Functional assessment, collaboration, and evidence-based treatment: Analysis of a team approach for addressing challenging behaviors in young children

This study examined the effects of functional assessment and positive behavior support on classroom behaviors of young children. An experimental program, entitled FACET, was implemented by school-based teams in pre-kindergarten through first-grade classrooms. Observations of child behaviors and classroom variables were compared between experimental and control classrooms. Results indicate that children in FACET classrooms made significant gains from baseline to post-intervention and exhibited a higher occurrence of positive behaviors and fewer negative behaviors compared to control children. Behavior gains were positively correlated with the level of treatment fidelity. These findings support the effectiveness of an intervention that incorporates functional assessment, collaboration, and evidence-based treatment with young children who exhibit challenging behaviors.     

Extinction effects during the assessment of multiple problem behaviors

Extinction effects were evaluated in a multiple baseline across behaviors design with 2 boys after just one of several target problem behaviors was observed during a functional analysis. Other target behaviors emerged as extinction was introduced sequentially across all problem behaviors. Results demonstrated an efficient strategy for simultaneously assessing multiple problem behaviors maintained by the same consequence.     

Functional communication training to replace challenging behaviors across two behavioral outcomes

The purpose of the present study was to demonstrate the effectiveness of an intervention that included extinction and functional communication training for the reduction of multiply controlled, self‐injurious, and aggressive behaviors in a boy with autism, in a school setting. Analysis of behavioral antecedents and consequences suggested that self‐injury and aggression served the dual behavioral outcomes of escape from difficult tasks, and access to preferred objects. Treatment consisted of teaching the boy an alternate request, while challenging behaviors were concurrently placed on extinction. Acquisition of the alternate requests was associated with a decrease to zero levels of self‐injury and aggression across the two behavioral outcomes, which was maintained when a 5 second delay was implemented. Results indicate that challenging behaviors with different behavioral outcomes can be replaced with functionally equivalent communication. Copyright © 2000 John Wiley & Sons, Ltd.     

Brief communications from the edge: psychotherapy with challenging adolescents

Issues of technique in work with adolescents who, if adult, would attract a forensic label, are discussed with especial focus on interpretation and countertransference in the light of primitive anxieties and body-based mechanisms of defence. The therapist as 'new object' and 'developmental object' is explored. The case study of Matthew - a mid-adolescent who has abused a younger child, is delinquent, seeks violent and dangerous situations and experiences outbursts of aggression - is used as illustration throughout.     

Effects of social proximity on multiple aggressive behaviors

We systematically manipulated social proximity to examine its influence on multiple topographies of aggression. Aggression occurred at high levels during close-proximity sessions and at low levels during distant-proximity sessions even though social contact was presented continuously during both conditions. Topographies of aggression emerged sequentially across the close-proximity sessions, and all topographies were reduced to zero following extended sessions of this condition.     

Brief assessment and treatment of pica using differential reinforcement,response interruption and redirection,and competing stimuli

Pica is a life threating form of challenging behavior displayed by individuals with intellectual and developmental disabilities. In most cases, pica is maintained by automatic reinforcement. Common interventions for pica use some combination of response blocking, response interruption and redirection (RIRD), differential reinforcement of alternative behavior (DRA), and noncontingent reinforcement with competing stimuli. However, there is need for additional research regarding DRA procedures that emphasize skills acquisition by teaching alternative behaviors that modify the established behavioral chain of pica responses that occur in the presence of non-edible stimuli. There is also a need to examine the generality of recent advances in competing stimulus assessment (CSA) methodologies—namely, the augmented-CSA (A-CSA)—to pica. Thus, the purpose of the present investigation was to systematically replicate and extend previous research for the assessment and treatment of pica in an individual with IDD. First, we conducted a functional analysis to identify environmental variables associated with pica. Next, taught Patrick a differential response (i.e., discard pica items in trash receptacle) to earn reinforcers in conjunction with a RIRD procedure. Finally, we conducted an A-CSA for pica. Overall, low rates of pica were maintained over time with a combination of these procedures, and treatment was generalized across settings and people.     

A functional assessment of heterosocial initiation behaviors in adults

The present investigation was designed to assess the relationship between empirically defined behavioral strategies and ratings of social effectiveness, liking, and skill. Female subjects rated audiotapes of dyadic heterosocial interactions. The dyads' verbal behavior was manipulated experimentally such that each male actor exhibited one of two strategies, other-enhancement and positive self-presentation, and each female coactor exhibited one of two responses, encourages and discourages. After each audiotaped interaction, subjects rated each male on five questions: liking, continued interaction, effectiveness, social skill, and similarity. The results indicated that subjects distinguished between effective and ineffective strategies. The data obtained from all questions indicated that subjects preferred the male who was encouraged irrespective of what strategy he used. This study analyzed relevant variables within an interactional framework allowing for a functional, rather than topographic, analysis of social behavior. From this functional perspective, topographically different heterosocial initiation strategies may be viewed as appropriate or effective based on the reactions of the other person in the interaction.     

The assessment of impulsivity and mediating behaviors in hyperactive and nonhyperactive boys

Twenty boys (6–8 years) rated by their teachers as hyperactive and a matched sample of nonhyperactive boys performed a task that required them to withhold responding for a set time interval in order to be rewarded (DRL 6-second schedule). Half of each group worked on a one-button console while the other half was provided with additional collateral buttons. Results indicated that hyperactive children were relatively unable to perform efficiently on the task, and that this deficit endured regardless of age, IQ, or experimental condition. DRL was thus found to discriminate accurately between teacher-rated and parent-rated hyperactive and nonhyperactive children. Furthermore, a wide variety of self-generated mediating behaviors was observed, and it was determined that a child's DRL performance was related to the kind of mediating behaviors he displayed. Results are discussed in terms of the clinical assessment of hyperactivity and the training of impulsive children.This report is based upon a dissertation submitted by the author in partial fulfillment for the Ph.D. degree. The efforts of Malcolm Helper, David Hothersall, Donald R. Meyer, Marilyn Moody, and Charles Wenar are gratefully acknowledged. The investigation was conducted while the author was a National Research Fellow, supported by Public Health Service Training Grant No. 5 T32 MH14608-02 to The Ohio State University.     

Analyzing the multiple functions of stereotypical behavior for students with autism: implications for assessment and treatment

We studied behavioral functions associated with stereotypical responses for students with autism. In Study 1, analogue functional analyses (attention, demand, no-attention, and recreation conditions) were conducted for 5 students. Results suggested that stereotypy was multiply determined or occurred across all assessment conditions. For 2 students, stereotypy was associated with positive and negative reinforcement and the absence of environmental stimulation. For 2 other students, stereotypy occurred at high levels across all experimental conditions. For the 5th student, stereotypy was associated with negative reinforcement and the absence of environmental stimulation. In Study 2, the stereotypy of 1 student was further analyzed on a function-by-function basis. Within a concurrent-schedules procedure, alternative responses were taught to the student using functional communication training. The results of Study 2 showed that similar topographies of stereotypy, based on qualitatively different reinforcers, were reduced only when differential reinforcement contingencies for alternative forms of communication were implemented for specific response-reinforcer relations. Our results suggest that the causes of stereotypy for students with autism are complex and that the presumed association between response topography and behavioral function may be less important than previously realized.     

Novel odors evoke risk assessment and suppress appetitive behaviors in mice

The effects of four novel odors on risk assessment by mice (i. e., flat back approach, stretched attention, immobility) and the suppression of appetitive behaviors were examined in two experiments. When novel odors were presented in a straight runway, subjects spent significantly less time in the odor compartment, relative to controls, when it contained sheep wool, chocolate, or citronella (but not cat fur) odors. Risk assessment behaviors occurred at similar levels among all groups and appetitive behaviors were not suppressed by the novel odors. When odorants were scattered over one half of the subjects' home cage floor in Experiment 2, all novel odors increased the duration of at least on e risk assessment measure and/or suppressed appetitive behaviors (i. e., eating, grooming, rearing). The results clearly reveal that a reasonably wide range of novel odors evoke at least some level of risk assessment which presumably reflects increased fearfulness. The odors of sheep wool and cat fur induced a wider range of such responses than did chocolate or cinnamon suggesting that mammalian odors may be particularly effective stimuli. If so, however, it is clear that predator odors are not uniquely effective in this regard. Experiment 1 also underscores the importance of the testing environment in assessing the behavioral effects of novel odors in mice. © 1993 Wiley-Liss, Inc.     

A novel assessment of behaviors associated with body dissatisfaction and disordered eating

The purpose of the present study was to compare response rates to questions assessing behaviors associated with body dissatisfaction and disordered eating on a standard self-report questionnaire that was nominally anonymous to an unmatched count questionnaire that allowed for true response anonymity. Five hundred sixty-seven undergraduate students were asked about disordered eating and body image-related behaviors using one of two response formats; either a conventional true-false questionnaire or an unmatched count questionnaire that did not require participants to directly respond to any sensitive questions. Both men and women had significantly different rates of endorsement between the two methods of assessment on the majority of the questions, suggesting that degree of anonymity and format of response may affect endorsements of these potentially sensitive topics. These results contribute to the existing literature highlighting the necessity of understanding self-report bias in determining accurate rates of sensitive behaviors.     

Changes in self-stimulatory behaviors with treatment

For four of six autistic children who underwent intensive behavioral treatment, the nature of their self-stimulatory behavior changed from initial lowlevel motor behaviors (such as rocking, spinning, twirling) to differing kinds of higher-level behaviors (such as lining of objects, echolalic speech, and preoccupation with spelling and numerical values). The children who changed to the highest levels of self-stimulatory behavior also showed the largest gains in treatment (as determined by IQ scores, school placement, etc.). The changes in self-stimulatory behaviors were attributed to the intense teaching of appropriate social behaviors and the explicit therapeutic suppression of low-level, self-stimulatory behaviors. The long-term therapeutic effects of changing from lower-to higher-level forms of self-stimulatory behavior were discussed.This study was supported by a grant from the National Institute of Mental Health (grant MH 11440). We want to express our thanks to the parents who allowed us to study their children. We gratefully acknowledge the assistance of Maria Audero with the design of the weighted measure, and Tracee Parker with the collection of the data.     

Predicting problem behaviors with multiple expectancies: expanding expectancy-value theory

Expectancy-value theory emphasizes the importance of outcome expectancies for behavioral decisions, but most tests of the theory focus on a single behavior and a single expectancy. However, the matching law suggests that individuals consider expected outcomes for both the target behavior and alternative behaviors when making decisions. In this study, we expanded expectancy-value theory to evaluate the contributions of two competing expectancies to adolescent behavior problems. One hundred twenty-one high school students completed measures of behavior problems, expectancies for both acting out and academic effort, and perceived academic competence. Students' self-reported behavior problems covaried mostly with perceived competence and academic expectancies and only nominally with problem behavior expectancies. We suggest that behavior problems may result from students perceiving a lack of valued or feasible alternative behaviors, such as studying. We discuss implications for interventions and suggest that future research continue to investigate the contribution of alternative expectancies to behavioral decisions.     

Assessment and treatment of high-risk challenging behavior of adolescents with autism in an aquatic setting

Aquatic-based activities produce positive skill and health benefits for individuals with Autism Spectrum Disorder (ASD); however, aquatic contexts, such as the pool, introduce the risk of injury and drowning. This risk is heightened when individuals with ASD engage in challenging behavior in the pool context. The purpose of the study was to evaluate the effects of differential reinforcement without extinction for 2 participants diagnosed with ASD who engaged in challenging behavior when asked to transition from the pool. The treatment successfully decreased participants' transition latencies and challenging behavior during transitions from the pool for up to 2 months following treatment. Lifeguard staff rated the procedures as highly acceptable and helpful, and noted high degrees of satisfaction with improvements for each participant's behavior.     

Brief functional analysis and treatment of eye poking

A brief functional analysis suggested that eye poking exhibited by a 5‐year‐old boy diagnosed with cortical visual impairment was maintained by automatic reinforcement. Levels of eye poking in additional conditions suggested that the behavior might be maintained by visual stimulation. Response blocking through the use of safety goggles effectively reduced eye poking in the analog setting. Data from the natural environment suggest that, during intervention, eye poking was confined to times when response blocking was not in effect. Copyright © 2002 John Wiley & Sons, Ltd.