Adolescents with Asperger syndrome can use a mindfulness-based strategy to control their aggressive behavior

Children and adolescents with Asperger syndrome occasionally exhibit aggressive behavior against peers and parents. In a multiple baseline design across subjects, three adolescents with Asperger syndrome were taught to use a mindfulness-based procedure called Meditation on the Soles of the Feet to control their physical aggression in the family home and during outings in the community. They were taught to shift the focus of their attention from the negative emotions that triggered their aggressive behavior to a neutral stimulus, the soles of their feet.Prior to training in the mindfulness-based procedure the adolescents had moderate rates of aggression. During mindfulness practice, which lasted between 17 and 24 weeks, their mean rates of aggression per week decreased from 2.7, 2.5 and 3.2 to 0.9, 1.1, and 0.9, respectively, with no instances observed during the last 3 weeks of mindfulness practice. No episodes of physical aggression occurred during a 4-year follow-up. This study suggests that adolescents with Asperger syndrome may successfully use a mindfulness-based procedure to control their aggressive behavior.

Research highlights
► Aggression is evidenced in adolescents with Asperger syndrome.
► No well-controlled published treatment studies could be found.
► We used a mindfulness-based strategy (Meditation on the Soles of the Feet) to help three adolescents control their anger and aggression.
► All three were successful, and maintained their non-aggressive behavior for 4 years during follow-up.