Effects of Presession Pairing on the Challenging Behavior and Academic Responding of Children with Autism

Presession pairing is an antecedent‐based procedure in which an instructor engages with preferred items with a child for a few minutes before an instructional session. Although this procedure has been described in manualized treatment guidelines for working with children with autism, there are currently no direct investigations of whether this manipulation has a beneficial impact on target responding or the child's social interactions. Functional analyses with three children with autism showed escape or attention and escape as reinforcers for their challenging behavior. Preference assessments identified highly and moderately preferred stimuli. In the context of a multiple baseline across participants design, the participants exhibited fewer challenging behaviors when instructional sessions were preceded by presession pairing than when they were not. Academic responding showed modest increases. Subsequently, in the presence of presession pairing with a novel task, the participants emitted no challenging behavior and similar or higher levels of accurate academic responding. One participant was available for a maintenance session without presession pairing 5 months later and showed near‐zero levels of challenging behavior and comparable levels of accurate academic responding. The implications of the findings and future directions are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Social isolation as a punishment procedure: a controlled study

Contingent social isolation was investigated as a punishment procedure for the disruptive behavior of emotionally disturbed children in a classroom setting. The methodological limitations of previous studies were outlined, and alternatives adopted. Within a reversal and multiple baseline design, contingent social isolation was found to be an effective and relatively specific punisher. By introducing a new observation procedure, “pseudo-timeout”, it was determined that the punishing effect of social isolation was not attributable to observation artifact. A means for resolving the terminological confusion in the present use of timeout and social isolation was recommended.     

Using a stimulus correlated with reprimands to suppress automatically maintained eye poking

A functional analysis indicated that chronic eye poking exhibited by a woman with profound mental retardation persisted in the absence of social contingencies. We initiated a procedure in which a therapist delivered a punisher (mild reprimand) contingent on eye poking in the presence, but not the absence, of a neutral stimulus (wristbands). Subsequently, eye poking was suppressed when the participant wore the wristbands in novel environments without the reprimand contingency.     

PROMPTING AND STIMULUS SHAPING PROCEDURES FOR TEACHING VISUAL-MOTOR SKILLS TO RETARDED CHILDREN

Stimulus shaping appears to be a highly successful way to teach discrimination skills. In stimulus shaping, the topographical configuration of the stimuli is gradually changed over trials so that discrimination is at first easy, and then gradually more difficult. Stimulus shaping procedures might also be effective for training visual-motor tasks. Two experiments were conducted to assess the relative effectiveness of stimulus shaping and “traditional” prompting procedures. Pegboard skills were trained in Experiment 1. In Experiment 2 a self-care skill was trained, in which children learned to hang a toothbrush or a washcloth on a specific hook. Six low-functioning retarded children were studied in each experiment, using a within-subject alternating treatments design. Each participant received concurrent training on two related tasks, using stimulus shaping for one and a standard prompting procedure for the other. Training with the stimulus shaping procedure required less training time to criterion, always resulted in fewer errors, always required fewer and less intrusive therapist's prompts, and always resulted in greater density of reinforcement. These results demonstrate the value of stimulus shaping strategies for training visual-motor skills.     

An evaluation of a punisher assessment for decreasing automatically reinforced problem behavior

We extended research on the identification and evaluation of potential punishers for decreasing automatically reinforced problem behavior in four individuals with autism spectrum disorder. A punisher selection interview was conducted with lead clinicians to identify socially acceptable punishers. During the treatment evaluation, treatment phases were introduced sequentially and included noncontingent reinforcement (NCR), NCR and differential reinforcement of alternative behavior (DRA), and NCR‐and‐DRA with punishment. During the NCR‐and‐DRA with punishment phase, four to five potential punishers were evaluated using a multielement design. Dependent measures included the target problem behavior, appropriate item engagement, and emotional responding. For all participants, NCR‐and‐DRA was not effective and punishment was necessary. However, the most effective punisher identified in the context of NCR‐and‐DRA differed across participants.     

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.     

Examination of variables that affect the efficacy of instructive feedback

Instructive feedback is a procedure in which additional, nontarget stimuli are presented during instructional trials for students with a wide array of disabilities. This preliminary investigation examined whether participant behavior during instructive feedback, including attending and echoic behavior, altered the efficacy of instructive feedback for 2 children with autism. Results showed that participant behavior during instructive feedback related to training outcomes for both participants and treatment modifications based on participant behavior influenced acquisition. Future directions of research and implications for practice are discussed.     

Teaching self-control to reduce overt food stealing by children with autism and developmental disorders

Food stealing is often a serious behavioral problem among children with diagnoses of autism and other developmental disorders. Very few empirical studies concerning this behavioral challenge have been reported. We applied a correspondence training procedure to teach self-control as replacement behavior to four children with autism and developmental disorders who displayed food stealing in the community. A changing criterion design embedded within a nonconcurrent multiple-probe across participants design was used. The treatment succeeded for all four participants by increasing latency to eating highly preferred food to a predetermined criterion and reducing occurrences of food stealing to zero. Three participants generalized the replacement behavior to natural settings and maintained the behavior for 2 weeks, 1 month, 2 months, 3 months, and 4 months. One participant without expressive language was taught successfully during treatment trials but failed to maintain and generalize the behavior. A functional relation between delaying food eating and Say-Do correspondence training was demonstrated.     

The use of a resident daily scheduling procedure to increase appropriate social,ward, and scheduling behavior in adult psychiatric residents (patients)

The purpose of the present experiment was to investigate the efficacy of a goal orientation procedure in their treatment of apathy, isolation, and insufficient goal setting skills in chronic psychiatric residents. The experiment was conducted in a behaviorally-oriented deinstitutionalization program in a state psychiatric hospital. Three male and four female chronic psychiatric residents served as research participants. A group repeated measures design with four within-participant phases (ABA‘B’) was utilized. The goal orientation procedure included a written schedule that was completed by each research participant daily. This Daily Living Schedule required that a behavior be specified by the participant for every half-hour period during the day (8:30 a.m. to 9:00 p.m.). During all four phases of the experiment, research participants were observed on the ward from 8:30 a.m. to 12:00 noon and 1:00 p.m. to 5:00 p.m. for engagement in scheduled target behaviors. The daily scheduling procedure produced substantial increases in appropriate behavior such as social activities, ward jobs, and participation in treatment programs, whereas decrease were produced in inappropriate behavior such as isolation and day time sleeping.     

Transfers of stimulus function during roulette wagering

Twenty‐five recreational gamblers were initially asked to place bets on either red or black positions on a roulette board in a simulated casino setting. Each participant was then exposed to a stimulus pairing observing procedure which attempted to develop equivalence classes between one color (black or red) and traditionally positive words (e.g., love, happy, sex) and another color (black or red) and traditionally negative words (e.g., death, cancer, taxes), in the absence of consequence manipulations. Twenty‐one of the twenty‐five participants demonstrated greater response allocation to the color position on the roulette board that participated in a relational network with the positive words. Variations in sequencing of experimental conditions had no impact on poststimulus‐pairing wagers, but did impact tests for equivalence accuracy.     

Evaluative conditioning without directly experienced pairings of the conditioned and the unconditioned stimuli

Evaluative conditioning (EC) is the valence change of a stimulus (conditioned stimulus, CS) that is due to the previous pairing with another stimulus (unconditioned stimulus, US). We investigated whether EC can occur also when the CS–US pairings are not experienced directly by the participant but are implied by other events that the participant encounters. In two experiments, positive USs were presented in some trials and negative USs in other trials. Afterwards, participants were given information from which it was possible to conclude that CSs were covertly present during these trials. Finally, the valence of these CSs was registered using both implicit (Implicit Association Test, affective priming) and explicit measures (valence ratings). In line with the assumption that EC effects can be based on CS–US pairings that are not directly experienced, the valence of the CSs changed in the direction of the US with which they were covertly paired. This effect was observed both on explicit and on implicit measures. We argue that several aspects of our results are in line with propositional models of EC and fit less well with association formation models.     

Evaluative conditioning without directly experienced pairings of the conditioned and the unconditioned stimuli

Evaluative conditioning (EC) is the valence change of a stimulus (conditioned stimulus, CS) that is due to the previous pairing with another stimulus (unconditioned stimulus, US). We investigated whether EC can occur also when the CS-US pairings are not experienced directly by the participant but are implied by other events that the participant encounters. In two experiments, positive USs were presented in some trials and negative USs in other trials. Afterwards, participants were given information from which it was possible to conclude that CSs were covertly present during these trials. Finally, the valence of these CSs was registered using both implicit (Implicit Association Test, affective priming) and explicit measures (valence ratings). In line with the assumption that EC effects can be based on CS-US pairings that are not directly experienced, the valence of the CSs changed in the direction of the US with which they were covertly paired. This effect was observed both on explicit and on implicit measures. We argue that several aspects of our results are in line with propositional models of EC and fit less well with association formation models.     

Using brief assessments to evaluate aberrant behavior maintained by attention

We examined the use of brief functional assessments to identify idiosyncratic variables associated with aberrant behavior maintained by positive reinforcement in the form of attention. Two participants with severe developmental disabilities and their parents were involved in the assessment and treatment evaluation process. A modified attention condition was introduced, which involved both parents interacting with a third person. Results of the assessment demonstrated that aberrant behavior occurred only in the modified attention condition for both participants. Treatment consisted of the parents delivering attention on a fixed-time schedule during this specific social context. Results indicated that the treatment reduced problem behavior. Follow-up evaluations with 1 participant indicated maintenance of treatment effects for up to 6 months.     

Assessing long‐term maintenance of staff performance following behavior skills training in a home‐based setting

We used a multiple baseline across participant design to evaluate the effects of behavior skills training on teaching three behavior therapists to implement discrete trial teaching (DTT) and evaluate the long‐term maintenance of skills acquired through behavioral skills training. For participants whose skills did not maintain, the authors evaluated an independent self‐evaluation procedure on their performance. Following DTT implementation training, maintenance probes were assessed at 2‐, 4‐, 6‐, and 8‐week follow‐ups. The results demonstrated that one participant maintained 100% procedural integrity (PI) through all follow‐ups, one participant decreased below mastery criterion at the 2‐week follow‐up, and one participant dropped below mastery criterion at the 4‐week follow‐up. Those participants that demonstrated decreased accuracy of implementation of DTT programs and were taught to implement a self‐evaluation procedure. Following self‐evaluation, PI maintained for up to 7 weeks for one participant. Our results suggest that if PI does not maintain, self‐evaluation may be a supplementary intervention to increase and maintain PI of new employees.     

Punishment of elicited aggression

Aversive shocks are known to produce aggression when the shocks are not dependent on behavior and to suppress behavior when the shocks are arranged as a dependent punisher. These two processes were studied by presenting non-dependent shock to monkeys at regular intervals, thereby producing biting attacks on a pneumatic tube. Immediate shock punishment was stimultaneously delivered for each biting attack. The attacks were found to decrease as a function of increasing punishment intensity. These results show that aggression is eliminated by direct punishment of the aggression even when the stimulus that is used as a punisher otherwise causes the aggression.     

Teaching with Massed Versus Interspersed Trials: Effects on Acquisition,Maintenance, and Problem Behavior

The current study evaluated the effects of teaching three programs using massed‐trial teaching (MTT) versus interspersed‐trial teaching (ITT) for three participants diagnosed with autism. Specifically, we compared the (i) rate of response acquisition, (ii) percentage of trials per session with problem behavior, and (iii) number of acquisition targets maintained following mastery. For all three participants, the rate of acquisition was higher under MTT than ITT, and levels of problem behavior were similar in both conditions for each participant. Perhaps the only advantage of ITT over MTT was maintenance of targets at the follow‐up probes for two participants; however, neither approach yielded consistently high levels of correct responding across 2‐, 4‐, and 6‐week follow‐up probes. Collectively, results for these three participants provide some evidence for the additive benefit of MTT over ITT. Copyright © 2014 John Wiley & Sons, Ltd.     

Stimulus disparity and punisher control of human signal-detection performance

The present experiment examined the effects of varying stimulus disparity and relative punisher frequencies on signal detection by humans. Participants were placed into one of two groups. Group 3 participants were presented with 1:3 and 3:1 punisher frequency ratios, while Group 11 participants were presented with 1:11 and 11:1 punisher frequency ratios. For both groups, stimulus disparity was varied across three levels (low, medium, high) for each punisher ratio. In all conditions, correct responses were intermittently reinforced (1:1 reinforcer frequency ratio). Participants were mostly biased away from the more punished alternative, with more extreme response biases found for Group 11 participants compared to Group 3. For both groups, estimates of discriminability increased systematically across the three disparity levels and were unaffected by the punisher ratios. Likewise, estimates of response bias and sensitivity to the punisher ratios were unaffected by changes in discriminability, supporting the assumption of parameter invariance in the Davison and Tustin (1978) model of signal detection. Overall, the present experiment found no relation between stimulus control and punisher control, and provided further evidence for similar but opposite effects of punishers to reinforcers in signal-detection procedures.     

The transformation of consequential functions in accordance with the relational frames of same and opposite

Although the literature on reinforcement in behavioral psychology is extensive, few studies have examined the derived transformation of reinforcing functions in accordance with equivalence classes, and no published research has yet examined the derived transformation of consequential functions in accordance with nonequivalence relations. In the present study, which consisted of four experiments, the basic preparation was as follows. First, an arbitrary stimulus, B2, was established as a conditioned punisher, using direct stimulus pairing. Following nonarbitrary relational training, designed to establish SAME and OPPOSITE contextual cues, subjects were exposed to arbitrary relational training using these contextual cues to establish A1 as the same as B1 and C1, and as opposite to B2 and C2. Subsequently, C2 (based on its Same relation with B2) functioned as a punisher and C1 (based on its Opposite relation with B2) functioned as a reinforcer in a simultaneous discrimination task. Critically, the C1 stimulus acquired reinforcing functions, based on the derived relation of Opposite, although no such function had actually been established for any member of the network. Furthermore, these effects were observed across ABA reversals in the baseline contingencies.     

AN EVALUATION OF RESURGENCE DURING TREATMENT WITH FUNCTIONAL COMMUNICATION TRAINING

Extinction‐induced resurgence is the recurrence of previously reinforced behavior when another behavior is placed on extinction (Lieving, Hagopian, Long, & O'Connor, 2004). This phenomenon may account for some instances of treatment relapse when problem behavior recovers during extinction‐based treatments. The current study sought to determine whether resurgence of problem behavior would reliably occur with 5 participants who received treatment with FCT. Results showed that problem behavior reemerged for all but 1 participant when the communicative response was exposed to extinction or thin schedules of reinforcement. These findings suggest that resurgence may account for some instances of response recovery during treatment, and that the described procedure may be useful for the further study of resurgence and eventual prevention of this phenomenon.