Functional analysis and treatment of Bizarre speech

Mace, F. Charles; Webb, Mark; Sharkey, Robert W.; Mattson, Dave M.; Rosen, Howard

doi:10.1016/0005-7916(88)90060-2

Journal of Behavior Therapy and Experimental Psychiatry

1988

DOI: 10.1016/0005-7916(88)90060-2

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Functional analysis and treatment of Bizarre speech

F. Charles Mace

Mark Webb

Robert W. Sharkey

et al.

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Cited by 18 publications

(1 citation statement)

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“…Behavior analysts have studied the behavioral function of bizarre speech in nondemented patient populations. Multiple studies have been conducted with individuals who have an intellectual disability (DeLeon, Arnold, Rodriguez-Catter, & Uy, 2003;Mace & Lalli, 1991), schizophrenia (Wilder, Masuda, O'Connor, & Baham, 2001;Wilder, White, & Lu, 2003), traumatic brain injury (Travis & Sturmey, 2010), and dual diagnoses (Dixon, Benedict, & Larson, 2001;Lancaster et al, 2004;Mace, Webb, Sharkey, Mattson, & Rosen, 1988). In all but one of these studies, Lancaster et al, a social consequence maintained bizarre speech, and attention was the most common consequence that influenced bizarre speech.…”

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confidence: 99%

The Influence of Antecedents and Consequences on the Occurrence of Bizarre Speech in Individuals With Dementia

Trahan

Donaldson

McNabney

et al. 2014

Behavioral Interventions

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We conducted a series of assessments to determine the differential effects of common antecedents and consequences that can influence the occurrence of bizarre speech in three women with moderate to severe dementia. First, a traditional functional analysis was conducted to assess the function of bizarre speech. After results revealed differentially higher levels of bizarre speech during control sessions, an antecedent analysis was conducted. During this second assessment, all consequences were held constant, and only the antecedents (i.e., open-ended questions, yes/no questions, and comments) were altered. Bizarre speech was differentially higher when open-ended questions were presented, replicating previous studies. The final assessment conducted was a modified functional analysis to further assess the effects of consequences on bizarre speech. More typical consequences were assessed, including two tests for a positive function (attention in the form of correction and attention in the form of following along) and two tests for a negative function (a break from one question and a break from all questions). Results consistently revealed that antecedents produced greater differentiation in responding than social consequences. These findings provide evidence that behavioral assessments may need to be modified to better capture the relevant environmental variables that influence problem behavior in individuals with dementia.

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mentioning

confidence: 99%

The Influence of Antecedents and Consequences on the Occurrence of Bizarre Speech in Individuals With Dementia

Trahan

Donaldson

McNabney

et al. 2014

Behavioral Interventions

View full text Add to dashboard Cite

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Exploring the utility of functional analysis methodology to assess and treat problematic verbal behavior in persons with acquired brain injury

Dixon¹,

Guercio²,

Falcomata³

et al. 2004

Behavioral Interventions

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Functional analyses were conducted on four adults with acquired brain injuries who regularly displayed instances of inappropriate verbal behavior including depressive, aggressive, suicidal, profane, and sexually inappropriate utterances. After the functional analysis yielded a maintaining variable for each participant, a function-based intervention consisting of differential reinforcement of alternative verbal behavior was implemented. Results of the behavioral interventions show that instances of vocal behavior can be assessed and subsequently treated using the functional analysis methodology often reserved for nonverbal forms of behavior. The utility of functional analysis for assessing complex human behavior is discussed.

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Reducing aberrant verbal behavior by building a repertoire of rational verbal behavior

Arntzen

Tønnessen²,

Brouwer³

2006

Behav. Intervent.

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The purpose of the present study was to train different verbal classes in a 44-year-old woman to reduce aberrant verbal behavior. She had been hospitalized for 22 years in different psychiatric institutions, and has been diagnosed with schizophrenia, developmental disabilities, non-organic psychosis, and autism. Assessment of her verbal behavior showed that a small amount was adequate verbal behavior, whereas almost the entire repertoire of verbal behavior could be characterized as aberrant verbal behavior ('psychotic' and repetitive verbal behavior), and this behavior was maintained by social reinforcement such as smiles, various comments from other persons. The treatment program was based on results from the assessment results and was focused on establishing relationships between a variety of verbal response responses and proper controlling variables. She was trained to produce different verbal classes, mainly mand, tact, intraverbal, textual, transcription, and dictation responses. The duration of aberrant verbal behavior and the rate of 'psychotic' verbal behavior were gradually reduced as a function of an increasing number of adequate verbal responses. In the study, we present data covering a very long period; the last data point was acquired 25 months after the start of the program.

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Functional analysis and treatment of Bizarre speech

Cited by 18 publications

References 20 publications

The Influence of Antecedents and Consequences on the Occurrence of Bizarre Speech in Individuals With Dementia

The Influence of Antecedents and Consequences on the Occurrence of Bizarre Speech in Individuals With Dementia

Exploring the utility of functional analysis methodology to assess and treat problematic verbal behavior in persons with acquired brain injury

Reducing aberrant verbal behavior by building a repertoire of rational verbal behavior

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