Competing stimulus assessments: A systematic review

The current review summarizes the literature on competing stimulus assessments (CSAs). CSAs are pretreatment assessments designed to systematically identify stimuli that reduce problem behavior (PB), ostensibly through reinforcer competition or substitution. We report on the participant characteristics, outcomes, and predictive validity of published CSAs that included (a) no-stimulus control trial(s), (b) test trials during which each stimulus was available singly and noncontingently, and (c) measurement of PB and stimulus engagement or contact. Results showed that CSAs have broad utility across a variety of topographies and functions of PB. In the majority of CSA applications for which extended analyses, or validations, were performed, stimuli shown to reduce PB during the CSA produced similar reductions during extended analysis. This was the case regardless of topography or function of PB, or whether the stimuli were assumed to be “matched” to the stimulation thought to be produced by PB. Implications for future research are discussed.     

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.     

Evaluation of response blocking and re-presentation in a competing stimulus assessment

Competing stimulus assessments (CSA) have been used to identify stimuli that are associated with reduced levels of problem behavior, presumably as a function of reinforcer competition. Following a standard CSA in which stimuli simply were made available, 2 more CSAs were conducted with additional components designed to enhance reinforcer competition: re-presentation of stimuli and response blocking for self-injury. The results obtained from each CSA were validated in an extended treatment analysis. The study illustrates how the effects of additional components designed to enhance reinforcer competition can be evaluated efficiently in the context of a CSA.     

A RESPONSE-RESTRICTION ANALYSIS OF STEREOTYPY IN ADOLESCENTS WITH MENTAL RETARDATION: IMPLICATIONS FOR APPLIED BEHAVIOR ANALYSIS

The behavior of 4 adolescents with severe or profound mental retardation was evaluated in the presence of four sets of materials during periods of unstructured leisure activity. Functional engagement with the materials, stereotypic engagement with the materials, stereotypy without interaction with the materials, and other aberrant behaviors were recorded. Across a series of experimental conditions, the number of sets of materials was reduced from four to one by eliminating the set most frequently manipulated in each preceding condition. In the final condition, four sets of materials were again made available for manipulation. The procedures replicated Green and Striefel's (1988) response-restriction analysis of the activity preferences and play behaviors of children with autism. In general, the results of the present experiment replicate those of Green and Striefel in that reallocation of responding was idiosyncratic and unpredictable as sets of materials were removed. Nevertheless, the results provided insight into how responding might be reallocated if it were restricted through behavioral interventions rather than by restriction of access. Thus, the results are discussed with respect to how response-restriction analyses may be useful in identifying topographies of behavior that could be included in differential reinforcement contingencies that are designed to affect stereotypic behavior and in the selection and arrangement of environmental stimuli to minimize the presence of evokers of stereotypy.     

Enhancing the effects of extinction on attention-maintained behavior through noncontingent delivery of attention or stimuli identified via a competing stimulus assessment

Recent research has shown that the noncontingent delivery of competing stimuli can effectively reduce rates of destructive behavior maintained by social-positive reinforcement, even when the contingency for destructive behavior remains intact. It may be useful, therefore, to have a systematic means for predicting which reinforcers do and do not compete successfully with the reinforcer that is maintaining destructive behavior. In the present study, we conducted a brief competing stimulus assessment in which noncontingent access to a variety of tangible stimuli (one toy per trial) was superimposed on a fixed-ratio 1 schedule of attention for destructive behavior for individuals whose behavior was found to be reinforced by attention during a functional analysis. Tangible stimuli that resulted in the lowest rates of destructive behavior and highest percentages of engagement during the competing stimulus assessment were subsequently used in a noncontingent tangible items plus extinction treatment package and were compared to noncontingent attention plus extinction and extinction alone. Results indicated that both treatments resulted in greater reductions in the target behavior than did extinction alone and suggested that the competing stimulus assessment may be helpful in predicting stimuli that can enhance the effects of extinction when noncontingent attention is unavailable. DESCRIPTORS: Attention-maintained problem behavior, competing stimuli, extinction, functional analysis, noncontingent reinforcement     

Increasing item engagement and decreasing automatically reinforced problem behavior within a modified competing stimulus assessment

A competing stimulus assessment (CSA) is commonly used to identify leisure items for use in treatments designed to decrease automatically reinforced problem behavior. However, this type of assessment may not yield useful information if participants do not readily engage with leisure items. The purpose of this study was to evaluate a modified CSA that included additional treatment components (i.e., prompting, prompting plus differential reinforcement of alternative behavior). The modified CSA identified the treatment components and leisure items that were most effective for increasing leisure-item engagement and decreasing problem behavior for each participant. Modified CSA outcomes maintained during an extended treatment analysis in a natural setting and when intervention components were faded.     

Schedule thinning following communication training: using competing stimuli to enhance tolerance to decrements in reinforcer density

Functional communication training (FCT) is a widely used treatment for individuals with developmental disabilities who exhibit severe behavior problems. One inherent challenge of employing FCT as a treatment in the community is that reinforcement for appropriate communication cannot always be immediate or even possible in some circumstances. Of the few studies that have incorporated some form of schedule thinning for communication, most have reported disruption of communication or increases in problem behavior when the schedule of reinforcement is thinned. In the current study, we compared FCT with extinction to FCT with extinction and access to competing stimuli. After conducting a functional analysis, a competing stimulus assessment was performed to identify stimuli that produce reinforcement that ostensibly competes with reinforcement that maintains problem behavior. It was hypothesized that FCT with competing stimuli would result in more stable reductions in problem behavior during schedule thinning, which would ultimately result in quicker achievement of the treatment goal (low levels of problem behavior under the terminal reinforcement schedule for communication) than FCT without competing stimuli. Results confirmed this hypothesis.     

A Primer of Covert Sensitization

Covert sensitization is the first of a family of behavior therapy procedures called covert conditioning initially developed by Joseph Cautela in the 1960s and 1970s. The covert conditioning procedures involve the use of visualized imagery and are designed to work according to operant conditioning principles. When working with cooperative clients to treat maladaptive approach behaviors, covert sensitization has been found to be a humane and effective alternative to in vivo aversion therapy procedures that employ aversive stimuli such as chemicals and electric shock. This primer describes covert sensitization, provides examples and notes representative research. Guidelines for use and suggestions for further readings are also included.     

Assessment and treatment of problem behavior maintained by mand compliance

We modified functional analysis procedures to include a condition in which we reinforced problem behavior by complying with a child's mands. After identifying compliance with mands as a reinforcer, we evaluated the efficacy of a token system with a response‐cost contingency and incorporated discriminative stimuli to signal when mands would be reinforced. The token system with response cost effectively reduced problem behavior. Similar procedures may be beneficial when continuous adult compliance is not possible, when adults want to control when they will comply with the child's mands, or to build a child's tolerance for adult‐directed situations.     

Testing for spontaneous use of requests after sign language training with two severely handicapped adults

A variety of procedures have been used to promote spontaneous requesting in persons with developmental disabilities. However, effective use of such procedures depends in part on identifying the stimuli that gained control of requests during intervention. In the present study, two adults with severe disabilities were taught to request a preferred food item with a modified gesture for “eat.” After learning to respond when the trainer held up an item, an assessment of stimulus control was conducted to determine if requests would occur spontaneously, that is, without the trainer having to offer the item. One learner displayed a number of spontaneous requests during the assessment. Natural maintaining contingencies were then introduced to maintain his spontaneous requests. The other learner made no spontaneous requests during the initial assessment, but subsequent tests revealed that he sometimes requested as the trainer was about to display the item. It thus appeared that both learners were responding at an earlier point in the trial sequence. The results suggest that an assessment of stimulus control may be helpful when selecting strategies to promote spontaneous requesting.     

Developing auditory stimulus control: A note on methodology

This paper concerns the problem of teaching people with intellectual handicaps to respond reliably to spoken words and other auditory instructional stimuli. We describe how microcomputer technology can be applied to implement effective auditory stimulus control shaping methods. With hardware and software currently available, it is now possible to adapt procedures that have been previously successful in stimulus control programming with visual stimuli. We describe several techniques for programming gradual stimulus changes (e.g., stimulus fading, stimulus shaping) to promote auditory discrimination learning. Teaching studies with two individuals with severe mental retardation provide illustrative applications and data supporting the feasibility and potential utility of auditory stimulus control shaping methodology.     

Effects of stimulus duration on observing behavior maintained by differential reinforcement magnitude

Pigeons made observing responses for stimuli signalling the availability of either 10-sec or 2-sec access to grain on fixed-interval 1-min schedules. If observing responses did not occur, food-producing responses occurred to a stimulus common to both reinforcement magnitudes. When the stimuli remained on for the duration of the components and signalled differential reinforcement magnitudes, observing responses were maintained; however, when the stimuli remained on for 10 sec, observing responses decreased markedly. In addition, it was shown that the occasional presentation of the stimulus signalling 10-sec access to grain was necessary for the maintenance of observing behavior. A control condition demonstrated that when all the available stimuli signalled 6-sec access to grain, observing responses declined. Taken together, the results demonstrated that the occasional presentation of the stimulus that remained on for the duration of the component and signalled the larger reinforcement magnitude was necessary for the maintenance of observing behavior.     

Agreement Between Descriptive and Experimental Analyses of Behavior under Naturalistic Test Conditions

We compared the results of a contingency space analysis (CSA) of behavior-consequence recordings to the results of functional analysis (FA) test conditions involving antecedent stimuli and verbal statements that both differed from and mimicked those in the natural environment. Three preschool children with autism spectrum disorder participated. During Phase I, we identified teacher-delivered consequences that were contingent on problem behavior from observational data. During Phase II, each child participated in FA test conditions conducted by their teacher or a same-sex experimenter in an ABA reversal design. Two Experimenter FA conditions were identical to the Teacher FA, with an additional condition involving a different task, demands, and verbal statements. Teacher FAs revealed a clear function for problem behavior for two children, whereas the Experimenter FA was undifferentiated. The reverse pattern was observed for the third child. Results of the CSAs were consistent with the Teacher FAs for two children. Implications for generalizing the outcomes of analog FA test conditions are discussed.     

Effectiveness of the counterconditioning procedure in eliminating avoidance behavior

Data were obtained on the effectiveness of three forms of counterconditioning—each differing in the degree to which competing responses were introduced. Counterconditioning was also compared with an extinction procedure in eliminating an instrumental avoidance response. Only the counterconditioning procedure which evoked and reinforced another conditioned response during extinction of the avoidance response, was significantly more effective than a traditional extinction procedure in achieving a decrement in avoidance responding and this was only on the first session on which such procedures were in effect. When the opportunity to perform the competing response was removed, only Ss in this group evidenced a significant increase in avoidance responding.

All procedures were equally effective over sessions in eliminating avoidance behavior. A delay in effectiveness occurred to the degree to which a procedure introduced a competing response. It was in terms of the immediacy of response reduction and achievement of a very low rate of responding with very few responses being performed, that the counterconditioning procedure was superior to the extinction procedure.

The implication of these results for behavior theory and therapy were elaborated.     

INCREASING COMPLEX SOCIAL BEHAVIORS IN CHILDREN WITH AUTISM: EFFECTS OF PEER-IMPLEMENTED PIVOTAL RESPONSE TRAINING

Two children with autism were taught to engage in a variety of complex social behaviors using peer-implemented pivotal response training (PRT), a set of procedures designed to increase motivation and promote generalization. Typical peers were taught to implement PRT strategies by modeling, role playing, and didactic instruction. After training, peers implemented the procedures in the absence of direct supervision in a classroom environment. After the intervention, both children with autism maintained prolonged interactions with the peer, initiated play and conversations, and increased engagement in language and joint attention behaviors. In addition, teachers reported positive changes in social behavior, with the largest increases in peer-preferred social behavior. Further, these effects showed generality and maintenance. Implications of these findings are discussed.     

Evaluation of multiple schedules with naturally occurring and therapist‐arranged discriminative stimuli following functional communication training

Many studies have shown that (a) functional communication training (FCT) is effective for reducing problem behavior, and (b) multiple schedules can facilitate reinforcer schedule thinning during FCT. Most studies tha have used multiple schedules with FCT have included therapist‐arranged stimuli (e.g., colored cards) as the discriminative stimuli (S^Ds), but recently, researchers have evaluated similar multiple‐schedule training procedures with naturally occurring S^Ds (e.g., overt therapist behavior). The purposes of the current study were to compare the effects of arranged and naturally occurring S^Ds directly during (a) acquisition of discriminated functional communication responses (FCRs) and (b) generalization of discriminated FCRs when we introduced the multiple schedules in novel contexts in which the naturally occurring stimuli were either relatively easy or difficult to discriminate. Results showed that (a) 2 of 3 participants acquired discriminated responding of the FCR more rapidly with arranged than with naturally occurring stimuli, (b) 2 of 3 participants showed resurgence of problem behavior , and (c) 2 of 3 participants showed greater generalization of discriminated responding to novel contexts with arranged stimuli than with naturally occurring stimuli. We discuss these results relative to the conditions under which naturally occurring and arranged S^Ds may promote rapid and generalized treatment gains.     

The comprehensive approach to analyzing multivariate constructs

Many psychological constructs of interest to personality psychologists, such as personality, behavior, and emotions, are made up of many variables. Moreover, similarity metrics, such as self-other agreement, profile similarity, or behavioral consistency, result from calculations conducted across many variables. When analyzed using a comprehensive approach, such multivariate constructs present unique analytic challenges. Such challenges are not well addressed in standard graduate statistics textbooks or presently available in standard commercial software. This article introduces the ‘multicon’ package, freely available in the R statistical package, designed to aid researchers interested in taking a comprehensive approach to analyzing multivariate constructs. Realistic examples from personality psychology are provided to demonstrate the utility of this package.     

The effects of a discriminative cue and an incompatible activity on generalized imitation

Four noncompliant retardates were observed in a generalized imitation study. Two variables were studied: provision of a competing reinforced activity, and use of a cue to aid discrimination between reinforced and nonreinforced imitations. Both variables were found to increase the rate of discrimination between the two sets of stimuli. Greatest discrimination occurred when both cue and alternative task were present. Discrimination decreased when the variables were removed. Results are interpreted as implying that imitation of nonreinforced cues in generalized imitation procedures varies with the degree to which reinforcement is available for other activity, as well as with the complexity of the discrimination problem. These results help indicate conditions under which the generalized imitation effect may be observed in more naturalistic settings.     

Individual and combined effects of noncontingent reinforcement and response blocking on automatically reinforced problem behavior

Noncontingent reinforcement (NCR) and response blocking are 2 common interventions for problem behavior maintained by automatic reinforcement. We implemented NCR and blocking with 1 boy and found this combined intervention to be effective at decreasing high rates of automatically reinforced pica. With another child, we compared the effects of blocking alone to the combined intervention. With the third child, we compared NCR alone and blocking alone to the combined intervention. Results showed that the combined intervention was effective at reducing automatically reinforced problem behavior while moderate to high levels of item engagement maintained. When evaluated individually, neither NCR nor blocking was sufficient to reduce problem behavior to clinically significant levels.     

Effects of deprivation on engagement in preferred activities by persons with developmental disabilities

This study examined the effects of deprivation on engagement in activities for 3 adult men with developmental disabilities. First, an assessment was conducted to identify a high- and a low-preference activity for each participant. Second, the high-preference activity was made available following three amounts of deprivation of the activity (15 min, 2 hr, and 1 to 4 days); the low-preference activity was made available following the schedule of deprivation that produced the highest level of engagement by each participant in the high-preference activity. The results were that 1 to 4 days of deprivation produced the highest average amounts of engagement in the high-preference activity for each participant; this amount of deprivation did not produce high engagement in the low-preference activities. Third, the deprivation procedures and results were replicated when high-preference activities were presented by teachers during the participants' daily activities when their engagement had been quite low.