Reframing Aggression as UUUPA in Autism Spectrum Disorder:Dr Kondekar Santosh V Autism Doctor Mumbai
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...