Stimulus-Stimulus-Pairing to Reduce Stereotypies in Three Children with Autism during Movie Watching

Autism spectrum disorders represent a challenge for professionals, who must include in their individualized educational interventions goals for core symptoms (social-communication and stereotypies/restricted interests) and comorbidities. The narrowness of interests and the high frequency of repetitive behaviors in children with autism often constitute an obstacle for learning and the quality of life, and for their caregivers as well. In the scientific literature, behavioral interventions based on both aversive and, less commonly, positive procedures have been implemented to reduce the frequency of stereotypies. The following study was carried out with the intention of replicating a Stimulus-Stimulus Pairing procedure applied by Nuzzolo-Gomez, Leonard, Ortiz, Rivera and Greer (2002) in order to reduce stereotypies in children. This procedure was applied to three children diagnosed with autism aged five, almost six and seven years, in order to reduce stereotypies when children watched movies. An A-B-A experimental design with three subjects was used for this research. The results showed a decrease in stereotypies in favor of appropriate behaviors.

Analyzing stimulus-stimulus pairing effects on preferences for speech sounds

Several studies have demonstrated effects of stimulus-stimulus pairing (SSP) on children's vocalizations, but numerous treatment failures have also been reported. The present study attempted to isolate procedural variables related to failures of SSP to condition speech sounds as reinforcers. Three boys diagnosed with autism-spectrum disorders participated. Phase 1 was designed to assess SSP effects on production of auditory stimuli via button pressing. When SSP failed to produce a preference for the target stimulus, we instituted a series of procedural manipulations intended to address potential reasons for failure. One participant preferred the target stimulus when given the opportunity to select preferred items for pairing prior to each session, but a subsequent reversal attempt produced ambiguous results. Two participants showed no consistent preference in Phase 1 and underwent a within-session reinforcer evaluation in Phase 2, in which alternative controlling variables were demonstrated by delivering preferred stimuli contingent on button pressing.

Using stimulus-stimulus pairing and direct reinforcement to teach vocal verbal behavior to young children with autism

In this study the effect of a stimulus-stimulus pairing procedure was used as part of a clinical investigation to increase vocalizations for two young children diagnosed with autism. This procedure involved pairing a vocal sound with a preferred stimulus (e.g., toy) to condition automatic reinforcement. In addition, this study assessed the effects of a direct reinforcement procedure to bring a vocalization under echoic control following the pairing procedure for 1 of the participants. The results showed the pairing procedure was used successfully to increase a vocalization for one of the participants, and the vocalization was brought under echoic control.

A comparison of stimulus-stimulus pairing, standard echoic training, and control procedures on the vocal behavior of children with autism

An alternating treatments design was employed to compare the effect of stimulus-stimulus pairing, standard echoic training, and a control condition on the vocal behavior of 3 preschoolers with autism. Data were recorded during pre- and postsession observations. During the stimulus-stimulus pairing condition, the experimenter's vocal model was paired with the delivery of a preferred item. During the standard echoic training condition, the experimenter presented a vocal model and delivered a preferred item contingent on an echoic response. During the control condition, the experimenter presented a vocal model and, after a 10-s delay, presented a preferred edible item. Results from the post-session observations during the stimulus-stimulus pairing condition showed an immediate but temporary increase in the target sound for 1 participant only. Implications and suggestions for future research are provided.

The effects of a stimulus-stimulus pairing procedure on the unprompted vocalizations of a young child diagnosed with autism

The current study evaluated the effects of a stimulus-stimulus pairing procedure intended to increase spontaneous vocalizations of a young child diagnosed with autism. A multiple-baseline design across two target phonemes was used to evaluate the effects of the pairing procedure on the frequency of phonemes uttered by the participant. Data were collected during presession, postsession, and follow-up periods across three conditions: Baseline, Control, and Pairing. During the Pairing conditions, a target phoneme was repeatedly vocalized by the experimenter and was systematically paired with preferred stimuli. Results from postsession observations following the pairing condition evidenced no increase in the target sounds. Practical and theoretical implications of the results are discussed.

Evaluating stimulus-stimulus pairing and direct reinforcement in the establishment of an echoic repertoire of children diagnosed with autism

Many children with autism do not imitate adult vocalizations, an important skill in learning to talk. Pairing adult vocalizations with preferred stimuli has been shown to increase free-operant vocalizations but effects are temporary; thus, direct reinforcement may be necessary to establish durable vocal behaviors. In Experiment 1, directly reinforced echoic responses did not increase following stimulus-stimulus pairings in three children with autism. Similarly, pairings did not increase free-operant vocalizations in Experiment 2, a replication of Miguel et al. (2002). Experiment 3 demonstrated that shaping increased vowel frequency for one participant. Results suggest that variables are yet to be delineated that influence effectiveness of a stimulus-stimulus pairing procedure on vocalization frequency and acquisition of a verbal operant following such pairings.