Empirical Application of Skinner's Verbal Behavior to Interventions for Children with Autism: A Review

Generalization and Discrimination of Positively Reinforced Explicit Mands in Young Children with Autism Spectrum Disorder

Many children with autism spectrum disorder (ASD) exhibit generalization errors following mand training. In this study, we extended the literature on the generalization of positively reinforced explicit mands in three young children with ASD and complex communication needs. First, we used mand training to teach a new, socially appropriate, positively reinforced explicit mand to request preferred toys. Second, we assessed the discriminated generalization of the newly acquired mand by using untrained examples and nonexamples. Results suggest that our mand training resulted in acquisition of a discriminated positively reinforced explicit mand in all three children. Overgeneralization was documented for one of the three children included in the study. We discuss implications for researchers and practitioners related to the importance of assessing for generalization errors following mand training.

Characterizing mechanisms of caregiver-mediated naturalistic developmental behavioral interventions for autistic toddlers: A randomized clinical trial

LAY ABSTRACT

Caregiver-mediated early interventions support caregivers' use of strategies to improve their young autistic child's communication. In the current clinical trial, we sought to isolate the most effective strategies to improve short-term and long-term child communication outcomes. Results demonstrated how children may benefit from caregiver prompts to facilitate long-term language outcomes. In conclusion, the current study improves our understanding of how early intervention facilitates child communication outcomes.

Analyzing the Functional Interdependence of Verbal Behavior with Multiaxial Radar Charts

The functional analysis of complex verbal behavior requires an evaluation of topographically similar responses under multiple sources of control. Traditional graphical displays of behavior were designed to show the manipulation of isolated controlling variables and may not be amenable to displaying the multidimensional properties of complex behavior. Researchers have recently demonstrated the use of multiaxial radar charts for comparing the functional performance of biological systems. Here we extend the use of multidimensional analyses to compare the relative performance distributions of verbal behavior across four potential controlling variables. First, we provide a conceptual analysis of intraverbal and extraverbal control as continua along which stimuli range from formal to thematic and explain how the intersection of these stimulus fields creates a radar chart for multidimensional analysis. Then we demonstrate how data may be gathered through a verbal operant experimental analysis. We employed repeated measures to map the conditioning history of a child with autism spectrum disorder across 2 years of early intensive behavioral intervention and analyzed the results using shape descriptors for quantitative comparisons. We also compared the polygonal language profiles of children with autism against that of a neurotypical peer. Extending a multidimensional analysis to the field of verbal behavior provides the basis for a language growth chart that researchers and clinicians can use to monitor language acquisition over time. We discuss the use of radar charts as a framework for understanding the interdependence of verbal operants and suggest their use for complex analyses of complex verbal behavior.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40614-024-00404-6.

The Analysis of Whose Verbal Behavior?

Recent reviews of behavior analytic journals suggest that participant demographics are inadequately described. These reviews have been limited to brief periods across several journals, emphasized specific variables (e.g., socioeconomic status), or only included specific populations. The current scoping review included all published articles in The Analysis of Verbal Behavior from 1982-2020. Six demographic variables were coded for 1888 participants across 226 articles. Despite small sample sizes (i.e., fewer than six participants in 62.3% of studies), only age (85.4%) and gender identity (71.6%) were reported for the majority of participants. Socioeconomic status, race/ethnicity, and primary language were reported for fewer than 20% of participants. Over time, the number of demographic variables reported showed a slight increasing trend, although considerable variability was observed across years. These findings suggest that editors and reviewers must consider what constitutes acceptable participant characterization. Researchers might also be emboldened to extend their work to populations currently underrepresented in the journal.

Mand Modality Preference Assessments among High- and Low-Tech Options for Individuals with Intellectual and Developmental Disabilities: A Systematic Review

The extant literature demonstrates that individuals with intellectual and developmental disabilities (IDD) exhibit preferences among communication modalities when multiple modalities are available and produce reinforcement on identical reinforcement schedules. High- and low-tech communication options, such as voice output devices and picture cards, are commonly recommended for individuals with limited vocal communication skills. In this study, we conducted a systematic literature review of research studies that implemented mand modality preference assessments (MMPAs) that included both a high- and low-tech communication option with individuals with IDD. We identified 27 studies meeting our inclusion criteria and summarized the participant demographics, MMPA design and procedural variations, and MMPA outcomes. The results suggested that high-tech communication options were generally more preferred over low-tech options. However, there was a high degree of variability in how the studies were conducted and conclusions were reached. We discuss some of the current research gaps and the implications for clinical practice.

From direct contingencies to derived relations: the ever-developing nature of theory and practice in behavior analysis

Purpose

To illustrate the processes of development within the behavioral theory and the corresponding expansion of the areas in which it is applied, especially the advancement (conceptual developments) of the functional analysis of language inspired by Relational Frame Theory (RFT) research.

Views

Classical and operant conditioning are well-established behavioral learning processes, discovered and described at the beginning of the twentieth century. They provide the tools for analyzing, establishing and modifying the functions of stimuli and responses of the organisms through manipulation of the environment. Although B. F. Skinner provided grounds for the functional analysis of complex behaviors such as language, it was not until the beginning of the twenty-first century that RFT was introduced. From this moment behavior analysts could use behavioral principles to explain how stimulus functions may change without direct learning. The practical application of the growing knowledge about Arbitrarily Applicable Relational Responding (AARR), a basic generalized operant described within RFT, allows us to analyze, explain and change behaviors that had hitherto been beyond the scope of behavioral therapy. The continued growth and development of behavior theory and practice holds the promise for an expansion of its application to new areas and populations in need. One such development is the functional analysis of verbal behavior e.g., relational frames, ROE (relating-orienting-evoking).

Conclusions

It seems useful to add advancements proposed by RFT to the behavioral toolbox with which we could effectively describe, explain and change behavior with precision, scope and depth.

Explaining First Language Acquisition in Terms of Basic Behavioral Processes: Introduction to the Special Section

This special section of Perspectives on Behavior Science follows up on a virtual panel discussion on the role of operant and Pavlovian processes in children's language learning. We present four articles, including two contributed by panelists, that illustrate the explanatory power of operant conditioning processes in the study of language.

The Effect of Caregiver-Implemented Training on Augmentative Alternative Communication Use by Individuals with Rett Syndrome: Remote Coaching via Telehealth

Limited published literature exists demonstrating functional relations between idiosyncratic responses or augmentative alternative communication (AAC) and social reinforcement for individuals with Rett syndrome. In this study, six females with Rett syndrome ages 2-25 demonstrated requesting for preferred items using both idiosyncratic responses (e.g, looking, reaching) and AAC (e.g. single response microswitches). Researchers connected remotely via telehealth to coach caregivers to implement all sessions in home environments. Researchers individualized response prompt delays during AAC sessions (request/mand training) based on each participants' latency to respond during baseline. Implications for practice and directions for future research are discussed.

Transcranial Direct Current Stimulation Modulates EEG Microstates in Low-Functioning Autism: A Pilot Study

Autism spectrum disorder (ASD) is a heterogeneous disorder that affects several behavioral domains of neurodevelopment. Transcranial direct current stimulation (tDCS) is a new method that modulates motor and cognitive function and may have potential applications in ASD treatment. To identify its potential effects on ASD, differences in electroencephalogram (EEG) microstates were compared between children with typical development (n = 26) and those with ASD (n = 26). Furthermore, children with ASD were divided into a tDCS (experimental) and sham stimulation (control) group, and EEG microstates and Autism Behavior Checklist (ABC) scores before and after tDCS were compared. Microstates A, B, and D differed significantly between children with TD and those with ASD. In the experimental group, the scores of microstates A and C and ABC before tDCS differed from those after tDCS. Conversely, in the control group, neither the EEG microstates nor the ABC scores before the treatment period (sham stimulation) differed from those after the treatment period. This study indicates that tDCS may become a viable treatment for ASD.

The Efficacy of Using Telehealth to Coach Parents of Children with Autism Spectrum Disorder on How to Use Naturalistic Teaching to Increase Mands, Tacts and Intraverbals

There is a growing body of evidence supporting the use of telehealth to provide parent training in behaviour analytic interventions and researchers have begun to focus on international demonstrations of this model. The current study assessed the efficacy of a training package focused on naturalistic teaching strategies designed to upskill parents of children with autism spectrum disorder and provide them with ready to use strategies to increase social communication behaviours across verbal operants. Two parent-child dyads were trained to increase mand, tact and intraverbals during play. Parents displayed increases in fidelity for each strategy and viewed the training favourably. Both children showed gains across verbal operants, as captured by a multiple baseline across behaviours design.

Supplementary Information

The online version contains supplementary material available at 10.1007/s10882-022-09859-4.

Emergent Intraverbal and Reverse Intraverbal Behavior Following Listener Training in Children with Autism Spectrum Disorder

We evaluated whether intraverbal and reverse intraverbal behavior emerged following listener training in children with autism spectrum disorder (ASD). Six participants were each taught three sets of three "when?" questions in listener training. A multiple baseline design across behaviors (stimulus sets) was used to assess the effects of listener training. Results showed that intraverbal behavior emerged following listener training for five out of six participants. One participant received additional listener training and intraverbal training before intraverbal behavior emerged. Furthermore, reverse intraverbal responding occurred across all three sets of questions for three of the six participants. Establishing listener behavior may be a pathway for emergent intraverbal and reverse intraverbal responding in children with ASD. Future research could examine what skill repertoire may facilitate such transfer.

The impact of a telehealth platform on ABA-based parent training targeting social communication in children with autism spectrum disorder

Interventions based upon applied behaviour analysis (ABA) have been shown to be best practice for children with autism spectrum disorder. However, in many parts of the world there is a shortage of appropriately trained behaviour analysts. Telehealth is a potential solution to increasing access to ABA. Our study assessed the use of telehealth to provide parent training in naturalistic teaching strategies designed to increase child communication skills. Five parent child dyads took part in the training, utilising didactic training and synchronous coaching. Parents could be trained to a high level of fidelity and viewed the training favourably. Children showed variable gains in communication and improved positive affect. The project was cost effective in comparison with traditional training models.

Content Validity Evidence for the Verbal Behavior Milestones Assessment and Placement Program

The purpose of this study is to provide content validity evidence for the Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP). A national panel of 13 experts provided an evaluation of the domain relevance, age appropriateness, method of measurement appropriateness, and domain representation across the three levels of the Milestones Assessment, Early Echoic Skills Assessment (EESA), and Barriers Assessment. Overall, the content validity evidence for the VB-MAPP Milestones, EESA, and Barriers Assessment was moderate to strong across the evaluated areas although there were areas with limited or conflicting support. The evidence suggests that the scores of the VB-MAPP provide information relevant to the target behaviors of interest but a few domains may not be fully represented by their specific items.

A comparison of two teaching procedures to establish generalized intraverbal-tacting in children with autism

Previous research has investigated generalized intraverbal-tacting by teaching children with autism to respond using autoclitic frames. The present study compared the effectiveness and efficiency of a Frame and a No Frame procedure across counterbalanced stimulus sets with 4 children with autism. In the Frame condition, children were taught to respond using autoclitic frames (e.g., "Shape square," "Number two," "Color green," "It's mummy," "S/he is drinking") corresponding to the verbal antecedent ("What shape?", "What number?", "What color?", "Who is it?", "What is s/he doing?"). In the No Frame condition, intraverbal-tacting was established without the autoclitic frame. Irrespective of stimuli employed, 2 children acquired intraverbal-tacting only in the Frame condition. The other 2 children acquired intraverbal-tacting in both conditions, with the Frame procedure requiring fewer teaching trials for 1 child and producing greater generalization for the other. Implications for clinical practice and the role of additive intraverbal stimulus control of autoclitic frames are discussed.

Promoting the emergence of tacting three-digit numerals through a chain prompt combined with matrix training

Children with autism spectrum disorder (ASD) have difficulty generalizing from directly trained responses to untrained responses (i.e., emergent responding). In this study, we used a chain prompt combined with matrix training to teach 2 participants with ASD to tact 192 three-digit numerals. We used a multiple-baseline design across matrices to evaluate the treatment effects on trained and untrained tacts of numerals. Both participants mastered all numerals exposed to training and all numerals not exposed to training after 3 to 5 sixteen-trial sessions per matrix. One participant learned to tact 8 numerals for each 1 numeral exposed to direct training, and the other participant learned to tact 12 numerals for each 1 numeral exposed to direct training. We discuss these results relative to the effectiveness and efficiency of our chain prompt combined with matrix training for teaching tacting skills for targets with shared stimulus properties that facilitate generalization to untrained targets.

Citation Analysis of The Analysis of Verbal Behavior (2008-2018)

Recent articles by the editorial board of The Analysis of Verbal Behavior (TAVB) include calls for greater integration, collaboration, and inclusion. In so doing, it may be helpful to consider TAVB's current reach. Previously, Petursdottir, Peterson, and Peters (The Analysis of Verbal Behavior, 25, 109-121, 2009) described the number of citations of articles published in TAVB from 1983 to 2007. The authors found that the greatest number of references to TAVB were self-citations, followed predominantly by other behavior-analytic outlets, such as the Journal of Applied Behavior Analysis. Here, we replicate and extend the work of Petursdottir et al. (The Analysis of Verbal Behavior, 25, 109-121, 2009) by conducting a citation analysis of references included in TAVB publications from 2008 to 2018 and also report citations by these venues to TAVB. This citation analysis allows for a more recent review of those outlets that articles published in TAVB commonly reference and those that cite TAVB. Generally, self-citations predominated, with articles published in TAVB commonly referencing books and chapters. The implications of these practices on the impact of TAVB and suggestions for moving forward are considered.

Clinical Application of a High-Probability Sequence to Promote Compliance with Vocal Imitation in a Child with Autism Spectrum Disorder

The current study aimed to evaluate the effects of the high-probability (high-p) instructional procedure involving motor imitation on the levels of compliance with vocal imitation in a 3-year-old boy with autism spectrum disorder (ASD). We used a multiple-baseline design across three stimuli sets to demonstrate effects of the procedure over compliance with vocal imitation responses. Results demonstrated that the high-p procedural sequence was effective in increasing the levels of compliance with vocal imitation. We discuss these finding in terms of the operant mechanisms and clinical applications of increased compliance.