Analysis of the effects of a short break contingent on completed work with a 10-year-old boy with autism and profound mental retardation found the 20-second break increased responding more than a positive reinforcer did, and the reinforcing effects of a 20-second break were affected by the availability of positive reinforcers during the break. (DB)

Children with laryngeal pathologies or alterations in laryngeal structure and/or function often present with complex medical profiles. This article presents case studies for the speech-language pathologist that provide information regarding management decisions and specific treatment options. (Author/DB)

Vignettes illustrate the effectiveness of a project providing computer-assisted instruction to three multiply-handicapped deaf high school students. Individual and group activities resulted in increased language skills, more positive attitudes, greater self-esteem and motivation, and improved peer interactions. Software programs are briefly…

Inappropriate mealtime behaviors of a blind, mentally retarded, behaviorally disordered 10-year-old were modified via behavior therapy techniques, including audiotape of favorite stories turned off during inappropriate behavior and praise (plus access to food) for appropriate napkin and utensil use, once desired sitting posture had been…

The application of A. Bandura's modeling techniques in rehabilitation therapy with a 38-year-old legally blind retarded male in a residential facility for the mentally retarded resulted in improved attitudes and behaviors (Author/MC)

A case study of a man with intellectual disability who died of polydipsia (excessive thirst and fluid consumption) is recounted. The article describes ways to identify polydipsia in individuals with intellectual disabilities, including detecting weight gain in the afternoon. Studies addressing polydipsia's coexistence with mental disorders are…

The study found significant improvements in behavior when a profoundly mentally retarded blind subject was reinforced with music. The young woman also discriminated among different types of music, and behavior rates varied accordingly. (Author/DB)

Two case examples illustrate how single-case designs (alternating treatments, multiple baseline, and reversal) can be used to evaluate manipulable influences on school performance. In each case, the success of an intervention plan is evaluated within the single-case design. (SLD)

The rate of self-injurious head hitting in an eight-year old with severe/profound mental retardation was reduced using contingent electric shock delivered via the Self Injurious Behavior Inhibiting System. An improved affective state and increased interaction with the environment were documented. Treatment gains were maintained at one-year…

This study examined the relationship between the level of self-stimulation and the rate of correct task-related responses in 2 multiply disabled (severely retarded, deaf and visually impaired) individuals (ages 16 and 12). Findings suggested that self-stimulation does not always need to be suppressed to promote adaptive responding. (DB)

This paper begins with an overview of lower-achieving and multiply disabled deaf people; provides a case study that highlights assessment, educational, and community adjustment issues for one lower-achieving deaf individual with multiple disabling conditions; and concludes by highlighting areas for further research and development. (JDD)

Although clozapine is a drug specifically approved for people with schizophrenia, it has not been systematically evaluated with dually diagnosed individuals having mental retardation. This article reviews the drug's use in the general population, discusses potential difficulties in prescribing it for individuals with mental retardation, and…

Psychological, neuroanatomical, and neurochemical parallels are drawn between autistic disorder (AD) and obsessive-compulsive disorder (OCD) based on a case report of fluvoxamine treatment.The implications of this case of coincident AD and OCD are discussed with respect to nosology, pathophysiology, and treatment. (Author/JDD)

Clozapine, a neuroleptic drug, was used to complete a 93-week double-blind crossover trial with a 40-year-old male having profound mental retardation and sensory impairments and displaying self-injurious behavior (SIB) patterns. Findings suggest that clozapine could be an effective pharmacological intervention for some cases of SIB. (DB)