title: Controlling extremely dangerous aggressive outbursts when functional analysis fails.
abstract: This article describes and illustrates a treatment program aimed at addressing intermittent extremely dangerous aggressive behavior in an 11-year-old girl who was blind, multiply handicapped, and profoundly mentally retarded. In the month preceding treatment she had injured a peer, a paid careprovider, and her mother. Functional analysis produced no clear antecedents to aggression. Punishment was used to introduce a superordinate contingency. Differential reinforcement of alternative behavior combined with contingent restraint reduced, then eliminated aggression. Follow-up at an age equivalent of 4 years, 6 months indicated a continued absence of aggression. Results are discussed in regards to the balance between research methodology, agency policy, right to effective treatment, and social validity.
authors.affiliation: Department of Psychology, Bowling Green State University, OH 43403.
authors.forename: J R
authors.initials: JR
authors.lastname: Dura
mesh_terms: D000374:Aggression / Q000523:psychology*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D003617:Dangerous Behavior; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology*; D011678:Punishment; D012054:Reinforcement, Psychology; D012201:Reward