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Hand-over-hand often bypasses consent, autonomy, and motor planning. The child isn’t making a choice, solving a problem, or initiating communication. They’re being physically guided to perform a behavior, which can look like “success” in the moment but rarely leads to independence or generalization. It can also impact trust. When a child learns that adults will move their body without permission, it can increase anxiety, shutdown, resistance, or avoidance…especially for autistic children with se
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