Brief Report: Avoidance Extinction as Treatment for Compulsive and Ritual Behavior in Autism

Assessment and treatment of self-control with aversive events

Self-control can be defined as choosing a smaller, immediate aversive event over a larger, delayed aversive event (e.g., flossing daily instead of risking major dental problems later). Children with developmental disabilities have been found to respond impulsively when given the choice between aversive events that differ based on magnitude and difficulty. However, qualitative differences between events may also impact aversiveness. This study attempted to replicate and extend prior research by (i) empirically identifying a hierarchy of qualitatively different aversive tasks for three individuals with developmental disabilities by evaluating their average latency to escape responses when presented with each task, (ii) assessing baseline levels of self-control (i.e., selection of immediate, low-aversive tasks over delayed, high-aversive tasks), and (iii) implementing an empirically validated treatment (i.e., adding a delay to both tasks). Each participant initially made impulsive choices, but self-control increased following treatment.

Re-conceptualizing ASD Within a Dimensional Framework: Positive, Negative, and Cognitive Feature Clusters

Introduction of the National Institute of Mental Health's Research Domain Criteria and revision of diagnostic classification for Autism Spectrum Disorder in the latest diagnostic manual call for a new way of conceptualizing heterogeneous ASD features. We propose a novel conceptualization of ASD, borrowing from the schizophrenia literature in clustering ASD features along positive, negative, and cognitive dimensions. We argue that this dimensional conceptualization can offer improved ability to classify, diagnose, and treat, to apply and predict response to treatment, and to explore underlying neural and genetic alterations that may contribute to particular feature clusters. We suggest the proposed conceptualization can advance the field in a manner that may prove clinically and biologically useful for understanding and addressing heterogeneity within ASD.