Autism Therapy: restrain

definition of restrain: To restrain someone is to physically keep them from moving or speaking. Therapies for children with autism that use restraining techniques or restraint are controversial and may be harmful.

No Factsheets to Display

Pediatric Dentistry, by Marshall, J., Sheller B., Manic L., and Williams BJ, published in 2008, summarized Dec 16, 2008

Trips to the dentist may be made much easier for children with autism if dental staff use positive verbal reinforcement and talk to the child about what will be done before it is done.

The dentist office is often not a good fit for a child with autism. This article looked at parent views on behavior guidance techniques for children with autism who receive dental care. The study found that parents are often able to predict how their children will behave with the dentist. Parents of children with autism often prefer when the dentist: 1) tells the child when he is good, 2) approaches the child with tell-show-do, 3) distracts the child, 4) uses rewards, and 5) allows the parent to hold the child's hand. Most parents do not like staff restraint.


No News to Display


Please comment on this autism topic.

My 100th episode

Nov 19, 2008 by Anonymous

            Guess what?  This is my 100th blog on Healing Thresholds!  If this were a sitcom, I would be compelled to do a clip-show. 

            My birthday was yesterday and fun-filled, or at least peaceful, until the oven broke just as I was heading out to the PTA meeting.  My sister called from California and I was on the phone with her, watching Jonathan lay on the floor in front of the oven’s open broiler-drawer with a lit napkin in his hand.  I had no idea what he was doing and it didn’t occur to me, even after I was off the phone, that there might have been a problem.  He had to cook Thomas’ fish and Hayley’s chicken nuggets in the microwave, but overall, an oven is something you can get along without for a couple of days unless you’re a caterer.  We’re not caterers, so it was no big deal and a guy came out today and fixed it.  So we’ll be able to bring the green bean casserole to Jonathan’s mom’s house on Thanksgiving after all.

            Thomas actually had a pretty difficult time at school yesterday.  Since it was Tuesday, I went in to help the teacher in the classroom as usual, but Thomas was very sad at first!  The aide came in to help as she usually does when I’m there, but we couldn’t figure out what his trouble was.  I assumed it was the medicine he takes in the morning and I said something like, “I’m going to call his doctor and see if we can take him off the Clonidine in the morning,” but both the teacher and the aide said that he’s not like that every day.  It might have been because we drove to school yesterday instead of walked and it was my birthday so I brought in cookies for the kids and got to wear the birthday crown.  All of this might have thrown Thomas off a little bit.  He did recover after playing in centers and going to the library, though.  I also had a good talk with him today on our way to get Hayley from preschool.  I’m trying to make him understand that when I’m in the classroom, it’s to help his teacher and his teacher is there to help him.  He seemed receptive to what I was saying and he said that he definitely wants me to continue coming to school on Tuesdays, so I will for now.  If he has trouble again like he had yesterday, I may have to try to help out in some other way.

            Thomas’ conference is tomorrow night at 7:15.  We’re invited to bring Thomas (and Hayley) with us so that he can show us his portfolio and the work that he’s done, but I’m not sure it will work out like that.  Probably, Hayley will settle herself in the dress-up area and Thomas will play on the science table while we talk to his teacher.  I’m really interested in hearing what she has to say about his progress and his report card.  I get to see him in action at school every Tuesday and I’m kind of thinking of talking to her about whether or not she thinks I should continue coming in to help out.

            The kids have no school next week except for Hayley who has preschool on Monday.  Usually the preschool follows the district’s schedule, but Thomas’ school has what’s called a School Improvement Day on Monday.  Thomas and I will get some quality time then while Hayley’s at school.  I wonder what I’m going to do with them next week!  I still have to conduct my annual toy purge before the big Christmas influx.  It’s usually easier to do that when the kids aren’t home, but I might try to involve them in it this year.  Thomas has so many old broken cars that he doesn’t play with anymore and I’m hoping he’ll see the sense in throwing them out or giving them away.  I’ll try to introduce the idea of charitable giving – giving away toys that we don’t play with anymore to kids who don’t have as much.  I wonder if they’re still too young for this concept.  If so, I’ll have to be sneaky.

            This holiday season is shaping up to be the best and most exciting for the kids.  They’re really getting into the Santa Claus thing and are excited for Christmas to come.  In our house, we usually measure the days until a big event by telling the kids that there are “five sleeps until we go to the vacation house,” or whatever it is.  That means that they have to go to bed for the night five times – a kid-friendly way of saying five more days.  They keep asking, “Is it going to be Christmas tomorrow?” or “How many days until Christmas?”  They’re already getting in the spirit, probably because I took advantage of a warm day last week to put up the outdoor lights and put the big wreath on the front of the house.  I wonder how many more years we have of the kids being excited to see Santa and believing in the magic of it.

            I’ve been looking at the calendar and have realized that unless we want to do our Christmas shopping Thanksgiving weekend (ugh!), we’ll have to do it December 6.  That will probably mean an overnight trip to Grandma’s for the kids and that we have that one precious day to start and finish shopping.  I can’t believe it’s that time of year again.  Around now, I have to restrain myself from decking our halls and stringing lights all over every available square inch of wall space.  Thomas has been asking about the Christmas tree and when I’m going to put it up, and also if he can bring his pedal car back in the house since it’s cold outside now.  Over the summer, he took it outside to ride it and I said that it’s really an outside toy so we’d leave it in the garage until it was too cold to ride it outside.  The problem is that we spend all winter tripping over it, moving it around the living room and out of our way.  I’m hoping that he’ll forget about it when he sees the bicycle that Santa’s going to bring him.  Of course, then we’ll have that in the house.  The trade-off would be that I might finally get a chance to play with the Nintendo Wii.


Oh, doctor!

Nov 6, 2006 by Anonymous

After a rough weekend (due in part to the Bears’ disappointing loss on Sunday), today was a much better day with Thomas. Again, he has amazed and delighted me with his unexpected good behavior. This time, it was at the doctor’s office.

We had to go back today to check on Thomas’ ear infections and also to have both kids get the flu shot. I asked my dad to come with me to help, and I wonder now if I completely wasted his time because both Thomas and Hayley were good. I was so surprised by Thomas, though! When the doctor came in, he didn’t scream or cry or try to hide. I put him on the exam table and he sat very nice and still while the doctor looked in his ears and he even opened his mouth when she asked him to! He let her listen to his heart with no protests. And when it was time for his flu shot, he sat on my lap, let me push his sleeve up and let the nurse give him the shot! I didn’t even have to restrain him very much. I didn’t have to put him in a leg lock with my legs or hold his head; nothing. He cried of course, when she gave him the shot and for a few seconds after, but he was completely over it by the time Hayley was getting her shot (I had to restrain her more than Thomas) and he even gave her a hug and kiss and told her it was okay. The nurse thought it was so cute (it was!). I couldn’t believe it. I was completely floored. He was great, and I’m still shocked.

What a roller-coaster we’re on! One of my favorite analogies comes from the movie Parenthood which came out in the eighties or early nineties starring Steve Martin and Mary Steenburgen. Towards the end of the movie, Gil (Steve Martin) and Karen (Mary Steenburgen) are getting ready to go their daughter’s school play, and they’re talking about their kids and how there are no guarantees in life as a parent; it’s filled with the highest highs and the lowest lows. Then Gil’s grandmother comes in from the kitchen and tells them about a roller-coaster ride she went on when she was young; it was exciting and terrifying all at the same time. “Some didn’t like it,” she said. “They went on the merry-go-round. But that just goes around…nothing. I like the roller-coaster.”

So is it better to be on the merry-go-round or the roller-coaster? I still can’t really decide. When we’re having a crummy day – like we had on Friday – I think the merry-go-round would be better. But then we have a day like today, when Thomas was great at the doctor and so talkative and fun. I’m almost (almost) sure the roller-coaster is better.

I was giving Hayley a bath tonight when the dog started drinking out of the toilet behind me. Thomas was in the bathroom (which is usual when I’m bathing Hayley – he was NOT spraying caustic fluids in his eyes this time, thank God) and noticed that Sophie got water on my feet after pulling her head out of the toilet. He went into Hayley’s room and got a few wipes and came in the bathroom to wipe the water off my feet. How cute! I said, “Oh, thank you, Thomas!” He replied, “You’re welcome.” He really does have good days and bad days, like everyone. I’m hoping that his behavior of last week and this past weekend can be attributed to the double ear-infection.

I think that a big part of his success at the doctor today had to do with me explaining exactly what would happen. I told him several times that the doctor just wanted to look in his ears and make sure they were better, and then he’d have a shot. Obviously, I try to explain exactly what will happen every time we do anything, but usually as soon as I get the word “doctor” out of my mouth, he’s screaming and protesting too loudly for me to explain any further. This time, explanation paid off. I don’t know if Thomas knows what a shot it, because I’ve never really discussed it with him before. Even so, when I was holding him in my lap and the nurse came at him with an alcohol swab, he didn’t protest, and surely by then he knew what was coming.

With Thomas, I think honesty is the best policy, even if the truth is difficult. Better for him to be prepared for something uncomfortable, even if it causes a tantrum in the short-run, than leave him to be unpleasantly surprised. I know that’s standard action for an autistic child, but when Thomas is screaming and freaking out before I can even explain, I realize that my words aren’t sinking in and I’m not doing any good. This time, he really listened and it seemed to help him. Maybe he understands me better; perhaps his level of comprehension is getting better. We’ll see. For now, I’m thinking I can take both of the kids to the doctor for their check-ups in December all by myself!



Please comment on restrain or other autism therapy topics.

  • Factsheet
  • Research
  • News
  • Comments.
  • Synonyms for restrain include: holding therapy, restraint, restraints
    Share |