My adopted Chinese daughter (17 mos) slaps her head if she is under stress or if we tell her "no." In previous posts you mention possible development issues. Could you be more specific about what types to look for and who should be looking into it...her MD or is a psychologist better? Should we stop her from doing slapping herself or ignore the action while we look into the cause? She also has a temper and hits when angry. We give her a time out for slapping, and see that she sometimes stops just as she raises her hand, so she is obviously "clueing in" to the fact that this is not acceptable behavior and restraining herself. She gets along quite well with both adults and other children. We have no bonding problems. Other than this issue, she is a typical happy little girl (we have three other, older children of our own and are not inexperience parents).
The fact that she is already able to interrupt the impulse to hit herself indicates that this is very likely a normal-spectrum issue, and that you should simply continue along your course (i.e., timing her out if she hits others, ignoring her if she hits herself). Some children who are developmentally disabled or who display pervasive developmental disorders sometimes hit themselves, but they don't tend to respond very well to straightforward limit setting.
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