Computer aided self‐monitoring to increase academic production and reduce self‐injurious behavior in a child with autism

Self‐monitoring to increase the on‐task behavior of students with learning disabilities has been the focus of numerous studies in the literature. This study examined the effectiveness of computer aided self‐monitoring of academic task completion to reduce self‐injurious behavior in a 13‐year‐old male student with autism. Using an ABAB design, data were collected over 22 sessions in a resource‐reading classroom. Visual and statistical analyses indicated that when self‐monitoring of activity completion was implemented, rates of completion increased and maladaptive behaviors such as self‐injurious behavior and tantruming decreased. Discussion follows for implications for self‐monitoring with students with autism. Copyright © 2009 John Wiley & Sons, Ltd.     

Extended analysis and treatment of self‐injurious behavior

In experiment 1, an extended functional analysis of self‐injury was conducted with a 21‐year‐old male diagnosed with autism and profound mental retardation. The multielement phase yielded undifferentiated results. Subsequent blocking of conditions plus the addition of a component allowing access to multiple sensory stimuli suggested that self‐injury was unrelated to programmed positive or negative reinforcement contingencies. The behavior appeared to be automatically reinforced; its occurrence decreased when access to alternative sensory stimuli was provided. Experiment 2 evaluated a treatment condition in which response‐independent access to these sensory stimuli was provided within the participant's everyday environment. Baseline and treatment frequencies of self‐injury were compared in a combined, multiple‐baseline‐across‐settings and ABAB design. The level of self‐injury decreased substantially during treatment. These results support the use of extended analog analyses of aberrant behavior in instances in which undifferentiated responding occurs in the initial analogue analysis. Additionally, a procedure is described for generalizing the intervention derived from the experimental analysis into the participant's everyday environment. Copyright © 2001 John Wiley & Sons, Ltd.     

Combination of extinction and protective measures in the treatment of severely self‐injurious behavior

Two female adolescents with profound mental retardation and physical disabilities residing in a state facility exhibited self‐injurious behavior (SIB). They had been wearing restrictive mechanical restraints for more than two years to prevent injuries from occurring. By using an indirect method of functional analysis, social attention was found to be the factor reinforcing and maintaining their behaviors. Extinction in combination with non‐intrusive protective measures was selected as the intervention strategy to reduce SIB. The outcomes of the treatment were evaluated with an AB probe design. Incidents of SIB decreased quickly and sharply after the treatment began. Once the incidents had reached a level of zero for three consecutive sessions, a six‐month follow‐up was started. No SIB was observed or reported during the follow‐up. The advantages of using extinction, especially in conjunction with the non‐intrusive protective measures to treat SIB, are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

Identifying predictive behavioral markers: A demonstration using automatically reinforced self‐injurious behavior

Predictive biomarkers (PBioMs) are objective biological measures that predict response to medical treatments for diseases. The current study translates methods used in the field of precision medicine to identify PBioMs to identify parallel predictive behavioral markers (PBMs), defined as objective behavioral measures that predict response to treatment. We demonstrate the utility of this approach by examining the accuracy of two PBMs for automatically reinforced self‐injurious behavior (ASIB). Results of the analysis indicated both functioned as good to excellent PBMs. We discuss the compatibility of this approach with applied behavior analysis, describe methods to identify additional PBMs, and posit that variables related to the mechanisms of problem behavior and putative mechanism of treatment action hold the most promise as potential PBMs. We discuss how this technology could guide individualized treatment selection, inform our understanding of problem behavior and mechanisms of treatment action, and help determine the conditional effectiveness of clinical procedures.     

Further evaluation of latency measures in the assessment and treatment of severe self‐injurious behavior

Recent research has demonstrated the utility of latency measures during the functional analysis of problem behavior; however, few studies have evaluated the utility of latency measures during subsequent treatment analyses. The current study seeks to extend the literature on the use of latency measures during the treatment of severe self‐injurious behavior (SIB). Following a latency‐based functional analysis, a treatment analysis was conducted using a hybrid procedure in which baseline sessions were terminated following the first instance of SIB, and test sessions ended after a fixed length of time. Latency to SIB was compared across conditions, whereas latency and rate measures for both SIB and functional communication responses were compared for the functional communication training condition. Results suggest that latency measures may be too sensitive during treatment analyses and that it is beneficial to use a hybrid procedure that allows for both latency and rate comparisons.     

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.     

Decreasing problem behavior associated with a walking program for an individual with developmental and physical disabilities

In the current investigation, a functional analysis suggested that positive reinforcement in the form of physical contact maintained the self-injurious behavior of a girl with developmental and physical disabilities. We used the information obtained from the functional analysis to develop a treatment for noncompliance with walking in which a therapist removed physical interaction following inappropriate behavior during walks.     

The effects of an escape extinction procedure using protective equipment on self‐injurious behavior

While escape extinction has shown to be successful in reducing escape maintained self‐injurious behavior, there is limited research on the use of escape extinction with protective equipment for escape maintained self‐injurious behavior. The purpose of this investigation was to examine the effects of an escape extinction procedure paired with the application of protective equipment on the escape maintained self‐injurious behavior of an 8‐year‐old boy diagnosed with autism. Results suggested that escape extinction using protective equipment for safety is an effective approach to decrease head hitting. Rates of self‐injurious behavior during an 18‐month follow‐up were comparable to rates observed in the final intervention phase.     

Maternal self‐efficacy beliefs,competence in parenting,and toddlers' behavior and developmental status

This study was designed to examine parenting self‐efficacy beliefs as correlates of mothers' competence in parenting toddlers and as predictors of toddlers' behavior and development. Sixty‐eight predominantly middle‐class mother–toddler pairs participated in this study. Mothers completed questionnaires, toddlers were administered the Bayley Scales of Infant Development (BSID‐II), and each dyad participated in the Crowell Procedure, which is designed to observe parent and toddler behaviors in a semistructured laboratory context. Although domain‐general and domain‐specific parenting self‐efficacy beliefs were not associated with parenting competence, domain‐specific beliefs were significantly related to toddlers' scores on the Mental Scale of the BSID‐II and several behaviors observed during the Crowell Procedure (Affection Towards Mother, Avoidance of Mother, Compliance, Enthusiasm, and Negativity). Implications of the findings are discussed. ©2003 Michigan Association for Infant Mental Health.     

Functional analysis and treatment of self‐injurious feather plucking in a black vulture (Coragyps atratus)

The etiology and maintenance of self‐injurious feather plucking (FP) have been attributed to biological and environmental processes, yet a definitive solution has not been found. The current study investigated the application of a functional analysis and function‐based treatment to reduce the FP of a black vulture (Coragyps atratus). FP was found to be maintained by positive reinforcement in the form of contingent attention. A treatment consisting of noncontingent reinforcement decreased FP, and levels of FP remained low during schedule thinning. The current study further demonstrates the validity of function‐based assessment and treatment with captive animals.     

Elevated self‐esteem 12 months following a 10‐day developmental voyage

The following article examined elevated self‐esteem as a function of a 10‐day developmental voyage. Two studies were conducted. Study 1 demonstrated that participants who completed the voyage experienced elevated self‐esteem. Study 2 replicated and extended these results insofar as it revealed that (a) elevated self‐esteem was maintained 12 months following the voyage; and (b) increasing levels of perceived self‐efficacy and belonging (as assessed on the last day of the voyage), but not social support, each made a unique contribution to these effects. Together, these findings provide converging evidence to suggest that a 10‐day developmental voyage upon the Spirit of New Zealand promotes elevated self‐esteem that is maintained over time, and that perceived self‐efficacy and belonging contribute to this outcome.     

Family factors associated with self‐harm in adults: a systematic review

The aim of this study was to systematically review the literature pertaining to family dynamics in the adult self‐harming population. PsycINFO, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Applied Social Sciences Index and Abstracts (ASSIA) were searched for studies containing two keywords, one relating to self‐harm and the second relating to a family relationship. The final search was run on 4 August 2017. The electronic search yielded a total of 2,623 studies; 119 texts were selected for full review and twenty‐seven articles were included in the analysis. Thematic analysis was used to synthesize the results. Results indicated that insecure parental attachments, neglectful, overprotective, disempowering and abusive parenting were associated with self‐harm. Similarly, insecure attachments and abusive relationships with romantic partners were linked to self‐harm. Finally, self‐harm was found to be related to poor family functioning.     

Teacher–child interactions: relations with children's self‐concept in second grade

This study examined whether teacher–child interactions characterized by teacher involvement, structure, and autonomy support at the beginning of second grade predicted children's global, academic, social, and behavioural self‐concept at the end of second grade. The study was conducted in 30 second grade classrooms with 570 children and their teachers. Data included teacher reports of teacher–child interactions and child reports of self‐concept. Results showed that, when controlling for the initial level of self‐concept, children's social self‐concept was predicted by teacher involvement, structure, and autonomy support. In addition, teacher autonomy support predicted high academic self‐concept. Finally, these teacher–child interaction characteristics did not contribute to the behavioural and global self‐concept. The results were similar for boys and girls. Copyright © 2010 John Wiley & Sons, Ltd.