Behavior-analytic research on dementia in older adults

It is estimated that 1 in 10 adults aged 65 years and older have been diagnosed with dementia, which is associated with numerous behavioral excesses and deficits. Despite the publication of a special section of the Journal of Applied Behavior Analysis (JABA) on behavioral gerontology (Iwata, 1986), there continues to be a paucity of behavior-analytic research with this population. This review compares the research published before and after the behavioral gerontology special section and evaluates the most recently published aging articles in JABA.     

Increasing response diversity in children with autism

Repetitive and invariant behavior is a diagnostic feature of autism. We implemented a lag reinforcement schedule to increase response diversity for 6 participants with autism aged 6 to 10 years, 4 of whom also received prompting plus additional training. These procedures appeared to increase the variety of building-block structures, demonstrating that an intervention that includes differential reinforcement can increase response diversity for children with an autism spectrum disorder.     

Differential reinforcement of alternative behavior increases resistance to extinction: clinical demonstration, animal modeling, and clinical test of one solution

Basic research with pigeons on behavioral momentum suggests that differential reinforcement of alternative behavior (DRA) can increase the resistance of target behavior to change. This finding suggests that clinical applications of DRA may inadvertently increase the persistence of target behavior even as it decreases its frequency. We conducted three coordinated experiments to test whether DRA has persistence-strengthening effects on clinically significant target behavior and then tested the effectiveness of a possible solution to this problem in both a nonhuman and clinical study. Experiment 1 compared resistance to extinction following baseline rates of reinforcement versus higher DRA rates of reinforcement in a clinical study. Resistance to extinction was substantially greater following DRA. Experiment 2 tested a rat model of a possible solution to this problem. Training an alternative response in a context without reinforcement of the target response circumvented the persistence-strengthening effects of DRA. Experiment 3 translated the rat model into a novel clinical application of DRA. Training an alternative response with DRA in a separate context resulted in lower resistance to extinction than employing DRA in the context correlated with reinforcement of target behavior. The value of coordinated bidirectional translational research is discussed.     

The effects of constant versus varied reinforcers on preference and resistance to change

Previous research has demonstrated that factors such as reinforcer frequency, amount, and delay have similar effects on resistance to change and preference. In the present study, 4 boys with autism made choices between a constant reinforcer (one that was the same food item every trial) and a varied food reinforcer (one that varied randomly between three possible food items). For all 4 boys, varied reinforcers were preferred over constant reinforcers, and they maintained higher response rates than constant reinforcers. In addition, when a distraction (a video clip) was introduced, responding maintained by varied reinforcers was more resistant to distraction than responding maintained by constant reinforcers. Thus, the present experiment extended the generality of the relation between preference and resistance to change to variation in reinforcer quality.     

A RUNS‐TEST ALGORITHM: CONTINGENT REINFORCEMENT AND RESPONSE RUN STRUCTURES

Four rats' choices between two levers were differentially reinforced using a runs‐test algorithm. On each trial, a runs‐test score was calculated based on the last 20 choices. In Experiment 1, the onset of stimulus lights cued when the runs score was smaller than criterion. Following cuing, the correct choice was occasionally reinforced with food, and the incorrect choice resulted in a blackout. Results indicated that this contingency reduced sequential dependencies among successive choice responses. With one exception, subjects' choice rule was well described as biased coin flipping. In Experiment 2, cuing was removed and the reinforcement criterion was changed to a percentile score based on the last 20 reinforced responses. The results replicated those of Experiment 1 in successfully eliminating first‐order dependencies in all subjects. For 2 subjects, choice allocation was approximately consistent with nonbiased coin flipping. These results suggest that sequential dependencies may be a function of reinforcement contingency.     

On the use of fluency training in the behavioral treatment of autism: a commentary

The substantial demand for behavior-analytic treatment of early childhood autism has been associated with rapid dissemination of treatment procedures to practitioners and caregivers. This level of demand could plausibly induce premature dissemination of treatments that do not yet have sufficient empirical support. We argue that this might have happened with the use of fluency training for learners with autism and identify four areas of research that are necessary to ensure that dissemination efforts are better matched to the available empirical support for this instructional strategy.     

What Are the Main Differences Between Behavioral and Systems Therapy with Couples? A Critical Account

This paper describes the main differences between behavioral and systems therapy with couples. To improve clinical decision making for a given case, the theoretical assumptions of the chosen treatment approach need to be clearly understood. Contrasting the two approaches will assist couple therapists in providing clinical services that better reflect the chosen theoretical framework. This paper reviews the common elements that can be found across models. A case example is presented to demonstrate the use of the therapy's theories and techniques.     

Selective attention and executive functions deficits among criminal psychopaths

The present study examined whether psychopaths exhibit deficits in selective attention and executive functions. Prison inmates were assigned to either a “psychopath” group or a “control” group according to their scores on the PCL‐R [Hare, 1991: Toronto, Multi‐Health Systems]. The two groups were compared in terms of performance on the following tests: (1) D‐II cancellation, (2) Porteus Maze, (3) Modified Wisconsin Card Sorting, (4) Stroop Color Word Interference, (5) Trail Making, and (6) Tower of London. The results support the hypothesis of selective attention and specific executive function deficits among psychopaths. Specifically, psychopaths' abilities to maintain a plan and to inhibit irrelevant information were inferior to those of control participants. Aggr. Behav. 29:393–405, 2003. © 2003 Wiley‐Liss, Inc.     

儿童2～4岁行为抑制的稳定性

采用实验室观察法研究了儿童行为抑制性发展的稳定性特征。被试为追踪样本,随机选取北京市124名儿童,经家长同意参加本项追踪项目。2岁时,有124名儿童参加本实验,在不同的陌生情景下对儿童行为进行录像观察,每次一对儿童和母亲。4岁时,有103名儿童参加实验室观察,21名儿童由于搬迁、失约或中途退出而没有数据;在观察室,每次邀请四名过完四岁生日不久的同龄、同性别、但父母评价害羞程度不同的、彼此陌生的儿童同时来到实验室作观察。结果表明：就整体而言,儿童在2岁时的行为抑制性特征与其4岁时的行为抑制性特征相关显著,但稳定性程度较低(0．294);通过对极端组和非极端组儿童的行为抑制性的稳定程度的比较发现,极端组儿童,无论是极端非抑制儿童还是极端抑制儿童,其行为特征的保持程度要好于非极端组;对儿童4岁时行为抑制性的性别差异检验虽然没有达到显著性水平(t＝-1．776,p＝0．079),但男孩总体上有非抑制性倾向(抑制性的平均分数为-0．2420),女孩有抑制性倾向(女孩的平均抑制性分数为0．2035)。     

Inducing Vocal Verbal Behavior in Children with Severe Language Delays Through Rapid Motor Imitation Responding

We conducted two experiments demonstrating the use of a rapid motor imitation sequence to evoke echoic and independent mands in three preschoolers with no vocal verbal behavior, who were unresponsive to alternative procedures. We further tested the procedure in the induction of echoics and independent tacts. The dependent variables for both experiments were echoics, mands, and tacts. In Experiment 1, we used a within subject multiple baseline design, across two mand and two tact forms, which were introduced in a counterbalanced order. In Experiment 2 we used a multiple baseline across subjects design with a tandem tact and mand training schedule, during which opportunities for echoic and independent mand training were contingent upon correct echoic and independent tact responses. Results showed that the rapid motor imitation antecedent was successful in inducing echoic and independent mands and tacts. Tacts required fewer opportunities than mands for mastery during the first experiment.