THE INFLUENCE OF ANTECEDENTS AND CONSEQUENCES ON THE OCCURRENCE OF BIZARRE SPEECH IN INDIVIDUALS WITH DEMENTIA

We conducted a series of assessments to determine the differential effects of common antecedents and consequences that can influence the occurrence of bizarre speech in three women with moderate to severe dementia. First, a traditional functional analysis was conducted to assess the function of bizarre speech. After results revealed differentially higher levels of bizarre speech during control sessions, an antecedent analysis was conducted. During this second assessment, all consequences were held constant, and only the antecedents (i.e., open‐ended questions, yes/no questions, and comments) were altered. Bizarre speech was differentially higher when open‐ended questions were presented, replicating previous studies. The final assessment conducted was a modified functional analysis to further assess the effects of consequences on bizarre speech. More typical consequences were assessed, including two tests for a positive function (attention in the form of correction and attention in the form of following along) and two tests for a negative function (a break from one question and a break from all questions). Results consistently revealed that antecedents produced greater differentiation in responding than social consequences. These findings provide evidence that behavioral assessments may need to be modified to better capture the relevant environmental variables that influence problem behavior in individuals with dementia. Copyright © 2014 John Wiley & Sons, Ltd.     

EXPERIMENTAL ANALYSIS AND TREATMENT OF MULTIPLY CONTROLLED SELF-INJURY

A functional analysis of the self-injurious behavior (SIB) of 3 adults with profound developmental disabilities showed that each engaged in SIB in more than one assessment condition. Such outcomes may result from a failure to isolate the variable maintaining SIB, or they may reflect multiple sources of control over SIB. In order to identify more clearly the determinants of SIB, each subject was exposed to a series of treatments appropriate to one or both of the apparent functions of SIB. These treatments, applied sequentially on baselines appropriate to each behavioral function, identified the maintaining variables for SIB through differential outcomes across baselines. Results indicated that the SIB of 2 subjects was multiply controlled, confirming the outcomes of the functional analysis. However, the SIB of the 3rd subject was eliminated using a treatment designed for a single function, suggesting spurious results of the original assessment. Alternative interpretations of undifferentiated assessment data are discussed, as are analysis and treatment issues related to multiply determined behavior disorders.     

TREATMENT OF SELF-INJURY AND HAND MOUTHING FOLLOWING INCONCLUSIVE FUNCTIONAL ANALYSES

Numerous studies have used functional analyses to prescribe interventions for severe behavior disorders. The majority of these studies have focused on behavior that is clearly maintained by socially mediated reinforcement, such as contingent access to attention, tangibles, or escape from instructional demands. However, a significant proportion of functional analyses do not yield conclusive results. We examined interventions for 3 children with severe disabilities following inconclusive functional analyses. First, preferred stimuli were identified for each child via a stimulus preference assessment. Second, a functional analysis was conducted for 2 of the 3 children. High rates of aberrant behavior were seen even (if not especially) in no-interaction sessions. The 3rd child was observed for several consecutive no-interaction sessions; behavior persisted in this condition. Third, interventions based on environmental enrichment were analyzed in an analogue setting. For all of the children, environmental enrichment decreased aberrant behavior if preferred stimuli were used in the procedure. To obtain further reductions in aberrant behavior, explicit reinforcement of toy play was required for 2 children, and a brief (5-s) time-out was necessary with 1 child. Finally, effects of treatment carried over to the school or home environment following teacher or family training. Results are discussed in the context of basic reinforcement principles and future directions for research.     

汉语词汇产生中语义、语音层次之间的交互作用

采用3种方法考察汉语词汇产生中语义激活（词条选择）和音位编码这两个阶段之间的关系。实验一、二分别采用图片命名法和干扰字命名法,发现目标图片（“牛”）的语义相关词（“羊”）的语音信息得到了激活,说明汉语词汇产生中存在多重语音激活,音位编码在词条选择完成之前既已开始。实验三采用语义范畴判断法,考察语音信息的激活是否会向上反馈到词条和语义层次,发现目标图片（“羊”）的同音字（“阳”）不会促进对图片的语义判断。研究表明,多重语音激活与语音激活向词条和语义层次反馈是两个独立的,可以分割的问题。虽然实验一和二的结果符合相互作用理论,实验三的结果符合模块化观点,但就总体而言,本研究更加支持词汇产生中的模块化观点     

INCREASING APPROPRIATE SPEECH IN A CHRONIC SCHIZOPHRENIC

In a severely withdrawn schizophrenic, a combination of instructions, modeling, informational feedback, and noncontingent reinforcement was associated with a low rate of appropriate verbalizations. However, an increase in speech output was obtained using a combination of instructions, modeling, informational feedback, and contingent reinforcement. The design of this study thus permitted the conclusion that contingent reinforcement was crucial in bringing about the increase in appropriate verbalizations. The three verbal behaviors that increased in frequency were: (a) the number of socially appropriate words emitted, (b) declarative statements, and (c) appropriate replies to questions. The verbal behaviors of conversational questions and positive conversational feedback failed to be significantly affected by the experimental procedures. An attempt was also made to establish whether having the subject engage in the observable, information-gathering response of reading aloud would result in increased speech output during a subsequent conversation period. Having the subject read aloud failed to have any discernible positive effect on his speech output. A withdrawal design was used to evaluate the effectiveness of the experimental procedures. The importance of assessing changes in verbal output with a variety of verbal response measures, stereotyped verbal behaviors, and carryover effects are discussed.     

THE ROLE OF REFERENTIAL SPEECH IN SIGN LEARNING BY MENTALLY RETARDED CHILDREN: A COMPARISON OF TOTAL COMMUNICATION AND SIGN-ALONE TRAINING

We conducted two experiments to assess the role of referential speech during sign training in which the spoken words corresponding to signs were receptively known to the participants. An alternating treatments design was used to compare sign acquisition across two teaching conditions in which referents were presented either with or without the corresponding verbal label. During the first experiment, signs were taught concurrently; during the second experiment, signs within each of the respective conditions were taught in a serial fashion. In both experiments, signs taught by total communication were acquired faster than those taught by sign-alone training.     

汉语词汇产生中音、形、义三种信息激活的时间进程

采用图-词干扰范式和图片命名方法,探讨语音、语义、字形在汉语词汇产生中激活的时间进程与特点。选择与目标图片名称(如“羊”)具有同音(“阳”)、语义相联(“牛”)、字形相似(“丰”)或无关控制(“冷”)等四种关系的干扰字,依SOA条件呈现在将要被命名的图片上,发现图片命名时间受干扰字的影响：语义干扰效应存在于较早期的SOA(0ms)条件中,在较晚期SOA(150ms)时有很大的减弱;语音促进效应和字形促进效应同时强烈地存在于早期和晚期SOA。实验发现了词条选择(语义激活)和音位编码(语音提取)在激活时间上的重叠现象,与传统的独立两阶段模型的预期存在明显矛盾,倾向于支持交互作用理论的观点。     

COMPETITION BETWEEN POSITIVE AND NEGATIVE REINFORCEMENT IN THE TREATMENT OF ESCAPE BEHAVIOR

We compared the effects of reinforcing compliance with either positive reinforcement (edible items) or negative reinforcement (a break) on 5 participants' escape-maintained problem behavior. Both procedures were assessed with or without extinction. Results showed that compliance was higher and problem behavior was lower for all participants when compliance produced an edible item rather than a break. Treatment gains were achieved without the use of extinction. Results are discussed regarding the use of positive reinforcement to treat escape behavior.     

THE USE OF POSITIVE AND NEGATIVE REINFORCEMENT IN THE TREATMENT OF ESCAPE-MAINTAINED DESTRUCTIVE BEHAVIOR

We identified 3 clients whose destructive behavior was sensitive to negative reinforcement (break from tasks) and positive reinforcement (access to tangible items, attention, or both). In an instructional context, we then evaluated the effects of reinforcing compliance with one, two, or all of these consequences (a break, tangible items, attention) when destructive behavior produced a break and when it did not (escape extinction). For 2 clients, destructive behavior decreased and compliance increased when compliance produced access to tangible items, even though destructive behavior resulted in a break. For 1 client, extinction was necessary to reduce destructive behavior and to increase compliance. Subsequently, when the schedule of reinforcement for compliance was faded for all clients, destructive behavior was lower and fading proceeded more rapidly when compliance produced multiple functional reinforcers (i.e., a break plus tangible items or attention) and destructive behavior was on extinction. The results are discussed in terms of the effects of relative reinforcement value and extinction on concurrent operants.     

DIFFERENTIAL REINFORCEMENT OF ALTERNATIVE BEHAVIOR AND DEMAND FADING IN THE TREATMENT OF ESCAPE-MAINTAINED DESTRUCTIVE BEHAVIOR

The escape-maintained destructive behavior of a boy with autism was reduced during instructional sequences with differential reinforcement of compliance (DRA), escape extinction without physical guidance, and demand fading. The procedure decreased destructive behaviors to near-zero levels and greatly increased compliance.     

TREATMENT OF PICA THROUGH MULTIPLE ANALYSES OF ITS REINFORCING FUNCTIONS

We conducted functional analyses of the pica of 3 participants. The pica of 1 participant appeared to be maintained by automatic reinforcement; that of the other 2 participants appeared to be multiply controlled by social and automatic reinforcement. Subsequent preference and treatment analyses were used to identify stimuli that would compete with the automatic function of pica for the 3 participants. These analyses also identified the specific aspect of oral stimulation that served as automatic reinforcement for 2 of the participants. In addition, functional analysis-based treatments were used to address the socially motivated components of 2 of the participants' pica. Results are discussed in terms of (a) the importance of using the results of functional analyses to develop treatments for pica and (b) the advantages of developing indirect analyses to identify specific sources of reinforcement for automatically reinforced behavior.     

THE ROLE OF ATTENTION IN THE TREATMENT OF ATTENTION-MAINTAINED SELF-INJURIOUS BEHAVIOR: NONCONTINGENT REINFORCEMENT AND DIFFERENTIAL REINFORCEMENT OF OTHER BEHAVIOR

Because there are potentially serious limitations to differential reinforcement of other behavior (DRO) (which is probably the most widely used treatment procedure for behavior problems), we examined an alternative procedure—noncontingent reinforcement (NCR). Three females with developmental disabilities, all of whom engaged in severe self-injurious behavior, participated. During a pretreatment functional analysis, each subject's self-injury was shown to be differentially sensitive to social attention as a maintaining consequence. Next, each subject was exposed to a DRO treatment and an NCR treatment. During DRO, attention was delivered contingent on the absence of self-injury for prespecified intervals. During NCR, attention was delivered on a fixed-time schedule that was not influenced by the subject's behavior. Results showed that both procedures were highly effective in reducing self-injury, probably because the functional reinforcer for self-injury was used during treatment. Furthermore, there was evidence that NCR attenuated several of the limitations of DRO. These results are particularly interesting in light of the long experimental history of NCR as a control rather than as a therapeutic procedure.     

USE OF NEGATIVE REINFORCEMENT IN THE TREATMENT OF SELF-INJURIOUS BEHAVIOR

Behavioral assessment procedures were used to determine the maintaining conditions of self-injury exhibited by 2 children with severe multiple handicaps. For both children, negative reinforcement (escape from grooming activities) was determined to be the maintaining reinforcer for self-injury (hand/arm biting) within an alternating treatments design. The treatment packages involved the use of negative reinforcement (brief escape from grooming activities) contingent upon a behavior that was incompatible with self-injury (reaching and pressing a microswitch that activated a prerecorded message of “stop”). Treatment was evaluated with a reversal design for 1 child and with a multiple baseline across grooming activities for the 2nd child. The treatment led to a marked decrease in self-injury for both children. At follow-up, high rates of self-injury were reported for the 1st child, but low rates of self-injury and an increase in task-related appropriate behavior were observed for the 2nd child.     

言语产生中双词素词的语音编码

采用同音判断和音节监控方法 ,考察言语产生中双词素词语音激活的特点。选用以偏正结构的双词素词为名称的图片和与双词素词中首尾两个词素同音的两组探测字作为实验材料 ,探测字在图片呈现后 5 0毫秒 (实验一 ) ,或图片呈现前 130 0毫秒 (实验二 )出现 ,要求被试判断出现的字是否与图片名称中任何一个词素同音。实验结果与绝大部分言语产生理论的预期相反 ,对图片名称第一词素的反应慢于第二词素。考虑到首尾两个词素对整词意义贡献的差别 ,作者把实验结果解释为词素意义对语音激活的作用 :第二词素的语义重要性决定了对应音节激活的快速性 ,双词素词中词素音位激活的速度和时间性受词义和词素意义激活程度的影响 ,而不完全取决于词素发音的序列性。实验不支持音位编码从左到右、序列进行的观点     

Functional analysis and treatment of the bizarre speech of dually diagnosed adults

Nine behavior-analytic studies, each reporting data for a single participant, have shown that bizarre speech can be maintained by social reinforcement. In the current study, we controlled for a possible referral bias in this literature by including nonreferred participants with dual diagnoses. Functional analyses identified attention functions for 2 participants and nonsocial functions for the others. Noncontingent reinforcement decreased the bizarre speech of both participants who displayed attention-maintained bizarre speech.