Abstract
In the context of problem behavior, treatment integrity refers to the extent to which a behavioral intervention is implemented as intended. Treatment-integrity errors may lead to relapse of problem behavior. For example, omitting reinforcers can lead to increases in problem behavior called resurgence. Researchers have previously described the clinical implications of omitted reinforcers and resurgence, including a variety of methods for mitigating resurgence. However, omission errors are not the only type of treatment-integrity errors. Delivery of unplanned reinforcers (a commission error) can lead to recurrence of problem behavior through reinstatement. Unlike omitted reinforcers and resurgence, the research base on commission errors and reinstatement of problem behavior is limited. In this article, we describe a few considerations relevant to reinstatement as it applies to commission errors and clinical practice.
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Data Availability
Any data or information beyond that described herein are available from the corresponding author upon reasonable request.
Notes
Note that, for ease of interpretation, we use simply “reinstatement” to broadly refer to response-dependent reinstatement within the context of commission errors.
References
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The authors thank Chris Podlesnik, Dan Mitteer, and Harriet de Wit for their correspondence during the preparation of this article.
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Kranak, M.P., Falligant, J.M. Treatment Integrity, Commission Errors, and Reinstatement: A Primer. Educ. Treat. Child. 46, 249–262 (2023). https://doi.org/10.1007/s43494-023-00104-x
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DOI: https://doi.org/10.1007/s43494-023-00104-x