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 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.     

Habit reversal vs. negative practice treatment of nailbiting

A previous study of the habit reversal treatment of nailbiting was extended by using more subjects (97) and a comparison with an alternative method (negative practice). Negative practice reduced nailbiting episodes by about 60% whereas habit reversal reduced nailbiting episodes by about 99% throughout the 5-month follow-up.     

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.     

Differential production of positive and negative discriminative stimuli by normal and retarded children

Using an observing procedure similar to Wyckoff's (1969), two normal and two mentally retarded children were studied. The children were initially trained to earn pennies by pressing a rectangular key according to a multiple variable-interval extinction schedule of reinforcement. After discrimination training, the children were allowed to produce the discriminative stimuli by depressing a second or observing key. The retarded children were different from the normal children in that they produced more of the positive discriminative stimulus (S+) than the negative discriminative stimulus (S?). In the case of the retarded children, S+ observing started high and remained high. In the case of the normal children, S+ observing was initially substantial and then rapidly diminished.     

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.     

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.     

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.     

Dry-bed training: rapid elimination of childhood enuresis

Enuresis has been treated with moderate effectiveness by the urine-alarm method which requires many weeks of training. The present procedure used a urine-alarm apparatus but added such features as training in inhibiting urination, positive reinforcement for correct urinations, training in rapid awakening, increased fluid intake, increased social motivation to be nonenuretic, self-correction of accidents, and practice in toileting. After one all-night training session, the 24 enuretic children averaged only two bedwettings before achieving fourteen consecutive dry nights and had no major relapses. Little or no reduction in bedwetting occurred within the first two weeks for matched-control enuretics who were given the standard urine-alarm training. The results of a control-procedure showed that the new procedure did not involve Pavlovian conditioning. The new method appears to be a more rapid, effective and different type of treatment for enuresis.     

The use of the peabody picture vocabulary test with emotionally disturbed adolescents

The validity and reliability for the Peabody Picture Vocabulary Test (PPVT) was estimated with 52 nonpsychotic emotionally disturbed adolescents. Approximately 6 months after an initial administration of the PPVT and the Peabody Individual Achievement Test (PIAT), all children were retested. Significant increases in PPVT IQ and PIAT reading comprehension scores were found upon readministration. The internal consistency estimate for the initial PPVT administration showed considerable consistency in responding. A modest temporal stability estimate indicated a fair amount of fluctuation in scores over time. Concurrent validity coefficients for the PPVT indicated moderate to dependable relationships with PIAT subtests. Predictive validity estimates for the PPVT suggested moderate relationships with future achievement, accounting for some 26% of the variability in total achievement.     

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.     

The nature of curiosity in children

This study examined several behaviors claimed to reflect curiosity in order to determine whether there are one or more types of curiosity. A secondary purpose was to examine the relations between the one or more types of curiosity and sex, social class, intelligence, achievement level, and ratings of personality traits. In two individual sessions 84 American first-grade boys and girls were administered five tasks which measured observation of complex and simple stimuli, preference of complex and simple stimuli, preference for the unknown, structure of meaning, and object exploration. A normalized Varimax factor analysis allowed the extraction of five factors: manipulatory curiosity, perceptual curiosity, conceptual curiosity, curiosity about the complex, and adjustive-reactive curiosity. Only the first factor was related to a demographic variable, sex. The nature of the factors and their theoretical and practical significance are discussed.     

The effects of exposure duration and practice on the immediate memory spans of children and adults

Immediate memory spans for alphabetic items were determined for second-grade, fifth-grade, and adult subjects. Subjects were tested on three days, ten trials per day at each of three exposure durations: 15, 50, and 200 msec. One half of the subjects were presented with exposure durations in an ascending order, the other half in a descending order. The results indicated that immediate memory span increases with age and practice. The exposure duration effect depended on the order and day in which durations were presented. There was a suggestion that the exposure duration effect was also dependent upon the age and sex of the subject. The ordering of array positions from most accurately reported to least accurately reported was identical for all three age levels, indicating that scanning strategies are well established at an early age.