Brief functional analysis and treatment of bizarre vocalizations in an adult with schizophrenia

Variables responsible for the maintenance of bizarre vocalizations emitted by an adult diagnosed with schizophrenia were examined via a brief functional analysis, and results suggested that the behavior was maintained by attention. A treatment consisting of extinction and differential reinforcement of appropriate vocalizations was effective in reducing bizarre vocalizations and increasing appropriate vocalizations. The use of functional analysis methodology to examine variables that maintain problem behavior in this population is discussed.     

The Effects of Using a Conditioned Stimulus to Cue DRO Schedules

A reversal design was used to examine the effects of a differential reinforcement of other behavior (DRO) procedure and the presence of a stimulus (i.e., a bracelet), conditioned via discrimination training, on reducing socially maintained non‐contextual vocalizations in an adolescent girl with autism. Initially, a functional analysis determined that non‐contextual vocalizations were maintained by social attention. Then, discrimination training was used to establish the presence of the bracelet as a discriminative stimulus for the absence of vocalizations. Specifically, when the bracelet was on, non‐contextual vocalizations were interrupted, and edible reinforcement was provided for the absence of vocalizations. When the bracelet was off, vocalizations were not interrupted and the teacher provided social attention to the participant (i.e., reciprocated conversation with the participant about the topic). During intervention, a DRO procedure was used. The participant was presented with the bracelet, a timer set for a specified interval, and the instruction to work quietly. If vocalizations did not occur for the entire duration of the interval, the bracelet was removed and the learner was given the opportunity to engage in vocalizations. The DRO interval was systematically increased throughout the intervention. Results are discussed in terms of discrimination training as an effective addition to differential reinforcement procedure. Copyright © 2015 John Wiley & Sons, Ltd.     

A comparison of response interruption and redirection and competing items on vocal stereotypy and appropriate vocalizations

The current study compared the reductive effects of response interruption and redirection (RIRD) and competing items (including sound-producing and nonsound-producing toys) on the vocal stereotypy exhibited by two children diagnosed with Autism Spectrum Disorder. Sound-producing toys reduced vocal stereotypy relative to nonsound-producing toys and RIRD reduced stereotypy and increased rates of appropriate vocalizations to a greater extent than providing competing items. These findings replicate and extend previous literature suggesting that RIRD and sound-producing competing items are effective methods to treat vocal stereotypy.     

Covariation between bizarre and nonbizarre speech as a function of the content of verbal attention

A functional analysis suggested that the bizarre speech of an individual with developmental disabilities was maintained by attention. The content of verbal attention was manipulated in two subsequent analyses and revealed that (a) bizarre speech was more frequent when attention was related to the participant's bizarre speech and (b) the participant's statements tended to reflect the content of the therapist's attention, whether bizarre or nonbizarre.     

The effects of verbal operant training and response interruption and redirection on appropriate and inappropriate vocalizations

Past research has shown that response interruption and redirection (RIRD) can effectively decrease automatically reinforced motor behavior (Hagopian & Adelinis, 2001). Ahearn, Clark, MacDonald, and Chung (2007) found that a procedural adaptation of RIRD reduced vocal stereotypy and increased appropriate vocalizations for some children, although appropriate vocalizations were not targeted directly. The purpose of the current study was to examine the effects of directly targeting appropriate language (i.e., verbal operant training) on vocal stereotypy and appropriate speech in 3 children with an autism spectrum disorder. The effects of verbal operant (i.e., tact) training were evaluated in a nonconcurrent multiple baseline design across participants. In addition, RIRD was implemented with 2 of the 3 participants to further decrease levels of vocal stereotypy. Verbal operant training alone produced slightly lower levels of stereotypy and increased appropriate vocalizations for all 3 participants; however, RIRD was required to produce acceptably low levels of stereotypy for 2 of the 3 participants.     

SEQUENTIAL APPLICATION OF MAJOR HABIT-REVERSAL COMPONENTS TO TREAT MOTOR TICS IN CHILDREN

In this study, we sequentially administered up to four components of the habit-reversal treatment to 4 children with motor tics within a multiple baseline design. The habit-reversal components included (a) awareness training; (b) awareness training and self-monitoring; (c) awareness training, self-monitoring, and social support; and (d) awareness training, social support, and the use of a competing response. Results demonstrated that the combined use of awareness training, social support, and competing response training was effective in eliminating motor tics in 2 of 4 children, that awareness training alone was effective for 1 child, and that a combination of awareness training and self-monitoring was effective for the 4th child. The treatment and ensuing improvement were found to be socially valid. We discuss possible explanations for these results and recommend directions for future research.     

The Effects of Motor and Vocal Response Interruption and Redirection on Vocal Stereotypy and Appropriate Vocalizations

Stereotypy has been defined as repetitive vocal or motor behaviors that are noncontextual with invariant topographies. One intervention to reduce vocal stereotypy and increase appropriate vocalizations is response interruption and redirection (RIRD). Previous research has suggested that RIRD's behavioral mechanism consists of punishment. The purpose of this study was to extend this research by comparing two procedures, namely, vocal and motor RIRD contingent upon the occurrence of vocal stereotypy and to evaluate concomitant increases in appropriate vocalizations. A multiple treatment reversal design was used to compare the effectiveness of both interventions on five children diagnosed with an Autism Spectrum Disorder. Results suggested that both demand topographies were equally effective in reducing vocal stereotypy and increasing appropriate vocalizations. This research replicates previous findings that have suggested that RIRD is a punishment procedure. Copyright © 2015 John Wiley & Sons, Ltd.     

A comparison of parental attention and preferred items during tummy time: A consecutive controlled case series evaluation

Tummy time is an activity for infants to practice their early motor skills. Although most pediatricians recommend tummy time, parents may avoid the procedures due to indices of infant discomfort during this period. This consecutive controlled case series evaluation compared the effects of preferred items selected from a preference assessment with those of parental attention on head evaluation and negative vocalizations during tummy time. In addition, we directly evaluated parental choice by inviting parents to select which tummy time treatment they wanted to implement. We found that both preferred items and parental attention effectively increased head elevation and decreased negative vocalizations during tummy time; however, parents tended to prefer the treatment that included the preferred item.     

Habit reversal treatment of thumbsucking

About 40% of young children suck their thumbs, an action which is associated with dental problems and for which intra-oral devices have been the most effective treatment. The present study of 30 thumbsucking children evaluated the habit reversal treatment which included competing response training, parental support, and stimulus identification during a single session plus follow-up maintenance by the parent. Habit reversal training reduced thumbsucking by 92% in the first week, 95% in the fourth month, and 89% at the 20-month follow-up. A comparison treatment by a bitter tasting substance produced a reduction of about 35%.     

Test of Competing Explanations of the Bizarre Response Bias in Recognition Memory

Recent research has demonstrated that a more liberal response criterion is used when people make judgments about bizarre items than about common items in old-new tests of recognition. The present study was designed to test 2 possible explanations of the bizarre response bias. The bizarre-relations explanation suggests that the bizarre response bias is triggered by the bizarre relations depicted in test items. The target-constituent explanation suggests that the bizarre response bias is the result of a sense of familiarity with constituents of bizarre test items. These explanations were tested by examining the influence of lure manipulations on memory discrimination and response bias for common and bizarre hand-drawn pictures. The results indicated support for the target-constituent explanation by reversing the response bias (obtaining a common response bias) in a recognition test that used common lures containing constituents from bizarre target items and bizarre lures containing constituents from common target items. The results also indicated that increased verbal elaboration enhanced memory discrimination and reduced response bias for both common and bizarre stimuli. The implications of these results are discussed with regard to the false memory controversy.     

Test of competing explanations of the bizarre response bias in recognition memory

Recent research has demonstrated that a more liberal response criterion is used when people make judgments about bizarre items than about common items in old-new tests of recognition. The present study was designed to test 2 possible explanations of the bizarre response bias. The bizarre-relations explanation suggests that the bizarre response bias is triggered by the bizarre relations depicted in test items. The target-constituent explanation suggests that the bizarre response bias is the result of a sense of familiarity with constituents of bizarre test items. These explanations were tested by examining the influence of lure manipulations on memory discrimination and response bias for common and bizarre hand-drawn pictures. The results indicated support for the target-constituent explanation by reversing the response bias (obtaining a common response bias) in a recognition test that used common lures containing constituents from bizarre target items and bizarre lures containing constituents from common target items. The results also indicated that increased verbal elaboration enhanced memory discrimination and reduced response bias for both common and bizarre stimuli. The implications of these results are discussed with regard to the false memory controversy.     

THE GENERALIZATION EFFECTS OF PARENT TRAINING ACROSS STIMULUS SETTINGS

Five parents of nonverbal children were trained in two home settings to modify antecedents and consequences to their children's vocalizations. Generalization effects of the parent training on both the parent's and children's behaviors under different stimulus conditions were investigated using multiple-baseline designs. Increases in parent prompting and reinforcing their children's vocalizations generalized only minimally to a new setting in the home where parent training had not occurred. Child increases in vocalizations produced by the parents in the training settings did generalize to this new setting in the home. There was minimal generalization of child vocalizations to a free-play setting at school. In a formal speech session conducted by a behavior specialist at school, only one child showed definite increases in acquisition rate as a function of the parents starting to train the sound at home.     

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.     

Free recall accuracy for common and bizarre verbal information

A large body of empirical research suggests better free recall for bizarre than common verbal information; however, the bulk of those studies used a method that does not consider the contextual and relational accuracy of recovered memories. The conclusions drawn from that research therefore are based on tests of memory not for holistic stimuli but for decontextualized memory fragments. In response to this anomaly and recent findings suggesting that bizarre memories are more likely to be distorted than common memories, a holistic analysis of free recall for common and bizarre verbal material was conducted. Two experiments indicated that bizarreness both facilitates and disrupts recall. Specifically, better recall (both in part and in full) was found for bizarre information, but a greater tendency to merge bizarre memory fragments into other partially recovered memories was also found. This pattern of results was demonstrated under immediate and delayed testing conditions (Experiment 1) and using both incidental and intentional learning procedures (Experiment 2). Overall, the results are consistent with a weak account of disruption caused by bizarreness.     

Effects of response blocking and competing stimuli on stereotypic behavior

The effects of response blocking and competing stimuli on stereotypy and aggression were examined in an analysis conducted with a young girl diagnosed with autism and intellectual disability. A functional analysis of the stereotypic behavior revealed that blocking stereotypy increased aggression. The treatment analysis revealed that the provision of competing stimuli, without response blocking resulted in decreases in both topographies. Findings suggest that the provision of competing stimuli may be less likely to occasion other behaviors than blocking. Copyright © 2009 John Wiley & Sons, Ltd.     

A detector of sonic and ultrasonic vocalizations with frequency readout

An electronic apparatus to detect vocalizations between 4 and 50 kHz and to provide frequency readout is described. A frequency-to-voltage converter changes vocalizations to their analog. A peak-and-hold circuit retains and gates the maximal value of this analog voltage while it is accessed by a chart recorder or computer. Provision is made to lock out noise by inhibiting the device’s response to all signals lower than those associated with a selectable cutoff frequency. In preliminary tests of the apparatus, vocal signals of two rats in a common cage were recorded while the animals were subjected to a brief, intermittent bout of faradic shock to the feet. All recorded vocalizations occurred at frequencies below 26 kHz.     

Sensory cues that elicit ultrasonic vocalizations in female rats (Rattus norvegicus)

Female rats emit ultrasonic vocalizations during copulation. Female vocalizations are associated with darting and other proceptive behavior. In addition, females frequently call while approaching the male. A series of experiments was undertaken to determine whether female rats emit ultrasonic vocalizations in response to other rats or to their odors. Females were exposed either to bedding soiled by males or females or to devocalized conspecifics separated from the subject by a barrier. Females vocalized more to male cues than to female cues, regardless of whether the odor cues were from soiled bedding or from a devocalized conspecific. In addition, subjects vocalized more when presented with a devocalized female rather than a neutral stimulus. Furthermore, devocalized adult males, separated by a barrier, were more effective than either devocalized castrated or juvenile males in eliciting vocalizations; in turn, castrates and juveniles were more effective than neutral stimuli. Female calling was likely induced by odors from the male. In one experiment, the female subject was positioned in such a way that she could neither see or touch the stimulus male. Presentation of tape-recorded male vocalizations did not affect calling by the female. Vocalizations emitted by females in response to male odors may attract males or may facilitate subsequent copulatory behavior by the male.     

Is Disgust Prepared? A Preliminary Examination in Young Children

Children may be prepared to associate adult disgust reactions with adult disgust elicitors. To test this, three-year olds (and adults) were presented with two images and an emotive vocalization. The images and vocalizations included stimuli adults found disgusting, fear-provoking, and sad. On one set of trials, the main dependent variable (DV) was time spent looking at each image and on a second set of repeat trials the DV was knowledge of image-sound matches. Fear and disgust vocalizations were both more effective at orienting a child's attention to adult fear and disgust images, than sad vocalizations. Parental disgust sensitivity was associated with this effect, moderated by explicit matching knowledge. Matching knowledge was poor in children and good in adults. These data suggest that in children, fear and disgust vocalizations may both promote attention to stimuli that adults find disgusting and/or fear-provoking, suggesting that “preparedness” may not be wholly emotion-specific.