Stimming#Toys

{{short description|Repetitive self-stimulatory behaviour common in neurodevelopmental disorders}}

{{for|the German musician|Stimming (musician)}}

{{Use dmy dates|date=May 2019}}

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Self-stimulatory behavior (also called stimming,{{cite book |last1=Bergemann |first1=Rosalind |title=An Asperger Leader's Guide to Living and Leading Change |date=2013 |publisher=Jessica Kingsley Publishers |isbn=978-0-85700-872-5 }}{{pn|date=November 2024}} stims,{{cite web | url=http://autismdigest.com/why-do-kids-with-autism-stim/ | title=Why Do Kids with Autism Stim? | publisher=Autism Digest | date=November 2011 | access-date=25 March 2014 | author=Temple Grandin, PhD | url-status=dead | archive-url=https://web.archive.org/web/20140331005808/http://autismdigest.com/why-do-kids-with-autism-stim/ | archive-date=31 March 2014 }} self-stimulation,{{cite book |last1=Foley |first1=Valerie |title=The Autism Experience: International Perspectives on Autism Parenting |date=2011 |publisher=ReadHowYouWant.com |isbn=978-1-4587-9728-5 }}{{pn|date=November 2024}} stereotypy, and stereotypic movement disorder) is the repetition of physical movements, sounds, words, moving objects, or other behaviors. Stimming is a type of restricted and repetitive behavior (RRB).American Psychiatric Association. (2013). Diagnostic and statistical

manual of mental disorders (5th ed.). Washington, DC: Author Such behaviors are found to some degree in all people, but are especially intense and frequent in those with developmental disabilities, attention deficit hyperactivity disorder (ADHD), sensory processing disorder, or autism.

Stimming has been interpreted as a protective response to sensory overload, in which people calm themselves by blocking less predictable environmental stimuli, to which they have a heightened sensory processing sensitivity.{{cite book |last1=Cowell |first1=Gretchen Mertz |title=Help for the Child with Asperger's Syndrome: A Parent's Guide to Negotiating the Social Service Maze |date=2004 |publisher=Jessica Kingsley Publishers |isbn=978-1-84642-042-9 }}{{pn|date=November 2024}} Stimming can be a way to relieve anxiety and other negative or heightened emotions.{{cite web | url=http://www.healthcentral.com/autism/c/1443/141549/spectrum-disorders | title=Autism Spectrum Disorders and Anxiety | publisher=Health Central | date=15 July 2011 | access-date=25 March 2014 | author=Eileen Bailey}}

File:2015 Erasmus Prize - 25 November 2015 - Stichting Praemium Erasmianum (221).JPG 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—{{cite journal | url=https://journals.sagepub.com/doi/10.1177/27546330241311096 | doi=10.1177/27546330241311096 | title=Beyond self-regulation: Autistic experiences and perceptions of stimming | date=2025 | last1=Morris | first1=Isabelle F. | last2=Sykes | first2=Jesica R. | last3=Paulus | first3=Emilie R. | last4=Dameh | first4=Alharith | last5=Razzaque | first5=Aysha | last6=Esch | first6=Lauren Vander | last7=Gruenig | first7=Jenna | last8=Zelazo | first8=Philip David | journal=Neurodiversity | volume=3 }}{{cite journal |last1=Lung |first1=Stephanie Lock Man |last2=Picard |first2=Ève |last3=Soulières |first3=Isabelle |last4=Bertone |first4=Armando |title=Identifying the functions of restricted and repetitive behaviours and interests in Autism: A scoping review. |journal=Research in Autism Spectrum Disorders |date=September 2024 |volume=117 |pages=102458 |doi=10.1016/j.rasd.2024.102458 |doi-access=free }}{{cite journal |last1=Charlton |first1=Rebecca A. |last2=Entecott |first2=Timothy |last3=Belova |first3=Evelina |last4=Nwaordu |first4=Gabrielle |title='It feels like holding back something you need to say': Autistic and Non-Autistic Adults accounts of sensory experiences and stimming |journal=Research in Autism Spectrum Disorders |date=November 2021 |volume=89 |pages=101864 |doi=10.1016/j.rasd.2021.101864 |url=https://research.gold.ac.uk/id/eprint/30505/8/Charlton_RASD_Stimming_Author_Copy_corrections.pdf }}{{cite journal |last1=Collis |first1=E. |last2=Gavin |first2=J. |last3=Russell |first3=A. |last4=Brosnan |first4=M. |title=Autistic adults' experience of restricted repetitive behaviours |journal=Research in Autism Spectrum Disorders |date=February 2022 |volume=90 |pages=101895 |doi=10.1016/j.rasd.2021.101895 |url=https://purehost.bath.ac.uk/ws/files/227255479/RRB_Paper_revisions_clean.pdf }} stimming is often socially stigmatized. Those who are neurodivergent often feel that they should hide or decrease their repetitive behaviors because they appear to be socially unacceptable and often elicit negative reactions from those who do not understand their cause. While reducing disruptive or inherently harmful repetitive behaviors can be beneficial,{{cite journal | url=https://journals.sagepub.com/doi/10.1177/27546330241311096 | doi=10.1177/27546330241311096 | title=Beyond self-regulation: Autistic experiences and perceptions of stimming | date=2025 | last1=Morris | first1=Isabelle F. | last2=Sykes | first2=Jesica R. | last3=Paulus | first3=Emilie R. | last4=Dameh | first4=Alharith | last5=Razzaque | first5=Aysha | last6=Esch | first6=Lauren Vander | last7=Gruenig | first7=Jenna | last8=Zelazo | first8=Philip David | journal=Neurodiversity | volume=3 }}{{cite journal |last1=Ne'eman |first1=A |title=When Disability Is Defined by Behavior, Outcome Measures Should Not Promote 'Passing' |journal=AMA Journal of Ethics |date=July 2021 |volume=23 |issue=7 |pages=E569–575 |doi=10.1001/amajethics.2021.569 |pmid=34351268 |pmc=8957386 }}{{cite journal |last1=Allen |first1=Lauren Lestremau |last2=Mellon |first2=Leanna S. |last3=Syed |first3=Noor |last4=Johnson |first4=Joy F. |last5=Bernal |first5=Armando J. |title=Neurodiversity-Affirming Applied Behavior Analysis |journal=Behavior Analysis in Practice |date=25 March 2024 |doi=10.1007/s40617-024-00918-0 |doi-access=free }} there are also potential risks to mental health and well-being in suppressing and masking some autistic stimming behaviors that are not harmful or are adaptive.{{cite journal |last1=Kapp |first1=Steven K |last2=Steward |first2=Robyn |last3=Crane |first3=Laura |last4=Elliott |first4=Daisy |last5=Elphick |first5=Chris |last6=Pellicano |first6=Elizabeth |last7=Russell |first7=Ginny |title='People should be allowed to do what they like': Autistic adults' views and experiences of stimming |journal=Autism |date=October 2019 |volume=23 |issue=7 |pages=1782–1792 |doi=10.1177/1362361319829628 |pmc=6728747 |pmid=30818970 }}{{cite journal |last1=McCormack |first1=Lynne |last2=Wong |first2=Sze Wing |last3=Campbell |first3=Linda E. |title='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=Journal of Autism and Developmental Disorders |date=September 2023 |volume=53 |issue=9 |pages=3435–3448 |doi=10.1007/s10803-022-05644-6 |pmid=35781855 |pmc=10465631 |doi-access=free }}{{cite journal |last1=Waizbard-Bartov |first1=Einat |last2=Ferrer |first2=Emilio |last3=Heath |first3=Brianna |last4=Andrews |first4=Derek S |last5=Rogers |first5=Sally |last6=Kerns |first6=Connor M |last7=Wu Nordahl |first7=Christine |last8=Solomon |first8=Marjorie |last9=Amaral |first9=David G |title=Changes in the severity of autism symptom domains are related to mental health challenges during middle childhood |journal=Autism |date=May 2024 |volume=28 |issue=5 |pages=1216–1230 |doi=10.1177/13623613231195108 |pmid=37691349 |pmc=10924781 }}{{cite journal |last1=Collis |first1=Emma |last2=Dark |first2=Elizabeth |last3=Russell |first3=Ailsa |last4=Brosnan |first4=Mark |title=Self-Report of Restricted Repetitive Behaviors in Autistic Adults: A Systematic Review |journal=Autism in Adulthood |date=30 August 2024 |doi=10.1089/aut.2023.0111 }}

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 include hand flapping, clapping, rocking, blinking, pacing, head banging, repeating noises or words, snapping fingers, toe walking, and spinning objects.{{cite web | url=http://www.healthcentral.com/autism/c/1443/155585/stimming/ | title=Stimming | publisher=Health Central | date=27 August 2012 | access-date=25 March 2014 | author=Eileen Bailey}}{{cite web | url=https://www.bbc.com/news/blogs-ouch-22771894 | title=Stimming: What autistic people do to feel calmer | publisher=BBC | date=5 June 2013 | access-date=25 March 2014}} In some cases, stimming can 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.{{Cite web |last1=Smith |first1=Lori |last2=Legg |first2=Timothy J. |date=19 February 2018 |title=What is stimming? |url=https://www.medicalnewstoday.com/articles/319714 |access-date=19 April 2022 |website=Medical News Today |quote=For some, stimming can include higher-risk behaviors such as banging their hands, head, legs, and objects, which may be potentially physically harmful.}} Another problem is that repetitive behaviors can disrupt learning and social communication for some autistic individuals in some situations.{{cite journal |last1=Lanovaz |first1=Marc J. |last2=Robertson |first2=Kirsty M. |last3=Soerono |first3=Kara |last4=Watkins |first4=Nicholas |title=Effects of reducing stereotypy on other behaviors: A systematic review |journal=Research in Autism Spectrum Disorders |date=October 2013 |volume=7 |issue=10 |pages=1234–1243 |doi=10.1016/j.rasd.2013.07.009 |hdl=1866/19828 |hdl-access=free }}{{cite journal |last1=Leaf |first1=Justin B. |last2=Cihon |first2=Joseph H. |last3=Javed |first3=Asim |last4=Klick |first4=Sheila |last5=Ferguson |first5=Julia L. |last6=Milne |first6=Christine |last7=Creem |first7=Ashley |last8=Arthur |first8=Shannon |last9=Saunders |first9=Melissa, S. |last10=Olive |first10=Melissa L. |last11=Ross |first11=Robert K. |last12=Leaf |first12=Ronald |last13=McEachin |first13=John |title=A call for discussion on stereotypic behavior |journal=European Journal of Behavior Analysis |date=3 July 2022 |volume=23 |issue=2 |pages=156–180 |doi=10.1080/15021149.2022.2112810 |doi-access=free }}

Autism<span class="anchor" id="Stimming and autism"></span>

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Stimming behavior is almost always present in autistic people, but does not, on its own, necessarily indicate the diagnosis.{{cite web|url=http://autism.about.com/od/autismterms/f/stimming.htm|title=Stimming|first=Lisa Jo|last=Rudy|date=13 October 2009|publisher=About.com|access-date=24 March 2014|archive-date=30 March 2014|archive-url=https://web.archive.org/web/20140330063921/http://autism.about.com/od/autismterms/f/stimming.htm|url-status=dead}} The biggest difference between autistic and non-autistic stimming is the type of stim and the quantity of stimming. In the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, stimming behavior is described as "stereotyped or repetitive motor mannerisms" and listed as one of the five key diagnostic criteria of autism spectrum disorder.{{Cite book |title=Diagnostic and statistical manual of mental disorders : DSM-5 |publisher=American Psychiatric Association |year=2013 |isbn=978-0-89042-554-1 |edition=5 |location=Arlington, VA |oclc=830807378 }}{{pn|date=November 2024}}

Different perspectives suggest that stimming involves both sensory and motor functions. Underdevelopment of these sensorimotor functions can result in stimming behaviors produced by the person as a controllable response. One study which interviewed thirty-two autistic adults found that unpredictable and overwhelming environments caused stimming.

Stimming can sometimes be self-injurious, such as when it involves head-banging, hand-biting, excessive self-rubbing, and scratching the skin.{{Cite web |title=ADHD Stimming vs Autism Stimming: What's the Difference? |url=https://www.crossrivertherapy.com/autism/adhd-stimming-vs-autism-stimming |access-date=2024-07-25 |website=www.crossrivertherapy.com |language=en}}

As it serves the purpose of self-regulation and is mostly done subconsciously, stimming is difficult to suppress.{{Cite web |last=Devita-Raeburn |first=Elizabeth |date=2016-08-10 |title=The controversy over autism's most common therapy |url=https://www.spectrumnews.org/features/deep-dive/controversy-autisms-common-therapy/ |access-date=2023-04-07 |website=Spectrum News |publisher=Simons Foundation |language=en-US}} Managing the sensory and emotional environment while increasing the amount of daily exercise can increase comfort levels for the person, which may reduce the amount of the need for stimming.{{cite journal |last1=Cunningham |first1=Allison B. |last2=Schreibman |first2=Laura |title=Stereotypy in autism: The importance of function |journal=Research in Autism Spectrum Disorders |date=July 2008 |volume=2 |issue=3 |pages=469–479 |doi=10.1016/j.rasd.2007.09.006 |pmid=19122856 |pmc=2598746 }} Consciously or subconsciously suppressing stimming with the aim to present as neurotypical is one type of autistic masking.{{cite journal |last1=Pearson |first1=Amy |last2=Rose |first2=Kieran |title=A Conceptual Analysis of Autistic Masking: Understanding the Narrative of Stigma and the Illusion of Choice |journal=Autism in Adulthood |date=March 2021 |volume=3 |issue=1 |pages=52–60 |doi=10.1089/aut.2020.0043 |pmc=8992880 |pmid=36601266 }}{{cite journal |last1=Hull |first1=Laura |last2=Petrides |first2=K. V. |last3=Allison |first3=Carrie |last4=Smith |first4=Paula |last5=Baron-Cohen |first5=Simon |last6=Lai |first6=Meng-Chuan |last7=Mandy |first7=William |title='Putting on My Best Normal': Social Camouflaging in Adults with Autism Spectrum Conditions |journal=Journal of Autism and Developmental Disorders |date=August 2017 |volume=47 |issue=8 |pages=2519–2534 |doi=10.1007/s10803-017-3166-5 |pmid=28527095 |pmc=5509825 }} It typically requires an exceptional effort and can negatively impact mental health and well-being.{{Cite web |date=2022 |title=6A02 Autism spectrum disorder |url=https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/437815624 |access-date=2023-04-07 |website=icd.who.int |series=ICD-11 for Mortality and Morbidity Statistics}}

ADHD<span class="anchor" id="Stimming and ADHD"></span>

Stimming is practiced by some, but not all, people with ADHD.{{Cite web |last=Zauderer |first=Steven |title=ADHD Stimming vs Autism Stimming: What's the Difference? |url=https://www.crossrivertherapy.com/autism/adhd-stimming-vs-autism-stimming |access-date=2024-07-25 |website=www.crossrivertherapy.com |language=en}} The cause is not thoroughly understood, but experts believe stimming is likely linked to the effects of the dopamine imbalance that occurs in the brains of people with ADHD.{{Cite web |last=Team |first=ADDA Editorial |date=2023-04-26 |title=ADHD Stimming: Why It Happens and How to Cope |url=https://add.org/stimming-adhd/ |access-date=2024-07-25 |website=ADDA - Attention Deficit Disorder Association |language=en-US}} Some of the reasons people with ADHD might stim include to help them focus, to process and deal with their emotions, to help to deal with boredom, to express excitement, to cope with being overwhelmed by their environment, and to help them concentrate when they are uninterested with a topic or task.

The behaviors associated with ADHD stimming are characteristically repetitive and can be done consciously or unconsciously. Many neurotypical people may exhibit the same stimming behaviors, referred to as fidgeting, as someone with ADHD. However, for people with ADHD, these behaviors are more severe, occur more often, and can affect the person’s daily lives. Some potentially more negative or harmful stimming behaviors include teeth grinding, biting one's fingernails and lips, picking at one’s skin and scabs, overeating, impulsive actions, and chewing the inside of the cheeks.{{Cite web |last=Vevers |first=Sarah |date=2024-01-15 |title=ADHD stimming: Definition, examples, triggers, and more |url=https://www.medicalnewstoday.com/articles/adhd-stimming |access-date=2024-07-25 |website=www.medicalnewstoday.com |language=en}}

For people with ADHD, stimming can change over time. Some stims may lessen or disappear over time, while other stims can emerge as the result of other stressors. ADHD symptoms can be aggravated by certain environments, situations, and emotions, which will trigger stimming behavior. Some of these triggers include situations involving certain emotions like conflict and rejection, distractions caused by television and phones, environments that are messy or busy, strong or distracting odors, and intense lighting.

Toys<span class="anchor" id="Stimming with toys"></span>

Small objects known as stim toys or sensory toys may be used to satisfy a person's stimming behaviours. A stim toy may be specially designed for a specific stimming behaviour, such as a fidget toy, or it may be any ordinary object that a person can manipulate to perform the desired stimming behaviour. Many popular stim toys are held in the hands; they may also provide oral stimulation, such as chewelry.{{cite web | url=https://nationalautismresources.com/chewelry/ | title=Chewelry Chewable Jewelry for Autism and Special Needs Kids }}{{cite book | url=https://books.google.com/books?id=x-E2EAAAQBAJ&dq=chewelry+and+stimming&pg=PT99 | isbn=978-0-593-23524-9 | title=Unmasking Autism: Discovering the New Faces of Neurodiversity | date=5 April 2022 | publisher=Harmony/Rodale }}

See also

References

{{Reflist|30em}}

{{Pervasive developmental disorders}}

{{Autism resources}}

Category:Autism

Category:Symptoms and signs of mental disorders

Category:Anxiety