Analysis of a treatment package to reduce a hand-mouthing stereotypy

Richmond, G.; Bell, James

doi:10.1016/s0005-7894(83)80080-x

Cited by 14 publications

(6 citation statements)

References 8 publications

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“…This outcome replicates the results of earlier studies that used similar procedures to reduce SIB (Azrin et al, 1982), aggressive behavior (Friman et al, 1986), and stereotypic responding (Richmond & Bell, 1983) in persons with mental retardation. It appeared that the use of a briefer restraint period than that used by Azrin et al (1982) and the implementation of a DRA schedule rather than a DRI type of reinforcement procedure did not inhibit the effectiveness of this approach to treatment.…”

Section: Discussionsupporting

confidence: 86%

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The use of brief restraint plus reinforcement to treat self‐injurious behavior

Konarski

Johnson

1989

Behavioral Interventions

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This study evaluated the use of brief arm restraint plus differential reinforcement of alternative behavior to treat the self-injurious behavior of two residents with multiple handicaps and profound mental retardation. The study took place in a nursing home and sessions were conducted for 15 minutes, Monday through Friday. The design contained both multiple baseline and reversal components. Mean levels of self-injurious behavior and stripping for one client were reduced from 92 to 16% and 81 to 2%, respectively, by the treatment. Her appropriate behavior increased from a mean of 18% in baseline to 100% in treatment. The second client's self-injurious behavior averaged 39% in baseline, but was reduced to a mean of 9% in treatment. His throwing decreased from a mean of 54% prior to treatment to a mean of 2%, while appropriate object manipulation increased from 26 to 99%. These data support the use of brief restraint plus reinforcement for decelerating severe self-injurious behaviors and accelerating appropriate behaviors in adults with profound mental retardation. The advantages of this treatment are that it appears to be less intrusive and to offer more educational benefits than other commonly used techniques.

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Section: Discussionsupporting

confidence: 86%

“…and our differential reinforcement program focused on alternative adaptive behaviors (DRA) that were not necessarily incompatible with the SIB. A shorter restraint period was used because Richmond and Bell (1983) found even very brief interruption (3 sec.) effective for reducing the stereotypic behavior of persons who have mental retardation.…”

mentioning

confidence: 99%

The use of brief restraint plus reinforcement to treat self‐injurious behavior

Konarski

Johnson

1989

Behavioral Interventions

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“…Aversive procedures in combination with DRO have been found to be an effective treatment strategy in the reduction of hand-mouthing behavior (Dorsey eta!., 1980;Hopper, York, Simmons, & Reske, 1976;Minness, 1980;Richmond & Bell, 1983). Many human rights committees and guardians of clients with mental retardation have raised strong objections to the use of aversive procedures.…”

Section: Rationale For Present Studymentioning

confidence: 99%

“…Richmond and Bell (1983) evaluated DRO and response interruption/physical restraint separately and together to determine treatment effectiveness for hand-mouthing behavior in four women who were profoundly retarded. Richmond and Bell (1983) evaluated DRO and response interruption/physical restraint separately and together to determine treatment effectiveness for hand-mouthing behavior in four women who were profoundly retarded.…”

mentioning

confidence: 99%

The effects of response interruption, DRO and positive reinforcement on the reduction of hand-mouth behavior

et al. 1996

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“…DRO has been demonstrated to be highly effective in combination with other types of behavior modification techniques. Richmond and Bell (1983) evaluated DRO and response interruption/physical restraint separately and together to determine treatment effectiveness for hand-mouthing behavior in four women who were profoundly retarded. The combination of DRO with response interruption/physical restraint was more effective than either method used alone.…”

mentioning

confidence: 99%

The effects of response interruption, DRO and positive reinforcement on the reduction of hand‐mouth behavior

McEntee¹,

Parker²,

Brown³

et al. 1996

Behav. Intervent.

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The present study was designed to determine the effects of response interruption and differential reinforcement of other behavior (DRO) on the reduction of hand-mouthing behavior in a quadriparesic adult male client who functions at the profound level of mental retardation. In order to determine the effectiveness of the treatment package, a withdrawal design was used in which baseline (A) and treatment (B) conditions were alternated in an ABAB sequence. The treatment phase consisted of two lOmin treatment periods per day for four consecutive days. Two treatment/withdrawal rotations were followed by nine follow-up observation periods. A preliminary fading process was started following the follow-up periods, which included removal of the reinforcer. Hand-mouthing was reduced by 80% through the use of response interruption and DRO. Hand-mouthing continued to decrease during the nine follow-up observation periods and formal fading procedure. Implications for the extended use of such nonaversive procedures to decrease hand-mouthing behavior in persons with developmental disabilities are discussed.Hand-mouthing is a form of self-injurious behavior (SIB) characterized by contact of the hand(s) or finger(s) with the lips, tongue, teeth, or oral cavity,

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Analysis of a treatment package to reduce a hand-mouthing stereotypy

Cited by 14 publications

References 8 publications

The use of brief restraint plus reinforcement to treat self‐injurious behavior

The use of brief restraint plus reinforcement to treat self‐injurious behavior

The effects of response interruption, DRO and positive reinforcement on the reduction of hand-mouth behavior

The effects of response interruption, DRO and positive reinforcement on the reduction of hand‐mouth behavior

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