1974
DOI: 10.1901/jaba.1974.7-557
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Lemon‐juice Therapy: The Control of Life‐threatening Rumination in a Six‐month‐old Infant1

Abstract: Chronic, life-threatening rumination was eliminated in a six-month-old infant by squirting a small amount of lemon juice into her mouth whenever rumination or its precursors were detected. A brief suspension of this therapy demonstrated its crucial role. Lemon-juice therapy offers a practical and acceptable alternative to other therapies for rumination, namely electric shock and massive noncontingent attention. However, since this study is limited to a single case, claims as to the effectiveness of this therap… Show more

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Cited by 145 publications
(54 citation statements)
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“…Because punishment is rarely used in the absence of reinforcement, applied research on punishment has focused almost exclusively on either (a) the combined effects of punishment and reinforcement or (b) the additive effects of punishment when reinforcement (usually combined with extinction) alone failed to produce therapeutic behavior change. In the few studies in which punishment was examined as the sole independent variable (e.g., Dorsey, Iwata, Ong, & McSween, 1980;Jordan, Singh, & Repp, 1989;Sajwaj, Libet, & Agras, 1974), the additive effects of reinforcement were not evaluated. Thus, the extent to which reinforcement enhances the effects of punishment remains largely an unexplored issue in applied behavior analysis.…”
Section: Rachel H Thompson Brian a Iwata Juliet Conners And Eilementioning
confidence: 99%
“…Because punishment is rarely used in the absence of reinforcement, applied research on punishment has focused almost exclusively on either (a) the combined effects of punishment and reinforcement or (b) the additive effects of punishment when reinforcement (usually combined with extinction) alone failed to produce therapeutic behavior change. In the few studies in which punishment was examined as the sole independent variable (e.g., Dorsey, Iwata, Ong, & McSween, 1980;Jordan, Singh, & Repp, 1989;Sajwaj, Libet, & Agras, 1974), the additive effects of reinforcement were not evaluated. Thus, the extent to which reinforcement enhances the effects of punishment remains largely an unexplored issue in applied behavior analysis.…”
Section: Rachel H Thompson Brian a Iwata Juliet Conners And Eilementioning
confidence: 99%
“…1972]. Others have reported that the injection of lemon juice into the mouth can be substituted for electric shock in the treatment of the infant ruminator [Sajwaj et al, 1974;Becker, et al, 1978], In cases requiring less immediate results, the mentally retarded have also been treated using extinction procedures [ Wolfet al, 1965], positive practice and restitution [Azrin and Wesolowski, 1975], forced vomiting [Spergel, 1975] and overcorrection [Duker and Seys, 1977], In adult patients of normal intelligence, the methods described above are generally less applicable; fortunately, there has been no shortage of alternatives suggested. Since all of the reports to date are single cases, it is difficult to make many generalizations.…”
Section: Vomitingmentioning
confidence: 99%
“…The greatest success has been found using methods based on operant condition- (Birnbrauer, 1968;Corte et al, 1971;Dorsey, Iwata, Ong, & McSween, 1980;Sajwaj, Libet, & Agras, 1974;Tanner & Zeiler, 1975). However, due to concerns regarding the appropriate and safe use of "restrictive" or "intrusive" treatments (e.g., ACFMR, 1971), it has been recommended that punishment be limited to those situations in which other interventions have failed (May, Risley, Twardosz, Friedman, Bijou, Wexler et al, 1975).…”
mentioning
confidence: 99%