On the role of stimulus preference assessment in the evaluation of contingent access to stimuli associated with stereotypy during behavioral acquisition

Previous authors have reported successful behavioral acquisition in children diagnosed with autism using contingent access to stereotypic responding as reinforcement. Other studies have demonstrated robust reinforcement effects when consequences were selected using stimulus preference assessments. We conducted two stimulus preference assessments with a six-year-old female diagnosed with autism. Her acquisition of a non-vocal imitation response was then evaluated during two reinforcement conditions: contingent access to (i) a stimulus associated with stereotypic object manipulation and (ii) a stimulus unassociated with such stereotypy. Both stimuli were identified from the stimulus preference assessments. Nearly identical response patterns were observed in both conditions; correct responses to verbal prompts greatly increased while correct responses to gestural and physical prompts decreased to near-zero levels. These preliminary findings are discussed in the context of improving stimulus selection in this area. © 1998 John Wiley & Sons, Ltd.     

Judgement Accuracy in Body Preferences Among African Americans

Perceptions of body size vary by gender and ethnicity. Women are more dissatisfied with their bodies than are men and Caucasian women are more dissatisfied with their bodies than are African American women. The purpose of this study was to examine if African American men and women accurately estimate the level of thinness preferred by the opposite gender. We predicted that African American women would correctly estimate the level of thinness found attractive by African American men, thereby providing support for the explanation that African American women are partially protected from experiencing similar levels of body dissatisfaction as Caucasian women do because they correctly estimate that African American men like larger women. Participants were 68 African American women and 34 African American men. The results supported our prediction, African American women accurately estimate the level of thinness preferred by African American men.     

Functional analysis of hair manipulation: a replication and extension

In a multi‐phase investigation, we assessed the problematic hair manipulation of a four‐year‐old male diagnosed with autism. In phase 1, a functional analysis of hair manipulation resulted in high levels of responding during a no‐interaction condition, while near‐zero levels were observed in other conditions. In phase 2, hair manipulation was reduced to near‐zero levels during a condition in which Billy wore gloves on his hands to attenuate digital‐tactile stimulation. In phase 3, a stimulus preference assessment indicated that object manipulation competed with hair manipulation, and that wearing gloves did not alter the amount of time that Billy manipulated preferred objects. The results are discussed in the context of interventions that achieve their effects via reinforcer substitutability or competition. Copyright © 2000 John Wiley & Sons, Ltd.     

Stimulus-dependent flexibility in non-human auditory pitch processing

Songbirds and humans share many parallels in vocal learning and auditory sequence processing. However, the two groups differ notably in their abilities to recognize acoustic sequences shifted in absolute pitch (pitch height). Whereas humans maintain accurate recognition of words or melodies over large pitch height changes, songbirds are comparatively much poorer at recognizing pitch-shifted tone sequences. This apparent disparity may reflect fundamental differences in the neural mechanisms underlying the representation of sound in songbirds. Alternatively, because non-human studies have used sine-tone stimuli almost exclusively, tolerance to pitch height changes in the context of natural signals may be underestimated. Here, we show that European starlings, a species of songbird, can maintain accurate recognition of the songs of other starlings when the pitch of those songs is shifted by as much as ±40%. We observed accurate recognition even for songs pitch-shifted well outside the range of frequencies used during training, and even though much smaller pitch shifts in conspecific songs are easily detected. With similar training using human piano melodies, recognition of the pitch-shifted melodies is very limited. These results demonstrate that non-human pitch processing is more flexible than previously thought and that the flexibility in pitch processing strategy is stimulus dependent.     

Intraoperative conversion to open technique: is informed consent implied?

This case raises issues regarding the anesthesia and surgical components of preoperative informed consent and the differing views of anesthesiologists and surgeons with regards to informed consent, in the context of conversion to open surgery from a minimally invasive approach.     

Integrating Exposure and Response Prevention With a Mobile App to Treat Obsessive-Compulsive Disorder: Feasibility,Acceptability, and Preliminary Effects

Many individuals with obsessive-compulsive disorder (OCD) do not receive evidence-based care (specifically exposure and ritual prevention; EX/RP) due to barriers such as a lack of EX/RP-trained clinicians, geographic obstacles, and the cost and time associated with the treatment. Offering an integrated treatment model consisting of brief in-person therapy coupled with a mobile application (app) might be one way to increase access to and reduce the time burden (to clinicians and patients) of EX/RP. This pilot trial evaluated the feasibility, acceptability, and clinical effects of such a treatment program for adults with OCD. Thirty-three participants enrolled in the 8-week open trial. The integrated treatment program consisted of 3 to 5 in-person sessions followed by weekly phone calls supported by a mobile app (nOCD). Participants were evaluated by trained raters and completed self-report measures at baseline, midtreatment, posttreatment and 2-month follow-up; the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was the primary outcome. This integrated treatment program was feasible and acceptable to participants. Of the 33 study entrants, 14 (42%) responded to treatment (Y-BOCS decrease ≥ 35% with CGI- of 1 or 2), and 8 (24%) achieved minimal symptoms (i.e., Y-BOCS ≤ 12). At 2-month follow-up (n = 20), 7/20 (35%) met criteria for treatment response, and 3/20 (15.0%) met criteria for treatment remission. Although preliminary, this model warrants further study as an efficacious and resource-efficient way to deliver EX/RP for some patients with OCD.