title: Assessment and treatment of pica and destruction of holiday decorations.
abstract: Problem behavior exhibited by individuals with autism can be disruptive to family traditions, such as decorating for the holidays. We present data for a 6-year-old girl who engaged in automatically reinforced pica and destruction of holiday decorations. Treatment was evaluated within an ABCDCD reversal design. During baseline (Phases A and B), we observed elevated rates of problem behavior. We implemented differential reinforcement of alternative behavior in Phase C to teach a response to compete with problem behavior. Little change in toy play or problem behavior occurred. In Phase D, we added a facial screen to the differential reinforcement procedures, which resulted in increases in toy play and decreases in problem behavior. Findings are discussed in terms of how interventions for problem behavior can promote alternative behavior while they facilitate household activities and traditions.
authors.affiliation: UNIVERSITY OF NEBRASKA MEDICAL CENTER'S MUNROE-MEYER INSTITUTE.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Mitteer
authors.affiliation: UNIVERSITY OF NEBRASKA MEDICAL CENTER'S MUNROE-MEYER INSTITUTE.
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Romani
authors.affiliation: UNIVERSITY OF NEBRASKA MEDICAL CENTER'S MUNROE-MEYER INSTITUTE.
authors.forename: Brian D
authors.initials: BD
authors.lastname: Greer
authors.affiliation: UNIVERSITY OF NEBRASKA MEDICAL CENTER'S MUNROE-MEYER INSTITUTE.
authors.forename: Wayne W
authors.initials: WW
authors.lastname: Fisher
mesh_terms: D000374:Aggression / Q000523:psychology*; D001321:Autistic Disorder / Q000150:complications; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D005149:Facial Expression; D005260:Female; D006801:Humans; D008607:Intellectual Disability; D010842:Pica / Q000209:etiology / Q000534:rehabilitation*; D012054:Reinforcement, Psychology; D012919:Social Behavior; D016896:Treatment Outcome
keywords: differential reinforcement; facial screen; pica; property destruction; punishment