The current study examined the rate of expulsions and mouth cleans across 3 presentation methods (upright spoon, flipped spoon, Nuk brush) for a 3-year-old girl with a feeding disorder. The participant expelled all bites presented on an upright spoon. Results showed reduced rates of expulsions and increased mouth cleans during the flipped spoon…

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…

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…

Positive reinforcement was used to effectively treat aggressive and noncompliant behavior of two visually impaired, multiply handicapped male students (an 18-year-old and an 11-year-old). In one case positive effects of treating aggressive behaviors generalized to a reduction in self injurious behaviors. (DB)

Therapeutic intervention to treat chronic food refusal in two children with multiple developmental disabilities consisted of elimination of feeding "demands" that provoked child agitation, incorporation of sensory stimulation as contingent reinforcement, and gradual introduction of the requirements for oral consumption. Consistent oral…

A single-subject multiple treatment design counterbalanced across nine participants with moderate to severe and multiple disabilities was used to determine the efficacy of a school-based multi-treatment package (a combined dysphagia treatment and positive reinforcement behavior management program) for children and youth (ages 4-17) with feeding…

A study of a woman with deaf-blindness and severe mental retardation examined the potential decrease of problem behaviors by using functional assessment-based interventions applied in multiple natural environments throughout the day. Results found that increasing the amount of attention the woman received from program staff immediately eliminated…

This case study reports use of ignoring, positive reinforcement, passive restraint, and time-out in treatment of a 10-year-old girl with profound retardation and disruptive behaviors in home and classroom. Time-out was the most effective intervention with all three target behaviors, with improved behaviors maintained for at least six months.…

Noting the high incidence of attention deficit hyperactivity disorder (ADHD) in programs for children with emotional disturbances or learning disabilities, this article reviews evidence that comorbid diagnoses affect outcomes differentially and that psychopharmacologic treatments may be superior to behavioral interventions, depending on this…

The response satiation model of instrumental performance was used in two experiments to establish contingencies which reduced the self-injurious behavior of two adults with profound mental retardation and multiple handicaps. Transfer and generalization of training effects were also observed. (Author/DB)

Thirteen children (ages 5-11) with autism and symptoms of attention-deficit hyperactivity disorder participated in a double-blind, placebo-controlled crossover study of methylphenidate. Eight subjects responded positively, decreasing their hyperactivity. Ratings of stereotypy and inappropriate speech also decreased, however, no changes were found…

This book is intended as a comprehensive source of information on the diagnosis and treatment of Asperger syndrome. Chapter 1 discusses major classification of characteristics and chapter 2 describes prevalence, comorbidity, and causal factors of Asperger syndrome. Chapter 3 examines clinical diagnosis and misdiagnosis and the influence of…