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THE REDUCTION OF SELF INJURY IN TWO ADOLESCENTS WITH PROFOUND RETARDATION BY THE ESTABLISHMENT OF A SUPPORTED ROUTINE
Authors:Richard R Saunders  Muriel D Saunders  Anne Brewer  Theresa Roach
Abstract:Two experiments applied a conceptualization of competence to the treatment of self injury in two adolescents with profound retardation. In Experiment 1, a multiple baseline design across two activity periods was used to assess the effects of reinforcing completion of a five-step packaging routine on repetitious facial hitting in one participant. The rate of facial hits decreased when teachers reduced the latency between a pause by the participant and a prompt from the teacher to continue, pauses having been observed to be followed often by sequence errors, and sequence errors by facial hitting. In Experiment 2, a reversal design was used to compare the effects on head hitting and hand biting by substituting a premeal and dining routine in a second participant. The new routine replaced a largely instructional routine that required discriminations, receptive language, and motor performances not likely to emerge in the participant's repertoire. Discontinuation of the instructional routine reduced self injury; institution of the new routine permitted the development of a highly independent series of performances without reoccurrence of self injury. The combined results of the two experiments point to the potentially evocative nature of common teaching approaches and techniques, and the habilitative effects of designing performance expectations with greater prognosis for acquisition.
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