TY - JOUR PY - 1990// TI - Use of negative reinforcement in the treatment of self-injurious behavior JO - Journal of applied behavior analysis A1 - Steege, M. W. A1 - Wacker, D. P. A1 - Cigrand, K. C. A1 - Berg, W. K. A1 - Novak, C. G. A1 - Reimers, T. M. A1 - Sasso, G. M. A1 - DeRaad, A. SP - 459 EP - 467 VL - 23 IS - 4 N2 - Behavioral assessment procedures were used to determine the maintaining conditions of self-injury exhibited by 2 children with severe multiple handicaps. For both children, negative reinforcement (escape from grooming activities) was determined to be the maintaining reinforcer for self-injury (hand/arm biting) within an alternating treatments design. The treatment packages involved the use of negative reinforcement (brief escape from grooming activities) contingent upon a behavior that was incompatible with self-injury (reaching and pressing a microswitch that activated a pre-recorded message of "stop"). Treatment was evaluated with a reversal design for 1 child and with a multiple baseline across grooming activities for the 2nd child. The treatment led to a marked decrease in self-injury for both children. At follow-up, high rates of self-injury were reported for the 1st child, but low rates of self-injury and an increase in task-related appropriate behavior were observed for the 2nd child.

Language: en

LA - en SN - 0021-8855 UR - http://dx.doi.org/10.1901/jaba.1990.23-459 ID - ref1 ER -