Two responses are presented to a paper on treatment of self-injurious behavior by J. Mulick and J. Kedesdy. The responses discuss whether conflicts exist between normalizing care practices and behavior analytic methods, and describe social role valorization as a theoretical system with extensive empirical support, grounded in social and behavioral…

The study investigated the effectiveness of an instructional program designed to promote independent walking in a mentally and physically handicapped (cerebral palsied) preschooler involving a collaborative effort between a behavior therapist and a physical therapist in an interdisciplinary setting, a public school. (Author/DB)

Five dental residents provided with patient behavioral management training showed improved performance of specific dentist-patient behaviors than those not given the training. The training is seen as successful because it was highly focused, behavior-specific, individualized, and carefully monitored. (MSE)

Fourteen students, aged 7-24, with severe developmental disabilities who exhibited frequent aggression, self-injury, and/or tantrums were assessed to engage in problem behavior maintained by social attention or by escape from unpleasant situations. The differential effectiveness of praise and time-out was measured, indicating the importance of…

Investigated prediction of therapeutic alliance from patient pretreatment characteristics among 60 elderly depressed outpatients treated in behavioral, cognitive, and brief dynamic psychotherapy. Found that higher degree of patient defensiveness was related to lower patient contribution to alliance as reflected in patient commitment and working…

Addresses training issues in behavior therapy, identifying methods and skills considered most important for affecting change in client behavior and reviewing progress made in demonstrating that these skills can be taught effectively. Discusses decision making skills used to identify problems, select appropriate interventions, and evaluate client…

Compared participants' verbal response modes (VRM) in exploratory and prescriptive psychotherapies. Each client received eight sessions of each treatment with same therapist throughout. Therapist and client utterances were coded for each of 39 clients. Found large therapist VRM differences between treatments, consistent with theoretically…

The author describes an educational program developed by the Iowa Association of Community College Trustees for chronic traffic offenders. The program helps offenders examine the relationship between their attitudes and their behavior as drivers. Program implementation and results are discussed. (CH)

A survey of 55 Louisiana members of the American Association on Mental Retardation (AAMR) indicated disagreement with an AAMR position statement condemning inhumane forms of aversive therapy. AAMR is urged to reconsider its position concerning the scope of aversive therapy, need for further research, and use of aversive therapy with some…

This study attempted to operationalize, measure, and increase happiness among five adults with profound mental and physical disabilities. Happiness indices were defined and observed. Most preferred stimuli-produced increases in happiness indices, and practitioner ratings of participant happiness coincided with observed indices. Discussion focuses…

This study examined the effects of blocking self-injurious behavior on the self-restraint of a 19-year-old male with severe mental retardation. Consistent with the negative reinforcement hypothesis, blocking SIB resulted in near-zero levels of SIB and moderate reductions in self-restraint. (Author/DB)

This study examined effects of providing attention (the presumed reinforcer) both noncontingently and contingent upon either self-injurious behavior or self-restraint with a 12-year-old female with multiple disabilities including profound mental retardation. Results were consistent with the hypothesis that both responses were maintained by…

Drawing upon the works of Paulo Freire and Lev S. Vygotsky, this paper argues that the institution of special education inculcates helplessness rather than autonomy, discusses the cognitive behavior modifications that enable self-control and self-mediation of learning, and proposes the educational ideal of student empowerment and autonomy. (JDD)

Functional analysis of the self-injurious behavior (SIB) of three individuals with profound mental retardation indicated the behavior was maintained by negative reinforcement (escape from instructional situations). Stimulus fading was applied. Results indicated that instructional fading virtually eliminated SIB, but these effects were not…

Conducted controlled clinical trial involving 44 children with recurrent abdominal pain randomly assigned to cognitive-behavioral family intervention (CBFI) or standard pediatric care (SPC). Both treatments resulted in significant improvements on measures of pain intensity and pain behavior. CBFI group had higher rate of complete elimination of…