Autism & Developmental

Repetitive behaviour and play in typically developing children and children with autism spectrum disorders.

Honey et al. (2007) · Journal of autism and developmental disorders 2007
★ The Verdict

Repetitive behavior, limited play, and language delays travel together in autism—so teach play to hit two birds with one stone.

✓ Read this if BCBAs doing early-childhood assessments or writing play-based language goals.
✗ Skip if Clinicians focused only on older learners with no repetitive behavior concerns.

01Research in Context

01

What this study did

Honey et al. (2007) watched kids play and counted repetitive actions. They compared children with autism to typically developing peers. The team noted how play variety, language, and repetitive moves linked together.

02

What they found

In autism, more repetitive behaviors went hand-in-hand with fewer play skills. The same kids also had weaker language. In typical kids, repetitive moves did not connect to play or talking.

03

How this fits with other research

Uljarević et al. (2017) later added fear to the picture: kids with autism who were more anxious showed even more repetitive behaviors. The link looks stronger in autism than in Down syndrome or typical kids.

Iversen et al. (2021) pooled data from almost 3,000 children. They found poor executive skills (like shifting attention) tied to more repetitive behaviors in both autism and typical groups. Emma’s snapshot fits inside this bigger pattern.

Davison et al. (1995) showed play can be taught. They used PRT play training and three preschoolers with autism gained new play, language, and social skills. Emma’s paper hints at what to target: play and language clustered with repetitive behaviors.

04

Why it matters

When you see lots of repetitive moves, screen play and language next. Pick play goals that double as communication targets. Try sociodramatic play drills or PRT loops; they may chip away at both issues at once.

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→ Action — try this Monday

Run a 5-minute pretend-play probe; note if repetitive actions drop as play variety rises—then add similar play targets to the plan.

02At a glance

Intervention
not applicable
Design
survey
Sample size
196
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

The view of a triad of impairments [(Wing and Gould (1979). Journal of Autism and Developmental Disorders, 9, 11-30] in which impaired imagination is linked with repetitive behaviour is widely accepted. However this categorisation differs from the international classification systems, which link imagination to communication impairments rather than to repetitive behaviours. To investigate this relationship, the Activities and Play Questionnaire-Revised was completed by 196 parents of 2-8-year-old children with autism spectrum disorders (ASD) and typical development. Results showed that repetitive behaviours were associated with play in ASD but not in typical development, supporting Wing and Gould's triad. However there was also an association between play, repetitive behaviour and language, confirming the international classification systems description of imagination as a component of language and communication difficulties.

Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0253-4