Considers three treatment approaches when working with children of rage: psychodynamic, behavioral, and peer-group models. Discusses approaches in sequence, following chronology of author's own experiences in psychodynamic, behavioral, and peer-group programs. Illustrates how each approach presents unique pitfalls in practice. (NB)

Two children with mental retardation were trained to emit different communication responses to request the reinforcer for destructive behavior and an alternative reinforcer. Differential reinforcement of communication reduced destructive behavior regardless of whether a functional reinforcer or an alternative reinforcer was available or whether…

The effectiveness of written instructions was compared with the effectiveness of direct instructions for training in the application of four behavior change processes with 12 undergraduates. Both instructional techniques were effective. Direct instruction was more consistently effective immediately, with both techniques producing similar effects…

This commentary discusses how existing technology and application of functional assessment can be expanded to improve the lives of more people with severe disabilities. It emphasizes how functional assessment can enhance life quality in typical settings in which people with severe disabilities and challenging behavior live, work, and play.…

This study compared the relative efficacy of providing simultaneous or delayed reinforcement on food acceptance during meals with a seven-year-old boy with pervasive developmental disorder and a history of food selectivity. Although both procedures were effective, the simultaneous reinforcement procedure produced more rapid behavior change and a…

This commentary discusses the limitations of traditional research and the benefits of participatory action research (PAR) that changes the stance of the researcher from dispassionate observer to that of friend, ally, and colleague of the "subject". The use of PAR in helping researchers, parents, and advocates work together in promoting…

Discusses intervention and treatment options being used with the population of children and youth who have autism spectrum disorders. The discussion includes interventions based on relationship formation (including holding therapy, gentle teaching, options, and floor time), skill-based treatments, physiologically oriented intervention, and…

Background: There have been several reports of successful psychosocial interventions for children with selective mutism (SM), a disorder in which a child consistently fails to speak in one or more social settings (e.g., school) despite speaking normally in other settings (e.g., home). The present literature review was undertaken in order to…

In no area of developmental pediatric practice is there more controversy regarding the choice of treatment than related to children with autistic spectrum disorders (ASD). Complementary and alternative medical therapies (CAM) are often elected because they are perceived as treating the cause of symptoms rather than the symptoms themselves. CAM…

Autism is a developmental disorder affecting the lives of thousands of children. According to the Centers for Disease Control and Prevention (CDC), approximately 34 in 10,000 children ages 3 to 10 years of age have autism (CDC, 2004). The Autism Society of America (ASA) reports that 1 in 166 babies born today will develop autism spectrum disorder…

Over 35 years of behavioral research have shown contingency management systems in the classroom are highly effective for treating children with behavior problems. Questions remain if such systems can be enhanced by the functional assessment process. This case study looks at a nine-year-old child with oppositional behavior who was on a contingency…

Background: Concerns about the pharmacological management of the behaviour of individuals with intellectual disability have resulted in the development of legislative and procedural controls. Method: This Australian study provided a comparison of 873 reported cases where drugs were administered to manage behaviour in March 2000, with 762 cases…

Treatment and management of chronic disease processes on children occurs across multiple settings, placing demands for consultation and expertise on school personnel, including school psychologists. One such chronic condition in children is type I diabetes. Children with type I insulin dependent diabetes mellitus exhibit high rates of…

Objective: To evaluate the efficacy of individual trauma-focused cognitive-behavioral therapy (CBT) for treating posttraumatic stress disorder (PTSD) in children and young people. Method: Following a 4-week symptom-monitoring baseline period, 24 children and young people (8-18 years old) who met full "DSM-IV" PTSD diagnostic criteria after…

Objective: Thin body preoccupation and social pressure to be thin (TBPSP) in adolescence are risk factors for the development of full and partial bulimia nervosa and binge eating disorder. This study examined precursors of these potent risk factors. Method: A prospective study followed 134 children from birth to 11.0 years and their parents.…