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An integrated model for guiding the selection of treatment components for problem behavior maintained by automatic reinforcement
Authors:Wendy K. Berg  David P. Wacker  Joel E. Ringdahl  Jason Stricker  Kelly Vinquist  Anuradha Salil Kumar Dutt  Danielle Dolezal  Jeffrey Luke  Lisa Kemmerer  Jayme Mews
Affiliation:The University of Iowa
Abstract:We evaluated the usefulness of 2 assessments to guide treatment selection for individuals whose prior functional analysis indicated that automatic reinforcement maintained their problem behavior. In the 1st assessment, we compared levels of problem behavior during a noncontingent play condition and an alone or ignore condition. In the 2nd, we assessed participants’ relative preferences for automatic reinforcement and social reinforcers in a concurrent‐operants arrangement. We used the results of these 2 assessments to assign 5 participants to a treatment based on noncontingent access to social reinforcers or to a treatment based on differential access to social reinforcers. We conducted monthly probes with the participants over 10 to 12 months to evaluate the effects of the treatment procedures. All participants showed reductions in problem behavior over this period.
Keywords:automatic reinforcement  competing reinforcers  concurrent operants  differential reinforcement  noncontingent reinforcement  problem behavior  self‐injurious behavior
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