Autism ADHD Doctor Mumbai india Dr SV Kondekar

Reframing Aggression in Autism Spectrum Disorder: A Position Paper on “Uncontrolled Restlessness,” Receptivity, and the Role of Medication** Abstract Behaviors traditionally labeled as “aggression” in children with Autism Spectrum Disorder (ASD)—including screaming, hitting, biting, and object-directed force—are frequently misinterpreted as intentional or oppositional acts. This paper proposes a conceptual and clinical reframing of such behaviors as manifestations of “uncontrolled restlessness,” representing progressive stages of neurobehavioral disorganization rather than volitional aggression. We introduce a stage-based model emphasizing early identification and intervention, alongside a central therapeutic construct termed “receptivity”—defined as the child’s capacity to maintain bodily and cognitive steadiness sufficient to receive and process perceptual input, particularly via auditory and visual pathways. The paper argues that when uncontrolled restlessness persists beyond a defi...

Reframing “Sensory” as “Perceptive”: A Cognitive-Centric Model of Dysregulation Rationale for Terminological Shift The term “sensory” has been widely used in Autism Spectrum Disorder (ASD) literature to describe atypical responses to environmental stimuli. However, in clinical practice, this term often leads to conceptual diffusion and therapeutic misdirection. Specifically : It overemphasizes peripheral sensory organs (touch, sound, sight, etc.) as independent drivers It assumes relative equivalence of all sensory modalities It promotes multisensory activity-based interventions, often non-verbal in nature It risks diverting attention away from higher-order cognitive regulation, particularly verbal and auditory pathways essential for learning As a result, intervention may shift toward activity-based regulation rather than state-based cognitive stabilization. Proposed Term: “Perceptive Systems” We propose replacing “sensory” with “ perceptive ”, defined as: The i...