Self-Injury Abstracts & Reviews
                          
                  
A Quarterly Publication of the Florida Center on Self-Injury                                       
                                                                                                                            
                                                                                                                         2003, Volume 12, No. 4
From the Editor
Problem Behavior Maintained by Multiple
         Sources of Reinforcement

                          David M. Wilson
                    The University of Florida

Functional   analysis  methodology  is   an assessment tech-
nique  that  identifies sources  of reinforcement for problem
behaviors  and  facilitates  the  development of interventions
that are highly  individualized.  The  results of  a  functional   
analysis  will   generally  indicate  that problem  behavior  is  
maintained  by:  (a)  social-positive  reinforcement  such  as  
attention,  (b) social-negative reinforcement such as escape   
from instructional demands, or (c) automatic reinforcement
(sensory- or  self-stimulation).  A number  of  reports have
presented data  indicating  that  problem  behavior  may  be  
maintained by  more  than one source  of  reinforcement, a
situation   referred  to  as  one   involving  
multiple  control.
For  example,   problem  behavior  may  be  maintained  by
access to attention under one set of  antecedent  conditions
but by escape from task  demands  under a  different set of
conditions (Day, Horner, & O’Neill, 1994).
Multiple control poses challenges to  both  assessment  and
treatment.  For  example,  assessment  results  showing  an
undifferentiated pattern of responding  across all test condi-
tions   may  be  suggestive  of   maintenance  by  automatic
reinforcement. However, such a  pattern poses difficulty in
interpretation  because   other   functions  such   as  social-
positive or social-negative reinforcement may be “masked”
and cannot be  ruled out. Thus, a  possibility  that  must be
considered is that problem  behavior is maintained by more
than one source of reinforcement, in  which  case interven-
tion may  require  different  treatment  procedures  for  the
same problem behavior depending on the context in  which
it occurs. Furthermore, intervention procedures appropriate
for  one    behavioral  function   may  exacerbate   problem
behavior  having other  functions.  This review summarizes
research  on   problem   behavior   maintained   by  multiple
control and suggests  strategies  for  assessment  and  treat-
ment.

              Assessment
Multiple  control  should   be   considered   when  problem
behavior occurs in more than one assessment condition  of
a   functional  analysis  (Day  et al.,  1994;  Iwata,  Dorsey,
Slifer,  Bauman, & Richman, 1982/1994; Iwata, Pace et al.,
1994);  Iwata, Pace et al., 1994).   For example, Iwata et al.
Early  research on  the  functional  analysis  of    problem
behavior   focused  on  the  development  of  methods  to
identify   common   sources  of  reinforcement  (such  as
attention or  escape)  and on  the  refinement of  learning-
based    interventions  for   these   behavioral    functions.  
Current work has begun to address increasingly complex
questions  at  both  ends  of   the  research-to-application  
continuum,  as  evidenced  by  the  review  and  featured
articles contained in this issue.
One of the more complicated  questions  in  the  area  of
behavior  disorders  is  how  to  recognize  situations   in
which an  individual’s  problem  behavior  is  maintained  
by   more   than   one   source   of   reinforcement   and,
subsequently,  how  to develop an effective  intervention.
The   review   article   in   this   issue   suggests  several
strategies  for   assessment  and  treatment  of   behavior
influenced by “multiple control.”
The featured article addresses a  more  general  question
related to application: to facilitate  implementation   under
naturalistic conditions.  Mueller et al.  (2003)  describe a
systematic sequence of procedures that included assess-
ment, treatment, and the evaluation  of social  acceptabi-
lity, which illustrate a nice model for consultant-teacher     
collaboration in typical classroom settings.
Review topics planned for future issues include:
• Analysis of Response Classes
• Antecedent Events and Behavior Disorders
• Elopement
Starting with  the   next  issue   (2004,  Vol. 13,  No. 1),
Self-Injury  Abstracts and Reviews  will  be available   to
subscribers in   electronic  format  (Adobe Acrobat PDF
file), which  will  reduce  the  time to  receipt by several
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email address to the Managing Editor (see below).

                                         Brian Iwata
Self-Injury Abstracts & Reviews (ISSN 1090-4611) is published quarterly by the Oxford Publishing Group and the Florida
Center of Self-Injury.  Send editorial correspondence to the Assistant Editor, Stephen North, Psychology Dept., University of
Florida, Gainesville, FL 32611.  E-mail: stnorth@ufl.edu.   Send other  inquiries  to  Walt  Antonow,  Managing  Editor,
Oxford Publishing Group, 1739 University Ave, #350, Oxford, MS 38655.  E-mail:  bisoxford@hotmail.com.
Section above deals with a different topic quarterly.
(see subscription form for prior topics).
The next section contains a review of a Featured Article.
Self-Injury Abstracts & Reviews                                                            2003, Volume 12, No. 4
Van Camp, C.M., Lerman, D.C., Kelley, M.E.,   Roane, H.
S., Contrucci, S.A., & Vorndran, C.M. (2000).
Further  
analysis of idiosyncratic antecedent influences during the assess-
ment and treatment of problem   behavior.  
Journal  of   Applied
Behavior Analysis,
33, 207-221.
Recent   research   findings   suggest  that    idiosyncratic
variables   can   influence  the   outcomes  of   functional
analyses  (E. G. Carr,  Yarbrough, & Langdon, 1997). In
the    present   study,   we       examined     idiosyncratic
environment–behavior   relations   more   precisely   after
identifying  stimuli  (i.e.,  a   particular   toy   and   social
interaction) associated with  increased  levels of  problem
behavior. Two children, an 8-year-old boy with moderate
mental retardation and a 5-year-old boy with  no develop-
mental delays, participated. Results of functional analyses
for both children indicated  that  idiosyncratic  antecedent
stimuli  set  the   occasion  for  occurrences  of  problem
behavior (hand biting or hand flapping) and that  problem
behavior persisted in the absence of social  contingencies.
Further   analyses  were  conducted  to  identify  specific
components  of  the  stimuli   that   occasioned   problem
behavior. Treatments based on   results  of  the   analyses
successfully reduced self-injury and  hand  flapping.  For
reprints:  Dorothea  Lerman,   Psychology   Dept.,    236
Audubon  Hall,  Louisiana  State  Univ., Baton Rouge, LA
70803
              ~ ~ ~ ~ ~ ~ ~ ~

               Featured Article

Mueller,  M.M.,  Edwards,  R.P.,  &  Trahant, D.(2003).
Translating  multiple  assessment  techniques into an
intervention selection model for classrooms.
Journal
of Applied Behavior Analysis, 36,
563-573.

Translating  current   research  to   school-based  clinical
practice   highlights  issues  not   often   encountered   in
laboratory settings.  With   the assistance of a consultant,
teachers    conducted   functional  analyses,  brief  multi-
element  treatment comparisons, and controlled treatment
evaluations under  naturalistic conditions in the classroom.
Teachers   also  provided  input  on    treatment selection.
Treatment  integrity data collected  throughout  the study
suggested   that   teachers   implemented   analyses   and
treatments with high  integrity.   The  functional  analysis
outcomes combined with effectiveness and  acceptability
data led to   the  selection  of  interventions  that  reduced
problem behavior in the classrooms for each of 3 children.
For   reprints:  Michael   Mueller,  May  South, 1770  The
Exchange, Suite 140, Atlanta, GA 30339

Teaching Teachers Principles of Applied   
Behavior Analysis for the Classroom

                Stephen T. North
          The University of Florida

Classroom-based   interventions,   in addition to being
effective, should  be  practical  that  they  can  be   imple-
mented   with   relative   ease,   minimize   disruption   of
ongoing   classroom  activities,  and  allow   the  teacher to
simultaneously address other students’ needs.   Limitations
in any of these  areas  decrease the likelihood that  teachers
will implement prescribed interventions.
Mueller, Edwards, and Trahant addressed  these  issues by  
illustrating   a  model  in  which   teachers    conducted  
functional analyses and treatment evaluations in  the  class-
room,  and provided input on  treatment selection.  Partici-
pants were 3 first-grade  students  whose  previous  func-
tional analysis results indicated that their problem behaviors  
were     maintained   by   negative   reinforcement.    Each
participant’s teacher was  trained to  implement  all  proce-
dures throughout the study. The  teachers first  conducted  
functional  analyses   comprised of attention,  escape,  and  
control  conditions  to identify  functions   of   participants’
problem behavior. Second, teachers conducted preference
assessments to identify back-up reinforcers to be used in a
token program. Next, teachers conducted  brief  treatment
comparisons  of   differential   negative   reinforcement  of
alternative behavior (DNRA), differential  reinforcement of  
alternative behavior (DRA), and  non-contingent reinforce-
ment (NCR)   and  then  rated  treatment acceptability   on  
Intervention Rating  Profiles   (IRP-15), which were  used  
to  select  one  of  the  interventions  for further evaluation.
Results of he  brief  treatment  comparisons  indicated  that
all interventions were  effective  in  reducing  problem
behavior  but   that  DRA  and  NCR   were  slightly  more
effective than DNRA for 2 of the 3 participants.  However,  
results of the IRP-15 indicated that the teachers rated only  
DRA as an acceptable intervention.  Results from the brief  
treatment comparisons and   IRPs-15  led  to  the selection  
of  DRA  for further  evaluation for 2 of the 3  participants  
and NCR for the third, which, again, were highly effective  
in  reducing  problem behavior.  Furthermore,  the  teacher
who  previously rated  NCR  as  unacceptable  rated  it  as  
acceptable  following the extended evaluation phase.
This study has important implications for extensions of   
applied  behavior analysis to  inclusive   classroom settings.
The results illustrate  the benefits  of  training  teachers  to
implement functional analyses in the classroom, which may
increase   the  likelihood  that  teachers  could   themselves  
identify effective  interventions  in  the  future. The  results  
also suggest that teachers may prefer  interventions  based  
on positive reinforcement rather than  those involving nega-
tive reinforcement or punishment.
One  limitation  of  the  study was that  it  focused  on
problem behavior maintained  only  by  negative  reinforce-
ment  (escape from demands); it is unclear whether similar  
results  would be  obtained  with  problem behavior having
different  functions  (i.e., access  to  attention  or  tangible  
items).   Additionally,  evaluation  of  the  model's utility  in  
developing  interventions for more severe problem behavior
(e.g., self-injury or aggression) seems warranted.


              ~ ~ ~ ~ ~ ~ ~ ~
The next section contains abstracts of recent articles, with authors' addresses.
Self-Injury Abstracts & Reviews                                                           2003, Volume 12, No. 4
disruptiveness   (grouping variable).  Although  predictors
of attendance  (SES, single-parent  status,  child  IQ)  did
not differ across high- and  low-disruptive groups, predic-
tors  of   outcome   were   moderated  by  level  of  child
disruptiveness for academic achievement  and  aggression
outcomes, but not for  social  competence.  Higher  atten-
dance in the Summer Program was associated with higher
child social competence at  Year  3  for  all  children.  For
academic achievement, higher attendance in  the  Summer
Program   was  associated  with  higher  scores  for  mild/
moderately disruptive children and lower scores for highly
disruptive  children  in  Year  3.   Higher attendance in the
Family Program  was  associated  with  lower  aggression
scores for mild/moderately  disruptive  children.  Findings
highlight the importance of  matching intervention compo-
nents to the assessed  or  expressed  needs  of  client  sub-
groups. For reprints: Gerald August, Child and Adolescent
Psychiatry   Division,  Univ.  Minnesota  Medical   School,
F256/2B  West,  2450  Riverside  Ave.,  Minneapolis,  MN
55454
                         ~ ~ ~ ~ ~ ~ ~ ~

Barry, L.M., & Messer, J.J. (2003). A practical application
of   self-management  for   students   diagnosed   with
attention-deficit/hyperactivity   disorder.    
Journal  of
Positive Behavior Interventions, 5,
238-248.
Five sixth-grade students  diagnosed  with attention-deficit/
hyperactivity disorder (ADHD),  taking  psycho-stimulants
for  treatment  of   ADHD  symptoms,  and  enrolled  in  a
general   education  classroom   participated  in  the  study.
Participants were  taught  self-management  techniques  to
monitor academic  performance,  on-task  behaviors,  and
disruptive  behaviors.   A multiple  baseline  design  across
students  with  intervention  withdrawal  embedded  within
each baseline  was  used to  empirically  assess  the  effect-
iveness of self-management.  Self-management  associated
with  increases  of  on-task  behaviors  and  academic  per-
formance and with a decrease of disruptive behaviors when
compared  to  other  phases.    Implications  for   practical
application of the strategy in general education  classrooms
are  discussed.  For reprints:   Leasha  Barry,  Univ.  West
Florida,  11000  University  Pkwy  85/189,  Pensacola, FL
32514
                        ~ ~ ~ ~ ~ ~ ~ ~
Bartanusz, S., & Sulova, L. (2003). Functional analysis of
the  communication  between  the young child and his
father or  mother  when  reading  an  illustrated  book.
European Journal  of  Psychology  of  Education,  18,
113-134.
Our research is concerned with the observation of commu-
nication between the child and his parents (mother-baby vs.
father-baby). The children are aged from 30 to 36 months
old. Communication was analysed according to utterances
functions and social aims. 14 French children, 7 boys  and
7 girls were filmed with each of their two  parents in  their
home environment. 5 minutes of  verbal  interactions were
entirely  rewritten  and  analysed  according  to  categories
adapted from the speech acts theory.  The results  indicate
that  mothers  generate  more  expressive  utterances   and
fathers more commissive ones.  Mothers also tend  to  ask
more information requests.  The  children  generate  more
assertive utterances with the mothers and are  more  direc-
tive with the fathers.  Concerning  parental  feedack  func-
Self-Injury and Related
Behavior Disorders:
Abstracts of Recent Articles
Abrams,   L.S.,  &   Gordon,   A.L.  (2003).    Self-harm
narratives  of  urban  and  suburban  young   women.
Affilia, 18, 429-444.
This qualitative study explored the motivations,  meanings,
functions,  and  consequences  of  self-harm  for   young
women in urban and suburban contexts. It found that  all
6 participants deliberately harmed themselves in response
to  traumas,  family  stress,  and   relationship   problems.
However, the suburban  girls  connected  their  self-harm
behaviors to an overall sense  of  despondency,  whereas
the urban girls attributed these to  release  of  unresolved
anger. Key differences between the groups also emerged in
the  functions  and  consequences  of  their  self-harm
behaviors.  These  findings  can  increase social workers'
capacity  to  respond  to   intentional  self-injury   among
ethnically and socioeconomically diverse  populations  of
young women. For reprints: Laura  Abrams,  School  of
Social  Work,  Univ.  Minnesota,  105 Peters Hall,  1404
Gortner Ave., St. Paul, MN 55108

                       ~ ~ ~ ~ ~ ~ ~ ~
Ahearn,  W.H.,  Clark,  K.M.,  Gardenier,  N.C.,  Chung,
B.I.,  &  Dube, W.V. (2003).  Persistence of stereo-
typic behavior:  Examining   the  effects of  external
reinforcers.
Journal of Applied  Behavior  Analysis,
36
, 439-448.
Basic research has shown  that  behavioral persistence is
often positively  related  to rate  of  reinforcement.  This
relation,   expressed  in   the   metaphor   of   behavioral
momentum,  has  potentially  important  implications  for
clinical application.   The  current  study  examined  one
prediction of the momentum metaphor for  automatically
reinforced behavior. Participants  were  3  children  who
had been diagnosed with  an  autism  spectrum  disorder
and who engaged in stereotypic behavior maintained  by
automatic reinforcement. Results suggested that  stereo-
typic behavior was more resistant to disruption following
periods of  access  to  preferred  stimuli  delivered  on  a
variable-time  schedule  than  following  periods  without
access to preferred  stimuli.  The  implications  of  these
findings for  the  treatment  of  automatically  reinforced
behavior  are  discussed.  For reprints:  William  Ahearn,
New   England  Ctr.  for   Children,    33  Turnpike  Rd.,
Southborough, MA 01772
                      ~ ~ ~ ~ ~ ~ ~ ~
August, G.J., Egan, E.A., Realmuto,  G.M.,  &  Hektner,
J.M.  (2003).  Parceling   component   effects  of  a
multifaceted   prevention   program   for   disruptive
elementary  school  children.  
Journal  of  Abnormal
Child  Psychology, 31,
515-527.
This   study   examined   predictors   and   outcomes  of
attendance in two standard components of a multifaceted
preventive intervention aimed at children with early-onset
disruptive behavior after 3  years  of  intervention.  Mean
rate of attendance in the  Family  Program,  but  not  the
Summer  School  Program,   differed  by  level  of  child
               In This Issue

From the Editor ............................................. 1
Multiple Control of Problem Behavior ............. 1
Featured Article ............................................. 8
Abstracts of Recent Articles ............................. 9
 
 
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