Extinction: guidelines for its selection and use

This article focuses on the use of “extinction” as a classroom behavior modification technique: whether or not the counselor should suggest its use in a given situation and how to insure its maximal effectiveness once it is chosen as an appropriate procedure. The authors present some questions to be considered when deciding whether or not to use extinction and give guidelines for its best use. The questions and guidelines are presented in a flow chart format in order to facilitate easy and quick use by practitioners.     

The effect of timeout duration on frequency of aggression in hospitalized children with conduct disorders

Timeout has been shown to be an effective procedure in the treatment of aggressive behaviors. Previous research, however, has not provided evidence to support the use of a particular timeout duration in the treatment of aggressive behavior. This study compared the effectiveness of four different timeout durations (1, 5, 10, and 20 min) in the treatment of aggressive behavior in hospitalized children with conduct disorders. Results did not support the use of extended periods of timeout, but suggested that 5 min duration was as or more effective than the other tested durations.     

Effects of lick-contingent timeout on schedule-induced polydipsia

Rats bar pressing on a 1-min fixed-interval schedule for 45-mg food pellets became polydipsic when water was concurrently available. They were then exposed to conditions in which each lick on the drinking tube produced a timeout period during which the food-schedule lever was retracted and the fixed-interval timer either did or did not continue to operate. Licks occurring within a timeout period extended its duration. As the duration of the lick-initiated timeout period was increased logarithmically through four values from 10 sec to 80 sec, lick rates as well as water intake rates generally decreased for all three subjects. As timeout duration was progressively increased, the rate of licks occurring in the absense of, but producing, timeouts decreased for all three rats, whereas the rate of licks occurring in the presence of timeout periods remained essentially constant. Water-intake rates and, with one exception, lick rates were suppressed more by timeout periods during which the fixed-interval timer did not continue to operate. These results indicate that lick-contingent timeout from positive reinforcement reduces schedule-induced drinking, and this suppressive effect is greater when the timeout period necessarily increases the interreinforcement interval beyond its minimum duration than when it does not.     

Mirror pecking and timeout under a multiple fixed-ratio schedule of food delivery

Pigeons were trained to peck a key under a multiple fixed-ratio 25 fixed-ratio 175 schedule of food presentation. In the first condition, either a mirror or the opportunity to produce a 30-second timeout were available. In a second condition, mirror and timeout availability were reversed for the two groups. Following a return to the initial condition, mirror and timeout keys were presented together for all birds. Mirror and timeout responses occurred predominantly in the pause in the larger fixed-ratio component, regardless of whether the opportunities for the two responses were available singly or together. Mirror responding occurred in a greater proportion of the pauses than did timeouts. When the opportunities for both mirror pecking and timeout were available concurrently, they occurred with probabilities similar to those under the single conditions. Within the pause itself, mirror responses most frequently occurred immediately after reinforcement. Timeouts occurred most frequently toward the end of the pause, and some timeouts occurred in the early part of the run. Longer preratio pausing occurred in the larger fixed-ratio component in the conditions in which the mirror was present, whether or not any mirror pecks were recorded.     

Timeout postponement without increased reinforcement frequency

Three experiments were conducted to examine pigeons' postponement of signaled extinction periods (timeouts) from a schedule of food reinforcement when such responding neither decreased overall timeout frequency nor increased the overall frequency of food reinforcement. A discrete-trial procedure was used in which a response during the first 5 s of a trial postponed an otherwise immediate 60-s timeout to a later part of that same trial but had no effect on whether the timeout occurred. During time-in periods, responses on a second key produced food according to a random-interval 20-s schedule. In Experiment 1, the response-timeout interval was 45 s under postponement conditions and 0 s under extinction conditions (responses were ineffective in postponing timeouts). The percentage of trials with a response was consistently high when the timeout-postponement contingency was in effect and decreased to low levels when it was discontinued under extinction conditions. In Experiment 2, the response-timeout interval was also 45 s but postponement responses increased the duration of the timeout, which varied from 60 s to 105 s across conditions. Postponement responding was maintained, generally at high levels, at all timeout durations, despite sometimes large decreases in the overall frequency of food reinforcement. In Experiment 3, timeout duration was held constant at 60 s while the response-timeout interval was varied systematically across conditions from 0 s to 45 s. Postponement responding was maintained under all conditions in which the response-timeout interval exceeded 0 s (the timeout interval in the absence of a response). In some conditions of Experiment 3, which were designed to control for the immediacy of food reinforcement and food-correlated (time-in) stimuli, responding postponed timeout but the timeout was delayed whether a response occurred or not. Responding was maintained for 2 of 3 subjects, suggesting that behavior was negatively reinforced by timeout postponement rather than positively reinforced by the more immediate presentation of food or food-correlated (time-in) stimuli.     

Timeout duration and the suppression of deviant behavior in children

The effects of three different timeout durations were investigated in a group of 20 retarded, institutionalized subjects. Each subject received 1, 15, and 30 min of timeout in a design that was counterbalanced in terms of the order in which timeout durations were presented. Displays of deviant behavior-such as aggression, tantrums, and self-destruction-were followed by periods of isolation in a timeout room. A reversal design was employed such that return-to-baseline periods were instituted after each timeout period. The overall effect of timeout was to reduce significantly the rate of deviant behavior. On the average, 15 and 30 min produced a 35% decrease in deviant behavior with little difference between the effectiveness of 15 and 30 min. The range of effects in all timeout conditions varied widely. The sequence in which the 1-min duration was presented effected the direction of its effect. When it preceded the use of longer durations, 1 min was most effective. As it came later in the sequence, its suppressive characteristics became less reliable.     

Suppression of behavior by timeout punishment when suppression results in loss of positive reinforcement

This investigation, using rats as subjects and punishment by timeout for responses maintained on a ratio schedule, sought to determine whether behavior would be suppressed by timeout punishment when such suppression also reduced reinforcement density or frequency. A series of experiments indicated that timeout punishment suppressed responding, with the degree of suppression increasing as a function of the duration of the timeout period. Suppressive effects were found to decrease as a function of increases in deprivation (body weight) and were eliminated when the punished response also was reinforced. It was concluded that timeout can produce aversive effects even when loss of reinforcement results. An alternative interpretation of the findings, based on the effects of extinction periods and delay of reinforcement on chained behavior, was discussed.     

THE TIMEOUT RIBBON: A NONEXCLUSIONARY TIMEOUT PROCEDURE1

Recently, the use of timeout rooms has been questioned by various agencies, and some have adopted policies that prohibit or greatly restrict exclusionary timeout. The present study developed a timeout procedure that did not require removal of the misbehaver from the learning environment. The procedure was applied to the disruptive behaviors of five severely retarded children in an institutional special-education classroom. An observer prompted all teacher behaviors related to the procedures to assure their precise implementation. After baseline, a reinforcement-only condition was implemented. Each child was given a different colored ribbon to wear as a tie and received edibles and praise every few minutes for good behavior and for wearing the ribbon. When timeout was added, a child's ribbon was removed for any instance of misbehavior and teacher attention and participation in activities ceased for three minutes or until the misbehavior stopped. Reinforcement continued at other times for appropriate behavior. An ABCBC reversal design was used to demonstrate control of the behavior by the conditions applied. On average, the children misbehaved 42% and 32% of the time during the baseline and reinforcement conditions respectively but only 6% of the time during the timeout conditions. A followup probe during the new school year revealed that the teacher was able to conduct the procedure independently and that the children's disruptive behaviors were maintained at low levels. The practicality and acceptability of the procedure were supported further by the successful implementation of the procedure by a teacher in another state and by responses to a questionnaire given to 40 mental health professionals. The ribbon procedure appears to be a viable form of timeout, provided that disruptive behaviors during timeout can be tolerated within the setting, or a backup procedure such as exclusionary timeout is available when needed.     

Ethical Issues in Tissue Banking for Research: The Prospects and Pitfalls of Setting International Standards

Bauer, Taub, and Parsi's review of an international sample of standards on informed consent, confidentiality, commercialization, and quality of research in tissue banking reveals that no clear national or international consensus exists for these issues. The authors' response to the lack of uniformity in the meaning, scope, and ethical significance of the policies they examined is to call for the creation of uniform ethical guidelines. This raises questions about whether harmonization should consist of voluntary international standards or international regulations that include an official oversight mechanism and sanctions for noncompliance, and about who should participate in the harmonization process. Moreover, the normative assumptions and political dynamics that shape global policymaking need to be addressed. This commentary explores the policy implications and normative questions raised by the idea of international ethical guidelines for the use of biotechnologies and biotechnological resources such as stored samples of human tissue.     

Choice of timeout during response-independent food schedules

Rats' lever pressing terminated visual or auditory stimuli associated with fixed-time or variable-time schedules of food delivery and produced a timeout period during which food delivery could not occur. Lever pressing during a timeout period reinstated the food-associated stimuli and again permitted food delivery according to the fixed-time or variable-time schedules. The mean interfood interval ranged from 1 minute to 16 minutes (variable-time schedules) or 32 minutes (fixed-time schedules); the timer controlling schedule intervals did not stop during timeout periods. The percentage of session time spent in timeout increased when the mean interfood intervals were lengthened and decreased when the mean interfood intervals were shortened. Timeouts were initiated most frequently about half way between successive food deliveries (fixed-time schedules) or after 15 seconds or more had lapsed since the last food delivery (variable-time schedules). Elimination of food delivery increased the percentage of session time spent in timeout, and elimination of the timeout contingency decreased lever press rates. When timeout was produced only when the lever was held in the depressed position, little time was spent in timeout. The main determinants of timeout initiation and termination appeared to be the rate of food delivery, freedom of movement during timeout, and the stimulus change associated with initiation and termination of timeout.     

Oppositional children: a quest for parental reinforcement control

The present study attempted to examine changes in parental reinforcement value as a function of parental use of timeout and differential attention. Subjects were two children classified by their parents as highly oppositional to parental requests or commands. Results showed that the children's oppositional behavior varied predictably with the presence and absence of parental use of timeout and differential attention. As expected, parental reinforcement value for the children was higher during treatment periods than during baseline periods.     

Improvement of retardates' mealtime behaviors by timeout procedures using multiple baseline techniques

Undesirable mealtime behaviors of a hospital cottage of retardates were reduced by contingent timeout procedures applied by ward personnel successively to one undesirable behavior after another, in a multiple baseline design. In some cases the timeout procedure was to remove the subject from the room until the meal was finished; in other cases (depending on the health of the child and the initial rate of the behavior to be reduced), timeout consisted of a 15-sec removal of the child's meal tray. Undesirable behaviors were defined as stealing, using fingers inappropriately, messy use of utensils, and pigging (eating directly with mouth or eating spilled food). Timeout was applied to these behaviors in that order, and in each case led to a marked and useful reduction in the behavior throughout the group. As these undesirable behaviors were reduced, more appropriate mealtime behaviors emerged: as inappropriate use of fingers declined (under contingent timeout), messy utensil behavior increased; later, as messy utensil behavior declined (under contingent timeout), a defined category of neat utensil behavior increased. Weights of the subjects were monitored steadily throughout the study and showed essentially no change.     

Participant protection with the use of records: ethical issues and recommendations

This article explores the ethical concerns and protections that may be required when individually identifiable data originally collected solely for clinical or administrative purposes are used in research or evaluation. It asks the following broad question with respect to the interim policy developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) to protect the rights and welfare of participants in its programs: For those programs and projects not classified as research, are the protections and system for review adequate? Background information on SAMHSA's interim policy is provided, along with issues and questions related to the use of clinical and administrative records in research and evaluation. The article concludes with recommendations for modifying the existing participant protection guidelines, based on the preceding discussion of issues and questions.     

Variable-interval schedules of timeout from avoidance

Rats were trained on concurrent schedules in which pressing one lever postponed shock and pressing the other occasionally produced a 2-min timeout during which the shock-postponement schedule was suspended and its correlated stimuli were removed. Throughout, the shock-postponement schedule maintained proficient levels of avoidance. Nevertheless, in Experiment 1 responding on the timeout lever was established rapidly, was maintained at stable levels on variable-interval schedules, was extinguished by withholding timeout, was reestablished when timeout was reintroduced, and was brought under discriminative control with a multiple variable-interval extinction schedule of timeout. These results are in contrast with Verhave's (1962) conclusion that timeout is an ineffective reinforcer when presented to rats on intermittent schedules. In Experiment 2 the consequence of responding on the timeout lever was altered so that the shock-postponement schedule remained in effect even though the stimulus conditions associated with timeout were produced for 2 min. Responding extinguished, indicating that suspension of the shock-postponement schedule, not stimulus change, was the source of reinforcement. By establishing the reinforcing efficacy of timeout with standard variable-interval schedules, these experiments illustrate a procedure for studying negative reinforcement in the same way as positive reinforcement.     

Interactions in multiple schedules: negative induction with squirrel monkeys

In Experiment I, lever pressing by squirrel monkeys was maintained under a sequence of variable-interval, multiple variable-interval variable-interval, and multiple variable-interval extinction schedules of food presentation. Negative induction (decreased responding in the unchanged component) occurred when one component of the multiple variable-interval variable-interval schedule was changed to extinction. Negative induction was transient over sessions; responding in the unchanged component usually recovered to a rate similar to that under the multiple variable-interval variable-interval schedule. Negative induction was not accompanied by consistent changes in the patterns of local responding within the unchanged component, and did not depend on whether component schedules were associated with localized (lever lights) or diffuse visual stimuli (houselights), or on whether the unchanged component was a 60- or 180-sec variable-interval schedule. In Experiment II, responding was maintained under a sequence of variable-interval and multiple variable-interval timeout schedules of food presentation. Negative induction occurred when responding declined gradually in the timeout component but not when responding declined abruptly. The nature of interactions in multiple schedules may depend on the species; negative induction was observed with squirrel monkeys under conditions similar to those that produce positive contrast with pigeons.     

Assessment of the use of timeout in an inpatient child psychiatry treatment unit

This article describes the use of response contingent brief social isolation (i.e., timeout) with 770 children admitted to an inpatient child psychiatry treatment unit during a 2-year study period. A total of 2,256 timeouts were recorded during the study period. Preliminary normative frequency, duration, and reason for timeout information are reported for age and sex groups and for common diagnostic categories. Only a third (255) of the inpatients earned one or more timeouts during their hospitalization. The results suggest 2 trends for timeout in this inpatient setting. First, there was an inverse relationship between timeout frequency and subjects' age; i.e., frequency of timeouts tended to decrease as subjects' age increased. Second, there was a positive relationship between timeout duration and subjects' age; i.e., older subjects required longer timeouts. A third and tentative finding suggested that the frequency of timeout was differentially associated with primary diagnosis for some groups. Alternative treatment procedures are discussed.     

CONTINGENT EXERCISE: A MILD BUT POWERFUL PROCEDURE FOR SUPPRESSING INAPPROPRIATE VERBAL AND AGGRESSIVE BEHAVIOR

Two single-subject experiments were conducted in public school classrooms for severely emotionally disturbed children. Both experiments investigated the effects of a treatment requiring a child to exhibit a simple exercise task after a verbal or aggressive response, using reversal and multiple-baseline designs. The independent variable, contingent exercise, required standing up and sitting on the floor five to ten times contingent on an inappropriate behavior. It was found that contingent exercise was easy to carry out, and following it, the child quickly returned to the learning task that had been interrupted by the inappropriate behavior. The contingent exercise procedure required a minimum of prompting or manual guidance. Although contingent exercise was not topographically related to the inappropriate response, it decreased those responses dramatically. The results suggested that contingent exercise was not only more powerful than DRO but also could be administered independently. It was concluded that contingent exercise may constitute an alternative procedure that can be used by therapists confronted with severely abnormal behaviors. It would appear to be particularly relevant in settings where procedures such as timeout and painful consequences find restricted use. Finally, a number of guidelines have been proposed as a safeguard against the misuse of this mild but powerful procedure.     

Bias functions and operating characteristics of rats discriminating auditory stimuli

Rats were trained to discriminate between two bursts of random noise that differed in intensity. In a two-lever, discrete-trial procedure, correct responses were reinforced with brain stimulation, and incorrect responses produced timeout. Responding was studied as a function of the decibel difference between the stimuli, the probabilities of presenting the stimuli, the relative duration of timeout consequent upon the two types of incorrect responses, and the absolute duration of timeout consequent upon incorrect responses. The results showed that the distribution of responses between the two levers depended upon the stimulus probabilities, but were independent of either the absolute or relative durations of timeout. When the stimulus probabilities were varied, the response probabilities did not match the stimulus probabilities; when the relative durations of timeout were varied, the animals did not obtain the maximum rate of reinforcement per unit time. Instead, the animals distributed their responses so as to obtain the maximum number of reinforcements at each level of discrimination. In addition, the level of discrimination increased as a function of the decibel difference between the stimuli.     

Interventive Interviewing: Part I. Strategizing as a Fourth Guideline for the Therapist

A clinical interview affords far more opportunities to act therapeutically than most therapists realize. Because so many of these opportunities remain outside the therapist's conscious awareness, it is useful to elaborate guidelines that orient his or her general activity in directions that are liable to be therapeutic. The Milan associates defined three such basic guidelines: hypothesizing, circularity, and neutrality. Hypothesizing is clear and easy to accept. The notions of circularity and neutrality have aroused considerable interest but are not as readily understood. These guidelines may be clarified and operationalized when reformulated as conceptual postures. This process is enhanced by differentiating a fourth guideline, strategizing, which entails the therapist's decision making, including decisions about how to employ these postures. This paper, the first in a series of three, explores these four interviewing guidelines. The other papers will appear in a subsequent issue. Part II will focus on reflexive questioning, a mode of inquiry oriented toward mobilizing the family's own healing capacity. Part III will provide a scheme for analyzing and choosing among four major types of questions: linear questions, circular questions, reflexive questions, and strategic questions.     

An Investigation of Genetic Counselors’ Testing Recommendations: Pedigree Analysis and the Use of Multiplex Breast Cancer Panel Testing

Genetic testing recommendations for hereditary breast and ovarian cancer involve pedigree analysis and consultation of testing guidelines. The testing landscape for hereditary cancer syndromes is shifting as multiplex panel tests become more widely integrated into clinical practice. The purpose of the current study was to assess how genetic counselors utilize pedigrees to make recommendations for genetic testing, to determine consistency of these recommendations with National Comprehensive Cancer Network (NCCN) Guidelines and to explore current use of multiplex panel testing. Sixty-nine genetic counselors were recruited through the National Society of Genetic Counselors Cancer Special Interest Group’s Discussion Forum. Participation involved pedigree analysis and completion of an online questionnaire assessing testing recommendations and use of multiplex panel testing. Pedigree analysis and test recommendations were scored for consistency with NCCN guidelines. The average score was 12.83/15 indicating strong consistency with NCCN guidelines. Participants were more likely to consider multiplex testing when pedigrees demonstrated highly penetrant dominant inheritance but were not indicative of a particular syndrome. Participant concerns about multiplex panel testing include limited guidelines for both testing eligibility and medical management. This study demonstrates high utilization of pedigree analysis and raises new questions about its use in multiplex genetic testing.