc.
Just because a behavior has a purpose does not mean the behavior is
healthy or developmentally helpful.
There is often a
metabolic component to stimming. When
children are out of balance metabolically their stimming is increased.
Appropriate metabolic intervention can often reduce stimming and
occasionally halt it.
Repetitive sensory play
creates endorphins, “happy,” “feel good” chemicals in the brain,
much the same as the “runner’s high.”
These chemicals become addictive, causing the individual to repeat the
activity in order to renew the good feeling.
Thus, the child becomes trapped in a compulsive behavior.
Development stops progressing, becoming more and more delayed, and for
many children actually begins regressing.
We seek to stop sensory
play, not as an end in itself, but as part of an overall treatment plan, which
includes addressing the underlying neurodevelopmental causes of the behavior.
The causes often relate to dysfunction in one or more sensory channels.
To address sensory dysfunction, we need to: determine why the sensory
information is not going into the brain correctly (where is would organize and
progress to the next level), stop the sensory play, and address the root cause
of the dysfunction with specific appropriate neurodevelopmental activities.
In order to stop a child
from stimming we first need to be able to recognize it. The behavior will appear
strange and repetitive, and there is often a compulsive element to it.
Typically, a child who is stopped from stimming will become quite angry.
Stopping stimming is equivalent to breaking an addiction such as smoking
or drinking caffeine. The intensity
of the anger can be a clue to parents as to how “stimmy” a behavior is.
To stop sensory play
parents can redirect the behavior, distract the child and get them engaged in
other activities, or remove the implements the child is using to stim.
It is usually best not to try to explain or make a huge negative thing
attached to the stim. Nagging does not work and can sometimes intensify the
behavior.
When the quantity of
stimming has been reduced it can sometimes be refined into something more
appropriate. An example is teaching
a child who makes strange throat noises to form words.
The following is a list
of stims in which children have engaged. This
list is not a complete list of all possible stims.
It is designed to give parents an idea of what behaviors function as
sensory play.
The
“Stim” List
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