Assessment of stereotypic and self-injurious behavior as adjunctive responses

Stereotypy I: a review of behavioral assessment and treatment

In this paper, we review definitional issues related to stereotypy, behavioral interpretations of stereotypy, procedures for determining operant function(s) of stereotypy, and behavioral interventions for stereotypy. In general, a preponderance of the assessment literature suggests that most forms of stereotypy are maintained by automatic reinforcement. Review of the treatment literature suggests that antecedent (e.g., environmental enrichment) and consequent (e.g., differential reinforcement of alternative behavior) interventions produce at least short-term reductions in stereotypy. Suggestions for further assessment and treatment of stereotypy are provided.

A review of reinforcement control procedures

A demonstration of the effects of reinforcement requires comparison of response rates in the presence of a contingency with those in another condition that controls for the influence of extraneous variables. We describe several control conditions that have been used in evaluating the effects of positive and negative reinforcement. The methodological rigor and practical utility of each type of control condition are discussed, and recommendations for the use of these conditions are presented.

Applying behavior analysis to clinical problems: review and analysis of habit reversal

This article provides a review and analysis of habit reversal, a multicomponent procedure developed by Azrin and Nunn (1973, 1974) for the treatment of nervous habits, tics, and stuttering. The article starts with a discussion of the behaviors treated with habit reversal, behavioral covariation among habits, and functional analysis and assessment of habits. Research on habit reversal and simplified versions of the procedure is then described. Next the article discusses the limitations of habit reversal and the evidence for its generality. The article concludes with an analysis of the behavioral processes involved in habit reversal and suggestions for future research.