Functional communication training: From efficacy to effectiveness

Functional communication training (FCT; Carr & Durand, 1985) is a common function‐based treatment in which an alternative form of communication is taught to reduce problem behavior. FCT has been shown to result in substantial reductions of a variety of topographically and functionally different types of problem behavior in children and adults (efficacy). The extent to which these reductions maintain in relevant contexts and result in meaningful changes in the lives of those impacted (effectiveness) is the focus of this paper. This review evaluates the degree to which FCT has been established as an evidence‐based practice in psychology (EBPP) according to the definition set out by the American Psychological Association's 2005 Presidential Task Force on Evidence‐Based Practice. Our review finds overwhelming evidence in support of FCT as an efficacious treatment but highlights significant limitations in support of its effectiveness. In order to also be recognized as an EBPP, future research on FCT will need to focus more closely on issues related to home, school, and community application, feasibility, consumer satisfaction, and more general and global changes for the individual.     

Forgiveness in Younger,Middle-Aged and Older Adults: Age and Gender Matters

The present study investigated age and gender differences in forgiveness of real-life transgressions. Emerging and young, middle-aged, and older adults recalled the most recent and serious interpersonal transgression and then completed the Transgression-Related Interpersonal Motivations Inventory (TRIM-18), which measured their avoidance, revenge, and benevolence motivation toward an offender and indicated to what extent they are generally concerned with the subject of forgiveness. The results revealed a trend among middle-aged adults to express more avoidance than younger adults. Moreover, young men had a greater motivation to seek revenge than middle-aged and older men. No such age differences were apparent for women. Additionally, forgiveness was a more manifest subject in everyday life for middle-aged adults and women. These findings emphasize the importance of age and gender when investigating forgiveness.     

Gender and developmental differences in children's conversations

Extending work on childhood gender differences by J. Block (“Assimilation, Accommodation and the Dynamics of Personality Development,” Child Development, 1982, 53, 281–295) and J. H. Block (“Differential Premises Arising from Differential Socialization of the Sexes: Some Conjunctures,” Child Development, 1983, 54, 1335–1354), the present research investigated assimilative and accommodative discourse devices in the speech of 24 preschool children (12 boys and 12 girls) and 24 middle-childhood youngsters (12 boys and 12 girls) in each of grades 3 and 6. Boys' discourse, regardless of age, contained more accommodative devices. Girls' discourse, regardless of age, contained more assimilative devices. Age effects were apparent; older children, regardless of gender, used more discourse devices of both kinds than younger children.     

Can the Effects of Religion and Spirituality on Both Physical and Mental Health be Scientifically Measured? An Overview of the Key Sources,with Particular Reference to the Teachings of Said Nursi

Within Western secular societies, everything has to be substantiated by empirical evidence; this means it has to be quantifiable and measurable. Research, particularly quantitative research, then, is the criterion by which everything, including religion, is either accepted or rejected. The separation of religion from science began with the Renaissance, the Reformation and the advent of the Enlightenment. It was perceived that religion did not match the language of science and that there was no logical proof or empirical evidence for the existence of God. Religion therefore, due to its inability to be measured and quantified, has since been largely marginalised. In recent times, in order to integrate ‘religion’ into everyday life, attempts have been made to argue and bring in scientific proof for the effectiveness of religion for improved health and well-being. The psychiatrist Harold Koenig has been one of the key people whose collation of research evidence has shown that religion has a positive effect on both physical and mental health. By looking firstly at the definitions of religion and spirituality and then discussing various opinions from both secular and religious perspectives, including those of Said Nursi, this paper aimed to determine whether religion and spirituality can indeed be measured.     

An evaluation of the single‐session interview‐informed synthesized contingency analysis

Functional analysis can often be a lengthy process requiring time and resources not readily available to practitioners working with children who exhibit severe problem behavior. The interview‐informed synthesized contingency analysis (IISCA) was recently developed as an alternative functional analysis format that improved analytic efficiency by requiring only 25 min to conduct. Furthermore, a within‐session analysis of the first test session of the entire IISCA could reduce the process to as little as a single 5‐min session. We extended this previous research by conducting what was termed the single‐session IISCA with three boys who exhibited severe problem behavior. A function‐based treatment package, including reinforcement thinning, informed by the results of the single‐session IISCA nearly eliminated problem behavior for all three participants. We suggest that the single‐session IISCA could be a viable alternative to other functional analysis formats when time is limited.     

SOCIALIZATION OF THE PHYSICAL ATTRACTIVENESS STEREOTYPE: PARENTAL EXPECTATIONS AND VERBAL BEHAVIORS

Two investigations were completed to study the parental socialization process underlying the intergenerational transmission of the use of the physical attractiveness stereotype. In the first study, preschool (n = 31), first- (n = 27) and third- and fifth-grade children (n = 28) and their mothers and fathers engaged in social choice and attribution tasks directed at stimuli portraying a facially attractive or unattractive, mesomorphic or endomorphic and normal and handicapped child. Children and parents were observed to use a physical stereotype response in their behaviors. Further, a significant correlation was observed between parental expectations of the child's use of a physical attractiveness stereotype and the child's actual use of the stereotype in a social choice context. In the second study 20 mothers were asked to tell a story about a normal, obese, and handicapped child to their own child. Content analysis of the stories, using a coding scheme devised to assess stereotypic verbal messages, revealed parents communicated various types of subtle communications to their children that were consistent with a physical attractiveness stereotype. A combination of research methodologies designed to study parental expectations and subtle verbal communications may provide considerable promise for the study of the socialization of the use of stereotypic based attitudes and behaviors.     

Contingencies promote delay tolerance

The effectiveness of functional communication training as treatment for problem behavior depends on the extent to which treatment can be extended to typical environments that include unavoidable and unpredictable reinforcement delays. Time‐based progressive delay (TBPD) often results in the loss of acquired communication responses and the resurgence of problem behavior, whereas contingency‐based progressive delay (CBPD) appears to be effective for increasing tolerance for delayed reinforcement. No direct comparison of TBPD and CBPD has, however, been conducted. We used single‐subject designs to compare the relative efficacy of TBPD and CBPD. Four individuals who engaged in problem behavior (e.g., aggression, vocal and motor disruptions, self‐injury) participated. Results were consistent across all participants, and showed lower rates of problem behavior and collateral responses during CBPD than during TBPD. The generality of CBPD treatment effects, including optimal rates of communication and compliance with demands, was demonstrated across a small but heterogeneous group of participants, reinforcement contingencies, and contexts.     

A translational evaluation of transitions

Transitions with nonhuman animals are typically framed as inescapable changes in signaled reinforcement schedules that result in a pause in responding unique to switches from rich to lean schedules. Pausing is considered to be a function of the aversive qualities of the contrasting reinforcement schedules. Transitions are typically framed in applied research as physical changes in location that evoke problem behavior maintained by the escape of an aversive event or resumption of a preferred event. We attempted to extend the basic framing of transitions to behaviors and contexts of social significance and evaluate a novel treatment for the problem of dawdling by 3 boys who had been diagnosed with autism spectrum disorder during rich‐to‐lean transitions. Dawdling during physical transitions was most readily observed when transitioning to lean contexts in Experiment 1. We then shortened transition duration in Experiment 2 by programming unsignaled and probabilistic rich reinforcement in the upcoming context.     

Toward accurate inferences of response class membership

In their review of synthesis within the functional analysis (FA) literature, Slaton and Hanley (2018) reported that most synthesized contingency analyses have included multiple topographies of problem behavior in the reinforcement contingency class. This leaves the question of whether one, some, or all forms of problem behavior are sensitive to the synthesized reinforcement contingencies in published analyses. To address this ambiguity, all topographies of problem behavior that were reported by caregivers to co-occur with the most concerning problem behavior were analyzed for 10 participants. We implemented extinction across one or more forms of problem behavior to determine whether all forms reported to co-occur were sensitive to the same synthesized reinforcement contingency. For nine of 10 participants, the most concerning topographies were sensitive to the same synthesized reinforcement contingencies as the less concerning topographies (results were inconclusive for one). Implications for inferring response class membership from single analyses are discussed.