PDF(Pubmed)
Abstract：
Evaluating behavioral mimicking is important in healthcare providers\' everyday functioning with an increased presentation of Tourette syndrome-like cases during the COVID-19 pandemic, seen due to the popular video creators on social media (e.g., TikTok) exhibiting these behaviors. Individuals with autism spectrum disorder (ASD) face difficulties with connection and assimilation, and they adapt by camouflaging their behaviors to fit with those of the neurotypical majority. Our team evaluated the behaviors of one individual with ASD to establish whether camouflaging was playing a role in her psychiatric stabilization in our inpatient psychiatric unit. We present a case of a 30-year-old female with ASD, admitted to our long-term inpatient psychiatric facility for significant mood dysregulation that persisted despite numerous treatment approaches (mediations, groups, etc.). While her initial behaviors included head banging and self-induced falls, her behaviors seemed to change based on those of her peers, in an apparent attempt to camouflage into the social environment within the unit. She also appeared to learn new self-harm behaviors, such as skin picking, from peers around her. The team was able to establish a temporal link between some instances of peers exhibiting specific behaviors and our patient engaging in similar behavior. Although inpatient units effectively manage long-term stabilization in other psychiatric disorders, these environments are not designed for individuals with ASD. Treatment teams should recognize the malleability of behaviors in patients with ASD and must identify and manage behavioral mimicking early during inpatient psychiatric treatment; otherwise, it may lead to significant harm.
摘要：
在COVID-19大流行期间，随着Tourette综合征样病例的出现增加，评估行为模仿对医疗保健提供者的日常功能很重要，由于社交媒体上流行的视频创作者而看到(例如，TikTok）展示这些行为。自闭症谱系障碍（ASD）患者在联系和同化方面面临困难，他们通过伪装自己的行为来适应神经典型的大多数人。我们的团队评估了一个患有ASD的人的行为，以确定伪装是否在我们住院的精神病院中对她的精神稳定起作用。我们提供了一个30岁女性自闭症患者的案例，承认我们的长期住院精神病院显著的情绪失调，尽管有许多治疗方法（调解，groups,等。).虽然她最初的行为包括头部撞击和自我诱发的跌倒，她的行为似乎根据同龄人的行为而改变，显然是试图伪装到单位内的社会环境中。她似乎也学会了新的自残行为,比如剥皮，她周围的同龄人。该团队能够在一些表现出特定行为的同龄人和我们的患者参与类似行为之间建立时间联系。虽然住院单位有效地管理其他精神疾病的长期稳定，这些环境不是为患有ASD的个人设计的。治疗团队应认识到ASD患者行为的延展性，并且必须在住院精神病治疗期间及早识别和管理行为模仿；否则，它可能会导致重大伤害。
