Self-Injurious Behavior and Learning Disability

The professional literature provides abundantactivity and the environment; including social, physical,
evidence that individual with autism exhibits a myriadand psychological.The two major sets of theories set
of uncommon form of social interaction,forth to explain why people engage in self-injury are
communication, and behavioral pattern that oftenphysiological and sociological. However, I strongly
present major challenges to their families andsupport the inclusion of a psychological theory to the
professional providers. However, there is a noticeablemix.The psychological connection is especially relevant
shortage of quality research targeting self-injuriousto some individuals with autism or learning disabilities.
behavior in respect to people with learningIt is widely recognized that this population is often
difficulties.One of the reasons that self-harminglimited in means of verbal communication. Therefore,
behavior remains largely an enigma is that whenindividuals with autism or learning disabilities may rely
useful studies are done or appropriate theorieson non-verbal means of expressing their emotions.
developed they, too often, remain within a singleThis means of expression is very important if the
domain such as mental health; and their broaderemotional pain represents a re-stimulation of past
application is not investigated. Therefore, a separatehurts; such as physical, sexual, or psychological abuse.
bodies of literature that consider the causes ofIn such case, self-harm may represent the best
self-harm for a particular group like people withattempt to assuage the of past abuse, neglect, and
learning difficulties are over due.The term learningother trauma.The psychological approach call our
disability is used to refer to sociobiological conditionsattention to many common themes that are the
that affect a persons communicative capacities anddriving force behind many individuals who used
potential to learn.Someone with a learning disabilityself-injurious behavior as a means of expression. It
does not necessarily have low or high intelligence, itcannot be purely coincidental that many of the same
just means this individual is working far below theirthemes are reported by people who had been
ability due to a processing disorder, such as auditoryabused by someone in authority. These themes can
processing or visual processing.After three decadesbe understood as "messages" that the individual
of active research interest a clear and usefuleither reinforces internally or wishes to share with
definition for self-harm remains elusive. In fact, thecaregivers and professionalsIn a service-based
search for understanding is the foundation of thisenvironment, for example, individuals may feel that
complex phenomena that has been so absorbing tothey have is very little control over what happens to
both researchers and practitioners. A wide definitionthem. Self-injurious activities may provide the only
would include the following: an intentional, self-directedopportunity of self-control in a very personal manner;
act to destroy, disfigure or impair the appearance orthis can be very attractive when there is limited
function of some body part while inflicting pain; theoption for verbal expression. Also it is quite normal
act does not include suicidal ideation.The language ofthat as tension and stress mount people will seek
self-harm presents a profound insight into how it isways to release the pressure. Individuals who use
understood in society. For example, individuals whoself-harm, to express emotions, find this method
self-harm are, too often, called "self-cutters" Thevery effective, especially if it results in the flow of
problem is that people become defined by theirblood. For instance, if the psychological, physical, or
self-harming behavior, perhaps eclipsing other moreemotional pain is too difficult to bear ... or the origin of
validating defining labels, such as communication,the abuse is unclear...it may be desirable to focus on
oppression and abuse as the driving force behinddeliberate self-inflicted pain that is controlled by the
self-harming activities; especially among individualsindividual.It is broadly accepted that people with low
with learning difficulties.According to recent research,self-esteem tends to engage in self-injurious behavior
self-harming is the most self-destructive behaviormore often than the general public. For example, if
exhibited by people with learning difficulties. The mostthe internalized person is worthless there may be a
common these activities are head-banging,desire "damage" the external image so that it mirrors
hand-biting, excessive self-rubbing, and scratching.worthlessness felt inside. Individuals with autism or
Both individuals in general and individuals with learninglearning disabilities who are often devalued, by
difficulties engage in self-harming activities for manysociety, and experience prejudice and personal
different reasons. However, the contributing factorrejections from the environment this would be a
for self-destructive behavior is often physiological,likely consequences of internalized oppression.It is
sociological, environmental, and psychological.Thetrue for most individuals with developmental
negative effect of many of the labels used todisabilities a variety of functions are served
describe self-harming behavior indicates thatsimultaneously by self-harm in a manner that is
self-harming is perceived in our culture as sociallydescribed as self-help. Viewed in this manner,
unacceptable. Therefore, it is not always treated withself-harming behavior can be seen both as
compassion and understanding; and it may also be acommunicative and functionally adaptive as well. This,
source of guilt and shame to the individual who usehowever, raises the possibility that is self-harm
this form of expression.Studies had shown that therepresents an intended message than accurate
type of self-harming behavior engaged in act toreading of the message will diminish the need for
reduced or relieved a specific form of anxiety. Forself-injurious behavior, which is the goal of
example, hand-biting may be a reaction to frustration,treatment.Clearly, self-harm would not be the
excessive scratching could be a means ofcommunication medium of choice for all individuals
self-stimulation, and head-banging or ear-hitting maywith autism or developmental disabilities, but this
be the result of middle ear infection. Someapproach may represent a last effort to focus
self-injurious behavior may be the result ofattention on some past or present unmet needs.The
heightened-arousal, such behavior acts as a releaserelationship between communication and self-harming
that lowers the arousal state. Self-injury could be abehavior suggest that self-harm can be a "scream"
form of self-stimulatory behavior that is repetitive,without sound. Many individuals with developmental
ritualistic that provide the individual with some typedisabilities have limited means of self-expression, in
of sensory stimulation.From a sociological perspective,which case, self-harm is a convenient language.Finally,
an with learning difficulties may engage in self-harmingthe exact relationship between self-injurious behavior
activities to obtain attention from the environment.and abuse is individualized and complex. However, to
Often people with learning difficulties may engage inexplicitly ignore or implicitly dismiss self-harming
self-harming behaviors to avoid or escape unpleasantactivities as just part of the syndrome is to ignore
task. Research literature also suggests the possibilitythe true "message" of self-injurious behavior which
that self-harming activities may be related tomay, in fact, become the ultimate abuse.Dr. Smith is a
hypersensitivity to sounds in the environment. If, forpsychotherapist and personal consultant with over 30
instance, a disturbing sound bothers an individual withyears experience working with individuals and groups.
learning difficulties he/she my communicates theDr. Smith specializes in working with Adult Children of
discomfort by hitting one's head or ears.The role ofAlcoholics, Survivors of Incest, Childhood Sexual
professional educators and caretakers is to conductTrauma, Survivors of Rape, and individuals
functional analysis to develop a complete descriptionexperiencing symptoms of Depression, Anxiety,
of the individual's self-harming activities and determineRelationship Concerns, and Symptoms related to
a possible cause and effect relationship between theCigarette Addiction. Dr.