Implementing behavior modification programs with limited consultation time

It may be possible to reduce significantly the amount of consultation time required in applying behavior modification techniques to classroom behavior problems if modifications are made in certain procedures commonly associated with a behavioral approach, including recording frequency data, teaching behavioral principles in individual cases, establishing criteria, and continuing to work with unresponsive cases. Consultation time can also be reduced if techniques for anticipating certain difficulties in implementing behavior programs can be developed, such as establishing that alternative treatment plans are not available, using social and naturalistic reinforcers, anticipating certain predicatable variations in target behaviors, concentrating consultations during the early stages of a behavioral program, and consulting with teachers in small groups.     

Self-regulation,health, and behavior: A perceptual-cognitive approach

Abstract

Self-regulation systems are designed to adapt to threats via coping procedures that make efficient use of resources based upon valid representations of the environment. We discuss two components of the common-sense model of health threats: illness representations (e.g., content and organization) and coping procedures (e.g., classes of procedure and their attributes - outcome expectancies, time-lines, dose-efficacy beliefs, etc.). Characteristics of each of these domains, and the connection between the two, are critical to understanding human adaptation to problems of physical health. Rather than posing a barrier to factors outside the person that control behavior, an emphasis on subjective construal involves a view of the person as an active problem-solver embedded in a bidirectional system of sensitivity and responsiveness vis á vis the social, physical, and institutional environments in which health threats occur and through which intervention efforts may be directed.     

The impact of functional analysis methodology on treatment choice for self-injurious and aggressive behavior.

Self-injurious behavior (SIB) and aggression have been the concern of researchers because of the serious impact these behaviors have on individuals' lives. Despite the plethora of research on the treatment of SIB and aggressive behavior, the reported findings have been inconsistent regarding the effectiveness of reinforcement-based versus punishment-based procedures. We conducted a literature review to determine whether a trend could be detected in researchers' selection of reinforcement-based procedures versus punishment-based procedures, particularly since the introduction of functional analysis to behavioral assessment. The data are consistent with predictions made in the past regarding the potential impact of functional analysis methodology. Specifically, the findings indicate that, once maintaining variables for problem behavior are identified, experimenters tend to choose reinforcement-based procedures rather than punishment-based procedures as treatment for both SIB and aggressive behavior. Results indicated an increased interest in studies on the treatment of SIB and aggressive behavior, particularly since 1988.     

Reducing hoarding behavior with individualized reinforcement and item return

Treatment research on hoarding is generally limited to people without intellectual disabilities who have symptoms of obsessive compulsive disorder and respond favorably to cognitive‐based therapies. We evaluated the effects of individualized reinforcement and item return procedures on hoarding behavior in a multiple baseline across three persons with severe mental retardation. Systematic preference assessment procedures identified items used in the individualized reinforcement procedures. Reductions in hoarding behavior occurred for each person when individualized treatment and item return procedures were applied. These reductions were maintained when direct support staff were trained to provide treatment. Copyright © 2006 John Wiley & Sons, Ltd.     

Treatment of self‐injurious behavior using differential punishment of high rates of behavior (DPH)

The purpose of the current investigation was to explore the effectiveness of differential punishment of high rates of behavior (DPH) to treat the severe self‐injury of a 28‐year‐old man with autism in an adult day program setting. DPH procedures involve the use of an established criterion related to a rate of responding within some time interval at which a punisher is delivered. The implementation of DPH in this study resulted in a substantial long‐term reduction of severe self‐injurious behavior. These findings are significant in that they provide a model for the design and implementation of punishment procedures that can be adopted in applied settings where staff resources are limited. The results of this study have implications for the treatment of severe problem behavior among individuals with autism across settings and age groups.     

Stimuli, reinforcers, and behavior: an integration

We propose that a fundamental unit of behavior is the concurrent discriminated operant, and we discuss in detail a quantitative model of the concurrent three-term contingency that is based on the notion that an animal's behavior is controlled to differing extents by both stimulus—behavior and behavior—reinforcer relations. We show how this model can describe performance in a variety of experimental procedures: conditional discrimination and matching to sample, both with and without reinforcement for responses that are traditionally identified as errors; conditional discrimination with more than two stimuli and choice alternatives; delayed matching to sample and delayed reinforcement in matching to sample; second-order and complex conditional discrimination; and multiple and concurrent schedules. Although the model is incomplete in its coverage, and may be incorrect, we believe that this conceptual approach will bear fruit in the development of behavior theory.     

Self-injurious behavior: shaping "head banging" in monkeys

Head-banging, a common phenomenon among the mentally retarded, was shaped, brought under stimulus control, extinguished, and re-established in two monkeys through reinforcement and discrimination procedures of operant conditioning. The behavior was stable and led to lacerations, a condition that qualifies head-banging as self-injurious. The principles of the analysis of behavior used here may well be of value in the etiology and treatment of some human head-banging.     

Effects of noncontingent reinforcement on problem behavior and stimulus engagement: the role of satiation, extinction, and alternative reinforcement

This study examined the effects of noncontingent reinforcement (NCR) with and without extinction on problem behavior and stimulus engagement (consumption of reinforcement) of 4 participants. Reductions in problem behavior using NCR have frequently been attributed to both satiation of the reinforcer and extinction. In the current study, aspects of the NCR treatment effects were difficult to explain based solely on either a satiation or an extinction account. Specifically, it was found that stimulus engagement remained high throughout the NCR treatment analysis, and that problem behavior was reduced to near-zero levels during NCR without extinction. The implications of these findings are discussed with respect to the satiation and extinction hypotheses frequently described in the applied literature. Findings from basic studies examining the effects of response-independent schedules are presented, and are used as the basis for a matching theory account of NCR-related effects. It is proposed that reductions in problem behavior observed during NCR interventions may be a function of the availability of alternative sources of reinforcement.     

Development, microevolution, and social behavior

The central questions of social development--from the roots of mother-infant attachment to the plasticity of aggressive behavior--pivot on the relations between genetic and ontogenetic sources of variance. It is proposed that (a) developmental, experiential, and microevolutionary processes typically collaborate, rather than compete, in achieving social adaptation; (b) social behavior patterns are mostly closed to modification in the course of development and across generations, but avenues of vulnerability exist in ontogeny and microevolution for dynamic, rapid, and reversible changes in key features; (c) a general avenue for change is delay or acceleration in the developmental onset of one or more features of the behavior pattern, which in turn modifies the functions and properties of the adaptive configuration; and (d) the features of social behavior that are open to rapid change in ontogeny should be open as well to rapid changes in microevolution, although different underlying processes may be involved. Empirical findings from the investigation of aggressive interactions are used to illustrate this proposal on the dual genesis and coincident adaptation of social behaviors.     

Overview of NIMH support of research in behavior therapy

Many parts of the National Institute of Mental Health have explicit policies of encouraging research on behavior therapy. The policies about behavior therapy research of sub-units of NIMH are reviewed, as these policies existed in fiscal year 1973. Examples are given of the type of behavior therapy research that NIMH was supporting in 1972. Particularly important is the evaluation of the efficacy of behavior therapy in comparison with standard treatment procedures.     

Monoaminergic mediation of female sexual behavior.

Lordotic behavior was facilitated in estrogen-primed female rats by direct application of progesterone or serotonergic or beta-adrenergic receptor blockers to specific telencephalic, anterior hypothalamic-medial preoptic, or posterior hypothalamic sites. Blockade of the alpha-adrenergic system was ineffective in facilitating lordosis, as was the application of the active drugs to control sites in the thalamus or basal ganglia. Female soliciting behavior was not evoked by any of the treatments. It is concluded that the lordotic behavior component of the female rat's estrous behavior pattern is inhibited by a specific central monoaminergic system that also responds to progesterone. Soliciting behavior appears to be mediated by systems that are anatomically, and possibly neurochemically, separable from those regulating lordosis.     

The silence of the library: environment,situational norm,and social behavior

On the basis of the idea that situational norms are mentally represented as associations between environments and normative behavior, it was proposed that an environment can automatically direct normative behavior. More specifically, when situational norms are well-established (e.g., when entering the library, one should be silent), an environment is capable of automatically activating mental representations of normative behavior and the behavior itself. In these experiments, participants were exposed to pictures of environments, and effects on accessibility of representations of normative behavior and on actual behavior were assessed. Results indicated that representations of behavior and actual behavior itself are activated automatically when (a) goals to visit the environment are active and (b) strong associations between environment and normative behavior are established.     

Therapeutic rationale,monetary incentive and fear behavior: a methodological note on analogue research

Analogue research has been questioned as a means of evaluating clinical procedures (e.g. Cooper, Furst and Bridger, 1969). A major criticism has been the failure to include adequate controls. Placebo conditions have varied markedly in their similarity to active treatment procedures (Caputo, Nau and Borkovec, 1973), have not provided equally credible therapeutic rationales (Borkovec and Nau, 1972), and have thus generated differing expectancies and demands for improvement.To evaluate a therapy procedure, a comparison condition is needed in which no treatment intervenes between pre- and post-test measures, yet which provides adequate incentive for improvement. Rimm and Mahoney (1969) used a ‘contingent reinforcement’ placebo condition in which tokens, exchangeable for money, were dispensed for improvement in a graded approach to a feared stimulus. Little improvement occurred, suggesting a lack of effectiveness of money alone in improving approach behavior. However, as no therapeutic rationale was presented, it is likely that little expectancy for improvement occurred.The present study provided a ‘no treatment’ condition in which Ss participated in three test sessions with no intervening treatment procedure. Unlike Rimm and Mahoney (1969), two conditions provided a rationale explaining why Ss had maintained their fear and why no real therapy was needed to eliminate it. Also, monetary reward (a $5.00 bill rather than tokens) was dispensed only upon picking up the feared object. A follow-up session assessed the lasting effects of rationale and monetary incentive in the absence of extrinsic reinforcement. Thus, the present study attempted to determine the effect of therapeutic rationale and/or the possibility of receiving money, in the absence of ‘therapy’, on subclinical fear.     

The elimination of autistic self-stimulatory behavior by overcorrection

No method is in general usage and of demonstrated effectiveness in eliminating the self-stimulatory behaviors of retardates and autistics. An Overcorrection rationale was used to develop such a method. The Overcorrection procedures consisted of a period of practice in the correct mode of the behavior contingent upon self-stimulatory behavior. The procedures were applied in a behavioral day-care program to three retarded children and one autistic child who exhibited object-mouthing, hand-mouthing, head-weaving and hand-clapping. For some behaviors, comparisons were made between the Overcorrection procedure and several alternative procedures, such as physical punishment by a slap, reinforcement for nonself-stimulatory behavior, a distasteful solution painted on the hand of a hand-mouther, and free reinforcement. The Overcorrection procedures eliminated the self-stimulatory behaviors of all four children in tutorial sessions and during the entire school day and were more effective than the alternative procedures in eliminating self-stimulation. The Overcorrection procedures appear to be rapid, enduring, and effective methods of eliminating self-stimulatory behavior.     

The effects of response interruption,DRO and positive reinforcement on the reduction of hand-mouth behavior

The present study was designed to determine the effects of response interruption and differential reinforcement of other behavior (DRO) on the reduction of hand-mouthing behavior in a quadriparesic adult male client who functions at the profound level of mental retardation. In order to determine the effectiveness of the treatment package, a withdrawal design was used in which baseline (A) and treatment (B) conditions were alternated in an ABAB sequence. The treatment phase consisted of two 10 min treatment periods per day for four consecutive days. Two treatment/withdrawal rotations were followed by nine follow-up observation periods. A preliminary fading process was started following the follow-up periods, which included removal of the reinforcer. Hand-mouthing was reduced by 80% through the use of response interruption and DRO. Hand-mouthing continued to decrease during the nine follow-up observation periods and formal fading procedure. Implications for the extended use of such nonaversive procedures to decrease hand-mouthing behavior in persons with developmental disabilities are discussed. © 1997 John Wiley & Sons, Ltd.     

A survey of state policies regarding the use of restrictive/aversive behavior modification procedures

A survey was conducted of the state policies regarding the use of restrictive/ aversive behavior modification procedures with mentally retarded persons. Policies varied substantially with respect to both scope and length; however, the overwhelming majority required that behavior modification programs be developed through the interdisciplinary planning process. No consistent pattern emerged with respect to the review and approval process for the use of aversive procedures. Approximately 75% of the states appear to permit the use of restraint as a treatment modality. Policies direct only minimal attention to the issue of training staff to implement aversive procedures. From the results of the survey, a model for the use of aversive procedures was developed and is presented.     

Side effects of extinction: prevalence of bursting and aggression during the treatment of self-injurious behavior

Findings from basic and applied research suggest that treatment with operant extinction may produce adverse side effects; two of these commonly noted are an increase in the frequency of the target response (extinction burst) and an increase in aggression (extinction-induced aggression). Although extinction is often used to treat problem behavior in clinical settings, few applied studies have examined the prevalence of these side effects or their possible attenuation with other operant procedures. An analysis of 41 data sets for individuals who received treatment for self-injurious behavior indicated that extinction bursts or increases in aggression occurred in nearly one half of the cases. The prevalence of bursting and aggression was substantially lower when extinction was implemented as part of a treatment package rather than as the sole intervention.     

The problem: American education the solution: Use behavior analytic technology

In spite of numerous demonstrations that America's youth can be effectively educated with behavior analytic teaching techniques, few of the country's children are benefiting from the technology. In addition scholarly reviews of effective teaching strategies have often omitted reference to behavior analysis. One way to look at this problem is as a two-step operation. First, it is necessary to determine procedures that work; second it is necessary to devise strategies for effective dissemination. The present issue of JOBE (Vol. 1, No. 3, Sept. 1991) contains the recommendations of six outstanding behavioral educators as to how to deal with the dissemination problem. The initial article by Pumroy and McIntire describes the activities of an organization which trains school psychologists and teachers to use behavioral procedures and advocates for the techniques with a number of audiences. Next, Engelmann suggests that the public have more control over school activities and that legal action be taken against irresponsible administrative decisions. Hall advocates for less labor-intensive procedures and the sale of curricular materials based on behavioral principles. Binder proposes that dissemination of the technology become a private endeavor that responds to consumer needs. Rosenfield describes a collaborative model of consultation that increases treatment adherence. Finally, Albers and Greer describe research that isolates a key teacher behavior that results in greater academic proficiency.     

On the status of knowledge for using punishment implications for treating behavior disorders

In this paper, we review basic and applied findings on punishment and discuss the importance of conducting further research in this area. The characteristics of responding during punishment and numerous factors that interact with basic processes are delineated in conjunction with implications for the treatment of behavior disorders in clinical populations. We conclude that further understanding of punishment processes is needed to develop a highly systematic, effective technology of behavior change, including strategies for improving the efficacy of less intrusive procedures and for successfully fading treatment.     

A theory of behavior in a two-valenced psychoecological space

A theory of behavior in a two-valenced psychoecological space is presented. It is an extension of Miller's theory of approach-avoidance mechanisms into a two-dimensional space. It incorporates a learning theory, which describes how the approach and avoidance gradients are built up following experiences over time. It also includes a choice model for an individual's action within the space. The theory describes an organism as active in its psychoecological space, interacting with the environment. The theory is explicated mathematically with a combination of algebraic and stochastic functions and simulated on a computer parallel to an illustratory experimental example with the behavior of rats in an open-field situation with positive reinforcement and punishment at different spatial positions. Examples from simulations with different learning and choice parameters are given together with examples of the changing approach and avoidance surfaces. The predicted behavior patterns are compared with empirical findings in the open-field observations, and the results are used to determine plausible sets of parameter values for the different experimental conditions.