Response blocking with and without redirection for the treatment of pica.
Although response blocking can decrease problem behavior, one potential adverse side effect is the induction of aggression. In the current study, we report on a young adult who engaged in high rates of pica maintained by automatic reinforcement. Blocking pica, however, led to aggression. When redirection to an alternative preferred food item was added to an intervention consisting of response blocking, pica was effectively treated without increasing aggression.
Hagopian
L P
LP
Neurobehavioral Unit, Kennedy Krieger Institute, Baltimore, Maryland 21205, USA. hagopian@kennedykrieger.org
Adelinis
J D
JD
D000328:Adult; D000374:Aggression / Q000523:psychology; D001521:Behavior Therapy / Q000379:methods*; D005108:Extinction, Psychological; D006801:Humans; D008607:Intellectual Disability / Q000534:rehabilitation; D008297:Male; D010842:Pica / Q000628:therapy*