RESUMEN
A functional analysis identified the reinforcers for 3 participants' problem behavior, but only relatively mild problem behaviors (e.g., screaming, disruption) were observed when all topographies produced tested consequences. We then conducted an extinction analysis in which specific topographies produced a reinforcer while all other topographies were on extinction. The extinction analysis confirmed that the same reinforcer identified in the initial functional analysis maintained more severe topographies of problem behavior (e.g., aggression). In addition, results of the extinction analysis indicated that 2 of the participants displayed patterns of responding consistent with a response class hierarchy hypothesis, in which less severe problem behavior frequently occurred prior to more severe topographies. The 3rd participant displayed a response pattern indicative of differential reinforcement effects.
Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/terapia , Trastornos de la Conducta Infantil/terapia , Agresión/psicología , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Trastorno por Déficit de Atención con Hiperactividad/psicología , Terapia Conductista/métodos , Niño , Trastornos de la Conducta Infantil/diagnóstico , Trastornos de la Conducta Infantil/psicología , Preescolar , Discapacidades del Desarrollo/psicología , Extinción Psicológica , Femenino , Humanos , Masculino , Refuerzo en Psicología , Índice de Severidad de la Enfermedad , Trastorno de Movimiento Estereotipado/diagnóstico , Trastorno de Movimiento Estereotipado/psicología , Trastorno de Movimiento Estereotipado/terapia , Análisis y Desempeño de Tareas , Resultado del TratamientoAsunto(s)
Trastorno por Déficit de Atención con Hiperactividad/terapia , Terapia Conductista/métodos , Estimulantes del Sistema Nervioso Central/administración & dosificación , Metilfenidato/administración & dosificación , Agresión/efectos de los fármacos , Atención/efectos de los fármacos , Trastorno por Déficit de Atención con Hiperactividad/psicología , Estimulantes del Sistema Nervioso Central/efectos adversos , Niño , Terapia Combinada , Método Doble Ciego , Femenino , Humanos , Masculino , Metilfenidato/efectos adversos , Embarazo , Fases del Sueño/efectos de los fármacos , Resultado del TratamientoRESUMEN
A forced-choice preference assessment was conducted in which two dependent measures were used to select preferred stimuli: (a) approach responding and (b) latency to the first aberrant response. Stimuli identified as preferred based on both dependent measures were then evaluated during treatment. The results suggested that latency may be a useful measure in the selection of preferred stimuli during forced-choice assessments.