Cues-pause-point language training: teaching echolalics functional use of their verbal labeling repertoires.

We evaluated the direct and generalized effects of cues-pause-point language training procedures on immediate echolalia and correct responding in two severely retarded females. Two experiments were conducted with each subject in which the overall goal was to encourage them to remain quiet before, during, and briefly after the presentation of questions and then to verbalize on the basis of environmental cues whose labels represented the correct responses. Multiple baseline designs across question/response pairs (Experiment I) or question/response pairs and settings (Experiment II) demonstrated that echolalia was rapidly replaced by correct responding on the trained stimuli. More importantly, there were clear improvements in subjects'' responding to untrained stimuli. Results demonstrated that the cues-pause-point procedures can be effective in teaching severely retarded or echolalic individuals functional use of their verbal labeling repertoires.     

AN EVALUATION OF LABELING-THEN-DOING WITH MODERATELY HANDICAPPED PERSONS: ACQUISITION AND GENERALIZATION WITH COMPLEX TASKS

We conducted two experiments in which moderately mentally retarded persons were trained first to label and then to enter characters into a computer, calculator, or checkbook (label-then-do) within a multiple baseline design. In Experiment 1, 5 young adults were trained to enter statistical programs into computers in an office setting. Following training, all subjects' use of verbal labels and key-entry skills generalized across tasks (programs) and settings (offices and computer terminals). In Experiment 2, 3 junior high school students were trained with self-labeling procedures to complete a key-entry task and to balance a checkbook. The performance of all students generalized across tasks and settings, and the use of labels generalized for 2 of the students. Results are discussed relative to mediated generalization and to establishing verbal control over behavior.     

THE TRAINING AND GENERALIZATION OF A CONVERSATIONAL SPEECH FORM IN NONVERBAL RETARDATES1

Differential reinforcement and imitation were used with two retarded children to train three sequential verbal responses associated with the display of a picture and questions related to that picture. Each response consisted of a three-word chain in sentence form; combined with verbal responses from the experimenter, this trained sequence formed a short conversational unit. Three experimenters measured the use of each sentence in settings different than the one in which training took place, and with pictures different than those used during training. Two types of generalization sessions were used: (1) General sessions, during which 10 pictures never used during training were displayed to the subject with reinforcement delivered on a noncontingent basis, and (2) Intermixed sessions, during which 10 pictures never used during training were displayed to the subject, but a picture having received training was also displayed, and correct responses to this picture were reinforced on a variable schedule. Both subjects learned the sentences being trained. However, little generalization was evident from this training when all experimenters conducted General probe sessions. Generalization occurred with one experimenter only after that experimenter conducted Intermixed probe sessions. Generalization to a third experimenter was then observed (i.e., after the first two experimenters had conducted Intermixed probe sessions) without the use of Intermixed probe sessions by this third experimenter.     

Decreasing Echolalia of the Instruction “Say” During Echoic Training Through Use of the Cues-Pause-Point Procedure

Echolalia is common in children with autism and may interfere with the development of functional language. Given the variety of vocal stimuli included in teaching language to children with autism, it is possible that discrimination between instructions and targeted responses may not always occur. Thus, children may engage in very high rates of echolalia during language training because it is unclear which vocalizations produced by an instructor should be echoed. The cues-pause-point (CPP) procedure has been effective in decreasing echolalia and increasing specific correct responses to unknown questions in adults with intellectual disability. The current investigation applied the CPP procedure to the echoic repertoire with 1 child with autism who consistently echoed the instruction “say” during language training. Results indicated that echolalia of the instruction “say” decreased, and correct responding of the targeted vocalization increased for all targeted words. Implications for the use of the procedure in educational settings are discussed, and areas for future research are provided.     

TEACHING SEVERELY MULTIHANDICAPPED STUDENTS TO PUT ON THEIR OWN HEARING AIDS

Two experiments were conducted with six severely multihandicapped students with hearing impairments to: (a) train the six students to put on their own hearing aids independently, and (b) provide an empirical evaluation of a comprehensive instructional program for putting on a hearing aid by assessing acquisition, maintenance, and generalization of that skill across environments. All six students acquired the skill rapidly, with two students requiring remedial training on one step of the program. Because for two of the original three students the newly learned skill failed initially to generalize to other environments, a second experiment was initiated to assess generalization across environments as well as to replicate the efficiency of the acquisition program. When a variation of the multiple-probe baseline technique was used, the behavior of three additional students generalized to other settings without direct training in those settings.     

GENERALIZATION BY AUTISTIC-TYPE CHILDREN OF VERBAL RESPONSES ACROSS SETTINGS

Generalization of verbal behavior by autistic-type children across physically different settings was assessed. Four boys learned responses to common questions in two settings at school and were probed to determine transfer of learning to home. Three of the children demonstrated little generalization to home when trained in a cubicle. Greater generalization was indicated when they received training at varied locations. The fourth child generalized most responses to his home regardless of training setting. Simple manipulations of the school environment to more closely simulate home conditions may facilitate transfer of training to the natural environment.     

GENERALIZING ARTICULATION TRAINING WITH TRAINABLE MENTALLY RETARDED SUBJECTS1

A multiple-baseline technique was used to evaluate generalization effects during articulation training with trainable mentally retarded subjects. Four target words were selected for each subject on the basis of whether the subject could articulate the word correctly when it was modelled but could not articulate the word correctly in response to a picture of it. Five different settings were selected for generalization probing and training for each subject. In Setting 1, Experimenter 1 initiated training sequentially on all four target words for each subject. Other experimenters probed for correct articulation generalization in four other settings. Training was initiated in these four other settings sequentially only if correct responding failed to generalize to a setting. Results indicated that it was necessary to initiate training on at least three of the four selected target words in at least one additional setting with an additional trainer before correct responding generalized to untrained settings.     

TRAINING MILDLY HANDICAPPED PEERS TO FACILITATE CHANGES IN THE SOCIAL INTERACTION SKILLS OF AUTISTIC CHILDREN

We evaluated the effects of a peer-training strategy, consisting of direct prompting and modeling, on the occurrence and duration of interactions between autistic students and nonautistic peer-trainers. Data were obtained in both training and generalization settings. The results of a multiple-baseline design across students demonstrated that: (a) the direct prompting procedure produced immediate and substantial increases in the occurrences and durations of positive social interactions between the peer-trainers and autistic students; (b) these increases were maintained across time at levels above baseline during subsequent free-play probes; (c) these findings were judged by teachers to be socially valid; (d) untrained peers increased their interactions with the autistic students in three of the four groups; (e) generalization of behavior change across settings occurred only after specific programming; and (f) interactions between untrained peers and peer-trainers decreased following training. Variables that may account for the results and the implications of these findings for peer-mediated interventions are discussed.     

NONVOCAL LANGUAGE ACQUISITION IN ADOLESCENTS WITH SEVERE PHYSICAL DISABILITIES: BLISSYMBOL VERSUS ICONIC STIMULUS FORMATS

This study compared training in two language systems for three severely handicapped, nonvocal adolescents: the Bliss symbol system and an iconic picture system. Following baseline, training and review trials were implemented using an alternating treatments design. Daily probes were conducted to assess maintenance, stimulus generalization, and response generalization, and data were collected on spontaneous usage of either language system throughout the school day. Results showed that students required approximately four times as many trials to acquire Bliss symbols as iconic pictures, and that students maintained a higher percentage of iconic pictures. Stimulus generalization occurred in both language systems, while the number of correct responses during responses generalization probes was much greater for the iconic system. Finally, students almost always showed more iconic responses than Bliss responses in daily spontaneous usage. These results suggest that an iconic system might be more readily acquired, maintained, and generalized to daily situations. Implications of these findings for the newly verbal person were discussed.     

PROGRAMMING “LOOSE TRAINING” AS A STRATEGY TO FACILITATE LANGUAGE GENERALIZATION

This study investigated the generalization of spontaneous complex language behavior across a nontraining setting and the durability of generalization as a result of programming and “loose training” strategy. A within-subject, across-behaviors multiple-baseline design was used to examine the performance of two moderately retarded students in the use of is/are across three syntactic structures (i.e., “wh” questions, “yes/no” reversal questions, and statements). The language training procedure used in this study represented a functional example of programming “loose training.” The procedure involved conducting concurrent language training within the context of an academic training task, and establishing a functional reduction in stimulus control by permitting the student to initiate a language response based on a wide array of naturally occurring stimulus events. Concurrent probes were conducted in the free play setting to assess the immediate generalization and the durability of the language behaviors. The results demonstrated that “loose training” was effective in establishing a specific set of language responses with the participants of this investigation. Further, both students demonstrated spontaneous use of the language behavior in the free play generalization setting and a trend was clearly evident for generalization to continue across time. Thus, the methods used appear to be successful for training the use of is/are in three syntactic structures.     

INCREASING VERBAL INTERACTION AMONG ELDERLY SOCIALLY ISOLATED MENTALLY RETARDED ADULTS: A GROUP LANGUAGE TRAINING PROCEDURE

The present study examined the effectiveness of a group language training procedure for directly increasing and generalizing the rate of verbal interaction among four elderly, socially isolated, moderately mentally retarded men. A withdrawal of treatment design was used to examine the effect of the procedure that used verbal prompts, behavioral rehearsal, and contingent social praise. Changes in behavior were examined in two generalization settings, one similiar to the training environment (Generalization I) and the other arranged as part of the subjects' daily routine (Generalization II). Baseline data indicated no verbal interaction among the subjects. During treatment the training procedure increased the rate of subjects' verbal interactions not only in the training situation, but also in the two generalization settings. An analysis of the data obtained during the Generalization II situation indicated that subjects' verbal interaction increased not only among themselves, but with nonsubject peers present in this setting. Follow-up data showed that increases in rates of verbal interaction were maintained four months after the cessation of training. The implications of the results for program generalization and work with the language deficient individual is discussed.     

Continuation of training as a variable influencing the generalization of speech in a retarded child

Imitation and differential reinforcement were applied in training a speech-deficient retarded child 4 separate verbal answers to 4 “everyday” questions. Training was provided in only one setting with one experimenter. After the subject had acquired each answer-response in the training situation, probes for stimulus generalization were given by both the trainer and nontrainers. These probes tested the usage of both trained and nontrained question-answering responses under nontraining conditions. Use of the separately trained responses in nontraining contexts increased as training continued beyond the established learning criteria. A concurrent reinforcement procedure for all 4 answerresponses increased the overall generalization effects across individuals and settings; the use of differential reinforcement of nonverbal responses in the training setting decreased the overall generalization effects.     

TEACHING AUTISTIC CHILDREN CONVERSATIONAL SPEECH USING VIDEO MODELING

We assessed the effects of video modeling on acquisition and generalization of conversational skills among autistic children. Three autistic boys observed videotaped conversations consisting of two people discussing specific toys. When criterion for learning was met, generalization of conversational skills was assessed with untrained topics of conversation; new stimuli (toys); unfamiliar persons, siblings, and autistic peers; and other settings. The results indicated that the children learned through video modeling, generalized their conversational skills, and maintained conversational speech over a 15-month period. Video modeling shows much promise as a rapid and effective procedure for teaching complex verbal skills such as conversational speech.     

Teaching generalization of purchasing skills across community settings to autistic youth using videotape modeling.

Three young autistic adults were trained to purchase items. Training was conducted in one setting with concurrent generalization probes taken in three community stores. Training in one setting failed to produce generalization to the three probe settings. Generalization training, which consisted of viewing videotapes of models who purchased items in the probe settings and answering questions about the models'' responses, was then introduced. Training with the videotapes resulted in generalization to the three community stores. Results of the use of videotapes as a cost-effective means to program generalization in community training programs are discussed.     

In Pursuit of Generalization: An Updated Review

Stokes and Osnes (1989) outlined three principles to facilitate the generalization and maintenance of therapeutic gains. Use of functional contingencies, training diversely, and incorporating functional mediators were recommended. Our review, with most illustrations from studies of youth, updates Stokes and Osnes’s original paper with a focus on evidence-based strategies to increase generalization of therapeutic gains across settings, stimuli, and time. Research since 1989 indicates that training for generalization by increasing the frequency of naturally occurring reinforcers for positive behaviors, and altering maladaptive contingencies that inadvertently reinforce problem behaviors, are associated with favorable treatment outcomes. Training diversely by practicing therapy skills across contexts and in response to varying stimuli is also implicated in clinical outcomes for internalizing, externalizing, and neurodevelopmental disorders. Preliminary research recommends the use of internal (e.g., emotion identification) and external (e.g., coping cards) functional mediators to prompt effective coping in session and at home. Strategies for increasing generalization, including the use of technology, are examined and future research directions are identified.     

EVALUATION OF ERRORLESS COMPLIANCE TRAINING IN A GENERAL EDUCATION CLASSROOM

Errorless compliance training (ECT) is a success‐based, nonaversive intervention to reduce child noncompliance that has been shown to be effective in both home and special education settings. In the current study, ECT was evaluated in a multiple‐baseline across‐subjects design with three kindergarten students who displayed noncompliant behavior in their general education classrooms. The researcher delivered a range of classroom requests to each student to determine the probability of compliance for each request. Requests were then arranged in a hierarchy, ranging from those initially yielding high compliance probabilities (level 1) to those yielding low compliance (level 4). At the beginning of treatment, students were presented with a high number of level 1 requests and provided verbal praise for compliance. Over several weeks, lower probability requests were faded in. The three students demonstrated considerable improvement in compliance levels during and following treatment. Improved compliance generalized to low‐probability requests not used in treatment. When the teacher delivered requests, results of generalization were mixed. The results provide preliminary support for the use of errorless compliance training in the general education setting. Copyright © 2014 John Wiley & Sons, Ltd.     

IMPROVING SOCIAL INTERACTION IN A CHRONIC PSYCHOTIC USING DISCRIMINATED AVOIDANCE (“NAGGING”): EXPERIMENTAL ANALYSIS AND GENERALIZATION

Three social-interaction behaviors of a withdrawn, chronic schizophrenic were increased using a discriminated avoidance (“nagging”) procedure. The three behaviors were: (a) voice volume loud enough so that two-thirds of his speech was intelligible at a distance of 3 m; (b) duration of speech of at least 15 sec; (c) placement of hands and elbows on the armrests of the chair in which he was sitting. “Nagging” consisted of verbal prompts to improve performance when the behaviors did not meet their criteria. A combined withdrawal and multiple-baseline design was used to evaluate the effectiveness of the procedure, and the contingency was sequentially applied to each of the three behaviors in each of four different interactions to determine the degree of stimulus and response generalization. Results indicated that the contingency was the effective element in increasing the patient's appropriate performance, and that there was a high degree of stimulus generalization and a moderate degree of response generalization. After the patient's discharge from the hospital, the durability of improvement across time and setting was determined in followup sessions conducted at a day treatment center and at a residential care home. Volume and duration generalized well to the new settings, while arm placement extinguished immediately.     

Delayed Auditory Feedback in Polyglot Simultaneous Interpreters

Twelve polyglot students of simultaneous interpretation and 12 controls (students of the faculty of Medicine) were submitted to a task of verbal fluency under amplified normal auditory feedback (NAF) and under three delayed auditory feedback (DAF) conditions with three different delay intervals (150, 200, and 250 msec). The control group showed a significant reduction in verbal fluency and a significant increase in the number of mistakes in all three DAF conditions. The interpreters′ group, however, did not show any significant speech disruption neither in the subjects′ mother tongue (L1) nor in their second language (L2) across ah DAF conditions. Interpreters′ general high verbal fluency along with their ability to pay less attention to their own verbal output make them more resistant to the interfering effects of DAF on speech.     

USING TIME DELAY TO PROMOTE SPONTANEOUS SPEECH IN AN AUTISTIC CHILD

One of the frequently observed deficits in autistic children is their lack of spontaneous speech. We used a multiple baseline across behaviors to investigate the effectiveness of a time delay procedure for inducing spontaneous speech in a 10-year-old male autistic child during play. We first taught the child to imitate the experimenter's verbal prompts that described the child's motor response. Once the child reached criteria on imitation, we implemented baseline wherein an immediate verbal prompt for speech was provided after each of the child's motor responses. Intervention consisted of a gradual delay in the presentation of the verbal prompts. The time delay effectively increased the child's spontaneous speech on trained items; some generalization to untrained items also occurred, but only within the same behavioral class of car play. Generalization was also observed across settings. Spontaneous speech remained at high levels during the 4-month maintenance for the behavior of car play but decreased for a second behavior. Decreases in the child's response latencies suggest that spontaneous speech may be an anticipatory verbal response.     

Receptive training of adjectival inflections in mental retardates

A generalized discrimination of /er/ and /est/ suffixes as labels for stimuli exemplifying comparative or superlative relationships was established in three institutionalized retardates through differential reinforcement. The subjects were first taught correct pointing in response to opposite adjectives (e.g., "big-small") presented as labels for simple visual stimuli, and then taught each of the comparatives, or each of the superlatives possible for those opposites (e.g., "big-bigger" and "small-smaller", or "big-biggest" and "small-smallest"). As training proceeded, novel combinations of the training stimuli were presented as unreinforced probes to display any developing generalization of the training. As training of comparative discrimination proceeded, correct pointing response to comparative probes was high, but correct response to superlative probes was low. When training of superlative discriminations replaced training of comparatives, correct response to superlative probes increased, and correct response to comparative probes remained high.