Skip to main content

5. Summary

Repetitive behavior disorders in persons with developmental disabilities are likely produced and maintained by a complex interaction of biologic and operant variables. We have described some of these variables and suggested that even if behavior is related to biologic variables, operant mechanisms may still be maintaining the behavior. Based on this supposition, we suggest that behavioral treatment be considered. A difficulty with behavioral treatment for behavior maintained by automatic reinforcement is that we are often unable to match treatment to the specific variables that maintain repetitive behavior. A combination of functional analysis and assessments of stimulus preferences or antecedent events may be a good approach for clarifying both the operant mechanisms underlying behavior and the behavioral treatment components that may be effective in reducing the behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

6. References

  • Baumeister, A. A. (1978). Origins and control of stereotyped movements. In C. E. Meyers (Ed.), Quality of life in severely and profoundly mentally retarded people: Research foundations for improvement (pp. 353–384). Washington, DC: American Association on Mental Deficiency.

    Google Scholar 

  • Baumeister, A. A., & Forehand, R. L. (1973). Stereotyped acts. In N. R. Ellis (Ed.), International review of research in mental retardation. New York: Academic Press.

    Google Scholar 

  • Berkson, G., & Davenport, R. K. (1962). Stereotyped movements in metal defectives I: Initial survey. American Journal of Mental Deficiency, 66, 849–852.

    PubMed  Google Scholar 

  • Cataldo, M. F., & Harris, J. (1982). The biological basis for self-injury in the mentally retarded. Analysis and Intervention in Developmental Disabilities, 2, 21–39.

    Article  Google Scholar 

  • Charlop, M. H. (1983). The effects of echolalia on acquisition and generalization of receptive labeling in autistic children. Journal of Applied Behavior Analysis, 16, 111–126.

    Article  PubMed  Google Scholar 

  • de Lissovoy, V. (1963). Head banging in early childhood: A suggested cause. Journal of Genetic Psychology, 102, 109–114.

    Google Scholar 

  • Denckla M. (2000). Overview: Specific behavioral/cognitive phenotypes of genetic disorders. Mental Retardation and Developmental Disabilities Research Reviews, 6, 81–83

    Article  PubMed  Google Scholar 

  • DiMitropoulos, A., Feurer, I., Roof, E., Stone, W., Butler, M., Sutcliffe, J., & Thompson, T. (2000). Appetitive behavior, compulsivity, and neurochemistry in Prader-Willi Synbdrome. Mental Retardation and Developmental Disabilities Research Reviews, 6, 125–130.

    Article  PubMed  Google Scholar 

  • Durand, V. M., & Carr, E. G. (1987). Social influences on “self-stimulatory” behavior: Analysis and treatment application. Journal of Applied Behavior Analysis, 20, 119–132.

    Article  PubMed  Google Scholar 

  • Ellingson, S. A., Miltenberger, R. G., Strieker, J. M., Garlinghouse, M. A., Roberts, J., Galensky, T. L., & Rapp, J. T. (2000). Analysis and treatment of finger sucking. Journal of Applied Behavior Analysis, 33, 41–52.

    Article  PubMed  Google Scholar 

  • Favell, J. E., McGimsey, J. F., & Schell, R. M. (1982). Treatment of self-injury by providing alternate sensory activities. Analysis and Intervention in Developmental Disabilities, 2, 83–104.

    Article  Google Scholar 

  • Friman, P. C., & Hove, G. (1987). Apparent covariation between child habit disorders: Effects of successful treatment for thumb sucking on untargeted chronic hair pulling. Journal of Applied Behavior Analysis, 20, 421–425.

    Article  PubMed  Google Scholar 

  • Goh, H. L., Iwata, B. A., & Kahng, S. W. (1999). Mulitcomponent assessment and treatment of cigarette pica. Journal of Applied Behavior Analysis, 32, 297–316.

    Article  PubMed  Google Scholar 

  • Goh, H. L., Iwata, B. A., Shore, B. A, DeLeon, I. G., & Kahng, S. W. (1995). An analysis of the reinforcing properties of hand mouthing. Journal of Applied Behavior Analysis, 28, 269–283.

    Article  PubMed  Google Scholar 

  • Harding, J. W., Wacker, D. P., Berg, W. K., Cooper, L. J., Asmus, J., Mlela, K., & Muller, J. (1999). An analysis of choice making in the assessment of young childern with severe behavior problems. Journal of Applied Behavior Analysis, 32, 63–82.

    Article  PubMed  Google Scholar 

  • Harding, J. W., Wacker, D. P., Berg, W. (2000). An evaluation of antecedent influences on a functional analysis of self-injury. In M. Cameron (Chair), Antecedent control: Innovative assessment and treatment strategies in the applied setting. Symposium presented at the annual conference of the Association for Behavior Analysis, Washington, DC.

    Google Scholar 

  • Hutt, C., & Hutt, S. (1965). Effects of environmental complexity on stereotyped behavior of children. Animal Behavior, 13, 1–4.

    Article  Google Scholar 

  • Iwata, B., Dorsey, M., Slifer, K., Bauman, K., & Richman, G. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209. (Reprinted from Analysis and Intervention in Developmental Disabilities, 2, 3–20, 1982).

    Article  PubMed  Google Scholar 

  • Iwata, B. A., Pace, G. M., Cowdery, G. E., & Miltenberger, R. G. (1994). What makes extinction work: An analysis of procedural form and function. Journal of Applied Behavior Analysis, 27, 131–144.

    Article  PubMed  Google Scholar 

  • Iwata, B. A., Pace, G. M., Dorsey, M. F., Zarcone, J. R., Vollmer, T. R., Smith, R. G., Rodgers, T. A., Lerman, D. C., Shore, B. A., Mazaleski, J. L., Goh, H., Cowdery, G. E., Kalsher, M. J., McCosh, K. C., & Willis, K. D. (1994). The functions of self-injurious behavior: An experimental-epidemiological analysis. Journal of Applied Behavior Analysis, 27, 215–240.

    Article  PubMed  Google Scholar 

  • Kennedy, C. H., & Meyer, K. A. (1996). Sleep deprivation, allergy symptoms, and negatively reinforced problem behavior. Journal of Applied Behavior Analysis, 29, 133–135.

    Article  PubMed  Google Scholar 

  • Klaber, M. M., & Butterfield, E. C. (1968). Stereotyped rocking-a measure of institution and ward effectiveness. American Journal of Mental Deficiency, 73, 13–20.

    PubMed  Google Scholar 

  • Kuhn, D. E., DeLeon, I.G., Fisher, W.W. & Wilke, A. E. (1999). Clarifying an ambiguous functional analysis with matched and mismatched extinction procedures. Journal of Applied Behavior Analysis, 32, 99–102.

    Article  PubMed  Google Scholar 

  • Lindberg, J. S., Iwata, B. A., Kahng, S. W. (1999). On the relation between object manipulation and stereotypic self-injurious behavior. Journal of Applied Behavior Analysis, 32, 51–62.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I., Newsom, C. D., & Hickman, C. (1987). Self-stimulatory behavior and perceptual reinforcement. Journal of Applied Behavior Analysis, 20, 45–68.

    Article  PubMed  Google Scholar 

  • Mace, F. C., & Belfiore, P. (1990). Behavioral momentum in the treatment of escape-motivated stereotypy. Journal of Applied Behavior Analysis, 23, 507–514.

    Article  PubMed  Google Scholar 

  • Mace, F. C., & Knight, D. (1986). Functional analysis and treatment of severe pica. Journal of Applied Behavior Analysis, 19, 411–416.

    Article  PubMed  Google Scholar 

  • Michael, J. (1982). Distinguishing between discriminative and motivational functions of stimuli. Journal of the Experimental Analysis of Behavior, 37, 149–155.

    Article  PubMed  Google Scholar 

  • O’Reilly, M. F. (1995). Functional analysis and treatment of escape-maintained aggression correlated with sleep deprivation. Journal of Applied Behavior Analysis, 28, 225–226.

    Article  PubMed  Google Scholar 

  • O’Reilly, M. F. (1997). Functional analysis of episodic self-injury correlated with recurrent otitis media. Journal of Applied Behavior Analysis, 30, 165–167.

    Article  PubMed  Google Scholar 

  • Piazza, C. C., Adelinis, J. D.; Hanley, G. P.; Goh, H. L., Delia, M. D. (2000). An evaluation of the effects of matched stimuli on behaviors maintained by automatic reinforcement. Journal of Applied Behavior Analysis, 33, 13–27.

    Article  PubMed  Google Scholar 

  • Rapp, J. T., Miltenberger, R. G., Long, E. S., Elliott, A. J., & Lumley, V. A. (1998). Simplified habit reversal treatment for chronic hair pulling in three adolescents: A clinical replication with direct observation. Journal of Applied Behavior Analysis, 31, 299–302.

    Article  PubMed  Google Scholar 

  • Rapp, J. T., Miltenberger, R. G., Galensky, T. L., Ellingson, S. A., & Long, E. S. (1999). A functional analysis of hair pulling. Journal of Applied Behavior Analysis, 32, 329–337.

    Article  PubMed  Google Scholar 

  • Rincover, A. (1978). Sensory extinction: A procedure for eliminating self-stimulatory behavior in developmentally disabled children. Journal of Abnormal Child Psychology, 6, 299–310.

    Article  PubMed  Google Scholar 

  • Ringdahl, J. E., Vollmer, T. R., Marcus, B. A., & Roane, H. S. (1997). An analogue evlautation of environmental enrichment: The role of stimulus preference. Journal of Applied Behavior Analysis, 30, 203–216.

    Article  Google Scholar 

  • Sandman, C. A.,. Barron, J. L., & Colman, H. (1990). An orally administered opiate blocker, Naltrexone, attenuates self-injurious behavior. American Journal on Mental Retardation, 95, 84–92.

    PubMed  Google Scholar 

  • Shore, B. A., Iwata, B. A., DeLeon, I. G., & Kahng, S. W. (1997). An analysis of reinforcer substitutability using object manipulation and self-injury as competing responses. Journal of Applied Behavior Analysis, 30, 21–41.

    Article  PubMed  Google Scholar 

  • Smith, R. G., Iwata, B. A., Vollmer, T. R., & Zarcone, J. R. (1993). Experimental analysis and treatment of multiply controlled self-injury. Journal of Applied Behavior Analysis, 26, 183–196.

    Article  PubMed  Google Scholar 

  • Spitz, R. A., & Wolf, K. M. (1949). Autoerocticism. Psychoanalytic studies of the child, 3, 85–120.

    Google Scholar 

  • Steege, M. W., Wacker, D. P., Berg, W. K., Cigrand, K. K., & Cooper, L. J. (1989). The use of behavioral assessment to prescribe and evaluate treatments for severely handicapped children. Journal of Applied Behavior Analysis, 22, 23–33.

    Article  PubMed  Google Scholar 

  • Stone, A. A. (1964). Consciousness: Altered levels in blind retarded children. Psychomatic Medicine, 26, 14–19.

    Google Scholar 

  • Thompson, T., Hackenberg, T., Cerutti, D., Baker, D., & Axtell, S. (1994). Opiod antagonist effects on self-injury in adults with mental retardation: Response form and location as determinants of medication effects. American Journal on Mental Retardation, 99, 85–102.

    PubMed  Google Scholar 

  • Vollmer, T. R. (1994). The concept of automatic reinforcement: Implications for behavioral research in developmental disabilities. Research in Developmental Disabilities, 15, 187–207.

    Article  PubMed  Google Scholar 

  • Vollmer, T. R., Marcus, B. A., LeBlanc, L. (1994). Treatment of self-injury and hand mouthing following inconclusive functional analyses. Journal of Applied Behavior Analysis, 27, 331–344.

    Article  PubMed  Google Scholar 

  • Vollmer, T. R., Iwata, B. A. (1991). Establishing operations and reinforcement effects. Journal of Applied Behavior Analysis, 24, 279–291.

    Article  PubMed  Google Scholar 

  • Wacker, D. P., Berg, W. K., & Harding, J. W. (1996). Promoting stimulus generalization with young children. Department of Health and Human Services, National Institute of Child Health and Human Development.

    Google Scholar 

  • Wacker, D. P., Berg, W. K., Harding, J. W., Derby, K. M., Asmus, J., & Healy, A. (1998). Evaluation and long-term treatment of aberrant behavior displayed by young children with disabilities. Journal of Developmental and Behavioral Pediatrics, 19, 26–32.

    Google Scholar 

  • Wacker, D. P., Harding, J., Cooper, L. J., Derby, K. M, Peck, S., Asmus, J., Berg, W. K., Brown, K. A. (1996). The effects of meal schedule and quantity on problematic behavior. Journal of Applied Behavior Analysis, 29, 79–87.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Ringdahl, J.E., Wacker, D.P., Berg, W.K., Harding, J.W. (2001). Repetitive Behavior Disorders in Persons with Developmental Disabilities. In: Woods, D.W., Miltenberger, R.G. (eds) Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-45944-8_14

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-45944-8_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-32566-8

  • Online ISBN: 978-0-387-45944-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics