STIMULUS (INSTRUCTIONAL) FADING DURING EXTINCTION OF SELF-INJURIOUS ESCAPE BEHAVIOR

Three individuals with developmental disabilities were exposed to a series of assessment conditions to identify the source of reinforcement for their self-injurious behavior. In each case, self-injury occurred most often in instructional (demand) situations containing a brief time-out from the task contingent on self-injury, indicating that the behavior was an escape response (i.e., maintained by negative reinforcement). Treatment was implemented in a multiple baseline across subjects design and consisted of extinction (prevention of escape) plus instructional fading (initial elimination of instructions followed by their gradual reintroduction). Results showed that the combined treatment produced immediate and large reductions in self-injury that were maintained as the frequency of instructions was increased across sessions to match the original baseline rate of presentation. Results of a component analysis conducted with 1 subject suggested that stimulus fading accelerated the behavior-reducing effects of extinction.     

EXPERIMENTAL ANALYSIS AND EXTINCTION OF SELF-INJURIOUS ESCAPE BEHAVIOR

Three studies are presented in which environmental correlates of self-injurious behavior were systematically examined and later used as the basis for treatment. In Study 1, 7 developmentally disabled subjects were exposed to a series of conditions designed to identify factors that maintain self-injurious behavior: attention contingent on self-injurious behavior (positive reinforcement), escape from or avoidance of demands contingent on self-injurious behavior (negative reinforcement), alone (automatic reinforcement), and play (control). Results of a multielement design showed that each subject's self-injurious behavior occurred more frequently in the demand condition, suggesting that the behavior served an avoidance or escape function. Six of the 7 subjects participated in Study 2. During educational sessions, “escape extinction” was applied as treatment for their self-injurious behavior in a multiple baseline across subjects design. Results showed noticeable reduction or elimination of self-injurious behavior for each subject and an increase in compliance with instructions in all subjects for whom compliance data were taken. The 7th subject, whose self-injurious behavior during Study 1 occurred in response to medical demands (i.e., physical examinations), participated in Study 3. Treatment was comprised of extinction, as in Study 2, plus reinforcement for tolerance of the examination procedure, and was evaluated in a multiple baseline across settings design. Results showed that the treatment was successful in eliminating self-injurious behavior and that its effects transferred across eight new therapists and three physicians. General implications for the design, interpretation, and uses of assessment studies are discussed.     

FACILITATING GENERALIZED REQUESTING BEHAVIOR IN BROCA'S APHASIA: AN EXPERIMENTAL ANALYSIS OF A GENERALIZATION TRAINING PROCEDURE

The effects of a generalization training procedure on requesting by 4 subjects with chronic Broca's aphasia were examined using a multiple baseline design across behaviors and subjects. Subjects were trained to request information on three topics sequentially. Generalization across topics and persons was assessed in weekly probe sessions consisting of 5-min conversational interactions with trainers and unfamiliar volunteers in a nontreatment setting. Results revealed generalization effects were greatest when trainers, as opposed to unfamiliar volunteers, served as conversational participants. Nevertheless, subjects' requests increased with all conversational participants to a level comparable to a normal comparison group assessed under conditions identical to the experimental probes. Social validation of treatment effects using a subjective evaluation procedure revealed significant improvement on the parameters of talkativeness, inquisitiveness, and conversational success.     

An experimental analysis of peer social initiations on the behavior of withdrawn preschool children: Some training and generalization effects

In this study, positive social initiations by an age-peer was evaluated as an intervention for isolate preschool children in training and generalization sessions. During baseline, the confederate made few social approaches to the target subjects. The confederate greatly increased his rate of positive social initations during the first intervention, decreased social approaches during a second baseline, and increased social approaches again in a second intervention phase. Increases in confederate initiations resulted in an immediate acceleration in the frequency of subjects' positive social behavior during training sessions. Additionally, for two of the three subjects, positive social behaviors were also observed to increase during generalization sessions. The results suggest that (a) peers may be trained successfully to set the occasion for positive social behaviors by withdrawn classmates, (b) increased social responding by withdrawn children in the presence of frequent peer social initiations may also generalize beyond the training setting, and (c) the magnitude of direct and generalization effects appears to be related to the entry-level repertoire of target children.     

Person-treatment interactions across nonaversive response-deceleration procedures for self-injury: A case study of effects and side effects

Three nominally nonaversive response-deceleration treatment packages, “gentle teaching,” differential reinforcement of incompatible behavior plus interruption, and graduated guidance, were administered to two profoundly retarded men who exhibited topographically similar self-injurious head-hitting maintained under contrasting contingencies identified by functional analysis. Following No Demand and Instructional Demand baseline sessions, the three intervention packages were balanced across 18, 30-minute analog training sessions and three trainers in each subject's prevocational setting, using a simple panel-pressing task as the training objective. There were significant differences between the three packages in rates of target response suppression, effects on collateral behaviors, acquisition of panel pressing, and immediate post-treatment carry-over, both within and between subjects. It is concluded that both functional analysis and within-subject treatment comparison may assist in identification of the least restrictive alternative in applied service settings, and that topographic similarity of self-injury between subjects may not necessarily indicate selection of similar treatment packages.     

Effects of variable-interval value and amount of training on stimulus generalization.

In Experiment 1 pigeons pecked a key that was illuminated with a 501-nm light and obtained food by doing so according to a variable-interval (VI) schedule of reinforcement, the mean value of which differed across groups: either 30 s, 120 s, or 240 s. The pigeons in all three groups were trained for 10 50-min sessions. Generalization testing was conducted in extinction with different wavelengths of light. Absolute and relative generalization gradients were similar in shape for the three groups. Experiment 2 was a systematic replication of Experiment 1 using line orientation as the stimulus dimension and a mean VI value of either 30 s or 240 s. Again, gradients of generalization were similar for the two groups. In Experiment 3 pigeons pecked a key that was illuminated with a 501-nm light and obtained food reinforcers according to either a VI 30-s or a 240-s schedule. Training continued until response rates stabilized (> 30 sessions). For subjects trained with the 30-s schedule, generalization gradients were virtually identical regardless of whether training was for 10 sessions (Experiment 1) or until response rates stabilized. For subjects trained with the VI 240-s schedule, absolute generalization gradients for subjects trained to stability were displaced upward relative to gradients for subjects trained for only 10 sessions (Experiment 1), and relative generalization gradients were slightly flatter. These results indicate that the shape of a generalization gradient does not necessarily depend on the rate of reinforcement during 10-session single-stimulus training but that the effects of prolonged training on stimulus generalization may be schedule dependent.     

USE OF NEGATIVE REINFORCEMENT IN THE TREATMENT OF SELF-INJURIOUS BEHAVIOR

Behavioral assessment procedures were used to determine the maintaining conditions of self-injury exhibited by 2 children with severe multiple handicaps. For both children, negative reinforcement (escape from grooming activities) was determined to be the maintaining reinforcer for self-injury (hand/arm biting) within an alternating treatments design. The treatment packages involved the use of negative reinforcement (brief escape from grooming activities) contingent upon a behavior that was incompatible with self-injury (reaching and pressing a microswitch that activated a prerecorded message of “stop”). Treatment was evaluated with a reversal design for 1 child and with a multiple baseline across grooming activities for the 2nd child. The treatment led to a marked decrease in self-injury for both children. At follow-up, high rates of self-injury were reported for the 1st child, but low rates of self-injury and an increase in task-related appropriate behavior were observed for the 2nd child.     

Generalization gradients following two-response discrimination training

Stimulus generalization was investigated using institutionalized human retardates as subjects. A baseline was established in which two values along the stimulus dimension of auditory frequency differentially controlled responding on two bars. The insertion of the test probes disrupted the control established to the two S^Ds during training. The discrimination was recovered between each test probe and the resulting gradients were stable across 10 test sessions. These gradients, supported by other two-response generalization studies, indicate that this type of two-response discrimination training divides the stimulus dimension into two functional classes separated by a region of transition from one class to the other. Each stimulus value in a class, which extends from an S^D outward to the functional limit of the dimension, controls a similar proportion of the two responses as each other value in the class. All values on the stimulus dimension control identical response rates with an absence of the usual generalization decrement. The latency of the initial response, however, shows a bimodal gradient with the modes at the S^D values.     

Setting Generalization during Self-Reinforcement with Educationally Handicapped Children

Eight educationally handicapped boys ranging in age form 10 to 11 years old and described as the worst behavior problems in their class participated in a series of single-subject studies carried out in their self-contained classrooms. Three served as target subjects, using self-reinforcement procedures to increase their sustained on-task behavior in a treatment setting; five served as generalization subjects. Data were collected in three settings within the self-contained classroom; an early morning treatment setting, a late morning generalization setting, and an afternoon generalization setting. The three target subjects averaged a 51% increase over their baseline median levels of sustained on-task behavior in the treatment setting. They averaged 84% and 96% generalization to the late morning and afternoon generalization settings, respectively. These results demonstrate that self-reinforcement can produce setting generalization of treatment effects in the absence of prior externally determined reinforcement. Evidence for subject and subject-setting generalization was also obtained.     

SOCIAL SKILLS TRAINING WITH CHILDREN: PROCEED WITH CAUTION

Three learning disabled children, selected on the basis of peer sociometric ratings and teacher referral, received social skills training. A group training procedure consisting of coaching, modeling, behavior rehearsal, and feedback was used to teach children the target behaviors of eye contact and appropriate verbal responses. A multiple baseline analysis across target behaviors was used to demonstrate treatment effectiveness on role-play scenes trained during treatment sessions. Duration of speech was measured as an untrained, corollary measure. The following measures were also obtained during baseline, posttreatment, and 1-mo follow-up for the experimental subjects and three control subjects: (a) performance on role-play scenes not trained during treatment sessions; (b) behavioral observations in a free play setting, and (c) sociometric ratings. In addition, the trained and untrained role-play scenes were administered by novel experimenters following treatment. The results indicated that socially unskilled, learning disabled children can be taught to respond appropriately to role-play situations. However, improved performance did not generalize to the natural school setting and treatment did not effect ratings of peer acceptance. The implications of these findings for future social skills training with children are discussed.     

Overcorrection,Modeling, and Reinforcement Procedures for Reinstating Speech in a Mute Boy

A 9-year old boy who had not spoken for three years was treated using overcorrection, modeling and reinforcement. The experimental design was a multiple baseline across five target behaviors with a reversal of treatment conditions which differed in terms of the therapist doing training and the environment in which trainging occured. This desing allowed for an analysis of the stimulus control of the treatment procedures as well as an analysis of changes in target behaviors due to variations in the treatment conditions. It was found that overcorrection, instructions, information feedback, modeling, and reinforcement were readily effective for reinstating speech, but that no generalization to other therapists occured until the second therapist began applying the treatment procedures. Additional generalization to speaking words not specifically trained, to persons who had not been providing treatment, occured in the latter stages of the study on the ward. These positive changes resulted after generalization to one additional therapist and treatment situation had been established. In addition, generalization and maintenance of results were still evident on the ward at the conclusion of a 2-month follow-up.     

REEMERGENCE AND EXTINCTION OF SELF-INJURIOUS ESCAPE BEHAVIOR DURING STIMULUS (INSTRUCTIONAL) FADING

Based on results of a functional analysis indicating that the self-injurious behavior (SIB) of 3 individuals was maintained by negative reinforcement (escape from instructional situations), the effects of stimulus (instructional) fading were evaluated in a multiple baseline design across subjects. The rate of instructions was reduced to zero at the beginning of treatment and was gradually increased (faded in) across sessions as long as SIB remained low. However, if SIB remained high for 10 consecutive sessions, extinction was implemented until SIB decreased, at which point extinction was withdrawn and fading was resumed. Treatment was completed when the rate of instructions was the same as in baseline (two per minute), and SIB remained below 0.5 responses per minute for two consecutive sessions. Results showed that instructional fading (without extinction) virtually eliminated SIB initially, but these effects were not maintained. All 3 subjects required multiple exposures to extinction and over 150 treatment sessions in order to meet the end-of-treatment criteria. Advantages and limitations of fading procedures without an extinction component, as well as extensions of both interventions to other clinical problems, are discussed.     

Stimulus control of self-destructive behavior in a psychotic child

This study attempted to isolate some of the stimulus variables that controlled the self-destructive behavior of a psychotic child. In Experiment 1, the child was exposed to several demand and nondemand situations. In Experiment 2, the situation containing demands was modified so that demands now occurred in the context of a positive, ongoing interaction between the child and the adult therapist. The rates of self-destructive behavior underwent several orderly changes: (1) Rates were high in demand situations and low in nondemand and modified-demand situations; (2) rates decreased sharply when a stimulus correlated with the termination of demands was introduced; and (3) rates of self-destruction typically showed gradual increases within each of those sessions which contained only demands. These results were interpreted as suggesting that (1) self-destruction, under certain circumstances, may be conceptualized as an escape response which is negatively reinforced by the termination of a demand situation and (2) certain modifications of the social environment may provide discriminative stimuli for behaviors other than self-destruction, thereby decreasing this behavior.This investigation was supported in part by USPHS Research Grant 11440 from the National Institute of Mental Health. The research was conducted while the first author held a postdoctoral fellowship from the Medical Research Council of Canada. The authors thank Jon and Lynn Killion and Dennis Russo for their help in data collection and Ivar Lovaas, Laura Schreibman, and Robert Koegel for their many helpful criticisms. The encouragement and support of Tim's parents during the course of this study are sincerely appreciated.     

PROGRAMMING “LOOSE TRAINING” AS A STRATEGY TO FACILITATE LANGUAGE GENERALIZATION

This study investigated the generalization of spontaneous complex language behavior across a nontraining setting and the durability of generalization as a result of programming and “loose training” strategy. A within-subject, across-behaviors multiple-baseline design was used to examine the performance of two moderately retarded students in the use of is/are across three syntactic structures (i.e., “wh” questions, “yes/no” reversal questions, and statements). The language training procedure used in this study represented a functional example of programming “loose training.” The procedure involved conducting concurrent language training within the context of an academic training task, and establishing a functional reduction in stimulus control by permitting the student to initiate a language response based on a wide array of naturally occurring stimulus events. Concurrent probes were conducted in the free play setting to assess the immediate generalization and the durability of the language behaviors. The results demonstrated that “loose training” was effective in establishing a specific set of language responses with the participants of this investigation. Further, both students demonstrated spontaneous use of the language behavior in the free play generalization setting and a trend was clearly evident for generalization to continue across time. Thus, the methods used appear to be successful for training the use of is/are in three syntactic structures.     

ARTIFACTUAL EFFECTS OF SENSORY-INTEGRATIVE THERAPY ON SELF-INJURIOUS BEHAVIOR

Three individuals who exhibited self-injurious behavior (SIB) were exposed to sensory-integrative therapy. Prior to treatment, a functional analysis baseline was conducted to identify the motivational features of their SIB. One subject's SIB appeared to be an attention-getting response (maintained by positive reinforcement), which varied subsequently as a function of attention being either withheld or provided noncontingently during sensory-integration sessions. The 2nd subject displayed a pattern of responding suggestive of stereotypic SIB (maintained by automatic reinforcement), which paradoxically increased during sensory-integration sessions. The 3rd subject's SIB appeared to function as an escape response (maintained by negative reinforcement), and his behavior during sensory-integration sessions was similar to that observed during baseline sessions in which demands were not present. The SIB of all 3 subjects later was reduced when behavioral interventions were applied. The data presented raise questions about the active components of sensory-integrative therapy and the functional types of SIB for which it might be appropriate.     

The functional role of preschoolers' verbalizations in the generalization of self-instructional training

We examined the functional role of verbalizations in the generalization of self-instructional training with preschoolers. Children learned to overtly self-instruct during classroom work periods prior to covert training. Data were collected on children's acquisition of verbal regulation during training and on overt use of self-instructions in the classroom generalization setting. Results of a multiple baseline design across subjects indicated that treatment effects were evident in the training setting but did not generalize to the classroom until children were emitting overt self-instructions in the classroom itself. The production of self-verbalizations in the generalization setting was related to changes in correct responding, on-task behavior, and efficiency in completing academic work.     

A Progression to Transfer RIRD to the Natural Environment

Response interruption and redirection has been shown to be effective for decreasing vocal stereotypy, but treatment effects in the natural environment have yet to be documented in the literature. A recent review indicated the paucity of studies that implemented response interruption and redirection during typically occurring activities or for sessions longer than 5–10 min. One method to promote generalization across settings may be stimulus control procedures. The purpose of the current study was to evaluate the progression of the intervention from a highly structured to a more natural setting, and across longer durations. We also investigated the extent to which a signal could acquire stimulus control over stereotypy. Although we were unable to bring stereotypy under the inhibitory control of a signal alone, we maintained low levels of stereotypy in the natural environment and ultimately extended sessions up to 30 min. Clinical implications and areas for future research are discussed. Copyright © 2016 John Wiley & Sons, Ltd.     

THE EFFECTIVENESS OF A CONSTANT TIME-DELAY PROCEDURE TO TEACH CHAINED RESPONSES TO ADOLESCENTS WITH MENTAL RETARDATION

The effectiveness of a 5-s constant time-delay procedure to teach three chained food preparation behaviors to four moderately retarded adolescent students was evaluated within a multiple probe design across behaviors. Results indicate that the procedure was effective in teaching all four students to make a sandwich, boil a boil-in-bag item, and bake canned biscuits. The skills maintained with at least 85% accuracy over a 3-month period. Training generalized from the school to the home setting for the 2 subjects that completed generalization probe sessions. The percentage of errors across all skills and students was less than 9%.     

SETTING GENERALITY AND STIMULUS CONTROL IN AUTISTIC CHILDREN1

This study was designed to assess the transfer of treatment gains of autistic children across settings. In the first phase, each of 10 autistic children learned a new behavior in a treatment room and transfer to a novel extra-therapy setting was assessed. Four of the 10 children showed no transfer to the novel setting. Therefore, in the second phase, each child who failed to transfer participated in an analysis of stimulus control in order to determine the variables influencing the deficit in transfer. Each of the four children who did not transfer were selectively responding to an incidental stimulus during the original training in the treatment room. Utilizing a reversal design, each of the four children responded correctly in the extra-therapy setting when the stimulus that was functional during training was identified and introduced into the extra-therapy setting. The extreme selective responding and the resulting bizarre stimulus control found are discussed in relation to the issue of setting generality of treatment gains.     

The Effects of Single- Versus Multiple-Exemplar Training on Vocal Identification of Artists’ Styles

The purpose of the present study was to assess the effects of single- versus multiple-exemplar training with several artists’ paintings on graduate students’ stimulus generalization to novel paintings by the same artists. Six graduate students participated in this study. Participants studied decks of cards that depicted images of paintings by six different artists. Multiple-exemplar decks included three exemplars of three artists for a total of nine cards, and single-exemplar decks included single exemplars of three artists for a total of three cards. Participants “tested out” when ready following independent study with each deck and were required to score 100 % correct in order to move on to a generalization probe, during which participants were presented with novel exemplars. Overall, four of six participants performed better on the generalization probe after multiple-exemplar training, though in the case of three participants, only to a slight degree. These modest effects suggest that multiple-exemplar training may facilitate stimulus generalization, but that studying with single exemplars may allow for stimulus generalization as well.