Additive,Multi-Component Treatment of Emerging Refusal Topographies in a Pediatric Feeding Disorder |
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Authors: | William G. Sharp PhD David L. Jaquess PhD Jennifer D. Bogard BS Jane F. Morton PhD BCBA |
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Affiliation: | 1. The Marcus Autism Center and Emory University School of Medicine , Atlanta, Georgia, USA william.sharp@choa.org;3. The Marcus Autism Center and Emory University School of Medicine , Atlanta, Georgia, USA;4. The Marcus Autism Center , Atlanta, Georgia, USA |
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Abstract: | This case study describes inter-disciplinary treatment of chronic food refusal and tube dependency in a 2-year-old female with a pediatric feeding disorder. Evidence-based behavioral components—including escape extinction (EE), differential reinforcement of alterative mealtime behavior (DRA), and stimulus fading—were introduced sequentially as the focus of treatment shifted to address refusal topographies along the chain of behaviors associated with consumption. The assessment process, treatment planning and sequencing, and generalization of treatment gains to caregivers are presented in detail. In doing so, the study illustrates the core features involved in applying a flexible, evidenced-based approach to treat severe feeding difficulties. |
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Keywords: | applied behavior analysis behavioral treatment escape extinction pediatric feeding disorders response covariation severe food refusal |
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