I have a 2nd grade student who can be the sweetest little boy ever, however the moment he's crossed, he pinches/scratches/bites. My aides and I are covered with scabs and bruises. Mother absolutely flips out when anyone even thinks about medicating him or putting him in a more restrictive setting, but she lets him do what he wants at home and never makes him do something he doesn't want to do. To complicate matters, he is very particular about what he will eat and suffers from chronic bowel blockages as a result. When he is in pain, he lashes out at everyone in the near vicinity. Today he decided he didn't want to do his work station, something that he's done every day and can do in 2 minutes if he works. He threw things and was made to pick them up (hand over hand). That didn't get him out of work. So he started yelling. I told him, "You don't want to work. You want to play. Work first, then play." That didn't get him out of work. Then he began to scratch/pinch the aide working with him....the aide was going to put him in time out--a procedure from last year. I stopped him from putting the child in TO. That didn't get him out of work. So he did one task, then tried biting/scratching/pinching. I did put him in TO for biting (and cut his nails while he was in TO), but he went right back to his station after it was up and had to finish. It took two of us to have him complete his tasks hand over hand. One to hold the free hand and stick his chewy tube in his mouth when he tried to bite and one to actually do the work (stamping letters). It wasn't anything he couldn't do independently, he just didn't want to. I can tell when he bites himself or pinches his belly that he is in pain. I usually give him tummy rubs from behind and he calms down. Today he was lashing out for no apparant reason (besides the attempt to get out of work). I've already got an FBA going, but I can tell already 3 things. 1) If he doesn't know what's next, he flips---begining to understand picture schedule and that helps. 2.) If he just doesn't want to do something, he goes off--too bad, he's going to learn to do it. 3.) If he has down time that isn't structured, he will go for the other kids--working on a sensory diet during that particular period of the day. Any other ideas??