Journal of Autism and Developmental Disorders

, Volume 26, Issue 5, pp 527–546 | Cite as

Using obsessions as reinforcers with and without mild reductive procedures to decrease inappropriate behaviors of children with autism

  • Marjorie H. Charlop-Christy
  • Linda K. Haymes


We assessed the effectiveness of using the obsessions of children with autism to reduce their inappropriate behaviors. Baseline consisted of a traditional differential reinforcement of other behaviors (DRO) in which food reinforcers were provided contingent upon a period of nonoccurrence of the inappropriate behaviors. Then, three treatment conditions were assessed using a multielement design. One condition provided objects of obsession as reinforcers for periods of nonoccurrence of the inappropriate behaviors. A second condition also provided the obsessions as reinforcers, but in conjunction with mild reductive procedures (verbal “no”, time-out). A final condition used the food reinforcers of baseline, but with mild reductive procedures. Results indicated that all three treatment conditions were more effective than the traditional food DRO of baseline. The most effective condition was the obsessions plus mild reductive procedures. Results are discussed in terms of recommendations for effective treatment planning.


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  1. American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
  2. American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  3. Azrin, N. H., Gottlieb, L., Hughart, L., Wesolowski, M. D., & Rahn, T. (1975). Eliminating self-injurious behavior by educative procedures.Behaviour Research and Therapy, 13, 101–111.PubMedGoogle Scholar
  4. Azrin, N. H., Hake, D. F., Holz, W. C., & Hutchinson, R. R. (1965). Motivational aspects of escape from punishment.Journal of the Experimental Analysis of Behavior, 8, 31–44.Google Scholar
  5. Bucher, B., & Lovaas, O. I. (1968). Use of aversive stimulation in behavior modification. In M. R. Jones (Ed.),Miami symposium on the prediction of behavior, 1967: Aversive stimulation (pp. 77–140). Coral Gables, FL: University of Miami Press.Google Scholar
  6. Charlop, M. H., Burgio, L. D., Iwata, B. A., & Ivancic, M. T. (1988). Stimulus variation as a means of enhancing punishment effects.Journal of Applied Behavior Analysis, 21, 89–95.PubMedGoogle Scholar
  7. Charlop, M. H., Kurtz, P. F., & Casey, F. (1990). Using aberrant behaviors as reinforcers for autistic children.Journal of Applied Behavior Analysis, 23, 163–181.PubMedGoogle Scholar
  8. Dorsey, M. F., Iwata, B. A., Ong, P., & McSween, T. E. (1980). Treatment of self-injurious behavior using a water mist: Initial response suppression and generalization.Journal of Applied Behavior Analysis, 13, 343–353.PubMedGoogle Scholar
  9. Epstein, L. J., Taubman, M. T., & Lovaas, O. I. (1985). Changes in self-stimulatory behaviors with treatment.Journal of Abnormal Child Psychology, 13, 281–294.PubMedGoogle Scholar
  10. Foxx, R. M., & Azrin, N. H. (1973). The elimination of autistic self-stimulatory behavior by overcorrection.Journal of Applied Behavior Analysis, 6, 1–14.Google Scholar
  11. Handen, B. J., Apolito, P. M., & Seltzer, G. B. (1984). Use of differential reinforcement of low rate behaviors to decrease repetitive speech in autistic adolescent.Journal of Behavior Therapy and Experimental Psychiatry, 15, 359–364.PubMedGoogle Scholar
  12. Hunt, H. F., & Brady, J. V. (1955). Some effects of punishment and intercurrent “anxiety” on a simple operant.Journal of Comparative and Physiological Psychology, 48, 305–310.PubMedGoogle Scholar
  13. Kelly, J. F., & Hake, D. F. (1970). An extinction-induced increase in an aggressive response with humans.Journal of The Experimental Analysis of Behavior, 14, 153–164.PubMedGoogle Scholar
  14. Koegel, R. L., Firestone, P. B., Kramme, K. W., & Dunlap, G. (1974). Increasing spontaneous play by suppressing self-stimulation in autistic children.Journal of Applied Behavior Analysis, 7, 521–528.PubMedGoogle Scholar
  15. Lovaas, I., Newsom, C., & Hickman, D. (1987). Self-stimulatory behavior and perceptual reinforcement.Journal of Applied Behavior Analysis, 20, 45–58.PubMedGoogle Scholar
  16. Lovaas, O. I., & Simmons, J. Q. (1969). Manipulation of self-destruction in three retarded children.Journal of Applied Behavior Analysis, 2, 143–157.Google Scholar
  17. Luiselli, J. K., & Slocomb, P. R. (1983). Management of multiple aggressive behaviors by differential reinforcement.Journal of Behavior Therapy and Experimental Psychiatry, 14, 343–347.PubMedGoogle Scholar
  18. Mace, F. C., Page, T. J., Ivancic, M. T., & O'Brien, S. (1986). Effectiveness of brief time-out with and without contingent delay: A comparative analysis.Journal of Applied Behavior Analysis, 19, 79–86.PubMedGoogle Scholar
  19. Matson, J. L., & Taras, M. E. (1989). A 20 year review of punishment and alternative methods to treat problem behaviors in developmentally delayed persons.Research in Developmental Disabilities, 10, 85–104.PubMedGoogle Scholar
  20. Mischel, W., & Grusec, J. E. (1966). Determinant of the rehearsal and transmission of neutral and aversive behaviors.Journal of Personality and Social Psychology, 3, 197–205.PubMedGoogle Scholar
  21. Morris, E. K., & Redd, W. H. (1975). Children's performance and social preference for positive, negative and mixed adult-child interactions.Child Development, 46, 525–531.Google Scholar
  22. O'Brien, S., & Repp, A. C. (1990). Reinforcement-based reductive procedures: A review of 20 years of their use with persons with severe or profound retardation.Journal of the Association for Persons with Severe Handicaps, 15, 148–159.Google Scholar
  23. Premack, D. (1959). Toward empirical behavior laws: Positive reinforcement.Psychological Review, 66, 219–233.PubMedGoogle Scholar
  24. Smith, M. D. (1987). Treatment of pica in an adult disabled by autism by differential reinforcement of incompatible behavior.Journal of Behavior Therapy and Experimental Psychiatry, 18, 285–288.PubMedGoogle Scholar
  25. Tanner, B. A., & Zeiler, M. (1975). Punishment of self-injurious behavior using aromatic ammonia as the aversive stimulus.Journal of Applied Behavior Analysis, 8, 53–57.PubMedGoogle Scholar
  26. Woolery, M., Kirk, K., & Gast, D. L. (1985). Stereotypic behavior as a reinforcer: Effects and side effects.Journal of Autism and Developmental Disorders, 15, 149–161.PubMedGoogle Scholar
  27. Young, I. A., & Wincze, J. B. (1974). The effects of the reinforcement of incompatible behavior on the self-injurious and related behavior of a profoundly retarded female adult.Behavior Therapy, 5, 614–623.Google Scholar

Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Marjorie H. Charlop-Christy
    • 2
  • Linda K. Haymes
    • 1
  1. 1.Claremont Graduate SchoolUSA
  2. 2.Department of PsychologyClaremont McKenna CollegeClaremont

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