title: Decreasing excessive functional communication responses while treating destructive behavior using response restriction.
abstract: Functional communication training (FCT) is an established treatment for destructive behavior that missucceeds in about 37% of cases when the reinforcement schedule for the functional communication response (FCR) is thinned using multiples schedules (mult FCT; Hagopian, Boelter, & Jarmolowicz, 2011). In this investigation, we evaluated the use of response restriction FCT (RR FCT) in a cohort of patients with poorly differentiated responding of the FCR during mult FCT. Results showed that (a) RR FCT maintained high rates of correct FCRs during the reinforcement component of RR FCT without increasing destructive behavior; (b) children displayed highly discriminated FCRs when an FCR card and a control card were simultaneously available during the reinforcement component of RR FCT; and (c) near-zero rates of destructive behavior were observed during the last five sessions of the terminal reinforcement schedule. Results are discussed relative to differences between mult FCT and RR FCT and successive and simultaneous discriminations.
authors.affiliation: University of Nebraska Medical Center's Munroe-Meyer Institute, 985450 Nebraska Medical Center, Omaha, NE 68198, USA.
authors.forename: Wayne W
authors.initials: WW
authors.lastname: Fisher
authors.affiliation: University of Nebraska Medical Center's Munroe-Meyer Institute, 985450 Nebraska Medical Center, Omaha, NE 68198, USA. Electronic address: brian.greer@unmc.edu.
authors.forename: Brian D
authors.initials: BD
authors.lastname: Greer
authors.affiliation: University of Nebraska Medical Center's Munroe-Meyer Institute, 985450 Nebraska Medical Center, Omaha, NE 68198, USA.
authors.forename: Angie C
authors.initials: AC
authors.lastname: Querim
authors.affiliation: University of Nebraska Medical Center's Munroe-Meyer Institute, 985450 Nebraska Medical Center, Omaha, NE 68198, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: DeRosa
mesh_terms: D000374:Aggression / Q000523:psychology; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000523:psychology / Q000534:rehabilitation; D000067877:Autism Spectrum Disorder / Q000523:psychology / Q000534:rehabilitation*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000534:rehabilitation*; D002675:Child, Preschool; D003142:Communication; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000523:psychology / Q000534:rehabilitation; D005108:Extinction, Psychological; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D012055:Reinforcement Schedule; D012054:Reinforcement, Psychology; D016728:Self-Injurious Behavior / Q000523:psychology / Q000534:rehabilitation
keywords: Destructive behavior; Functional analysis; Functional communication training; Multiple schedule; Response restriction; Simultaneous discrimination; Successive discrimination