In this investigation, the authors experimentally assessed the functions of finger sucking for 3 typically developing children ages 6, 7, and 14. In Experiment 1, a parent-conducted functional analysis, completed in each child’s natural environment, showed that each of the childrens finger sucking was most likely to occur when the child was alone, suggesting that the behaviors were maintained by automatic reinforcement. Experiment 2 involved assessing the nature of the sensory stimulation that maintained finger sucking by attenuating the sensory stimulation to the fingers via the use of Band-Aids and attenuating the sensory stimulation to the mouth with a mild numbing agent for 2 of the 3 children. For the 3rd child, mouthing objects were made available noncontingently to determine whether access to such items would result in low levels of finger sucking, suggesting reinforcer substitutability. Results of these analyses suggested that finger sucking was maintained by both oral and digital stimulation for 2 children and by oral stimulation for the 3rd.
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References
1.
Bishop, B. R. , & Stumphauzer, J. S. (1973). Behavior therapy of thumbsucking in children: A punishment (time-out) and generalization effect: What’s a mother to do?Psychological Reports, 33, 939-944.
2.
Clowes-Hollins, V. , & King, N. (1982). Parents and siblings as behavior modifiers in the control of a common developmental problem (thumbsucking). Journal of Child Psychology, 11, 231-233.
3.
Deaver, C. A. , Miltenberger, R. G., & Stricker, J. M. (2001). Functional analysis and treatment of hair twirling in a young child. Journal of Applied Behavior Analysis, 34, 535-538.
4.
Doke, L. A. , & Epstein, L. H. (1975). Oral overcorrection: Side effects and extended applications. Journal of Experimental Child Psychology, 20, 496-511.
5.
Ellingson, S. A. , Miltenberger, R. G., Stricker, J. M., Garlinghouse, M. A., Roberts, J., & Rapp, J. T. (2000). Analysis and treatment of finger sucking. Journal of Applied Behavior Analysis, 33, 41-52.
6.
Friman, P. C. (1987). Thumb sucking in childhood. Feelings and Their Medical Significance, 29, 11-14.
7.
Friman, P. C. , Byrd, M. R., & Oksol, E. M. (2001). Characteristic of oral-digital habits. In D. W. Woods & R. G. Miltenberger (Eds.), Tic disorders, trichotillomania, and repetitive behavior disorders: Behavioral approaches to analysis and treatment (pp. 197-222). Norwell, MA: Kluwer Academic.
8.
Friman, P. C. , & Hove, G. (1987). Apparent covariation between child habit disorders: Effects of successful treatment for thumb sucking on untargeted hair pulling. Journal of Applied Behavior Analysis, 20, 421-425.
9.
Friman, P. C. , McPherson, K. M., Warzak, W. J., & Evans, J. (1993). Influence of thumb sucking onpeer social acceptance infirst-grade children. Pediatrics, 91, 784-786.
10.
Friman, P. C. , & Schmitt, B. D. (1989). Thumb sucking: Pediatricians’guidelines. Clinical Pediatrics, 28, 438-440.
11.
Gellin, M. E. (1978). Digital sucking and tongue thrusting in children. Dental Clinics in North America, 22, 603-619.
12.
Goh, H. , Iwata, B. A., Shore, B. A., DeLeon, I. G., Lerman, D. C., Ulrich, S. M., et al. (1995). An analysis of the reinforcing properties of hand mouthing. Journal of Applied Behavior Analysis, 28, 269-283.
13.
Infante, P. F. (1976). An epidemiologic study of finger habits in preschool children, as related to malocclusion, socioeconomic status, race, sex, and size of community. Journal of Dentistry for Children, 43, 33-38.
14.
Iwata, B. A. , Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197-209. (Reprinted from Analysis and Intervention in Developmental Disabilities, 2, 3-20, 1982.)
15.
Iwata, B. A. , Pace, G. M., Cowdery, G. E., & Miltenberger, R. G. (1994). What makes extinction work: An analysis of procedural form and function. Journal of Applied Behavior Analysis, 27, 131-144.
16.
Iwata, B. A. , Vollmer, T. R., Zarcone, J. R., & Rodgers, T. A. (1993). Treatment classification and selectionbased onbehavioral function.
17.
In R. VanHouten & S. Axelrod (Eds.), Behavior analysis and treatment (pp. 101-125). New York: Plenum.
18.
Kennedy, C. H. , & Souza, G. (1995). Functional analysis and treatment of eye poking. Journal of Applied Behavior Analysis, 28, 27-37.
19.
Larsson, E. F. , & Dahlin, K. G. (1985). The prevalence and the etiology of the initial dummy and finger sucking habit. American Journal of Orthodontics, 87, 432-435.
20.
McClure, J. T. , Moss, R. A., McPeters, J. W., & Kirkpatrick, M. A. (1986). Reductions of hand mouthing by a boy with profound mental retardation. Mental Retardation, 24, 219-222.
21.
Miltenberger, R. G. , Fuqua, R. W., & Woods, D. W. (1998). Applying behavior analysis to clinical problems: Review and analysis of habit reversal. Journal of Applied Behavior Analysis, 31, 447-469.
22.
Miltenberger, R. G. , Long, E., Rapp, J. T., Lumley, V., & Elliott, A. (1998). Evaluating the function of hair pulling: A preliminary investigation. Behavior Therapy, 29, 211-219.
23.
Miltenberger, R. G. , Rapp, J. T., & Long, E. S. (1999). A low tech method for conducting real time recording. Journal of Applied Behavior Analysis, 32, 119-120.
24.
Miltenberger, R. G. , Rapp, J. T., & Long, E. S. (2001). Characteristics of trichotillomania. In D. W. Woods & R. G. Miltenberger (Eds.), Tic disorders, trichotillomania, and repetitive behavior disorders: Behavioral approaches to analysis and treatment (pp. 133-150). Norwell, MA: Kluwer Academic.
25.
Northup, J. , Wacker, D. P., Berg, W. K., Kelly, L., Sasso, G., & DeRaad, A. (1994). The treatment of severe behavior problems in school settings using a technical assistance model. Journal of Applied Behavior Analysis, 27, 33-48.
26.
Piazza, C. C. , Adelinis, J. D., Hanley, G. P., Goh, H., & Delia, M. D. (2000). An evaluation of the effects of matched stimuli on behaviors maintained by automatic reinforcement. Journal of Applied Behavior Analysis, 33, 13-27.
27.
Rankin, E. A. , Jabaley, M. E., Blair, S. J., & Fraser, K. E. (1988). Acquired rotational digital deformity inchildrenas a result of finger sucking. Journal of Hand Surgery, 13, 535-539.
28.
Rapp, J. T. , Miltenberger, R. G., Galensky, T. L., Ellingson, S. A., & Long, E. S. (1999). Functional analysis of hair pulling. Journal of Applied Behavior Analysis, 32, 329-337.
29.
Rapp, J. T. , Miltenberger, R. G., Galensky, T. L., Roberts, J., & Ellingson, S. A. (1999). Functional analysis and simplified habit reversal treatment of thumb sucking in fraternal twin brothers. Child & Family Behavior Therapy, 21, 1-17.
30.
Repp, A. C. , Deitz, S. M., & Deitz, D. E. (1976). Reducing inappropriate behaviors in class-rooms and in individual sessions through DRO schedules of reinforcement. Mental Retardation, 14, 11-15.
31.
Rincover, A. , Cook, R., Peoples, A., & Packard, D. (1979). Sensory extinction and sensory reinforcement principles for programming multiple adaptive behavior change. Journal of Applied Behavior Analysis, 12, 221-233.
32.
Vollmer, T. R. (1994). The concept of automatic reinforcement: Implications for behavioral research indevelopmental disabilities. Research in Developmental Disabilities, 15, 187-207.
33.
Weisman, E. , & Troncal, J. A. (1991). Herpetic whitlow: A case report. Journal of Family Practice, 33, 516-520.
34.
Woods, D. W. , & Miltenberger, R. G. (1996). A people with nervous habits nervous: A preliminary examination of habit function in a nonreferred population. Journal of Applied Behavior Analysis, 29, 259-261.
35.
Woods, D. W. , Murray, L. K., Fuqua, R. W., Seif, T. A., Boyer, L. J., & Siah, A. (1999). Comparing the effectiveness of similar and dissimilar competing responses in evaluating the habit reversal treatment for oral-digital habits in children. Journal of Behavior Therapy and Experimental Psychiatry, 30, 289-300.
