Which statement best describes graded exposure in managing tactile defensiveness?

• A. It involves exposing the child to the most challenging textures first to accelerate tolerance.
• B. It uses punishment to discourage distress during touch.
• C. It starts with tolerable stimuli and gradually increases exposure with consent.
• D. It avoids any tactile input to prevent distress.

Answer: (C)

Graded exposure is a stepwise, child-centered desensitization approach to tactile defensiveness. The idea is to start with textures or touch experiences the child can tolerate and then gradually increase the sensory challenge as tolerance improves, with the child’s consent and active involvement. This gradual, voluntary progression helps the nervous system habituate to touch, reduces fear, and builds confidence and coping skills. Using play-based activities and positive reinforcement, a therapist (and family) supports small, controllable exposures, monitoring distress and readiness at each step.

Starting with the most challenging textures first can overwhelm the child and hinder progress, while using punishment isn’t a therapeutic strategy for desensitization. Avoiding tactile input altogether prevents meaningful exposure and learning.