A rapid method of eliminating stuttering by a regulated breathing approach

The Habit Reversal Procedure for eliminating nervous habits was applied to the problem of stuttering. In the new procedure the speaker interrupted his speech at moments of actual or anticipated stuttering and at natural pause points, and resumed speaking immediately after breathing deeply during the pause. In addition to this regularized pausing and breathing, the program included other factors such as formulation of one's thoughts prior to speaking, identification of stutter-prone situations, identification of mannerisms associated with stuttering, speaking for short durations when tense or nervous, daily breathing exercises, relaxation procedures for anxiety, immediate display of improved speaking, and enlisting family support for progress. Fourteen stutterers were given training in the program during a single counseling session of about two hours duration. The next day, the average number of stuttering episodes decreased by 94 per cent, by 97 per cent at the end of one month, and by 99 per cent during the extended follow-up. Each of the clients was improved by at least 93 per cent. The new procedure appears to be more rapid and effective than alternative procedures.     

Required relaxation: a method of inhibiting agitative-disruptive behavior of retardates

Institutionalized retardates frequently exhibit agitative-disruptive behavior. Recent experiments have shown that overcorrective training in specific types of behavior can inhibit inappropriate behavior. A procedure was developed in which overcorrective practice in relaxation was given to each of eight adult retardates for their disruptions. The agitated resident was required to spend a fixed period of time in relaxation in his own bed upon each occurrence of agitation. This overcorrective relaxation resulted in a rapid, enduring and almost complete reduction in such behavior as self-injury, threats, physical aggression, screaming, crying, cursing and tantrums. Ward attendants strongly preferred the required relaxation procedure to the time-out technique and other inhibition procedures they had used. The procedure appears to be about as effective as alternative techniques and to have the advantages of ease of implementation and acceptability by ward staff and retardates as a ‘reasonable’ reaction to agitation.     

A reinforcement plus interruption method of eliminating behavioral stereotypy of profoundly retarded persons

Stereotyped responses have been shown to be eliminated by an overcorrection-reinforcement program. The present study evaluated response-interruption as an alternative to the overcorrection component with seven profoundly retarded adults. During the baseline praise condition, stereotypy occurred during 66% of the observations for the seven profoundly retarded adults but decreased to less than one response per half hour in a mean of two sessions of individual training. In the subsequent class situation, stereotypy was reduced to less than 5% on the first day of class, to less than 1% by the fourth day and less than one stereotypy per hour after the third day. The interruption method seems preferable to postural overcorrection because of its apparent and relative nonaversiveness.     

A community-reinforcement approach to alcoholism

Several theoretical approaches to alcoholism exist. An opérant reinforcement approach was used in the present study to develop a new procedure that rearranged community reinforcers such as the job, family and social relations of the alcoholic such that drinking produced a time-out from a high density of reinforcement. The results showed that the alcoholics who received this Community-Reinforcement counseling drank less, worked more, spent more time with their families and out of institutions than did a matched control group of alcoholics who did not receive these procedures. This new approach appears to be an effective method of reducing alcoholism. An analysis in reinforcement terms is presented of the etiology, epidemiology, and treatment of alcoholism.     

Dry bed: A rapid method of eliminating bedwetting (enuresis) of the retarded

Bedwetting has been a major and unsolved problem for the severely retarded. To solve this problem, an intensive training program was designed similar to a recently developed program for daytime toilet training of the retarded. Some distinctive features of the new procedure were frequent positive reinforcement for correct toileting, a negative reinforcer for accidents, positive practice in night time toileting, increased level of urination by forcing drinking, immediate detection of correct and incorrect toileting, and Positive Practice for accidents. Of twelve retarded adult bedwetters, the average bedwetter required only one night of intensive training. Several days of apparatus monitoring were used following the training but proved unnecessary for two-thirds of the trainees. Accidents were reduced by about 85 % during the first week after training, and almost entirely (95%) during the fifth week with no relapse during a 3 month follow-up. No reduction of accidents resulted when the same bedwetters were given a control procedure that provided no positive or negative reactions other than the sounding of an alarm upon bedwetting. The Dry-Bed procedure appears to be a very rapid solution to the problem of enuresis among the retarded and may be applicable to other difficult populations and also to normals.     

Eliminating nail-biting by the habit reversal procedure

Fingernail-biting is prevalent among children and adults alike. About 43% of children bite their nails during the puberty ages (Wechsler, 1931); 25% of college students are nail-biters (Coleman and McCalley, 1948), and 10% of adults bite their nails (Pennington, 1945).A variety of treatments including negative practice, operant procedures and psychotherapy have been used in treating nail-biting but no single treatment has been generally effective in eliminating nail-biting. Smith (1957) using negative practice reported that 21 of 57 (39%) of his nail-biting clients were cured. 9 improved and 27 (47%) were unimproved. Bucher (1968) reported that 13 of 20 (65%) college students stopped nail-biting by using a self-administered operant shock procedure. However, he reported many relapses after the withdrawal of shock for nail-biting. No evaluation of psychoanalytic treatment for nail-biting appears to have been made.     

A component analysis of dry-bed training for treatment for bedwetting

The major components of Dry-Bed Training (DBT) (Azrin et al., 1974), in addition to the urine-alarm device, were identified as; (i) the waking schedule; (ii) retention control training; and (iii) positive practice and cleanliness training. Combinations of these components yielded six treatment groups. Together with an alarm-only group and a DBT group from a previous study (Bollard and Nettelbeck, 1981) these groups were compared for effectiveness in arresting bedwetting. Bedwetting frequency was reduced slightly below levels achieved with alarm-only treatment, by the addition of either retention control training, or positive practice and cleanliness training. A more substantial decrease in bedwetting resulted from the addition of the waking schedule, although none of the effects of the single components was statistically significant. The effects of the three components were cumulative, so that the more components added to the alarm-only procedure, the better the therapeutic response. Thus, the combination of waking, positive practice and cleanliness training with the alarm and the combination of all three components with the alarm (i.e. the complete DBT programme) did result in a significant reduction in bedwetting frequency compared with the alarm-only procedure. The practical and theoretical implications of these results are discussed.     

Evaluation of a parent's manual for training enuretic children

An operant method of training enuretic children had previously been evaluated by direct training of the child and parent. A manual describing the method was used by 13 parents in the present study with no professional assistance. Bedwetting was reduced from its pre-treatment level of 68% of the nights to 27% during the first week. 10% during the third month and 7% the sixth month. These results closely approximated those obtained previously with direct training.     

INCREASING INDEPENDENCE AMONG CHILDREN DIAGNOSED WITH AUTISM USING A BRIEF EMBEDDED TEACHING STRATEGY

The purpose of this study was to evaluate the effects of a brief embedded teaching procedure, involving least‐to‐most prompting for two paraprofessional staff in order to increase independent responses of two children diagnosed with autism in an inclusive setting. Training was given using a behavioral skills training approach, involving instructions, modeling, rehearsal, and feedback. A multiple‐baseline design across behaviors was used to evaluate the effects of the embedded teaching procedure. Maintenance of training effects was evaluated two weeks, following the end of the study. After training of the brief embedded prompting procedure and during following up probes, both students showed increased independence in each skill that staff were trained to teach. Copyright © 2012 John Wiley & Sons, Ltd.     

Interaction-priming: a method of reinstating patient-family relationships

The probability of successful discharge for long-term mental hospital patients has been found to depend on strong family and social relationships (Chapman, Day and Burstein, 1961 ; Chase and Silverman, 1943; Paul, 1969; Meichenbaum, 1966; Ullmann, 1967). Yet, long-term institutionalization often results in the weakening of these relationships. These findings suggest that successful discharge would be facilitated by procedures that maintained or restored these social relationships. The present study attempted to develop such a procedure, based on the principles of Response Priming (O'Brien, Azrin and Henson, 1969) and Reinforcer Sampling (Ayllon and Azrin, 1968). Response Priming views complex behavior such as family visits as chains of responses and states that the probability of the completion of the chain (visit) increases during later portions of the chain. The present procedure applies this principle by not requiring visitors to engage in those behaviors remote from the completion of the chain, but rather, by making visits available to them at the terminal portion of the chain. This was done by not requiring visitors to come to the hospital to visit the patient, but rather, by directly transporting the patient to the visitor's home. The Reinforcer Sampling rationale (Ayllon and Azrin, 1968) suggests that future visits would likely increase if visits were reinforcing to the family and the patient. Thus, the patients' behavior was analyzed during visits in the families' homes. Between visits, instruction was given to the patients for improving the reinforcing quality of these types of behavior for subsequent visits. The rationale was that the Response Priming Procedure would produce visits and the Reinforcer Sampling Procedure would show the families and patients that being together was enjoyable. The relationships should, therefore, be maintained and, hopefully, thereby increase the likelihood of successful discharge for the long-term hospitalized patients.     

Reciprocity counseling: A rapid learning-based procedure for marital counseling

Existing marital counseling procedures have not been experimentally evaluated or generally have not been based on an experimentally derived theory. The present study formulated a model of marital discord based on reinforcement theory, developed a marital counseling procedure based on that theory and experimentally evaluated its effectiveness. The model viewed marital discord as the resultant of non-reciprocated reinforcement. The counseling procedures attempted to establish general marital reciprocity of reinforcement by teaching reciprocity in several specific areas of marital unhappiness. The reciprocity procedure was conducted for about 3–4 weeks with 12 couples, after first conducting a catharsis-type counseling as a control procedure. The results showed that the reciprocity procedure increased reported marital happiness, whereas the control procedure did not. Once reciprocity was achieved in a specific problem area, the benefits generalized somewhat to other yet-to-be counseled areas. The increase in marital happiness occurred for each of the specific areas of marital interaction, for 96 per cent of the clients, and was maintained and increased during the available follow-up period. These results indicate that the procedure is an effective, rapid and enduring method of producing marital happiness.     

Development of relational learning: Effects of instruction and delay of transfer

Preschool children were trained on a color relevant oddity problem by one of three methods: increased salience of the oddity relationship, instruction on the solution rule, or a combination of increased salience and rule instruction. The youngest Ss solved the training problem when the solution rule was provided but not under the salience procedure. The two older groups solved in all conditions and errors decreased with age. The generality of the solution was determined by performance on a form relevant transfer task. The youngest Ss made fewer errors on the transfer problem following rule instruction training than following training in the combined procedure. The intermediate age group made fewer errors when the transfer task was administered one week after training than one minute after training. The transfer problem was easily solved by the oldest Ss and performance was independent of training procedure and amount of delay. These results were interpreted as reflecting developmental differences in relational concept learning.     

The training of telephone crisis intervention volunteers

Telephone crisis intervention services are growing at a very rapid rate. A review of the literature reveals that there are very few references to this new phenomenon and even fewer that deal with evaluating the effectiveness of telephone crisis training. Herein 7 articles are reviewed which deal with volunteer selection and training. These articles demonstrate that no consistent rationale for volunteer selection or training exists. Selection of volunteers typically consists of a gross screening to eliminate any obviously unsuitable persons, with training serving as a further sorting procedure where volunteers who are uncomfortable with the role of a crisis interventionist can be encouraged to drop out. The authors suggest that a training model be built around crisis intervention theory using principles of social learning as the methodology for training.     

年龄、作业难度和训练对成人记忆的影响

采用“联想学习”、“图象自由回忆”和“附加联想”三项目,对９０例成人（分为青年、老年和老老年组各３０例）进行记忆测查和训练,目的为探讨年龄,作业难度和训练对记忆的影响。结果表明：青年组记忆成绩明显高于老年和老老年组,后两组无显著差异;无关联想的年龄差异大于有关联想,作业难度扩大了年龄差异;各年龄组训练后记忆得到明显改善,并且训练扩大了年龄和作业易难的差异。由此可见,记忆受年龄、作业难度和训练三因素的相互作用,也再次证实了老年认知功能具有一定的可塑性。     

An Instructional Package to Enhance Spelling Performance in Emotionally Disturbed Children

Three boys ranging in age from 9 to 13, hospitalized in an 18 bed short-term psychiatric facility. were treated for spelling deficits. Treatment was evaluated in a multiple-baseline dmign across sets of words on which the children were deficient. The method of training involved a self-instructional procedm that incorporated a self-help manual to minimize teacher time in conducting training. Treatment affects were rapid and were maintained for two of the children who were followed up at two and tbree weeks, respectively.     

Training strategic study time apportionment in educable retarded children

Two groups of educable retarded children differing in functioning level served as subjects. One group, the High group, consisted of 31 children drawn from the upper two classes of a five-class stream. The Low group consisted of 39 children drawn from the lowest two classes. During pretesting, on each trial but the first of a multitrial free recall procedure, subjects were allowed to select half of the to-be-remembered items to see if they would strategically select missed items for extra study. Following pretesting, subjects were divided for training into three groups for which the experimenter selected items for study: in the Standard group, missed items; in the Creeping group, recalled items plus one missed item; and in the Random group, half missed and half recalled items. Children in the High group improved in the Standard condition, and those in the Low group benefited from Creeping training. There was no evidence of maintenance of training in the Low group, but children in the High group given training in the standard strategy selected missed items for recall on the posttests. The results are discussed in terms of the stability of trained strategies in retardates, and the question of what constitutes an optimal strategy is considered.     

The effect of training procedures on the overlearning reversal effect in young children

The performance of 80 preschool children on a reversal problem was studied as a function of amount of training and type of training procedure used during acquisition and reversal. In the extinction phase of reversal learning, subjects given a correction procedure during the reversal problem made fewer perseverative errors than subjects given noncorrection. In the reversal midplateau phase of reversal learning, overtraining facilitated reversal learning for subjects receiving noncorrection during the acquistion problem, but not for subjects receiving correction. A shift in training procedure between acquisition and reversal increased the number of subjects who reached criterion immediately after perseveration. Since these results are difficult to explain in terms of traditional learning theories, an alternative response-switching strategy explanation was proposed.     

Dry-bed training for childhood bedwetting: A comparison of group with individually administered parent instruction

Thirty nocturnally enuretic children and their parents took part in this study which examined the effectiveness of Dry-Bed Training (DBT) with and without the adjunct of a urine-alarm device. Parents administered all treatment, following initial instruction in small group settings and supported by regular group meetings with a professional therapist. Ten children were treated by DBT without an alarm. Results showed this method to be effective in significantly reducing bedwetting frequency but not in effecting complete arrest of bedwetting symptoms. Ultimately all 30 children were treated by DBT with an alarm and this method led to 29 children reaching the success criterion of 14 consecutive dry nights. The average time taken to the last wet night was 30 days. There were 10 relapses at a 3-month follow-up. These results were virtually the same as those from a previous study involving 60 subjects who were treated by DBT with an alarm, either under the direction of a professional therapist, or of the child's parents who had been previously trained in the procedure on an individual basis (Bollard and Nettelbeck, 1981). Instructing parents in a group to administer DBT with an alarm is therefore an economical large-scale method of treating nocturnal enuresis because of savings in therapist time and effort in administering the demanding procedure.     

Job-finding club: A group-assisted program for obtaining employment

Although joblessness is a major problem, no method of job-counseling has been demonstrated to be superior to usual job-finding practices. The present study describes a new type of program, which has now been evaluated experimentally in a matched-control design. The new program was conducted in a group and stressed such distinctive techniques as mutual-assistance among job-seekers, a ‘buddy’ system, family support, and sharing of job leads. In addition, the program arranged special ways of using such common practices as searching want-ads, role-playing, telephoning, motivating the job-seeker, constructing a resume and contacting friends. Within 2 months 90 per cent of the counseled job-seekers had obtained employment vs. 55 per cent of the non-counseled job-seekers. All clients who attended the program regularly obtained employment. After 3 months, 40 per cent of the non-counseled job-seekers were still unemployed. The average starting salary was about a third higher for the counseled job-seekers. The present procedure appears to be an effective method of assisting a greater proportion of the unemployed to obtain jobs and more quickly, and at a higher salary than they could obtain when they used the usual job finding procedures.