Assessment and treatment of destructive behavior maintained by stereotypic object manipulation.
In the current investigation, 2 participants with mental retardation displayed property destruction and stereotypy, and both responses involved the same materials (e.g., breaking and tapping plastic objects). Three experiments were conducted (a) to indirectly assess the functions of these two responses, (b) to determine their relation to one another, and (c) to develop a treatment to reduce the more serious behavior, property destruction. In Experiment 1, previously destroyed materials were either present or absent, and their presence reduced property destruction but not stereotypy. In Experiment 2, matched toys (ones that produced sensory stimulation similar to stereotypy) were either present or absent, or were replaced by unmatched toys (for 1 participant). Matched toys produced large reductions and unmatched toys produced small reductions in property destruction and stereotypy. In Experiment 3, attempts to pick up undestroyed objects were either blocked or not blocked while matched toys were continuously available. Response blocking reduced property destruction (and attempts), prevented stereotypy, and increased manipulation of matched toys. These results suggest that the two aberrant responses formed a chain (e.g., breaking and then tapping the object), which was maintained by the sensory consequences (e.g., auditory stimulation) of the terminal response, and that previously destroyed material or matched toys made the initial response (property destruction) unnecessary.
Fisher
W W
WW
Neurobehavioral Unit, Kennedy Krieger Institute, Baltimore, Maryland 21205, USA.
Lindauer
S E
SE
Alterson
C J
CJ
Thompson
R H
RH
D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D011613:Psychotherapy / Q000379:methods; D012054:Reinforcement, Psychology; D019956:Stereotypic Movement Disorder / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*