Assessment & Research

Repeating patterns: Predictive processing suggests an aesthetic learning role of the basal ganglia in repetitive stereotyped behaviors

Spee et al. (2022) · Frontiers in Psychology 2022
★ The Verdict

Repetitive behaviors are the brain’s volume knob for sensory predictions, not meaningless habits.

✓ Read this if BCBAs working with autistic or OCD clients who show lots of rocking, hand-flapping, or lining up toys.
✗ Skip if Clinicians looking for step-by-step behavior protocols or drug studies.

01Research in Context

01

What this study did

Spee et al. (2022) built a theory paper. They asked why autistic and OCD brains love repetition.

They used brain-prediction ideas. The basal ganglia, they say, tunes how much we trust new sights or sounds.

When the dial is off, the brain repeats movements to rebalance itself.

02

What they found

The team found no new data. Instead they linked two fields.

Repetitive behaviors are not just habits. They are the brain’s own art studio, adjusting sensory weights like paint on a canvas.

03

How this fits with other research

Lancioni et al. (2009) showed kids who fail reversal shifts have more repetitive behaviors. Spee gives a brain reason: the basal ganglia keeps bad sensory priors.

Sibeoni et al. (2022) say autistic sensing is one big soup of body-feeling-social mix. Spee adds the chef: the basal ganglia stirs the soup by raising or lowering spice weights.

Hudry et al. (2013) found child repetitive behaviors predict parent-child sync. Spee’s story explains why: the child is tuning sensory noise, and parents feel the dial turns.

04

Why it matters

You can stop treating repetition as junk behavior. View it as a sensory calibration tool. Try giving brief, patterned art or music breaks. Let the client reset the dial, then return to task. You may see fewer “stuck” loops and smoother transitions.

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Insert a two-minute repeating rhythm activity before tough transitions and watch for calmer shifts.

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder, ocd
Finding
not reported

03Original abstract

Recurrent, unvarying, and seemingly purposeless patterns of action and cognition are part of normal development, but also feature prominently in several neuropsychiatric conditions. Repetitive stereotyped behaviors (RSBs) can be viewed as exaggerated forms of learned habits and frequently correlate with alterations in motor, limbic, and associative basal ganglia circuits. However, it is still unclear how altered basal ganglia feedback signals actually relate to the phenomenological variability of RSBs. Why do behaviorally overlapping phenomena sometimes require different treatment approaches−for example, sensory shielding strategies versus exposure therapy for autism and obsessive-compulsive disorder, respectively? Certain clues may be found in recent models of basal ganglia function that extend well beyond action selection and motivational control, and have implications for sensorimotor integration, prediction, learning under uncertainty, as well as aesthetic learning. In this paper, we systematically compare three exemplary conditions with basal ganglia involvement, obsessive-compulsive disorder, Parkinson’s disease, and autism spectrum conditions, to gain a new understanding of RSBs. We integrate clinical observations and neuroanatomical and neurophysiological alterations with accounts employing the predictive processing framework. Based on this review, we suggest that basal ganglia feedback plays a central role in preconditioning cortical networks to anticipate self-generated, movement-related perception. In this way, basal ganglia feedback appears ideally situated to adjust the salience of sensory signals through precision weighting of (external) new sensory information, relative to the precision of (internal) predictions based on prior generated models. Accordingly, behavioral policies may preferentially rely on new data versus existing knowledge, in a spectrum spanning between novelty and stability. RSBs may then represent compensatory or reactive responses, respectively, at the opposite ends of this spectrum. This view places an important role of aesthetic learning on basal ganglia feedback, may account for observed changes in creativity and aesthetic experience in basal ganglia disorders, is empirically testable, and may inform creative art therapies in conditions characterized by stereotyped behaviors.

Frontiers in Psychology, 2022 · doi:10.3389/fpsyg.2022.930293