Individuals with intellectual and developmental disabilities have increased risk for developing challenging behavior. One particularly dangerous topography of challenging behavior is rapid eating. Rapid eating can lead to increased risk for choking and obesity as well as negatively impact social interactions during mealtimes (Anglesea et al.,…

Many individuals with Autism and other developmental disabilities are identified and receive special education services to address deficits in cognitive and adaptive functioning. These deficits impact the student's ability to engage in daily living tasks independently. However, there are limited generalizable programs available to address these…

This study examined the effects of presession exposure to attention, response blocking, attention with response blocking, and noninteraction conditions on subsequent engagement in automatically maintained challenging behavior and correct responding in four individuals with significant intellectual disabilities. Following a functional analysis, the…

We evaluated an upgraded version of a microswitch-cluster program used for promoting adaptive foot and head responses and reducing finger mouthing with a boy with multiple disabilities. The boy had been exposed to an early version of the program, which ensured that positive stimulation followed only adaptive responses occurring free from finger…

Chronic tic disorders, including Tourette's syndrome (TS), affect approximately .5% of children and adolescents. Although strong evidence exists supporting a neurobiological etiology, operant factors may play a role in the maintenance of tic behaviors. Pharmacological approaches remain the most commonly used intervention for chronic tic disorder…

The recalcitrant spitting of a blind, deaf, and retarded adolescent was eliminated with a behavioral intervention consisting of positive reinforcement for not spitting and facial screening for spitting. The social and academic implications of modifying such behaviors are discussed. (Author/CMG)

In Study 1 the aggressive behavior of a deaf/blind adolescent was eliminated through a differential reinforcement of other behavior (DRO) procedure combined with a reinforcer cueing technique and brief time-out. In Study 2 DRO reduced stereotypic eye-pressing by a young blind hearing-impaired child. (Author/CL)

Two experiments investigated the effects of a behavioral intervention on the self-injurious behaviors of two profoundly retarded and/or multiply handicapped girls (ages 15 and 16). Treatments resulted in near zero levels of self-injury in both cases. (Author/PHR)

Institutional staff used behavior modification and reality therapy to bring about positive behavioral changes in 20 severely retarded, emotionally disturbed adolescents as measured on two adaptive behavior scales. (Author)

A forward graduated guidance procedure was used to increase the independent dressing skills of two profoundly multihandicapped adolescents living in a noninstitutional environment. One subject reached criterion and treatment gains generalized to other settings. The other subject failed to reach criterion but required fewer prompts after training.…

The pilot study focused on the effective design of adaptive biofeedback equipment for use in the control of self-mutilating behaviors in individuals with Lesch-Nyhan syndrome, typically characterized by apasticity, mental retardation, and violent biting of the lips and fingers. Utilizing an electromyographic (EMG) monitor and a custom-designed…

A urine alarm, typically used to treat nocturnal enuresis, was effectively used to treat diurnal enuresis in a 15-year-old female with depression, attention deficit hyperactivity disorder, and conduct disorder. The study indicated that the alarm eliminated wetting in both treatment phases and that continence was maintained at three-month and…

This article reports on the outcomes of a study that used functional communication training (FCT) with two students, (ages 6 and 15) with autism and severe mental retardation, to add information to a database assessing the potential generalized effects of FCT and to examine the role that contingencies for appropriate and problem behaviors play in…

An adolescent with severe mental retardation and cerebral palsy who displayed attention-maintained destructive behavior was exposed to noncontingent reinforcer delivery (NCR) with a high-preference or a low-preference stimulus while reinforcement for destructive behavior with attention remained in effect. NCR without extinction was effective only…

This book is designed to help clinicians assess and treat children or adolescents with attention deficit/hyperactivity disorder who also present other disabilities. Major comorbidities are described in depth and empirically grounded guidelines are presented for evaluation and treatment. Part 1 provides an overview of issues in comorbidity,…