Assessment and Treatment of Multiple Topographies of Self-injury Maintained by Separate Reinforcement Contingencies
Description: Functional analysis procedures were used to assess and treat multiple topographies of self-injurious behavior exhibited by an individual. An experimental functional analysis indicated that one topography, hand biting, appeared to be maintained by social positive reinforcement in the form of delivery of tangible items. The analysis also provided evidence that a second form of self-injury, skin picking, was automatically reinforced. To treat positively reinforced hand biting, access to a preferred tangible was arranged contingent on the omission of biting for a prespecified time interval. Hand biting was nearly eliminated, and low rates were maintained as the schedule of reinforcement was thinned to 10 min. Competing stimulus assessments identified that magazines effectively suppressed all occurrences of skin picking; therefore, noncontingent access to magazines was implemented. Using a combination of multielement and multiple baseline designs, we were able to demonstrate that the two topographies of self-injury were maintained by independent reinforcement contingencies and that interventions corresponding to each topography and function effectively treated both behaviors.
Date: August 2011
Creator: Pace, Amy