TRAINING MILDLY HANDICAPPED PEERS TO FACILITATE CHANGES IN THE SOCIAL INTERACTION SKILLS OF AUTISTIC CHILDREN

We evaluated the effects of a peer-training strategy, consisting of direct prompting and modeling, on the occurrence and duration of interactions between autistic students and nonautistic peer-trainers. Data were obtained in both training and generalization settings. The results of a multiple-baseline design across students demonstrated that: (a) the direct prompting procedure produced immediate and substantial increases in the occurrences and durations of positive social interactions between the peer-trainers and autistic students; (b) these increases were maintained across time at levels above baseline during subsequent free-play probes; (c) these findings were judged by teachers to be socially valid; (d) untrained peers increased their interactions with the autistic students in three of the four groups; (e) generalization of behavior change across settings occurred only after specific programming; and (f) interactions between untrained peers and peer-trainers decreased following training. Variables that may account for the results and the implications of these findings for peer-mediated interventions are discussed.     

AN ALTERNATING TREATMENT COMPARISON OF ORAL AND TOTAL COMMUNICATION TRAINING PROGRAMS WITH ECHOLALIC AUTISTIC CHILDREN

An alternating treatment comparison was conducted of the relative effectiveness of oral and total communication training models for teaching expressive labeling skills to three echolalic autistic children. The results of this comparison demonstrated that total communication proved to be the most successful approach with each of the subjects. In addition, the replication of these findings both within and across subjects suggest that total communication may be, in general, the most effective of these two training models for teaching basic vocal language skills to echolalic children. A number of hypotheses are presented that may provide a basis for the demonstrated effect.     

INCREASING THE INDEPENDENT RESPONDING OF AUTISTIC CHILDREN WITH UNPREDICTABLE SUPERVISION

We investigated the role of predictable versus unpredictable supervision on the independent task responding of three autistic children. In a predictable supervision condition, the therapist was present in the setting for a regular period of time and then was absent for the remainder of the session. In an unpredictable supervision condition, the therapist's presence was scheduled on a random, intermittent, and unpredictable basis throughout the session. The multiple baseline analysis showed that the unpredictable supervision produced much higher levels of on-task responding during the therapist's absence for all three children. Analysis of work completed during the therapist's absence also favored the unpredictable supervision condition. The results are discussed in relation to the literature on generalization and educational practice.     

ACQUISITION,GENERALIZATION, AND MAINTENANCE OF QUESTION-ANSWERING SKILLS IN AUTISTIC CHILDREN

We conducted an investigation to evaluate the effects of a training strategy for teaching autistic students generalized responses to three forms of wh— questions (what, how, and why). Students were taught, using modeling and reinforcement procedures, to answer questions with magazine pictures as the referents. Each question form was divided into two or more subcomponents reflective of common social usage and was taught within the context of a modified multiple probe design across subcomponents. Following acquisition of each subcomponent, generalization to natural context and storybook questions was assessed; additional probes were conducted to assess responding over time and whether acquisition of responses to questions promoted question-asking skills. Results showed that the picture training procedure was effective in teaching a generalized response to questions for which the relevant cue was visible, whereas specific generalization programming was required for situations in which the relevant cue was not visible. All acquired responses were durable over time.     

ASSESSING AND TRAINING TEACHERS IN THE GENERAUZED USE OF BEHAVIOR MODIFICATION WITH AUTISTIC CHILDREN1

This study investigated the feasibility of developing reliable, valid criteria for measuring and training the skills necessary to teach autistic children. The behaviors of 11 teachers and 12 autistic children were recorded in a series of different teaching situations. Teacher-training was initiated at different times for different teachers. The results showed: (1) it was possible to assess empirically whether a teacher was correctly using defined behavior-modification techniques; (2) generally, for any given session, systematic improvement in the child's behavior did not occur unless the teacher working in that session had been trained to use the techniques to a high criterion; (3) all 11 teachers were rapidly trained to use these techniques; and (4) the teachers learned generalized skills effective with a variety of children and target behaviors.     

THE FACILITATIVE EFFECTS OF INCIDENTAL TEACHING ON PREPOSITION USE BY AUTISTIC CHILDREN

In a comparison of incidental teaching and traditional training procedures, three language-delayed autistic children were taught expressive use of prepositions to describe the location of preferred edibles and toys. Traditional highly structured training and incidental teaching procedures were used in a classroom setting, and generalization was assessed during free-play sessions. Results clearly indicate that incidental teaching promoted greater generalization and more spontaneous use of prepositions. These findings have important implications for language programming and teacher training, suggesting that incidental teaching should be included as a standard component of language development curricula for autistic and other developmentally delayed children.     

THE DEVELOPMENT OF A TREATMENT-RESEARCH PROJECT FOR DEVELOPMENTALLY DISABLED AND AUTISTIC CHILDREN

This paper describes the development and main results over the last 30 years from the treatment-research project with developmentally disabled (autistic) children in the Psychology Department at the University of California, Los Angeles (UCLA). Three important dimensions in treatment research are addressed. The first pertains to the role of serendipity or accidental discoveries, the second to the importance of pursuing inductive rather than theory-driven research, and the third to the importance of adding in a cumulative and step-wise manner to improve treatment adequacy. Data from various areas of treatment research have been used to illustrate new directions for the project. These illustrations center on early and successful attempts to isolate experimentally the environmental variables that control self-injury, failure to observe response and stimulus generalization with subsequent loss of treatment gains, and the main results of intensive and early behavioral intervention in the child's natural environment. Effective treatment for severe behavioral disorders is seen to require early intervention carried out during all or most of the child's waking hours, addressing all significant behaviors in all of the child's environments, by all significant persons, for many years.     

ACQUISITION OF SIGN LANGUAGE BY AUTISTIC CHILDREN II: SPONTANEITY AND GENERALIZATION EFFECTS

Autistic children typically do not use their language repertoire in order to communicate. Six autistic children who exhibited poor communication skills were trained to use their sign repertoire to make spontaneous requests of adults. Training consisted of imitative prompting, fading, and differential reinforcement, and included aspects of incidental teaching. The children displayed an increase in the rate and variety of spontaneous sign requests (Experiment 1). Generalization of spontaneity across adults (Experiments 1 and 2) and settings (Experiment 2) was also observed. We suggest that spontaneity may be facilitated when language is brought under the control of broadly defined stimuli such as adult attention rather than narrowly defined stimuli such as the presence of specific objects or verbal prompting in the form of questions. Finally, response generalization was observed as well (Experiment 1). Specifically, as spontaneity increased, self-stimulatory behavior decreased. This result may be accounted for in terms of reinforcer competition, reinforcer consistency, or discriminative stimulus effects.     

A MODIFIED INCIDENTAL-TEACHING PROCEDURE FOR AUTISTIC YOUTH: ACQUISITION AND GENERALIZATION OF RECEPTIVE OBJECT LABELS

A modified incidental-teaching procedure was used to increase the receptive language skills of autistic youth who had previously experienced lengthy institutionalization. At the time of the study, the two severely language-delayed children had recently been transitioned to a community-based group home. Receptive-labeling skills were taught for four sets of objects typically used in school lunch preparation. The percentage of correct, unprompted object identifications displayed by Youth 1 increased when the incidental-teaching package (gestural prompts, behavior-specific praise, and contingent access to lunch-making supplies) was sequentially introduced in a multiple-baseline design across sets of objects. These results were replicated with Youth 2. The youths' newly acquired language skills also generalized to a different setting (the dining room of the group home) and to a different activity occurring later in the day (a traditional sit-down, discrete-trial session). This research indicates that the linguistic skills of severely developmentally delayed autistic children can be accelerated by incidental instruction that is provided in the course of shaping other home-living skills.     

THE LIMITS AND MOTIVATING POTENTIAL OF SENSORY STIMULI AS REINFORCERS FOR AUTISTIC CHILDREN

This study investigated the reinforcing properties, limits, and motivating potentials of sensory stimuli with autistic children. In the first phase of the study, four intellectually retarded autistic children were exposed to three different types of sensory stimulation (vibration, music, and strobe light) as well as edible and social reinforcers for ten-second intervals contingent upon six simple bar pressing responses. In the second phase, the same events were used as reinforcers for correct responses in learning object labels. The results indicated that: (a) sensory stimuli can be used effectively as reinforcers to maintain high, durable rates of responding in a simple pressing task; (b) ranked preferences for sensory stimuli revealed a unique configuration of responding for each child; and (c) sensory stimuli have motivating potentials comparable to those of the traditional food and social reinforcers even when training receptive language tasks.     

ACQUISITION OF SIGN LANGUAGE BY AUTISTIC CHILDREN. I: EXPRESSIVE LABELLING

There has been growing interest in teaching sign language to autistic children who have failed to develop speech. However, controlled experimentation in this area is nonexistent. In the present study, four nonverbal autistic children were taught expressive sign labels for common objects, using a training procedure that consisted of prompting, fading, and stimulus rotation. The efficacy of the procedure was demonstrated in a multiple-baseline design across objects. The results were reliable, replicable across children, and generalizable across therapists. A stimulus control analysis demonstrated that, for three of the children, correct signing was controlled solely by the visual cues associated with the presentation of a given object and was independent of the auditory cues related to the same object. These latter results are discussed with respect to the known perceptual and linguistic deficits of autistic children.     

MOTIVATING AUTISTIC CHILDREN THROUGH STIMULUS VARIATION

This study evaluated the differential effectiveness of two methods of presenting discrimination tasks when teaching autistic children. In a constant task condition, the common method of presenting a single task throughout a session was used. In a varied task condition, the same task was interspersed with a variety of other tasks from the children's clinic curricula. Results showed declining trends in correct responding during the constant task condition, with substantially improved and stable responding during the varied task condition. In addition, naive observers judged the children to be more enthusiastic, interested, happier, and better behaved during the varied task sessions. These results suggest that “boredom” may be a particularly important variable to control in the treatment of autistic children, and that particular care may be necessary when defining criteria for task acquisition. The results are discussed in relation to the literature on increased responsivity to stimulus novelty and variation.     

ACQUISITION OF EXPRESSIVE SIGNING BY AUTISTIC CHILDREN: AN EVALUATION OF THE RELATIVE EFFECTS OF SIMULTANEOUS COMMUNICATION AND SIGN-ALONE TRAINING

Two methods of training autistic children to use manual signs were compared. Two children, one mute and one capable of some verbal imitation, were taught to use signs as expressive labels for pictures of objects. Using an alternating treatments design, speed of sign acquisition was compared across two training conditions in which signs were presented either accompanied by, or without, the corresponding verbal label. In both conditions, the training procedure incorporated reinforcement, modeling, prompting, fading, and stimulus rotation. The efficacy of training in both treatment conditions was demonstrated by the use of a multiple baseline control across signs, but no clear differences in acquisition speed across conditions were apparent. Posttests conducted to assess stimulus control of signing, and learning of verbal labels when these were present in training, showed that the behavior of the imitative, but not the mute, child was controlled by the verbal stimuli. The implications of the results both for understanding deficits characteristic of autistic children and for developing appropriate language training procedures are discussed.     

THE ROLE OF RESPONSE DELAY IN IMPROVING THE DISCRIMINATION PERFORMANCE OF AUTISTIC CHILDREN

This study investigated the influence of a response delay requirement on the discrimination performance of autistic children. In the context of a multiple baseline design with subsequent repeated reversals, two conditions were compared: a no-response-delay condition, where the child was allowed to make the target response immediately after presentation of the discriminative stimulus versus a response-delay condition, where the target response was permitted three seconds following the discriminative stimulus when the therapist would signal the child to respond. The results showed that the response-delay condition produced higher levels of correct responding than the no-response-delay condition. In addition, teachers in the research setting rated the response-delay procedure to be a practical and effective teaching technique that could be implemented in a classroom setting. The results were discussed in relation to the literature on impulsivity, and were interpreted as indicating that the response-delay procedure provides a valuable technique for teaching autistic children.     

A DIRECT PROMPTING STRATEGY FOR INCREASING RECIPROCAL INTERACTIONS BETWEEN HANDICAPPED AND NONHANDICAPPED SIBLINGS

We investigated the effects of a sibling training procedure, consisting of direct prompting and modeling, on the occurrence of reciprocal interactions between nonhandicapped and handicapped siblings. Data were obtained for training, generalization, and follow-up. Results of a multiple-baseline design across three pairs of siblings showed that: (a) direct prompting of interactions was an effective strategy for increasing reciprocal interactions between handicapped and nonhandicapped siblings; (b) the training procedure resulted in increased levels of initiations and responsiveness to initiations; (c) reciprocal interactions between siblings generalized to larger play groups or across settings; (d) reciprocal interactions between handicapped subjects and untrained, nonhandicapped peers increased without direct training; (e) the siblings' levels of interactions were maintained at 6 mo follow-up; and (f) these findings were judged socially valid by the siblings' parents.     

THE RELATIVE MOTIVATIONAL PROPERTIES OF SENSORY AND EDIBLE REINFORCERS IN TEACHING AUTISTIC CHILDREN

We compared the effects of sensory and edible reinforcers on resistance to satiation in three autistic children while learning visual discrimination tasks. Within-subject designs were used to compare a single sensory reinforcer with a single edible reinforcer and to compare multiple sensory reinforcers with multiple edibles. Results indicated that multiple sensory reinforcers maintained responding over more trials than did multiple edible reinforcers; however, the use of single sensory reinforcers and single edibles resulted in about equal numbers of trials to satiation. Both multiple and single sensory reinforcers produced higher percentages of correct responses than edible reinforcers. The findings are discussed in terms of the advantages of sensory reinforcers in teaching autistic children.     

TRAINING TEACHERS IN GENERALIZED WRITING OF BEHAVIOR MODIFICATION PROGRAMS FOR MULTIHANDICAPPED DEAF CHILDREN

In contrast to previous studies where teachers were instructed how to implement behavior modification programs designed by an experimenter, teachers in the present experiment were taught how to write as well as implement behavior modification programs. The generalized effects of two training conditions on teacher and pupil behaviors were assessed by a multiple baseline design where, following baseline, two teachers of multihandicapped deaf children were taught to set objectives and measure pupil performance (measurement training). Later, through a training manual, they learned a general problem-solving approach to writing behavior modification programs (programming training). After both training conditions, experimenter feedback was given for teachers' application of training to a target behavior for one pupil and generalization was measured across target behaviors for the same pupil and across pupils. It was found that measurement training had little general effect on either teacher behavior or pupil behavior. However, after programming training, teachers increased their program writing and correct use of behavior modification procedures and generalized this training across pupils and target behaviors. Along with these effects, there was improvement in pupil behaviors. Possible explanations for generalized effects of teacher training were considered.     

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.     

RESPONSE-REINFORCER RELATIONSHIPS AND IMPROVED LEARNING IN AUTISTIC CHILDREN

In order to affect more rapid response acquisition for autistic children, researchers have recently begun to investigate the functional relationships of reinforcers to other components of the operant conditioning paradigm. Previous research suggested that functional relationships between target behaviors and reinforcers might be especially effective. For example, locating a reward inside a container might be a more efficient way to teach a child to open the container than by handing the child a reward for opening an empty container. The present experiment assessed, within a multiple baseline design, the possibility of improving autistic children's learning by changing arbitrary response-reinforcer relationships (while holding target behaviors and reinforcers constant) so that the target behaviors became functional (i.e., a direct part of the response chain required for the child to procure the reinforcer). The results showed that: (1) arranging functional response-reinforcer relationships produced immediate improvement in the children's learning, and resulted in rapid acquisition of criterion level responding; and (2) high levels of correct responding initially produced by functional response-reinforcer relationships were continued even when previously ineffective arbitrary response-reinforcer conditions were reinstated. The results are discussed in terms of understanding and improving autistic children's learning.     

INTERTRIAL INTERVAL DURATION AND LEARNING IN AUTISTIC CHILDREN

This study investigated the influence of intertrial interval duration on the performance of autistic children during teaching situations. The children were taught under the same conditions existing in their regular programs, except that the length of time between trials was systematically manipulated. With both multiple baseline and repeated reversal designs, two lengths of intertrial interval were employed: short intervals with the S^D for any given trial presented approximately one second following the reinforcer for the previous trial versus long intervals with the S^D presented four or more seconds following the reinforcer for the previous trial. The results showed that: (1) the short intertrial intervals always produced higher levels of correct responding than the long intervals; and (2) there were improving trends in performance and rapid acquisition with the short intertrial intervals, in contrast to minimal or no change with the long intervals. The results are discussed in terms of utilizing information about child and task characteristics in terms of selecting optimal intervals. The data suggest that manipulations made between trials have a large influence on autistic children's learning.