Behavioral case consultation with parents and teachers: An example using differential reinforcement to treat psychogenic cough

This study presents a demonstration of successful behavioral case consultation combined with case study methodology in the treatment of a 13-year-old female who presented with a brief history of psychogenic cough. Psychogenic cough is diagnosed when there is no organic or physiologic basis for the repeated, harsh coughing. We first present a brief review of treatments for psychogenic cough and then describe how we used differential reinforcement of low rate responding (DRL) and differential reinforcement of zero responding (DRO) within an A-B-C design. The DRL schedule produced significant decreases in coughing but plateaued at about one-third the baseline rate. Thereafter, a DRO schedule was employed which resulted in complete and lasting elimination of coughing. Discussion focuses on the limitations of case study methodology as well as its usefulness for conducting service related research in the schools, implications of some of the findings for practitioners, and other issues related to treatment.     

IMPLICATIONS OF BEHAVIORAL PHARMACOLOGY RESEARCH FOR APPLIED BEHAVIOR ANALYSES: JEAB'S SPECIAL ISSUE CELEBRATING THE CONTRIBUTIONS OF JOSEPH V. BRADY (MARCH 1994)

We review four articles from JEAB's March 1994 issue celebrating the contributions of Joseph V. Brady. These articles have implications for studying private events and for studying multiple operants. We suggest that regularly including self-reports about private events in behavioral pharmacological research has resulted in an accumulated knowledge that has facilitated examination of interesting relations among self-reports, environmental factors, and other observable behaviors. Methodological lessons that behavioral pharmacologists have learned regarding the study of multiple operants are also relayed. We provide examples of how these lessons could be useful to applied behavior analysts studying nonpharmacological issues.     

Behavioral determinants of mothers' safety measures to prevent injuries of pre-school children

Home-related injuries are a major threat to pre-school children in the western world. In this study the behavioral determinants of 18 parental safety measures were assessed. To select behavioral determinants, the Attitude-Social influence-Self-efficacy/barriers model was used with the inclusion of variables from the Health Belief Model and the Protection Motivation Theory. A written questionnaire was completed by 1129 Dutch mothers of pre-school children. Most safety measures were explained (rather) well by the same set of determinants. Main determinants for adopting or not adopting a safety measure were the mother's belief in the necessity of the safety measure according to the child's age, her belief about her partner's opinion on the necessity and her belief about the success of taking the measure. Subsequent important determinants were the mother's belief about the inconvenience and instrumentality of the safety measure; the perceived susceptibility had a minor or moderate influence on most measures. This study did not indicate that more highly educated mothers were more knowledgeable about safety-related subjects. The theoretical implications of this study are discussed.     

The treatment of youthful sexual offenders

Approximately 20% of all rapes and between 30% and 50% of child molestations are perpetrated by adolescent males. These statistics underscore the need for improved understanding of youthful sexual offending so that effective prevention measures may be utilized for those adolescents at risk of offending and effective treatments may be utilized with those adolescents who have already committed sexual offenses. In this article we review the current knowledge of the characteristics of youthful offenders, proposed etiologies of youthful offending, proposed typologies of, assessment protocols, and treatments for youthful offenders. Finally we discuss the need for further research in the area of youthful sex offending.     

Context and companion's behavior as determinants of cooperation and competition in school-age children

Information about the social context and a companion's actions were studied as determinants of cooperation and competition in middle childhood. In Experiment 1, first-, third-, and fifth-grade children were told that they would play a board game with another same-age, same-sex child (actually a bogus companion). The experimenter's instructions established shared rewards or winner-take-all as outcome conditions. Preprogrammed responses—100% cooperative or 100% competitive—provided information about the companion's actions. Results revealed that the companion's responses alone determined cooperation and competition among the first graders. Third graders used both types of information. Fifth graders, however, demonstrated a bias to respond cooperatively whenever a cooperative cue was present. In Experiment 2, first-grade subjects were given extra rehearsal of the game strategies, a scorekeeping procedure for use during the game, or a combination of the two. Results indicated that, under these conditions, younger subjects were able to use the instructions about reward distribution as well as the companion's actions in guiding their social behavior.     

Speech acquisition in a nonverbal isolate child

The present study attempted to evaluate experimentally the relationship between two response classes: cooperative play and speech. One child was observed in a preschool free-play setting. Base rates of speech and play with peers indicated that the child never spoke to or played with peers during free-play periods. Base rates of teacher attention were observed to fluctuate directly with the child's isolate play. When differential attention and extinction operations were presented, removed and presented again, the frequency of cooperative play with peers increased, decreased and increased accordingly. Moderate fluctuations in verbal behavior also correlated with the presence and absence of the differential attention and extinction operations, even though the operations were applied only to cooperative play. The results suggest that some nonverbal isolate children may begin producing speech when play behaviors with peers are reinforced by teachers.     

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.