The elimination of a child's in-class masturbation by overcorrection and reinforcement

A Systematic Review of Interventions for Inappropriate Sexual Behavior of Children and Adolescents with Developmental Disabilities

“…Foxx et al (1986) had unsuccessfully used teacher reprimands, scolding, and differential reinforcement of incompatible behaviors (DRI) in the form of hands on table. Luiselli et al (1977) had attempted stimulus control procedures, while Withers and Gaskell (1998) tried reprimands, extinction, sending the child to the bedroom, and the withdrawal of treats. It is also noteworthy that two of the studies reported that the participants had a history of several years of engaging in ISB (Polvinale and Lutzker 1980;Withers and Gaskell 1998).…”

“…Two of these studies used an ABAB reversal design (Czyzewski et al 1982;Fyffe et al 2004). The remaining studies used a simple AB design (Coskun et al 2009;Luiselli et al 1977;Withers and Gaskell 1998) or case report format (Albertini et al 2006;Coskun and Mukaddes 2008). Only one of the studies employed a between groups design (Butler and Fontenelle-III 1995).…”

“…Procedures included overcorrection (Czyzewski et al 1982;Luiselli et al 1977), social restitution (Polvinale and Lutzker 1980), positive practice (i.e., the child was asked to perform another motor task) (Czyzewski et al 1982), the use of differential reinforcement including DRO (Foxx et al 1986;Polvinale and Lutzker 1980), DRI (Luiselli et al 1977), as well as the use of reinforcement for the absence of the ISB (Czyzewski et al 1982;Foxx et al 1986). Two studies also used extinction procedures (e.g., ignoring the ISB) as a component of their intervention package (Fyffe et al 2004;Luiselli et al 1977). The Fyffe et al (2004) study was unique in that the authors incorporated functional communication training as a component of intervention where the child was required to hand over a card in order to request attention from others.…”

“…Public masturbation was identified as a focus of treatment in nine of the 12 studies (Albertini et al 2006;Barmann and Murray 1981;Butler and Fontenelle-III 1995;Cook et al 1978;Coskun et al 2009;Czyzewski et al 1982;Foxx et al 1986;Luiselli et al 1977;Withers and Gaskell 1998). In one of these studies, this also included the public display of genitalia (Barmann and Murray 1981).…”

A Review and Treatment Selection Model for Individuals with Developmental Disabilities Who Engage in Inappropriate Sexual Behavior

“…They might also have decreased instructional time and fewer opportunities to learn adaptive behavior because addressing ISB precludes practitioners from targeting educational goals (Carlson et al 2008;Luiselli et al 1977). Additionally, some topographies of ISB may pose a threat of injury to self, for example masturbatory behavior can result in soft tissue damage (Singh and Coffey 2012).…”