title: Positive side effects in the treatment of SIB using the Self-Injurious Behavior Inhibiting System (SIBIS): implications for operant and biochemical explanations of SIB.
abstract: The rate of self-injurious head hitting was reduced using contingent electric shock delivered via the Self-Injurious Behavior Inhibiting System (SIBIS). Positive side effects indicating an improved affective state and increased interaction with the environment were documented. Treatment gains were maintained at a 1-year follow-up assessment. The consistent reports of positive affective side effects from successful treatment studies using SIBIS and contingent electric shock are noted. Implications for current operant-based theories of SIB based on the communication function of SIB and endogenous opiate mechanisms are discussed.
authors.affiliation: Ohio State University, Columbus.
authors.forename: T R
authors.initials: TR
authors.lastname: Linscheid
authors.forename: C
authors.initials: C
authors.lastname: Pejeau
authors.forename: S
authors.initials: S
authors.lastname: Cohen
authors.forename: M
authors.initials: M
authors.lastname: Footo-Lenz
mesh_terms: D001348:Aversive Therapy / Q000295:instrumentation*; D002648:Child; D003216:Conditioning, Operant / Q000502:physiology; D006233:Persons with Disabilities / Q000523:psychology; D004597:Electroshock; D004723:Endorphins / Q000502:physiology*; D005500:Follow-Up Studies; D006801:Humans; D008607:Intellectual Disability / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D008297:Male; D016728:Self-Injurious Behavior / Q000503:physiopathology / Q000517:prevention & control* / Q000523:psychology; D013239:Stereotyped Behavior / Q000502:physiology
chemical_list: D004723:Endorphins