Reinforcer frequency and restricted stimulus control.

Stimulus control was evaluated in 3 individuals with moderate to severe mental retardation by delayed identity matching-to-sample procedures that presented either one or two discrete forms as sample stimuli on each trial. On pretests, accuracy scores on one-sample trials were uniformly high. On two-sample trials, the correct stimulus (i.e., the one that subsequently appeared in the comparison array) varied unpredictably, and accuracy scores were substantially lower, suggesting that both sample stimuli did not exert stimulus control on every trial. Subjects were then given training sessions with the one-sample task and with a new set of four stimuli. For two of the stimuli, correct matching responses were followed by reinforcers on a variable-ratio schedule that led to a high reinforcer rate. For the other two stimuli, correct responses were followed by reinforcers on a variable-ratio schedule that led to a substantially lower reinforcer rate. Results on two-sample tests that followed showed that (a) on trials in which comparison arrays consisted of one high reinforcer-rate and one low reinforcer-rate stimulus, subjects most often selected the high-rate stimulus; and (b) on trials in which the comparison arrays were either two high reinforcer-rate stimuli or two low reinforcer-rate stimuli and the samples were one high reinforcer- and one low reinforcer-rate stimulus, accuracy was higher on trials with the high-rate comparisons. These results indicate that the frequency of stimulus control by high reinforcer-rate samples was greater than that by low reinforcer-rate samples. Following more training with the one-sample task and reversed reinforcement schedules for all stimuli, the differences in stimulus control frequencies on two-sample tests also reversed. These results demonstrate experimental control by reinforcement contingencies of which of two sample stimuli controlled selections in the two-sample task. The procedures and results may prove to be relevant for understanding restricted stimulus control and stimulus overselectivity.     

Long-Term Follow-Up of Children with Mental Retardation/Borderline Intellectual Functioning and ADHD

Fifty-two children (ages 7 to 14 years) with moderate mental retardation to borderline intellectual functioning were recontacted 12 to 65 months following participation in a double-blind, placebo-controlled trial of methylphenidate (MPH). Sixty-nine percent of subjects continued to be prescribed medication for behavior control at follow-up. While 72% of the sample evidenced improvement, over two-thirds continued to be rated at or above the 98th percentile on the Hyperactivity Index of the Parent Conners. In fact, 22% of subjects had received inpatient psychiatric treatment between the time of the initial MPH trial and follow-up. Finally, subjects with high initial ratings on the Parent Conners Conduct Problems scale were more likely to be suspended from school or receive inpatient psychiatric treatment than subjects with low initial ratings. The results suggested that children with ADHD and mental retardation or borderline intellectual functioning continued to exhibit significant symptoms associated with attention deficit hyperactivity disorder (ADHD) at follow-up and that early conduct problems were predictive of continuing behavioral difficulties.     

Teaching self-control to small groups of dually diagnosed adults

The present study examined the use of a progressive delay procedure to teach self-control to two groups of dually diagnosed adults. When given a choice between an immediate smaller reinforcer and a larger delayed reinforcer, both groups chose the smaller reinforcer during baseline. During treatment, progressive increases in work requirements for gaining access to a larger reinforcer resulted in both groups selecting larger delayed reinforcers. The results are discussed with respect to increasing cooperative work behavior and self-control.     

Using brief assessments to evaluate aberrant behavior maintained by attention

We examined the use of brief functional assessments to identify idiosyncratic variables associated with aberrant behavior maintained by positive reinforcement in the form of attention. Two participants with severe developmental disabilities and their parents were involved in the assessment and treatment evaluation process. A modified attention condition was introduced, which involved both parents interacting with a third person. Results of the assessment demonstrated that aberrant behavior occurred only in the modified attention condition for both participants. Treatment consisted of the parents delivering attention on a fixed-time schedule during this specific social context. Results indicated that the treatment reduced problem behavior. Follow-up evaluations with 1 participant indicated maintenance of treatment effects for up to 6 months.     

A parametric analysis of the relationship between food quantity and rumination

Rumination is the chronic regurgitation, chewing, and reswallowing of previously ingested food. The study reported here, using a parametric design, examined the control of rumination by the quantity of food eaten at meals. The subjects were three profoundly retarded individuals who chronically emitted this behavior. The quantity of food by weight ingested daily was varied in 10-oz steps in both ascending and descending series (data were collected only after breakfasts and lunches). Ruminating decreased when food quantity increased and increased when food quantity decreased. In addition, there was a similar inverse interaction between breakfast food quantity and post-lunch ruminating. The data showed relatively rapid transitions in both frequency and duration at each meal size for all subjects. The data establish a clear functional relation between the quantity of food ingested and ruminating.     

TRAINING STUDENTS WITH PROFOUND OR MULTIPLE HANDICAPS TO MAKE REQUESTS VIA MICROSWITCHES

In a series of three experiments, we evaluated the use of microswitches as a means for students with profound, multiple handicaps to demonstrate preferences between toys and to make requests for specific activities. In Experiment 1, 5 students learned to demonstrate toy preferences by using microswitches to activate battery-operated toys. Experiment 2 was conducted to evaluate the students' preferences for social attention. Microswitches were used to activate prerecorded messages that signaled the classroom teacher to attend to the students. In Experiment 3, the students used the switches and prerecorded messages to make specific requests of educational staff in school and community settings. Results of these experiments, evaluated within multiple baseline, alternating treatments, and simultaneous treatments designs, indicated that these students could request specific activities. Results are discussed with respect to the continued use of microswitches and to program development.     

Acculturation in Women with Mental Retardation and Its Impact on Genetic Counseling

The provision of genetic counseling to women with mild mental retardation poses many challenges, some directly related to their developmental and cognitive disabilities. Traditional genetic counseling models, in which decision-making is largely based on the understanding of factual information, are particularly affected by the intellectual limitations which characterize this population. Equally important, however, are these women's attitudes, perceptions, and behaviors related to their involuntary inclusion into a highly stigmatized social group. Common themes among these women which surface in the genetic counseling setting include the denial of mental retardation, a hierarchical perception of their own and others' disabilities, and a strong motivation to conceive and parent a child. Such attitudes and behaviors may be symptomatic of acculturation, as these women struggle to take on accepted social roles while rejecting the stigma of intellectual disability. In contrast to factual information, the counselee's ability to discuss emotions and perceptions is not necessarily hampered by her intellectual limitations. A focus on the recognition and discussion of psychosocial issues provides a more meaningful approach than traditional genetic counseling models for facilitating informed reproductive decisions among women with mental retardation.     

INCREASING INDICES OF HAPPINESS AMONG PEOPLE WITH PROFOUND MULTIPLE DISABILITIES: A PROGRAM REPLICATION AND COMPONENT ANALYSIS

We replicated a program to increase indices of happiness among people with profound multiple disabilities and conducted a component analysis of the program. The program involved presentation and contingent withdrawal of stimuli that had been identified as preferred based on preference assessments and staff opinion. The program was implemented with 3 adult students and was accompanied by increased happiness indices for each student. Subsequent implementation of the two types of stimuli indicated that preferred stimuli based on preference assessments were more consistently accompanied by increased happiness indices than were preferred stimuli based on staff opinion. Social validity measures supported the definition of happiness, in that raters' subjective opinions of the students' happiness coincided with the observed happiness indices. Results are discussed regarding the importance and practical implications of using preference assessments for determining stimuli for increasing happiness indices. Future research areas are suggested, focusing on increasing happiness and other quality-of-life indicators during the daily routines of people with profound disabilities.     

USING SELF-MANAGEMENT PROCEDURES TO IMPROVE THE PRODUCTIVITY OF ADULTS WITH DEVELOPMENTAL DISABILITIES IN A COMPETITIVE EMPLOYMENT SETTING

This study describes the use of self-management procedures, similar to those proposed by Lagomarcino, Hughes, and Rusch (1989), to improve the productivity of 2 women with mild mental retardation who worked in restaurants. Substantial improvements were observed as a function of treatment, and the procedures were deemed acceptable by the participants, their coworkers, and their supervisors.