Generalization and maintenance of the reduction of self-injurious behavior maintained by two types of reinforcement

The self-injurious forehead-gouging behavior that had resulted in blindness for a profoundly retarded 27-yr-old male was successfully treated using a combination of differential reinforcement of incompatible behavior during unstructured situations and prevention of escape during compliance situations. After self-injurious behavior was reduced to a low frequency, a reduction of his daily dose of chloral hydrate was accompanied by a large increase in self-injury, but the behavior gradually returned to its previous low level. A large increase in self-injury also occurred following transfer to another living unit, but the behavior again decreased to a low frequency. Treatment gains were maintained following transfer to another residential facility with follow-up observations occurring at 1, 2, 8, 15, 22, 27 and 35 months. The multiple determination of self-injurious behavior in this one S highlights the behavioral complexity of some of these behaviors.     

A comparison of MMPI profiles of heroin addicts based on multiple methods of classification

MMPI profiles of 442 male narcotic addicts in a drug treatment program were classified according to one of three methods: (a) highest 2-point code, (b) cluster analysis, and (c) concordance with common actuarial rules of profile fit. Profiles were then compared with those previously reported in the research literature. While each method resulted in slightly different perspectives, each reported modal profiles analogous to the 49'/94', 42'/24', and 48'/84' profiles. A frequency table of 33 different profiles by rates per thousand were presented as prototypal base rates for future comparison.     

Reinforcement of visual attending in classrooms for deaf children

The efficacy of immediate tangible reinforcement in increasing appropriate visual attending for entire classes of deaf children was examined. The subjects were three classes (seven children each) in a residential school for the deaf. Boxes were installed on each child's desk, with lights that were flashed immediately contingent upon 10 sec of visual attending. Light flashes were backed up by M & M's, cereal bits, or tokens. In two of the classes, extinction sessions were also scheduled. For all classes, the reinforcement procedure increased visual attending by 50% or more, maintaining it at rates above 82%. Withdrawal of tangibles decreased attending back to baseline levels. The results support analysis of attending as operant behavior and demonstrate the applicability of reinforcement procedures in modifying these behaviors for young deaf children in a classroom setting.     

Student Attendance at University Co-curricular Activities

Over 18,000 students at Michigan State University reported their attendance at 46 campus events. Student characteristics were analyzed in terms of student attendance patterns. The 46 events were grouped into 4 independent categories that were attended by students with different characteristics. Students who attended cultural events were mostly single upperclassmen majoring in liberal arts; musical events were attended mostly by music majors; those attending athletic events tended to be single male undergraduates from the more applied disciplines; and social events were attended mostly by undergraduate girls.     

Toward a therapeutic jurisprudence analysis of medication refusal in the court review model

A therapeutic jurisprudence analysis attempts to discern the role of legal proceedings, lawyers and judges in producing therapeutic or anti-therapeutic consequences. This paper will attempt to use the therapeutic jurisprudence framework to analyze the legal and administrative aspects of court review as it was reported during a one year epidemiologic study of drug refusal. Characteristics of the review process, the effect on patient refusal, and the attitudes of treating psychiatrists are presented. To broaden the clinical context of the administrative findings, selected clinical characteristics of refusing patients, their attitudes toward mental illness, reasons for refusing medication and satisfaction with court review will be described. The discussion attempts to show how the initial administrative study findings may be interpreted in the broader context of their relationship to the achievement of therapeutic outcomes.