Self-Injury Abstracts & Reviews A Quarterly Publication of the Florida Center on Self-Injury 2003, Volume 12, No. 4
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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
weeks. To take advantage of this option, send your
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.
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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
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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.
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The next section contains abstracts of recent articles, with authors' addresses.
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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
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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
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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
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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
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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
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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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The Florida Center on Self-Injury & The Oxford Publishing Group Page 8
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The Florida Center on Self-Injury & The Oxford Publishing Group Page 9