Individuals with disabilities may exhibit dangerous behavior such as physical aggression and self-injury. Determining the environmental variables maintaining dangerous behavior using a functional behavior assessment can inform treatment in teaching individuals with disabilities functionally equivalent replacement behavior. However, logistic…

The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or…

The aim of the present article is to critically analyse the literature concerning the factors that lead to non-interventionism towards self-injurious behaviour (SIB) in the field of intellectual disability and to make recommendations for the development of practice. It emerges that the limited behaviour analytic skills of practitioners impede the…

Dialectical behavior therapy (DBT) was originally developed for chronically suicidal adults with borderline personality disorder (BPD) and emotion dysregulation. Randomized controlled trials (RCTs) indicate DBT is associated with improvements in problem behaviors, including suicide ideation and behavior, non-suicidal self-injury (NSSI), attrition,…

Nonsuicidal self-injury (NSSI) has many behavioral and cognitive features that would make it appear to be closely tied to obsessive-compulsive disorder (OCD). Obsessive-compulsive-related disorders (OCRDs) have been described in the literature as conditions that share a common phenomenology, neurobiology, and treatment response. The authors…

Treatment of nonsuicidal self-injury (NSSI) among adolescents within a school setting poses unique and specific challenges. Further, schools vary in resources available to students, and school psychologists differ in training regarding interventions for youth who self-injure. Currently there are no evidence-based approaches to the assessment and…

Background: Repeated self-harm in adolescents is common and associated with elevated psychopathology, risk of suicide, and demand for clinical services. Despite recent advances in the understanding and treatment of self-harm there have been few systematic reviews of the topic. Aims: The main aim of this article is to review randomised controlled…

One-hundred seventy-three studies that employed functional assessment were evaluated with respect to types of challenging behaviors studied and the functions identified that maintained those behaviors. For most studies, two to three behaviors were targeted. Of the 38 different challenging behaviors identified, self-injurious behavior (SIB) and…

This paper reviews behavioral and pharmacological approaches to the treatment of self-injurious behavior in autism. Both behavioral and pharmacological approaches offer a multitude of treatment options which we hope to elucidate. In providing this review, the goal is to provide an awareness of the treatment options available and to prompt further…

The literature review looks at self-injurious behaviors in handicapped students in terms of characteristics, prevalence, etiology (biological, psychological, and as learned behavior), and management including extinction, positive punishment, negative punishment, and reinforcement of other behaviors. Problems in areas of management, administration,…

Thirty-two studies, involving 47 discrete experiments, are reviewed on the application of overcorrection to management of self-injurious behavior in intellectually handicapped individuals. The literature supports short-term efficacy of overcorrection. Reservations include the intrusive and restrictive nature of the technique and limited data on…

This paper is set against the backdrop of an increasing number of strategies and policies developed by the Department for Education and Skills in the U.K. regarding the promotion of positive mental health in schools and the recognition of the value of improving mental health in relation to children's learning, achievement, attendance and…

The article explores the paradoxical relationship between normalization ideology and behavior analysis as reflected in techniques used in the treatment of self-injurious behavior (SIB) in mentally retarded individuals. Ideology should be evaluated carefully for its effects on science policy to prevent undesirable limits on research and treatment.…

This paper reviews evidence of the success of behavior intervention approaches which teach students with challenging behaviors alternative functional communication behaviors. Research supporting the view that challenging behavior is a form of nonverbal communication is reviewed, noting the importance of identifying what such individuals are…

In light of a current movement in England and Wales toward integrating severely retarded students with those having more moderate learning difficulties, results of a survey are reported whose purpose was to identify numbers and characteristics of severely retarded students who exhibit disruptive challenging behaviors, the type of provisions…