DENTIST-IMPLEMENTED CONTINGENT ESCAPE FOR MANAGEMENT OF DISRUPTIVE CHILD BEHAVIOR

We evaluated the effectiveness of a dentist-implemented intervention in which brief escape from dental treatment was provided to manage disruptive child behavior during restorative dental treatment. Within a multiple baseline design across subjects, 4 children, aged 3 to 7 years, were provided temporary escape from dental treatment contingent upon brief periods of cooperative behavior. Disruptive behavior decreased when the appropriate escape contingency was used at least 80% of the time. The escape contingency required no more time than traditional management procedures (e.g., tell-show-do, reprimands and loud commands, restraint) to bring disruptive behavior under control. Independent ratings by two dentists provided social validation of the efficacy of the escape contingency.     

EFFECTS OF A PROCEDURE DERIVED FROM THE OVERCORRECTION PRINCIPLE ON MANIPULATED AND NONMANIPULATED BEHAVIORS

Positive practice overcorrection has been shown to be effective in reducing stereotypic self-stimulatory behaviors displayed by retarded and autistic individuals. In addition, the procedure also may increase the occurrence of appropriate behavior through intensive practice. In the present study, several stereotypic and one appropriate behavior (appropriate toy play) displayed by two autistic children were measured before and during treatment by a positive practice in appropriate toy play overcorrection procedure. Overcorrection was introduced for each of the targeted inappropriate behaviors in succession for both children. Results showed that overcorrection reduced all stereotypic behaviors displayed by both children. In addition, one subject displayed marked increases in the behavior practised during overcorrection, appropriate toy play, relative to its baseline rate of occurrence. The results indicate that for some individuals, overcorrection may be effective in teaching and motivating appropriate forms of behavior as well as in reducing stereotypy.     

DISTRACTION: ITS UTILIZATION AND EFFICACY WITH CHILDREN UNDERGOING DENTAL TREATMENT

We investigated the utilization and efficacy of distraction in reducing the anxious and disruptive behavior of 4 children undergoing dental treatment. During the distraction procedure, the children were shown a poster and told a story about it during dental treatment. They earned a prize if they attended to the poster and story and could correctly answer questions about them following each intervention visit. The children's disruptive behavior was assessed via direct observation, and results were analyzed within a multiple baseline design. The children exhibited high levels of anxious and disruptive behavior across baseline visits, regardless of the length of time in treatment or number of visits. Anxious and disruptive behavior decreased upon introduction of the intervention for all children. This was accompanied by the children meeting the criterion for correct answers on the distraction quiz. However, 2 of the children demonstrated an increase in their anxious and disruptive behavior across intervention visits. Results are discussed in terms of the need to evaluate treatment strategies that promote maintenance as well as initial changes.     

The decline of cooperation,the rise of competition: developmental effects of long‐term social change in Mexico

Using Greenfield's theory of sociocultural change and human development as a point of departure, we carried out two experimental studies exploring the implications of decades of globalised social change in Mexico for children's development of cooperation and competition. In rural San Vicente, Baja California, the baseline was 1970 and the historical comparison took place 40 years later. In Veracruz, the baseline was 1985 and the historical comparison took place 20 years later. In Veracruz, children were tested in both rural and urban settings. We hypothesized that cooperative behavior would decrease in all three settings as a result of the sociocultural transformations of the past decades in Mexico. The Madsen Marble Pull Game was used to assess cooperative and competitive behavior. As predicted by Greenfield's theory of social change and human development, the Marble Pull procedure revealed a striking decrease over time in levels of cooperative behavior, with a corresponding rise in competitive behavior, in all three settings.     

The efficacy of noncontingent escape for decreasing children's disruptive behavior during restorative dental treatment

We evaluated the effectiveness of a dentist-implemented behavioral intervention in which brief escape from dental treatment was provided on a regular basis, independent of the child's behavior. Within a multiple baseline design across subjects, 5 children, ages 4 to 7 years, were provided with temporary escape from dental treatment on a fixed-time schedule. The intervals were signaled by an electronic timer worn by the dentist. Clinically significant reductions were observed in physically disruptive behavior across all 5 children with the introduction of noncontingent escape, and verbally disruptive behavior was markedly reduced in 4 of the 5 children. In addition, the dental staff s use of physical restraint was reduced to near zero across all 5 children. The research extends the literature in both clinical dentistry and in applied behavior analysis by demonstrating that a dentist can easily and effectively implement noncontingent reinforcement to produce clinically significant and socially important changes in children's health behavior.     

THE USE OF BEHAVIORAL ASSESSMENT TO PRESCRIBE AND EVALUATE TREATMENTS FOR SEVERELY HANDICAPPED CHILDREN

Behavioral assessment procedures were used to prescribe and evaluate treatments of maladaptive behavior for 2 children with severe multiple handicaps. In Experiment 1, the results of an assessment of reinforcer preference were used in conjunction with a functional analysis of the conditions maintaining self-injurious behavior to prescribe a treatment for a child with severe disabilities. The treatment procedure involved the use of a pressure-sensitive microswitch to activate reinforcing stimuli during two solitary conditions, during which self-injurious behavior had occurred at high rates. The results were evaluated with a multiple baseline across settings design and indicated that self-injury decreased with concomitant increases in microswitch activation. Results were maintained at 6 weeks, 8 weeks, and 6 months. In Experiment 2, the results of behavioral assessments of reinforcer preference and self-injurious behavior were combined to develop a treatment for a second severely handicapped child, who exhibited high rates of self-injury in demand situations. This treatment was evaluated with a multiple baseline across tasks design and resulted in the elimination of self-injury for up to 15 months.     

Reinforced practice and reduction of different kinds of fears in adults and children

The purpose of this study was to determine whether or not fears with different origins, course and chronicity could be reduced by a common treatment program. A number of therapeutic procedures that had been experimentally demonstrated to be individually important in prior behavior modification studies with neurotic disorders were combined into a single therapeutic program called ‘reinforced practice.’ The combined elements were: graduated and repeated practice in approaching actual phobic stimuli: reinforcement for gains in performance; feedback of measurable progress; and instructions designed to arouse expectations of gradual success. In each of four experiments involving four different fears, namely fear of heights, snakes and electric shock in adults, and fear of darkness in young children, Ss who expeienced the ‘reinforced practice’ procedure improved their performance by a significant and substantial margin as compared to untreated control Ss. These results suggest that regardless of different etiologies, regardless of whether or not the fears are ‘rational’ or ‘irrational,’ and regardless of whether or not the fears are transitory or long lasting, the same treatment procedure can be equally effective in reducing escape-avoidance behavior.     

ACCURACY OF SELF-ASSESSMENT OF ON-TASK BEHAVIOR BY ELEMENTARY SCHOOL CHILDREN1

Being able to assess one's own performance would seem to be prerequisite to most forms of self-management. The present study investigated the extent to which children in a typical second-grade classroom could accurately assess their own academic on-task behavior. In essence, this investigation replicated an experiment by Glynn and Thomas (Journal of Applied Behavior Analysis, 1974, 7 , 299–306) and extended those findings, by studying self-assessment over a longer span of time. The 31 children in the class ranged in age from 7 yr five months to 8 yr six months. Although only eight “problem” children were observed and studied, the self-control treatment procedures were applied to all children in the class. Behavior was observed daily during mathematics lessons for over eight school weeks. The study utilized a five-phase ABABC design, where the A phases were baseline periods, B phases were self-control periods, and C phase was a postcheck. In the self-control phases, children were asked by the teacher to put a check on their own individual performance card if they were on-task when a signal sounded. If they were not on-task, they were instructed not to touch their card. Typically, 15 to 20 signals occurred per 40-min session. At the end of the lesson, children were allowed to choose games to play according to how many checks they had earned. During all experimental phases, observers measured children's on-task behavior. Other observers measured the children's accuracy of self-assessment in the self-control phases. The results showed noticeable increases in the daily mean on-task behavior scores in the self-control phases following baseline phases. Also, a high level of on-task behavior was maintained in the postcheck phase. The variances of on-task behavior scores during the self-control phases were noticeably smaller than those in the baseline phases. Generally, individual data reflected group results, with some minor differences. Levels of accuracy of self-assessment varied from very accurate (95% of the time) to relatively inaccurate (56% of the time). The overall level of accuracy for all children was 78%. No consistent individual pattern appeared across phases. Some children got better as the study proceeded and some got worse. Most subjects tended to give themselves too much reinforcement, rather than too little. Peer social surveillance appeared to be the major factor that influenced individuals' evaluation of their own behavior, even though the teacher did make some control remarks in regard to how the children marked their cards. The results also demonstrated that self-control techniques can increase on-task behavior in a classroom with no history of external reinforcement, and that these techniques can have a lasting effect for more than two months of a school year.     

THE LOCAL ORGANIZATION OF BEHAVIOR: DISCRIMINATION OF AND MEMORY FOR SIMPLE BEHAVIORAL PATTERNS

A procedure was developed to enable nonverbal organisms to report what they remember of the temporal organization of their recent behavior. A baseline behavior with known temporal structure was established by a concurrent variable-interval variable-interval schedule for two temporal patterns of behavior (two different classes of reinforced interresponse times). The five pigeon subjects emitted these two temporal patterns on a center key and were occasionally given a short-term memory probe for their most-recently-emitted pattern. The probes consisted of symbolic delayed matching-to-sample tests, in which a response on a green side key was reinforced if the most recent pattern belonged to the shorter reinforced class, and a response to a red side key was reinforced if the most recent pattern belonged to the longer reinforced class. All subjects could report with over ninety percent accuracy what their most recently emitted behavioral pattern was when a retention interval separating the pattern from the memory probe was only .1 seconds. The retention interval was then manipulated, and it was found that recall for a pattern was frequently above chance after a delay of as much as eight seconds. Thus, pigeons can remember their most recent interresponse time not only right after it is emitted, but for several seconds thereafter. In other conditions, the patterns themselves were manipulated. It was found that as the patterns became more similar, discrimination became poorer. These results agree with the view that reinforcement tends to organize and integrate the local structure of behavior to the extent to which that structure is remembered.     

THE INFLUENCE OF BEHAVIOR PRECEDING A REINFORCED RESPONSE ON BEHAVIOR CHANGE IN THE CLASSROOM1

The influence of behavior that immediately precedes a reinforced target response on the effectiveness of a reinforcement contingency was examined in two experiments with mentally retarded children in a special-education classroom. Two reinforcement schedules were examined in each experiment. For each schedule, a prespecified period of attentive behavior served as the target response. The schedules differed in whether inattentive or attentive behavior was required immediately to precede the target response. These schedules were examined with one child in a simultaneous treatment design using praise as the reinforcer (Experiment I), and with two children in separate reversal designs using tokens as the reinforcer (Experiment II). While attentive behavior increased under each schedule, the increase was greater when attentive rather than inattentive behavior preceded the reinforced response. The results indicated that the effect of a contingency may be determined not only by the specific response reinforced but also by the behavior that immediately precedes that response.     

WHAT MAKES EXTINCTION WORK: AN ANALYSIS OF PROCEDURAL FORM AND FUNCTION

We examined methods for determining how extinction should be applied to different functions of self-injurious behavior (SIB). Assessment data indicated that the head banging of 3 children with developmental disabilities was maintained by different reinforcement contingencies: One subject's SIB was positively reinforced by attention from adults, the 2nd subject's SIB was negatively reinforced by escape from educational tasks, and the 3rd subject's SIB appeared to be automatically reinforced or “self-stimulatory” in nature. Three functional variations of extinction—EXT (attention), EXT (escape), and EXT (sensory)—were evaluated, and each subject was exposed to at least two of these variations in reversal or multiple baseline designs. Reductions in SIB were observed only when implementation of “extinction” involved the discontinuation of reinforcement previously shown to be responsible for maintaining the behavior. These results highlight important differences among treatment techniques based on the same behavioral principle (extinction) when applied to topographically similar but functionally dissimilar responses, and further illustrate the practical implications of a functional analysis of behavior disorders for designing, selecting, and classifying therapeutic interventions.     

EFFECT OF CUEING ON SELF-CONTROL OF CLASSROOM BEHAVIOR

Behavioral self-control procedures, composed of self-assessment, self-recording, self-determination and administration of reinforcement, were introduced into a regular third-grade classroom immediately after a baseline period. The procedures produced a small and unstable increase in the level of on-task behavior in eight of the nine subjects. After a second baseline period, a cueing procedure was introduced, using a chart specifying on-task behavior. This enabled within-lesson changes in on-task behavior to be posted clearly for the children. The cueing procedure combined with the self-control procedures produced a high and stable increase in on-task behavior in all subjects.     

INCREASING SPELLING ACHIEVEMENT: AN ANALYSIS OF TREATMENT PROCEDURES UTILIZING AN ALTERNATING TREATMENTS DESIGN

Two studies which examine the effectiveness of spelling remediation procedures are reported. In both studies, an alternating treatment design was employed. In the first study, positive practice overcorrection plus positive reinforcement was compared to positive practice alone and a no-remediation control condition. In the second study, positive practice plus positive reinforcement was compared to a traditional corrective procedure plus positive reinforcement and a traditional procedure when used alone. Results of both studies indicated that the combined positive practice plus positive reinforcement procedure was more efficient and that it was preferred by the children. Following brief training under this combined procedure, all children demonstrated 100% spelling accuracy.     

ESTABLISHMENT OF NONDELUSIONAL RESPONSES IN A SOCIALLY WITHDRAWN CHRONIC SCHIZOPHRENIC1

Multiple treatment interventions including instructions, modelling, timeout, avoidance of repetition, and reinforcement were successful in establishing factual answers to personal background questions in a withdrawn and socially unresponsive chronic schizophrenic. The subject had previously persisted in giving only delusional responses to these questions. A multiple-baseline design across verbal replies to personal background questions demonstrated that the changes in behavior were brought about by the treatment interventions. During baseline, the subject was reinforced for any response to four questions. The experimental interventions were then introduced for the first question and moved sequentially to an additional question when the subject's responses reached the criterion of at least 80% correct for two consecutive sessions. Introduction of the experimental interventions produced an increase from a baseline level of zero to at least 80% correct for each question. The use of the token reinforcement procedure was faded out after the subject was able to answer all four questions correctly at least 80% of the time for two consecutive sessions. Fading of the token reinforcement procedure was accomplished by using increasingly intermittent schedules of token reinforcement during the last seven sessions. In the final session, no tokens were used to reinforce the subject's responding. Nine-, ten-, and 12-month followup interviews were conducted to evaluate the maintenance of treatment gains. Maintenance was found to be complete at the nine- and 10-month followups, but at the 12-month followup interview, the subject answered one question incorrectly. This study replicates an investigation previously reported in this journal.     

DO INFANTS SHOW GENERALIZED IMITATION OF GESTURES? II. THE EFFECTS OF SKILLS TRAINING AND MULTIPLE EXEMPLAR MATCHING TRAINING

The determinants of generalized imitation of manual gestures were investigated in 1‐ to 2‐year‐old infants. Eleven infants were first trained eight baseline matching relations; then, four novel gestures that the infants did not match in probe trials were selected as target behaviors. Next, in a generalized imitation test in which matching responses to baseline models were intermittently reinforced, but matching responses to target models were not eligible for reinforcement, the infants matched baseline models but not the majority of their target behaviors. To ensure their failure to match the target behaviors was not due to motor constraints, the infants were trained, in a multiple‐baseline procedure, to produce the target responses under stimulus control that did not include an antecedent model of the target behavior. There was no evidence of generalized imitation in subsequent tests. When the infants were next trained to match each target behavior to criterion (tested in extinction) in a multiple‐baseline‐across‐behaviors procedure, only 2 infants continued to match all their targets in subsequent tests; the remaining infants matched only some of them. Seven infants were next given mixed matching training with the target behaviors to criterion (tested in extinction); they subsequently matched these targets without reinforcement when interspersed with trials on which matching responses to baseline models were intermittently reinforced. In repeat tests, administered at 3‐week intervals, these 7 children (and 2 that did not take part in mixed matching training) continued to match most of their target behaviors. The results support a trained matching account, but provide no evidence of generalized imitation, in 1‐ to 2‐year‐old infants.     

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.     

EFFECTS OF SPACED RESPONDING DRL ON THE STEREOTYPED BEHAVIOR OF PROFOUNDLY RETARDED PERSONS

Stereotypic responding and social behaviors of three profoundly retarded children were measured before and during application of a DRL contingency for stereotypic responding. A variant of the standard DRL procedure, spaced responding DRL, was used, in which reinforcement is delivered following a response if that response has been separated from the previous response by at least a fixed minimum time interval. Three children were treated by using a reversal design. Results showed that: (a) during baseline sessions, the children engaged in high rates of stereotypic responding and very low rates of appropriate social behavior; and (b) during DRL sessions, appropriate behavior increased markedly as stereotypic responding was reduced. The data suggest that spaced responding DRL may be effective in increasing appropriate social behavior as well as in reducing stereotypic responding.     

REDUCING AGGRESSIVE AND SELF-INJURIOUS BEHAVIOR OF INSTITUTIONALIZED RETARDED CHILDREN THROUGH REINFORCEMENT OF OTHER BEHAVIORS1

Aggressive and self-injurious behaviors of four retarded children were reduced by combining various techniques with the differential reinforcement of other behaviors (DRO). In one study, aggressive responses of a severely retarded child were reduced when DRO was combined with a 30-sec timeout. In a second study, various aggressive classroom behaviors were reduced when the child was told “no” for an inappropriate response but earned puzzle pieces for periods of time when inappropriate responses did not occur. Exchangeable tokens were given to a third subject for every 15 min in which aggressive responding did not occur, while each inappropriate response resulted in the loss of all tokens accrued. Responding was decreased to a level far below baseline. For a fourth child, self-injurious responses were followed by “no”, and intervals of time in which no self-injurious responding occurred earned candy. The rate of this behavior reduced significantly. In each case, the DRO procedure combined with the other techniques proved to be manageable for the teacher and successful in reducing the inappropriate behavior.