Cues-pause-point language training: teaching echolalics functional use of their verbal labeling repertoires.

We evaluated the direct and generalized effects of cues-pause-point language training procedures on immediate echolalia and correct responding in two severely retarded females. Two experiments were conducted with each subject in which the overall goal was to encourage them to remain quiet before, during, and briefly after the presentation of questions and then to verbalize on the basis of environmental cues whose labels represented the correct responses. Multiple baseline designs across question/response pairs (Experiment I) or question/response pairs and settings (Experiment II) demonstrated that echolalia was rapidly replaced by correct responding on the trained stimuli. More importantly, there were clear improvements in subjects'' responding to untrained stimuli. Results demonstrated that the cues-pause-point procedures can be effective in teaching severely retarded or echolalic individuals functional use of their verbal labeling repertoires.     

Control of selective echolalia via the instatement of a general alternative response

Treatment for echolalic responding has been limited to the training of a small number of correct responses and limited stimulus verbalizations by the experimenter, leaving the possibility that the introduction of novel stimuli could result in the reoccurrence of echolalia. In the present study an 11-year-old severely retarded male's echolalic responding to questions that he could not answer correctly was controlled by instating a general alternative response, “I don't know.” The subject continued to respond correctly to questions that he could answer. indicating that the general alternative response had been appropriately discriminated. A Baseline. Treatment. DRO. Treatment design indicated that the subject's echolalic responding, as well as the appropriate use of the general alternative response, was under experimental control. Generalization of the experimental results to the subject's regular day-care setting was accomplished by having the staff verbally punish all echolalic responses and then restate the question to the subject until a non-echolalic answer had been emitted. Implications of these findings and suggestions for combining previous treatment procedures for echolalia with the general alternative response procedure were offered.     

LONG-TERM FOLLOW-UP OF ECHOLALIA AND QUESTION ANSWERING

A long-term follow-up of echolalia and correct question answering was conducted for 6 subjects from three previously published studies. The follow-up periods ranged from 26 to 57 months. In a training site follow-up, subjects were exposed to baseline/posttraining conditions in which the original trainer and/or a novel person(s) presented trained and untrained questions. Four subjects displayed echolalia below baseline levels, and another did so in some assessments. Overall, echolalia was lower than in baseline in 80.6% of the follow-ups. Five subjects displayed correct responding above baseline levels. No clear differences were noted in correct responding or echolalia between the trainer and novel-person presentations or between trained and untrained questions. In a follow-up in a natural environment conducted by a novel person, lower than baseline levels of echolalia were displayed by 3 subjects; 2 subjects displayed lower than baseline levels in some assessments. Two subjects consistently displayed correct responding above baseline, and 3 did so occasionally. Issues related to the study of maintenance are discussed.     

THE EFFECTS OF ECHOLALIA ON ACQUISITION AND GENERALIZATION OF RECEPTIVE LABELING IN AUTISTIC CHILDREN

This investigation, consisting of two experiments, was designed to assess the effects of autistic immediate echolalia on acquisition and generalization of receptive labeling tasks. Experiment 1 addressed whether autistic children could use their echolalia to facilitate acquisition. The results indicated that incorporating echolalia (echo of the requested object's label) into the task before manual response (handing the requested object to the experimenter) facilitated receptive labeling. Experiment 2 was designed to determine the effects of incorporating echolalia into task response on acquisition and subsequent generalization. These results indicated that echolalia facilitated generalization for echolalic autistic children but not for functionally mute autistic children. The results of the experiments are discussed in terms of stimulus control. Additionally, it is proposed that perhaps in certain cases, echolalia should not be eliminated, but used to advantage in receptive responding.     

USING ABERRANT BEHAVIORS AS REINFORCERS FOR AUTISTIC CHILDREN

In a series of experiments, we assessed the efficacy of using autistic children's aberrant behaviors as reinforcers to increase their correct task responding. In Experiment 1, reinforcer conditions of stereotypy, food, and varied (food or stereotypy) were compared. In Experiment 2, the conditions were delayed echolalia, food, and varied (food or delayed echolalia), and in Experiment 3, perseverative behavior was compared with stereotypy and food as potential reinforcers. A multielement design was used for all comparisons, and side-effect measures were recorded during and after teaching sessions as well as at home. Results indicated that, in general, task performance was highest when brief opportunities to engage in aberrant behaviors were provided as reinforcers. Edibles were associated with the lowest performance. Furthermore, no negative side effects (e.g., an increase in aberrant behaviors) occurred. The results are discussed in terms of suggesting a more pragmatic treatment approach by addressing the contingent use of autistic children's aberrant behaviors as reinforcers.     

REPLACING MALADAPTIVE SPEECH WITH VERBAL LABELING RESPONSES: AN ANALYSIS OF GENERALIZED RESPONDING

We taught three mentally handicapped students to answer questions with verbal labels and evaluated the generalized effects of this training on their maladaptive speech (e.g., echolalia) and correct responding to untrained questions. The students received cues-pause-point training on an initial question set followed by generalization assessments on a different set in another setting. Probes were conducted on novel questions in three other settings to determine the strength and spread of the generalization effect. A multiple baseline across subjects design revealed that maladaptive speech was replaced with correct labels (answers) to questions in the training and all generalization settings. These results replicate and extend previous research that suggested that cues-pause-point procedures may be useful in replacing maladaptive speech patterns by teaching students to use their verbal labeling repertoires.     

Decreasing Echolalia of the Instruction “Say” During Echoic Training Through Use of the Cues-Pause-Point Procedure

Echolalia is common in children with autism and may interfere with the development of functional language. Given the variety of vocal stimuli included in teaching language to children with autism, it is possible that discrimination between instructions and targeted responses may not always occur. Thus, children may engage in very high rates of echolalia during language training because it is unclear which vocalizations produced by an instructor should be echoed. The cues-pause-point (CPP) procedure has been effective in decreasing echolalia and increasing specific correct responses to unknown questions in adults with intellectual disability. The current investigation applied the CPP procedure to the echoic repertoire with 1 child with autism who consistently echoed the instruction “say” during language training. Results indicated that echolalia of the instruction “say” decreased, and correct responding of the targeted vocalization increased for all targeted words. Implications for the use of the procedure in educational settings are discussed, and areas for future research are provided.     

Cues-pause-point language training: Structuring trainer statements to provide students with correct answers to questions

This study assessed the applicability of Cues-Pause-Point language training procedures in teaching students to obtain information from the statements of others. Two mentally retarded subjects, one of whom was echolalic, received training on one set of stimuli but not on another. During training the subjects were encouraged to remain quiet before, during, and briefly after the presentation of statements and then verbalize (i.e., answer a question) using the verbal cue(s) that had been presented in the statement. Correct responding reached 100% to the trained stimuli and both subjects' responding improved to the untrained stimuli. Posttests revealed that subjects used the trainer's statements to answer novel questions. The results suggest that Cues-Pause-Point procedures may be useful in teaching severely retarded individuals the functional use of observing and listening to others' verbal behavior.     

TEACHING RECEPTIVE NAMING OF CHINESE CHARACTERS TO CHILDREN WITH AUTISM BY INCORPORATING ECHOLALIA

The facilitative effect of incorporating echolalia on teaching receptive naming of Chinese characters to children with autism was assessed. In Experiment 1, echoing the requested character name prior to the receptive naming task facilitated matching a character to its name. In addition, task performance was consistently maintained only when echolalia preceded the receptive manual response. Positive results from generalization tests suggested that learned responses occurred across various novel conditions. In Experiment 2, we examined the relation between task difficulty and speed of acquisition. All 3 participants achieved 100% correct responding in training, but learning less discriminable characters took more trials than learning more discriminable characters. These results provide support for incorporating echolalia as an educational tool within language instruction for some children with autism.     

ESTABLISHMENT OF NONDELUSIONAL RESPONSES IN A SOCIALLY WITHDRAWN CHRONIC SCHIZOPHRENIC1

Multiple treatment interventions including instructions, modelling, timeout, avoidance of repetition, and reinforcement were successful in establishing factual answers to personal background questions in a withdrawn and socially unresponsive chronic schizophrenic. The subject had previously persisted in giving only delusional responses to these questions. A multiple-baseline design across verbal replies to personal background questions demonstrated that the changes in behavior were brought about by the treatment interventions. During baseline, the subject was reinforced for any response to four questions. The experimental interventions were then introduced for the first question and moved sequentially to an additional question when the subject's responses reached the criterion of at least 80% correct for two consecutive sessions. Introduction of the experimental interventions produced an increase from a baseline level of zero to at least 80% correct for each question. The use of the token reinforcement procedure was faded out after the subject was able to answer all four questions correctly at least 80% of the time for two consecutive sessions. Fading of the token reinforcement procedure was accomplished by using increasingly intermittent schedules of token reinforcement during the last seven sessions. In the final session, no tokens were used to reinforce the subject's responding. Nine-, ten-, and 12-month followup interviews were conducted to evaluate the maintenance of treatment gains. Maintenance was found to be complete at the nine- and 10-month followups, but at the 12-month followup interview, the subject answered one question incorrectly. This study replicates an investigation previously reported in this journal.     

USING CONDITIONAL DISCRIMINATION PROCEDURES TO STUDY REMEMBERING IN AN ALZHEIMER'S PATIENT

Dementia is characterized by memory impairment, but it has been suggested that conditional discrimination procedures can be used to study remembering behavior. The paper presents an experiment in which conditional discrimination procedures were used with a patient diagnosed with Alzheimer's disease. The purpose of the study was two‐fold: (i) compare performance during arbitrary and identity matching‐to sample (MTS) tasks and (ii) study the effect of different delays on the participant's responding. The results show that the participant did not respond correctly on the arbitrary MTS tasks but respond correctly on the simultaneous identity MTS tasks. Thus, the participant responded correctly on identity MTS tasks with a 0‐s delay and also with 3‐, 6‐, and 9‐s delays; the number of incorrect responses increased with the increasing delay duration. Furthermore, the results also indicate that it is possible to use the delayed matching‐to‐sample procedure to evaluate the effect of medication given to Alzheimer's patients. Copyright © 2011 John Wiley & Sons, Ltd.     

Event report training: An examination of the efficacy of a new intervention to improve children's eyewitness reports

This study tested the efficacy of Event Report Training (ERT), a training procedure designed to improve children's memory reports and decrease suggestibility. Children (N = 58) participated in two forensically relevant play events. Two weeks later, children received ERT or participated in control procedures, after which they received a memory interview. Results indicated that ERT decreased suggestibility to abuse‐related questions in preschoolers; their responses were highly accurate and age differences were eliminated. ERT did not increase the amount of information preschoolers provided in response to open‐ended questions. However, with ERT 7‐ to 8‐year‐olds reported 32% more information which included a 32% increase in actions, without an accompanying increase in incorrect information. Due to school‐aged children's high accuracy rates, it was impossible to gauge the effectiveness of ERT in reducing suggestibility. The failure to obtain an effect of ERT in preschoolers' open‐ended recall is discussed in terms of their cognitive‐developmental limitations. Copyright © 2009 John Wiley & Sons, Ltd.     

Teaching socially valid social interaction responses to students with severe disabilities in an integrated school setting

To evaluate the effects of a procedure designed to teach appropriate social responses to adolescents with severe disabilities in an integrated school setting this study employed an ABA withdrawal design, replicated twice with two students, and an AB design with a third student. Social responses were recorded during daily training sessions and generalization probes. Treatment involved implementation, by the classroom teacher, of a constant time delay procedure utilizing nonhandicapped peers and a socially validated teaching curriculum. The results showed increases in correct responding and decreases in echolalia following intervention. Generalization of appropriate responding to nonhandicapped peers was demonstrated to varying degrees for all participants.     

Interrogative pressure in simulated forensic interviews: The effects of negative feedback

Much experimental research on interrogative pressure has concentrated on the effects of leading questions, and the role of feedback in influencing responses in the absence of leading questions has been neglected by comparison. This study assessed the effect of negative feedback and the presence of a second interviewer on interviewee responding in simulated forensic interviews. Participants viewed a videotape of a crime, answered questions about the clip and were requestioned after receiving feedback. Compared with neutral feedback, negative feedback resulted in more response changes, higher reported state anxiety and higher ratings of interview difficulty. These results are consistent with Gudjonsson and Clark's (1986) model of interrogative suggestibility. The presence and involvement of a second interviewer did not significantly affect interviewee responding, although trait anxiety scores were elevated when a second interviewer was present. The theoretical and applied implications of these findings are considered.     

Control of echolalic speech in psychotic children

Immediate echolalia, a common language disorder in psychotic children, was studied in a series of replicated single-subject designs across six schizophrenic and five normal children. In Experiment 1, each child was presented with several questions and commands, some of which set the occasion for specific, appropriate responses and some of which did not. The former were referred to as discriminative stimuli and the latter, as neutral stimuli. The psychotic children tended to echo the neutral stimuli while responding appropriately to the discriminative stimuli; the normal children, in contrast, typically echoed neither type of stimulus. In Experiment 2, three psychotic children were taught appropriate responses to each of several neutral stimuli. Following this training, the children generally responded appropriately to these stimuli without echoing. A plausible interpretation of these results is that the neutral stimuli were initially incomprehensible or meaningless to the children (whereas the discriminative stimuli were comprehensible or meaningful) and that verbal incomprehensibility may be one important determinant of immediate echolalia. Finally, the results are noteworthy in that they isolate a sufficient treatment variable (i.e., the reinforcement of alternative, nonecholalic responses) for eliminating instances of this language anomaly.     

The prevalence of declarative and indirect yes/no Questions when children testify in criminal cases of child sexual abuse in the United States

The present study assessed how attorneys questioned children in cases of child sexual abuse in the United States tried between 2005 and 2015. Trial testimonies (N = 134) of 5- to 17-year-olds (M = 12 years old) were coded for the linguistic form of attorneys' questions and children's subsequent responses. Three fourths of all questions were closed ended. Both declarative (statement question; e.g., “And he hit you?”; 21% of questions) and indirect yes/no questions (beginning with an indirect speech act; e.g., “Do you remember X?”; 11% of questions) were common, and produced potentially problematic responses, in comparison with forced-choice and yes/no questions. Declarative questions elicited the highest rates of unelaborative responses whereas indirect yes/no questions elicited the highest rate of nonsubstantive responses. The findings highlight the importance for researchers to better assess children's responses to declarative questions and for prosecuting attorneys to cautiously use declarative and indirect yes/no questions when questioning children.     

Children's understanding and production of verbal irony in family conversations

This study examined how children use and understand various forms of irony (sarcasm, hyperbole, understatement, and rhetorical questions) in the context of naturalistic positive and negative family conversations in the home. Instances of ironic language in conversations between mothers, fathers, and their two children (M_ages=6.33 and 4.39 years) were recorded during six 90‐min observations for each of 39 families. Children's responses to others' ironic utterances were coded for their understanding of meaning and conversational function. Mothers were especially likely to ask rhetorical questions and to use ironic language in conflictual contexts. In contrast, fathers used hyperbole and understatement as frequently as rhetorical questions, and employed ironic language in both positive and conflictual contexts. Children also showed evidence of a nascent ability to use ironic language, especially hyperbole and rhetorical questions. Family members used rhetorical questions and understatement proportionately more often in a negative interaction context. Finally, older siblings understood irony better than younger siblings, and both children's responses revealed some understanding of ironic language, particularly sarcasm and rhetorical questions. Overall, the results suggest that family conversations in the home may be one important context for the development of children's use and understanding of ironic language.     

Evaluating the Impact of Careless Responding on Aggregated-Scores: To Filter Unmotivated Examinees or Not?

When examinees' test-taking motivation is questionable, practitioners must determine whether careless responding is of practical concern and if so, decide on the best approach to filter such responses. As there has been insufficient research on these topics, the objectives of this study were to: a) evaluate the degree of underestimation in the true mean when careless responses are present, and b) compare the effectiveness of two filtering procedures in purifying biased aggregated-scores. Results demonstrated that: a) the true mean was underestimated by around 0.20 SDs if the total amount of careless responses exceeded 6.25%, 12.5%, and 12.5% for easy, moderately difficult, and difficult tests, respectively, and b) listwise deleting data from unmotivated examinees artificially inflated the true mean by as much as .42 SDs when ability was related to careless responding. Findings from this study have implications for when and how practitioners should handle careless responses for group-based low-stakes assessments.     

DISCRIMINATIVE CONTROL OF THERAPISTS' PERFORMANCE1

In order to examine therapists' discriminative responding to normal and idiosyncratic patient responses, naive subjects were presented with a simulated “patient” for treatment. The subjects were made to believe they were reinforcing normal verbalizations emitted by this patient In fact, they were listening to a tape on which normal and idiosyncratic verbalizations had been recorded. Different probabilities of normal and idiosyncratic “patient” verbalizations could be presented to the subjects by means of a digital programming unit. In one of a number of conditions, the subjects' accurate reinforcing responses were followed by an increased probability of the patient's normal verbalizations. Accurate reinforcing responses emitted by the subjects were brought under the control of normal and idiosyncratic patient responses, by use of contingent feedback, change in patient responding, and monetary reinforcers. When the patient's normal verbalizations increased in probability, so did the subjects' accurate reinforcing responses following the patient's normal verbalizations, and to a lesser degree, the subjects' inaccurate reinforcing responses following the patient's idiosyncratic verbalizations. When the patient's idiosyncratic verbalizations increased in probability, the subjects' accurate and inaccurate reinforcing responses decreased in probability. The clinical implications of these tendencies are discussed.     

Informational Bases of Behavioral Intentions and Behavioral Expectations or Self-Predictions

Ninety subjects were randomly assigned to respond to a list of intention or expectation (self-prediction) questions regarding the performance of social, academic, and health-related behaviors. After responding to these questions, subjects were asked to describe the information they drew on when responding to the questionnaire items. A content analysis conducted on these responses revealed that subjects who completed the intention questionnaire relied more heavily on information regarding behavioral beliefs, and that subjects who completed the expectation (self-prediction) questionnaire focused more on their past behavior and circumstance information. The manna in which the results of the content analysis data support Fishbein and Ajzen's (1975) theory of reasoned action and the way in which these findings are related to the enhanced predictive validity obtained in previous research that employed an expectation question (self-prediction) format are discussed.