The Role of Contingencies and Stimuli in a Human Laboratory Model of Treatment of Problem Behavior

A systematic review of enhanced resurgence paradigms

Following successful treatment in which problem behavior is reduced, it may reemerge as a function of changes in contextual stimuli or the worsening of reinforcement conditions for an alternative response. Although understudied, preliminary research suggests that simultaneous changes in contextual stimuli and reinforcement conditions may represent particularly exigent treatment challenges that create the condition for additive or superadditive relapse. The purpose of the present review was to systematically examine the relapse literature involving simultaneous changes in contextual stimuli and reinforcement conditions in relapse tests and experimental preparations arranged to evaluate their effect on response recovery. We identified 16 empirical articles spanning 27 experiments. Although all experiments included at least one condition that experienced a change in contextual stimuli and worsening of alternative reinforcement conditions, only two experiments included the comparison conditions needed to precisely evaluate additive and superadditive relapse. Our findings establish the preclinical generality of relapse effects associated with simultaneous changes to reinforcement conditions and contextual stimuli across a range of subjects, schedule arrangements, response topographies, reinforcers, and types of contextual changes. We make several recommendations for future research based on our findings from this nascent and clinically relevant subdomain of the relapse literature.

A Comprehensive Systematic Review of Procedures and Analyses Used in Basic and Preclinical Studies of Resurgence, 1970-2020

Resurgence is the return of a previously reinforced response as conditions worsen for an alternative response, such as the introduction of extinction, reductions in reinforcement, or punishment. As a procedure, resurgence has been used to model behavioral treatments and understand behavioral processes contributing both to relapse of problem behavior and flexibility during problem-solving. Identifying existing procedural and analytic methods arranged in basic/preclinical research could be used by basic and preclinical researchers to develop novel approaches to study resurgence, whereas translational and clinical researchers could identify potential approaches to combating relapse during behavioral interventions. Despite the study of resurgence for over half a century, there have been no systematic reviews of the basic/preclinical research on resurgence. To characterize the procedural and analytic methods used in basic/preclinical research on resurgence, we performed a systematic review consistent with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). We identified 120 articles consisting of 200 experiments that presented novel empirical research, examined operant behavior, and included standard elements of a resurgence procedure. We reported prevalence and trends in over 60 categories, including participant characteristics (e.g., species, sample size, disability), designs (e.g., single subject, group), procedural characteristics (e.g., responses, reinforcer types, control conditions), criteria defining resurgence (e.g., single test, multiple tests, relative to control), and analytic strategies (e.g., inferential statistics, quantitative analysis, visual inspection). We make some recommendations for future basic, preclinical, and clinical research based on our findings of this expanding literature.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40614-022-00361-y.

Behavior Momentum Theory and Humans: A Review of the Literature

Behavioral Momentum Theory (BMT) is often described as analogous to Newton's (1687) laws of motion. That is to say, similar to an object in motion continuing in motion unless acted upon by a force, responses occurring in a static environment will continue to occur at the same rate, unless presented with a disruptor (Nevin, Tota, Torquato, & Shull, Journal of the Experimental Analysis of Behavior, 53, 359-379, 1990). When evaluating response rates through a behavioral momentum framework, responding continuing after a change in reinforcer conditions is said to persist. Previous research conducted with nonhuman animals indicates greater response persistence following conditions with either higher reinforcer rates or higher reinforcer magnitudes (Nevin, Journal of the Experimental Analysis of Behavior, 21(3), 389-408, 1974; Nevin et al., Journal of the Experimental Analysis of Behavior, 53, 359-379, 1990). Although BMT's implications extend across human and nonhuman species, this literature review attempts to provide practitioners and researchers information regarding response persistence across various conditions with human participants.

Effects of response cost magnitude on resurgence of human operant behavior

Extensive research has been dedicated to the study of resurgence following extinction and differential reinforcement of alternative behavior. Less is known about the effects of punishment on resurgence. This study extended previous research by examining whether the magnitude of response cost punishment affects resurgence of human operant behavior. College students engaged in a computer task using the three-phase resurgence procedure where points were used to reinforce target (Phase 1) or alternative (Phase 2) behavior. Across three groups, Phase 2 contingencies for the target response were manipulated. In one group, only extinction was implemented. In the other two groups, response cost was also implemented. Response cost was equal to or double the number of points that could be gained for alternative responding. Resurgence was similar in Phase 3 across the three groups, demonstrating that neither the addition nor the magnitude of punishment differentially affected response recovery under these conditions. Future research should examine other parameters of punishment (e.g., delay, schedule) and how these variables interact with different parameters of alternative reinforcement to increase our understanding of the conditions under which resurgence may be exacerbated or minimized.

Delivering alternative reinforcement in a distinct context reduces its counter-therapeutic effects on relapse

Delivery of alternative reinforcers in the presence of stimuli previously associated with reinforcement for target behavior increases the susceptibility of target behavior to relapse. To explore contingencies that might mitigate this counter-therapeutic effect, we trained pigeons on a procedure that entailed extinction of previously reinforced target-key pecking, access to a distinct stimulus context contingently on refraining from target behavior (differential-reinforcement-of-other-behavior; DRO), and reinforcement of alternative-key pecks (differential-reinforcement of alternative behavior; DRA) in that context. This DRO-DRA treatment was compared with standard DRA in successive conditions, counterbalanced across pigeons. Target behavior extinguished more rapidly in the Standard-DRA condition. When alternative reinforcement was discontinued, however, there was less resurgence after DRO-DRA than after Standard DRA. In a third condition, the DRO contingency was suspended so that the former DRA stimuli were not presented (DRO-NAC), and resurgence was greater than in the Standard-DRA and DRO-DRA conditions. Reinstatement produced by response-independent reinforcers was small and similar across conditions. Subsequent reacquisition of target-key pecking under baseline reinforcement conditions was faster following DRO-NAC than Standard-DRA or DRO-DRA. These findings suggest that DRO-DRA might serve as a useful method in clinical settings for reducing problem behavior while minimizing the threat of posttreatment relapse.