A measure, the Self-Injury Trauma Scale, is described for classifying and quantifying surface tissue damage. The scale permits differentiation of self-injurious behavior according to topography, location of the injury on the body, type of injury, number of injuries, and estimate of severity. High interrater reliability has been found. (Author/DB)

Three studies investigated environmental correlates of self-injurious behavior in seven developmentally disabled children and adolescents which were then later used for treatment. Correlates investigated included positive reinforcement, negative reinforcement, automatic reinforcement, and control. "Escape extinction" was successfully…

Assessment of self-injurious behavior (SIB) in three individuals with developmental disabilities revealed that the behavior was an escape response maintained by negative reinforcement. Treatment consisted of extinction plus instructional fading and resulted in immediate and large reductions in SIB behaviors. Maintenance occurred as instruction…

The sleep-wake cycles of 4 developmentally delayed individuals (ages 3-19) with severe sleep disturbances were regulated using a faded bedtime procedure with response cost. Following treatment, all four increased their amounts of nighttime sleep; two decreased their excessive daytime sleep; and three decreased their night wakings. (Author/JDD)

Data are summarized from 152 single-subject analyses of the reinforcing functions of self-injurious behavior (SIB) in individuals with developmental disabilities. Overall results indicated that functional analysis methodologies are extremely effective in identifying the environmental determinants of SIB on an individual basis and, subsequently, in…

Five adults with developmental disabilities were trained on six interactional skill areas using the "Sorry" game format. The study involved natural environment training, role playing, and modeling of correct responses only as an error correction procedure during training. All participants increased their use of trained behaviors during…

A structured coaching strategy was effectively used with three day-care teachers, resulting in (1) substantial increases in delivery of behavioral support of social interactions of children with developmental disabilities; and (2) marked increases in positive interactions of socially withdrawn children. Long-term maintenance effects were also…