Abstract
Repetitive and stereotypic motor movements and vocal behavior are among the diagnostic characteristics of autism spectrum disorder (American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders [5th ed.]. Washington, DC: Author). Motor stereotypy can interfere with the acquisition and demonstration of many adaptive skills and may socially stigmatize individuals, limiting the development and maintenance of peer relationships. The current study evaluated the effects of a differential reinforcement procedure used to establish discriminative stimulus control over the rate of motor stereotypy. In the second experimental phase, the child was taught a multistep self-management program using the differential reinforcement procedure. The data indicate that the procedure was effective in decreasing the rate of motor stereotypy across all evaluated settings for an increased duration. Although motor stereotypy was not completely eliminated by the procedure, a large reduction in rate was observed, as well as a large increase in the initiation of and response to social interactions. The findings are discussed in terms of social validity and the establishment and transfer of stimulus control.
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References
Ahearn, W. H., Clark, K. M., MacDonald, R. P. F., & Chung, B. I. (2007). Assessing and treating vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 40(2), 263–275. https://doi.org/10.1901/jaba.2007.30-06.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Behavior Analyst Certification Board. (2014). Professional and ethical compliance code for behavior analysts. Retrieved from https://www.bacb.com/wp-content/uploads/BACB-Compliance-Code-english_190318.pdf
Boyd, B. A., McDonough, S. G., & Bodfish, J. W. (2012). Evidence-based behavioral interventions for repetitive behaviors in autism. Journal of Autism and Developmental Disorders, 42(6), 1236–1248. https://doi.org/10.1007/s10803-011-1284-z.
Chowdhury, M., & Benson, B. A. (2011). Use of differential reinforcement to reduce behavior problems in adults with intellectual disabilities: A methodological review. Research in Developmental Disabilities, 32, 383–394. https://doi.org/10.1016/j.ridd.2010.11.015.
Cooper, J. C., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Upper Saddle River, NJ: Pearson Education.
Crutchfield, S. A., Mason, R. A., Chambers, A., Wills, H. P., & Mason, B. A. (2015). Use of a self-monitoring application to reduce stereotypic behaviors in adolescents with autism: A preliminary investigation of I-Connect. Journal of Autism and Developmental Disorders, 45, 1146–1155. https://doi.org/10.1007/s10803-014-2272-x.
DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29, 519–533. https://doi.org/10.1901/jaba.1996.29-519.
DiGennaro Reed, F. D., Hirst, J. M., & Hyman, S. R. (2012). Assessment and treatment of stereotypic behavior in children with autism and other developmental disabilities: A thirty year review. Research in Autism Spectrum Disorders, 6, 422–430. https://doi.org/10.1016/j.rasd.2011.07.003.
Dixon, M. R., & Tibbetts, P. A. (2009). The effects of choice on self-control. Journal of Applied Behavior Analysis, 42(2), 243–252. https://doi.org/10.1901/jaba.2009.42-243.
Fritz, J. N., Iwata, B. A., Rolider, N. U., Camp, E. M., & Neidert, P. L. (2012). Analysis of self-recording in self-management interventions for stereotypy. Journal of Applied Behavior Analysis, 45(1), 55–68. https://doi.org/10.1901/jaba.2012.45-55.
Haley, J. L., Heick, P. F., & Luiselli, J. K. (2010). Use of antecedent intervention to decrease vocal stereotypy of a student with autism in the general education classroom. Child & Family Behavior Therapy, 32(4), 311–321. https://doi.org/10.1080/07317107.2010.515527.
Hanley, G. P., Iwata, B. A., & McCord, B. E. (2003). Functional analysis of problem behavior: A review. Journal of Applied Behavior Analysis, 36(2), 147–185. https://doi.org/10.1901/jaba.2003.36-147.
Iwata, B. A., Kahng, S., Wallace, M. D., & Lindberg, J. S. (2000). The functional analysis model of behavioral assessment. In J. Austin & J. E. Carr (Eds.), Handbook of applied behavior analysis (pp. 61–89). Reno, NV: Context Press.
Koegel, R. L., & Koegel, L. K. (1990). Extended reductions in stereotypic behavior of students with autism through a self-management treatment package. Journal of Applied Behavior Analysis, 23(1), 119–127. https://doi.org/10.1901/jaba.1990.23-119.
Langone, S. R., Luiselli, J. K., & Hamill, J. (2013). Effects of response blocking and programmed stimulus control on motor stereotypy: A pilot study. Child & Family Behavior Therapy, 35(3), 249–255. https://doi.org/10.1080/07317107.2013.818906.
Lanovaz, M. J., & Argumedes, M. (2010). Immediate and subsequent effects of differential reinforcement of other behavior and noncontingent matched stimulation on stereotypy. Behavioral Interventions, 25, 229–238. https://doi.org/10.1002/bin.308.
Lanovaz, M. J., Robertson, K. M., Serono, K., & Watkins, N. (2013). Effects of reducing stereotypy on other behaviors: A systematic review. Research in Autism Spectrum Disorders, 7, 1234–1243. https://doi.org/10.1016/j.rasd.2013.07.009.
Loftin, R. L., Odom, S. L., & Lantz, J. F. (2008). Social interaction and repetitive motor behaviors. Journal of Autism and Developmental Disorders, 38, 1124–1135. https://doi.org/10.1007/s10803-007-0499-5.
Mulligan, S., Healy, O., Lyndon, S., Moran, L., & Foody, C. (2014). An analysis of treatment efficacy for stereotyped and repetitive behaviors in autism. Review Journal of Autism and Developmental Disorders, 1, 143–164. https://doi.org/10.1007/s40489-014-0015-8.
Nuernberger, J. E., Vargo, K. K., & Ringdahl, J. E. (2013). An application of differential reinforcement of other behavior and self-monitoring to address repetitive behavior. Journal of Developmental and Physical Disabilities, 25, 105–117. https://doi.org/10.1007/s10882-012-9309-x.
Pierce, K. L., & Schreibman, L. (1994). Teaching daily living skills to children with autism in unsupervised settings through pictorial self-management. Journal of Applied Behavior Analysis, 27(3), 471–481. https://doi.org/10.1901/jaba.1994.27-471.
Potter, J. N., Hanley, G. P., Augustine, M., Clay, C. J., & Phelps, M. C. (2013). Treating stereotypy in adolescents diagnosed with autism by refining the tactic of “using stereotypy as reinforcement.” Journal of Applied Behavior Analysis, 46(2), 407–423. https://doi.org/10.1002/jaba.52.
Rehfeldt, R. A., & Chambers, M. R. (2003). Functional analysis and treatment of verbal perseverations displayed by an adult with autism. Journal of Applied Behavior Analysis, 36(2), 259–261. https://doi.org/10.1901/jaba.2003.36-259.
Rincover, A., Cook, R., Peoples, A., & Packard, D. (1979). Sensory extinction and sensory reinforcement principles for programming multiple adaptive behavior change. Journal of Applied Behavior Analysis, 12(2), 221–233. https://doi.org/10.1901/jaba.1979.12-221.
Roane, H. S., Vollmer, T. R., Ringdahl, J. E., & Marcus, B. A. (1998). Evaluation of a brief stimulus preference assessment. Journal of Applied Behavior Analysis, 31(4), 605–620. https://doi.org/10.1901/jaba.1998.31-605.
Wilke, A. E., Tarbox, J., Dixon, D. R., Kenzer, A. L., Bishop, M. R., & Kakavand, H. (2012). Indirect functional assessment of stereotypy in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 6, 824–828. https://doi.org/10.1016/j.rasd.2011.11.003.
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Tereshko, L., Ross, R.K. & Frazee, L. The Effects of a Procedure to Decrease Motor Stereotypy on Social Interactions in a Child With Autism Spectrum Disorder. Behav Analysis Practice 14, 367–377 (2021). https://doi.org/10.1007/s40617-020-00516-w
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DOI: https://doi.org/10.1007/s40617-020-00516-w