An evaluation of a multi-component intervention for loud speech among children with autism spectrum disorder

Idiosyncratic patterns of speech are common among individuals with autism spectrum disorder (ASD) and can greatly affect their ability to participate successfully in various social and educational settings. We evaluated a treatment package with three children with ASD and a history of loud speech. A multiple baseline across participants design and a decibel meter application were used to evaluate whether the multi-component intervention (i.e., a rule, differential reinforcement, and in vivo feedback) would effectively reduce participants' rates of loud speech. The results showed that the intervention decreased rates of loud speech for all participants. Results are discussed in terms of (a) their extension of the literature regarding speech prosody in ASD by demonstrating an effective intervention for loud speech, (b) clinical implications, and (c) potential future research regarding this nuanced, yet crucial aspect of social communication, including appropriate methods for addressing loud speech in individuals with ASD.     

EFFECTIVENESS OF BRIEF TIME-OUT WITH AND WITHOUT CONTINGENT DELAY: A COMPARATIVE ANALYSIS

We evaluated a commonly used component of brief time-out, in which release from time-out is delayed contingent on the occurrence of disruption. Data were collected for one normal and two mentally retarded children on time-out-producing behaviors (aggression and disruption) as well as delay-producing behaviors during time-out (loud vocalizations, out-of-chair, aggression, and disruption). The results of a combination ABAC reversal and multiple-baseline design indicated that, under the conditions used in this investigation, both delay and no delay variations were effective in reducing the frequency of the target behaviors. Implications for the use of time-out to reduce aberrant behaviors are discussed.     

Dimensions of the group environment scale

Student teachers in yearlong mental health consultation groups completed Moos's Group Environment Scale (GES) and three semantic differential ratings of their satisfaction with the group experience. Factor analysis of the GES yielded four dimensions, the first two corresponding to Moos's hypothesized dimensions of Relationship and System Maintenance/System Change. Intercorrelations of factor composite scores with the differential ratings provided concurrent validity evidence for the factored dimensions. Results were interpreted as supporting a multidimensional rather than unidimensional structure for the GES.     

Vulnerability to economic stress

A stress vulnerability model was applied to the relationship between economic stress and mental health. Longitudinal data were obtained by reinterviewing 291 respondents from a prior community survey of economic change and health (Catalano & Dooley, 1983). The follow-up survey was conducted at the height of the last recession, approximately 1 year after the first. As predicted, increases in self-reported economic stress adversely affected psychological health, controlling for prior mental health status. However, individuals with poor prior mental health status were more vulnerable to economic stress: They were more likely to experience it during this economic contraction and were somewhat less likely to recover from it. Economic stress and mental health appear to have reciprocal effects, suggesting a spiral model of adaptation. Implications for interventions concerning economic change and mental health are discussed.     

The lack of effects of enriched and automated environments on the adaptive and maladaptive behavior of mentally retarded persons

This study addressed the relative effects of repeated exposures to an austere institutional dayroom, a toy enriched dayroom, a PUSH (Play Units for the Severely Handicapped) room that contained automated stimulation devices within a physical terrain, and a modular room that contained wall mounted automated stimulation devices, on the adaptive and maladaptive freeplay behavior of six groups of institutionalized mentally retarded individuals (N = 6 per group). Group One was observed in all four settings, whereas the other five were observed in two or more of the active settings. The results indicated that (1) there were only slight differences in object-directed adaptive behavior when the three active settings were compared to the austere setting, and (2) only the higher functioning subjects (Group Five) displayed consistent individual differences on any of the measures when active settings were compared. None of the comparisons, however, revealed statistically significant effects. This study clearly demonstrates the need for active control conditions, raises questions regarding the relevance of much of the previous research, and suggests that further refinements will be necessary before environments such as those in the present study produce meaningful changes in appropriate environmental interaction in the absence of staff mediation.     

An aerosol spray alternative to cigarette smoking in the study of the behavioral and physiological effects of nicotine

For studies of the behavioral and physiological effects of nicotine in smokers, delivery of nicotine via cigarette smoking is highly variable and difficult to control. A more precise method of delivery is needed in order to accurately manipulate the amount of nicotine being presented and, thus, to determine its quantitative effects. The objective of the study reported here was to test an aerosol nasal-spray method of delivering measured doses of nicotine. Eleven healthy males were presented 0 mg (placebo), 0.5 mg, 1.0 mg, and 2.0 mg of nicotine over 5 min during four separate sessions, and changes were observed in plasma nicotine concentration and cardiovascular activity. Dose-response relationships were observed between nicotine presented via this method and plasma nicotine, heart rate, systolic blood pressure, and, to a lesser extent, diastolic blood pressure. These results suggest that this aerosol spray method of presenting nicotine provides the measured doses necessary for quantification of nicotine’s effects.     

Digital image-processing techniques for the display of images and modeling of visual perception

With the rapid increase in power of image-processing technology, applications in the areas of robot and human vision are inevitable. In this review, I consider how such techniques make it possible to study new dimensions of human vision and I suggest explanations of visual phenomena, which, until now, have not been considered in detail.     

A FORTRAN 77 program for a nonparametric item response model: The Mokken scale analysis

A nonparametric item response theory model—the Mokken scale analysis (a stochastic elaboration of the deterministic Guttman scale)—and a computer program that performs this analysis are described. Three procedures of scaling are distinguished: a search procedure, an evaluation of the whole set of items, and an extension of an existing scale. All procedures provide a coefficient of scalability for all items that meet the criteria of the Mokken model and an item coefficient of scalability for every item. Four different types of reliability coefficient are computed both for the entire set of items and for the scalable items. A test of robustness of the found scale can be performed to analyze whether the scale is invariant across different subgroups or samples. This robustness test serves as a goodness of fit test for the established scale. The program is written in FORTRAN 77. Two versions are available, an SPSS-X procedure program (which can be used with the SPSS-X mainframe package) and a stand-alone program suitable for both mainframe and microcomputers.     

IDENTIFYING REINFORCERS FOR PERSONS WITH PROFOUND HANDICAPS: STAFF OPINION VERSUS SYSTEMATIC ASSESSMENT OF PREFERENCES

We evaluated a systematic means of determining stimulus preferences among seven profoundly handicapped persons. Preferences were determined by observing student approach responses to individual stimuli. Results indicated that there were differential stimulus preferences across the multiply handicapped participants. However, results of the systematic assessment did not coincide with the results of a more traditional, caregiver-opinion method of assessing student preferences. A second experiment was then conducted with five participants to evaluate whether stimuli that were assessed to consistently represent preferences would function as reinforcers in skill training programs. Results indicated that stimuli that were systematically assessed to represent student preferences typically functioned as reinforcers when applied contingently. However, preferred stimuli as reflected by caregiver opinion did not function as reinforcers unless those stimuli were also preferred on the systematic assessment. Results are discussed in terms of assisting profoundly handicapped persons by (a) improving the effectiveness of training programs by increasing the likelihood of using stimuli that have reinforcing value and (b) increasing the overall quality of life by providing preferred stimuli in the routine living environment.