On the effectiveness of and preference for punishment and extinction components of function-based interventions

The current study describes an assessment sequence that may be used to identify individualized, effective, and preferred interventions for severe problem behavior in lieu of relying on a restricted set of treatment options that are assumed to be in the best interest of consumers. The relative effectiveness of functional communication training (FCT) with and without a punishment component was evaluated with 2 children for whom functional analyses demonstrated behavioral maintenance via social positive reinforcement. The results showed that FCT plus punishment was more effective than FCT in reducing problem behavior. Subsequently, participants' relative preference for each treatment was evaluated in a concurrent-chains arrangement, and both participants demonstrated a dear preference for FCT with punishment. These findings suggest that the treatment-selection process may be guided by person-centered and evidence-based values.     

An example of discovery research involving the transfer of stimulus control

The initial purpose of the present study was to replicate procedures for teaching preschool children to recruit attention at appropriate times by having an experimenter signal the availability and unavailability of attention (i.e., arrange a multiple schedule involving reinforcement and extinction; Tiger & Hanley, 2004). Following the development of discriminated social responding, the schedule-correlated stimuli were removed (i.e., a mixed schedule of reinforcement was arranged). However, discriminated responding continued during these conditions. Further evaluation suggested that stimulus control over children's social responding had transferred from the schedule-correlated stimuli to the delivery of reinforcement. The effect of a history of reinforcement under multiple-schedule conditions on performance under mixed schedules was then replicated with 2 participants in a reversal design. These findings suggest that following experience with schedule-correlated stimuli, these stimuli may be removed with only modest disruption to discriminated responding.     

Treatment efficacy of noncontingent reinforcement during brief and extended application

We evaluated the long-term therapeutic effects of noncontingent reinforcement (NCR). In Experiment 1, NCR effects were examined with 2 participants' arbitrary responses; in Experiment 2, NCR was used as treatment with 3 participants whose self-injurious behavior (SIB) was maintained by automatic reinforcement. In both experiments, NCR consisted of continuous access to a highly preferred leisure item and was implemented initially during 10-min and later during 120-min sessions. Varied reinforcers (leisure items) were subsequently introduced during 120-min sessions to determine if treatment effects might be extended. Finally (Experiment 2 only), NCR was implemented throughout the day in participants' homes. Results of Experiments 1 and 2 showed that reinforcers obtained through object manipulation can compete with those obtained automatically by engaging in SIB during brief NCR sessions. However, data from the 120-min sessions indicated that satiation to a specific leisure item might occur over periods of time more typical of those during which treatment would be implemented. Access to a variety of highly preferred leisure items extended the effectiveness of NCR for some individuals. When NCR was implemented throughout the day (Experiment 2), therapeutic effects were shown to be maintained for up to 1 year.     

Staff-administered functional analysis and treatment of aggression by an elder with dementia

In the current study, nursing home staff were taught to administer functional analyses to determine the variables maintaining aggression by an elder with dementia. The results indicated that aggression was evoked during bathroom routines and that escape maintained aggression. Staff then reduced aggression to near-zero levels with noncontingent escape. Implications for the assessment and treatment of problem behaviors in nursing home settings are discussed.     

Evaluating preschool children's preferences for motivational systems during instruction

Preschool teachers rely on several strategies for motivating children to participate in learning activities. In the current study, we evaluated the effectiveness of and preference for three teaching contexts in which embedded, sequential, or no programmed reinforcement was arranged. The embedded context included highly preferred teaching materials, the sequential context included highly preferred edible items for correct responding, and a control context included neither. In addition, an exclusively play-oriented activity was included as a fourth option to determine if one of the direct teaching contexts could compete with a relatively unstructured and exclusively child-led activity. All participants preferred the sequential context (use of high-quality consequences) over the embedded context (use of high-quality teaching materials), 2 of the 4 participants preferred some motivational system to none at all, and the play area was selected over all variants of the instructional contexts during the majority of trials. We found either no or small differences in correct responding in the different instructional contexts; however, rates of undesirable behavior were highest in the least preferred interaction area for 3 of the 4 participants. Implications for the design of effective and preferred teaching environments for young children are discussed.     

Exploring the Experiences of Newcomer Women with Insecure Housing in Montréal Canada

The objective of this study was to explore housing insecurity among women newcomers to Montreal, Canada. Semi-structured interviews were conducted with 26 newcomer women who had experienced housing insecurity and five women’s shelter service providers. The primary cause of housing insecurity for newcomer women was inadequate income in the face of rapidly rising housing costs, coupled with unfamiliarity with the dominant culture and the local housing system. Specific events often served as tipping points for immigrant women—incidents that forced women into less secure housing. To avoid absolute homelessness, most women stayed with family, couch surfed, used women’s or educational residences, shared a room or an apartment, lived in hotels, single rented rooms, or transitional housing. These arrangements were often problematic, as crowded conditions, financial dependency, differing expectations and interpersonal conflicts made for stressful or exploitive relationships, which sometimes ended abruptly. Only two of the 26 women interviewed described their current living situation as stable. Based on the findings on the study, we recommend training for housing and immigration service providers, wrap-around services in terms of health, housing and immigration settlement programs that take into account a broad range of immigration statuses and transitional housing that caters to the specific needs of migrant women.     

Scale of Internalized Trans Oppression: Measure Development and Exploratory Factor Analysis

A growing amount of research uses the Minority Stress Model [Meyer, Psychological Bulletin, 129(5), 674–697 (2003). 10.1037/0033-2909.129.5.674] to explore the effects of discrimination on the well-being of transgender people. Most of this research focuses on the effects of overt discrimination and the anticipation of discrimination, but few studies have explored the internal aspect of minority stress for transgender people. This may be because current measurement options are limited. To address this oversight, our study developed the Scale of Internalized Trans Oppression (SITO). The SITO moves beyond current measures of internalized prejudice to, instead, assess for the ubiquitous effects of internalized oppression. Results from our exploratory factor analysis provide preliminary evidence of a four-factor structure. Reliability analyses have established high internal consistency for both the Self-Doubt from Oppression subscale and Openness about Gender Identity subscale. Additionally, the Horizontal Hostility from Oppression subscale and the Fortitude subscale showed good internal consistency. Finally, research and clinical implications are discussed for this preliminary version of the SITO.

     

An evaluation of progressively increasing intertrial intervals on the acquisition and generalization of three social skills

We evaluated the effects of different intertrial intervals (ITIs; time between programmed learning opportunities) on the acquisition and generalization of 2 preschoolers' social skills. Independent and generalized skills were observed only when the daily ITI was gradually increased from short to progressively longer intervals.