Behavior analysis, program development, and transfer of control in the treatment of self-injury.
This case study illustrates an empirical approach to the diagnosis, treatment, and controlled follow-up of self-injurious clients. Following an assessment period, during which environmental factors associated with a severely retarded adolescent's self-injury were identified, the contingent application of protective equipment was combined with a differential reinforcement procedure (DRO) and implemented in a multiple baseline design across two hospital settings. Results showed a marked decrease in the rate of self-injury. Upon discharge from the hospital, the program was successfully replicated at the adolescent's residential center, again using a multiple baseline design across settings.
D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D005500:Follow-Up Studies; D006260:Head Protective Devices; D006801:Humans; D008297:Male; D010812:Physical Stimulation; D010988:Play and Playthings; D012055:Reinforcement Schedule; D012652:Self Mutilation / Q000175:diagnosis / Q000628:therapy*