My ASD Child

Insistence on sameness is a core feature of autism spectrum disorders, characterized by compulsive adherence to routine, and stereotyped, repetitive behaviors. This makes it hard for children on the autism spectrum to adjust to the ever-changing demands of their environment. Their preference for sameness is typically accompanied by significant distress when a preferred activity is interrupted, resulting in serious behavioral management problems. It is possible that the brain systems responsible for changing from repetitive behaviors to more flexible ones are impaired in children on the spectrum. On the other hand, these children may not recognize or respond to external cues or rewards intended to promote changes in behavior. Understanding the brain systems involved in changing behavior and their dysfunction will ultimately help guide treatment for this understudied – yet disabling aspect – of autism spectrum disorders. Young people with Asperger’s (AS) and High-Functioning