Abstract
Skinner’s (1957) classification of mand responses has spawned decades of research related to teaching individuals with developmental disabilities. However, few studies have evaluated how to teach individuals with autism to progress from simple to more complex mands for desired items and activities. The present study used a treatment package consisting of errorless teaching, differential reinforcement, and systematic decision rules to increase the number of words per mand utterance used by 6 children with autism. Daily probes were conducted in the absence of prompting and differential reinforcement throughout every stage of the treatment. Results showed that all children showed significant developmental gains in the mean length of utterances. Increased rates of manding, increased emission of mand frames, and decreased instances of indicating responses (i.e., pointing, reaching) in the absence of mands were also observed. Implications regarding the feasibility of intensive mand training in practice are discussed.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Anderson, D. K., Lord, C., Risi, S., Dilavore, P. S., Shulman, C., Thurm, A., et al. (2007). Patterns of growth in verbal abilities among children with autism spectrum disorder. Journal of Consulting and Clinical Psychology, 75, 594–604. https://doi.org/10.1037/0022-006x.75.4.594.
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., et al. (2018). Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2014. MMWR Surveillance Summaries, 67(6), 1–23. https://doi.org/10.15585/mmwr.ss6706a1.
Barbera, M. L., & Kubina, R. M. (2005). Using transfer procedures to teach tacts to a child with autism. The Analysis of Verbal Behavior, 21, 155–161. https://doi.org/10.1007/bf03393017.
Barlow, K. E., Tiger, J. H., Slocum, S. K., & Miller, S. J. (2013). Comparing acquisition of exchange-based and signed mands with children with autism. The Analysis of Verbal Behavior, 29, 59–69. https://doi.org/10.1007/bf03393124.
Betz, A. M., Higbee, T. S., Kelley, K. N., Sellers, T. P., & Pollard, J. S. (2011). Increasing response variability of mand frames with script training and extinction. Journal of Applied Behavior Analysis, 44, 357–362. https://doi.org/10.1901/jaba.2011.44-357.
Betz, A. M., Higbee, T. S., & Pollard, J. S. (2010). Promoting generalization of mands for information used by young children with autism. Research in Autism Spectrum Disorders, 4, 501–508. https://doi.org/10.1016/j.rasd.2009.11.007.
Bourret, J., Vollmer, T. R., & Rapp, J. T. (2004). Evaluation of a vocal mand assessment and vocal mand training procedures. Journal of Applied Behavior Analysis, 37, 129–144. https://doi.org/10.1901/jaba.2004.37-129.
Brodhead, M. T., Higbee, T. S., Gerencser, K. R., & Akers, J. S. (2016). The use of a discrimination-training procedure to teach mand variability to children with autism. Journal of Applied Behavior Analysis, 49, 34–48. https://doi.org/10.1002/jaba.280.
Brown, R. (1973). A first language: The early stages. Cambridge, MA: Harvard University Press.
Carbone, V. J., Sweeney-Kerwin, E. J., Attanasio, V., & Kasper, T. (2010). Increasing the vocal responses of children with autism and developmental disabilities using manual sign mand training and prompt delay. Journal of Applied Behavior Analysis, 43, 705–709. https://doi.org/10.1901/jaba.2010.43-705.
Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126. https://doi.org/10.1901/jaba.1985.18-111.
Charlop-Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. Journal of Applied Behavior Analysis, 35(3), 213–231. https://doi.org/10.1901/jaba.2002.35-213.
Davis, B. J., Kahng, S., & Coryat, K. (2012). Manipulating motivating operations to facilitate the emergence of mands for a child with autism. The Analysis of Verbal Behavior, 28, 145–150. https://doi.org/10.1007/bf03393116.
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.
Drasgow, E., Martin, C. A., Chezan, L. C., Wolfe, K., & Halle, J. W. (2016). Mand training. Behavior Modification, 40, 347–376. https://doi.org/10.1177/0145445515613582.
Eigsti, I., de Marchena, A. B., Schuh, J. M., & Kelley, E. (2011). Language acquisition in autism spectrum disorders: A developmental review. Research in Autism Spectrum Disorders, 5, 681–691. https://doi.org/10.1016/j.rasd.2010.09.001.
Endicott, K., & Higbee, T. S. (2007). Contriving motivating operations to evoke mands for information in preschoolers with autism. Research in Autism Spectrum Disorders, 1, 210–217. https://doi.org/10.1016/j.rasd.2006.10.003.
Fenson, L. Marchman, V. A., Thal, D., Dale, P. S., Reznick, J.S., & Bates, E. (2006). MacArthur-Bates communicative development inventories: User’s guide and technical manual (2nd ed.). Brookes.
Finn, H. E., Miguel, C. F., & Ahearn, W. H. (2012). The emergence of untrained mands and tacts in children with autism. Journal of Applied Behavior Analysis, 45, 265–280. https://doi.org/10.1901/jaba.2012.45-265.
Fisher, W., Piazza, C. C., Bowman, L. G., Hagopian, L. P., Owens, J. C., & Slevin, I. (1992). A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. Journal of Applied Behavior Analysis, 25, 491–498. https://doi.org/10.1901/jaba.1992.25-491.
Fisher, W. W., Retzlaff, B. J., Akers, J. S., Desouza, A. A., Kaminski, A. J., & Machado, M. A. (2019). Establishing initial auditory-visual conditional discriminations and emergence of initial tacts in young children with autism spectrum disorder. Journal of Applied Behavior Analysis. Advance online publication. https://doi.org/10.1002/jaba.586.
Fragale, C. L., O’Reilly, M. F., Aguilar, J., Pierce, N., Lang, R., Sigafoos, J., & Lancioni, G. (2012). The influence of motivating operations on generalization probes of specific mands by children with autism. Journal of Applied Behavior Analysis, 45, 565–577. https://doi.org/10.1901/jaba.2012.45-565.
Frampton, S. E., Thompson, T. M., Bartlett, B. L., Hansen, B., & Shillingsburg, M. A. (2019). The use of matrix training to teach color-shape tacts to children with autism. Behavior Analysis in Practice, 12, 320–330. https://doi.org/10.1007/s40617-018-00288-4.
Hanley, G. P. (2017). Editor’s note. Journal of Applied Behavior Analysis, 50, 3–7. https://doi.org/10.1002/jaba.366.
Hart, B., & Risley, T. R. (1975). Incidental teaching of language in the preschool. Journal of Applied Behavior Analysis, 8, 411–420. https://doi.org/10.1901/jaba.1975.8-411.
Hartman, E. C., & Klatt, K. P. (2005). The effects of deprivation, presession exposure, and preferences on teaching manding to children with autism. The Analysis of Verbal Behavior, 21, 135–144.
Hernandez, E., Hanley, G. P., Ingvarsson, E. T., & Tiger, J. H. (2007). A preliminary evaluation of the emergence of novel mand forms. Journal of Applied Behavior Analysis, 40, 137–156. https://doi.org/10.1901/jaba.2007.96-05.
Kelley, E. (2011). Language in ASD. In D. A. Fein (Ed.), The neuropsychology of autism (pp. 123–137). New York, NY: Oxford University Press.
Kodak, T., & Clements, A. (2009). Acquisition of mands and tacts with concurrent echoic training. Journal of Applied Behavior Analysis, 42, 839–843. https://doi.org/10.1901/jaba.2009.42-839.
Leaf, J. B., Leaf, R., Alacalay, A., Leaf, J. A., Ravid, D., Dale, S., Kassardjian, A., Tsuji, K., Taubman, M., McEachin, J., & Oppenheim-Leaf, M. L. (2015). Utility of formal preference assessments for individuals diagnosed with autism spectrum disorder. Education and Training in Autism and Developmental Disabilities, 50, 119–212.
Leaf, J. B., Leaf, R., Leaf, J. A., Alcalay, A., Ravid, D., Dale, S., Kassardjian, A., Tsuji, K., Taubman, M., McEachin, J., & Oppenheim-Leaf, M. L. (2016). Comparing paired-stimulus preference assessments with in-the-moment reinforcer analysis on skill acquisition: A preliminary investigation. Focus on Autism and Other Developmental Disabilities, 33(1), 14–24. https://doi.org/10.1177/1088357616645329.
Lechago, S. A., Carr, J. E., Grow, L. L., Love, J. R., & Almason, S. M. (2010). Mands for information generalize across establishing operations. Journal of Applied Behavior Analysis, 43, 381–395. https://doi.org/10.1901/jaba.2010.43-381.
Lechago, S. A., Howell, A., Caccavale, M. N., & Peterson, C. W. (2013). Teaching “how?” mand-for-information frames to children with autism. Journal of Applied Behavior Analysis, 46, 781–791. https://doi.org/10.1002/jaba.71.
Lieving, G. A., Hagopian, L. P., Long, E. S., & O’Connor, J. (2004). Response-class hierarchies and resurgence of severe problem behavior. The Psychological Record, 54, 621–634. https://doi.org/10.1007/bf03395495.
Lord, C., Shulman, C., & DiLavore, P. (2004). Regression and word loss in autistic spectrum disorders. The Journal of Child Psychology and Psychiatry, 45, 936–955. https://doi.org/10.1111/j.1469-7610.2004.t01-1-00287.x.
Loughrey, T. O., Contreras, B. P., Majdalany, L. M., Rudy, N., Sinn, S., Teague, P., et al. (2014). Caregivers as interventionists and trainers: Teaching mands to children with developmental disabilities. The Analysis of Verbal Behavior, 30, 128–140. https://doi.org/10.1007/s40616-014-0005-z.
Michael, J. (1982). Distinguishing between discriminative and motivational functions of stimuli. Journal of the Experimental Analysis of Behavior, 37, 149–155. https://doi.org/10.1901/jeab.1982.37-149.
Michael, J. (1988). Establishing operations and the mand. The Analysis of Verbal Behavior, 6, 3–9.
Michael, J. (1993). Establishing operations. The Behavior Analyst, 16, 191–206.
Nigro-Bruzzi, D., & Sturmey, P. (2010). The effects of behavioral skills training on mand training by staff and unprompted vocal mands by children. Journal of Applied Behavior Analysis, 43, 757–761. https://doi.org/10.1901/jaba.2010.43-757.
Norrelgen, F., Fernell, E., Eriksson, M., Hedvall, Å., Persson, C., Sjölin, M., et al. (2014). Children with autism spectrum disorders who do not develop phrase speech in the preschool years. Autism, 19, 934–943. https://doi.org/10.1177/1362361314556782.
Paden, A. R., Kodak, T., Fisher, W. W., Gawley-Bullington, E. M., & Bouxsein, K. J. (2012). Teaching children with autism to engage in peer-directed mands using a picture exchange communication system. Journal of Applied Behavior Analysis, 45, 425–429. https://doi.org/10.1901/jaba.2012.45-425.
Parker, R. I., & Vannest, K. (2009). An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy, 40, 357–367. https://doi.org/10.1016/j.beth.2008.10.006.
Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview (Rev ed.). Los Angeles, CA: Western Psychological Services.
Sellers, T. P., Kelley, K., Higbee, T. S., & Wolfe, K. (2016). Effects of simultaneous script training on use of varied mand frames by preschoolers with autism. The Analysis of Verbal Behavior, 32, 15–26. https://doi.org/10.1007/s40616-015-0049-8.
Shillingsburg, M. A., Powell, N. M., & Bowen, C. N. (2013). Teaching children with autism spectrum disorders to mand for the removal of stimuli that prevent access to preferred items. The Analysis of Verbal Behavior, 29, 51–57. https://doi.org/10.1007/bf03393123.
Shillingsburg, M. A., & Valentino, A. L. (2011). Teaching a child with autism to mand for information using “how.” The Analysis of Verbal Behavior, 27, 179–184. https://doi.org/10.1007/bf03393100.
Single Case Research. (n.d.). NAP calculator. Retrieved from http://www.singlecaseresearch.org/calculators/nap.
Skinner, B. F. (1957). Verbal behavior. New York, NY: Appleton-Century-Crofts.
Sundberg, M. L., & Michael, J. (2001). The benefits of skinner’s analysis of verbal behavior for children with autism. Behavior Modification, 25, 698–724. https://doi.org/10.1177/0145445501255003.
Sundberg, M. L., Loeb, M., Hale, L., & Eigenheer, P. (2002). Contriving establishing operations to teach mands for information. The Analysis of Verbal Behavior, 18, 15–29. https://doi.org/10.1007/bf03392968.
Sweeney-Kerwin, E. J., Carbone, V. J., O’Brien, L., Zecchin, G., & Janecky, M. N. (2007). Transferring control of the mand to the motivating operation in children with autism. The Analysis of Verbal Behavior, 23, 89–102. https://doi.org/10.1007/bf03393049.
Thomas, B. R., Lafasakis, M., & Sturmey, P. (2010). The effects of prompting, fading, and differential reinforcement on vocal mands in non-verbal preschool children with autism spectrum disorders. Behavioral Interventions, 25, 157–168. https://doi.org/10.1002/bin.300.
Tincani, M. (2004). Comparing the picture exchange communication system and sign language training for children with autism. Focus on Autism and Other Developmental Disabilities, 19, 152–163. https://doi.org/10.1177/10883576040190030301.
Valentino, A. L., & Shillingsburg, M. A. (2011). Acquisition of mands, tacts, and intraverbals through sign exposure in an individual with autism. The Analysis of Verbal Behavior, 27, 95–101. https://doi.org/10.1007/bf03393094.
Volden, J., & Lord, C. (1991). Neologisms and idiosyncratic language in autistic speakers. Journal of Autism and Developmental Disorders, 21, 109–130. https://doi.org/10.1007/bf02284755.
Volkert, V. M., Lerman, D. C., Call, N. A., & Trosclair-Lasserre, N. (2009). An evaluation of resurgence during treatment with functional communication training. Journal of Applied Behavior Analysis, 42, 145–160. https://doi.org/10.1901/jaba.2009.42-145.
Watson, P. J., & Workman, E. A. (1981). The non-concurrent multiple baseline across-individuals design: An extension of the traditional multiple baseline design. Journal of Behavior Therapy and Experimental Psychiatry, 12, 257–259. https://doi.org/10.1016/0005-7916(81)90055-0.
Winborn, L., Wacker, D. P., Richman, D. M., Asmus, J., & Geier, D. (2002). Assessment of mand selection for functional communication training packages. Journal of Applied Behavior Analysis, 35, 295–298. https://doi.org/10.1901/jaba.2002.35-295.
Yosick, R. N., Muskat, L. R., Bowen, C. N., Delfs, C. H., & Shillingsburg, M. A. (2016). Increasing single-word requests to multiword requests in children with autism and related disabilities. Behavioral Interventions, 31, 28–43. https://doi.org/10.1002/bin.1434.
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Shillingsburg, M.A., Frampton, S.E., Schenk, Y.A. et al. Evaluation of a Treatment Package to Increase Mean Length of Utterances for Children with Autism. Behav Analysis Practice 13, 659–673 (2020). https://doi.org/10.1007/s40617-020-00417-y
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DOI: https://doi.org/10.1007/s40617-020-00417-y