Food aversion was shown to be effective in the reduction of plastic pica by a 4-year-old boy with autism. The participantwas sufferingfrom digestive complicationsdue to the ingestionof plastic from a variety of toys. The intervention was initially conducted in the child's preschool classroom during instructional periods and was systematically generalized to the entire preschool classroom, and eventually to both classrooms within the preschool and across 25 teachers. The success of the intervention in decreasing pica was enhanced by its achievement in not reducing interactions with toys, considering appropriate play skills were a target goal.
Ausman, J., Ball, T. S., & Alexander, D. (1974). Behavior therapy of pica with a profoundly retarded adolescent. Mental Retardation, 12, 16-18.
2.
Bucher, B., Reykdal, B., & Albin, J. (1976). Brief physical restraint to control pica in retarded children. Journal of Behavior Therapy and Experimental Psychiatry, 7, 141-144.
3.
Danford, D. E., & Huber, A. M. (1982). Pica among mentally retarded adults. American Journal of Mental Deficiency, 87, 141-146.
4.
Finney, J., Russo, D., & Cataldo, M. (1982). Reduction of pica in young children with lead poisoning. Journal of Pediatric Psychology, 7, 197-207.
5.
Fisher, W. W., Piazza, C. C., Bowman,L. G., Kurtz,P. F., Sherer, M. R., & Lachman,S. R. (1994). A preliminary evaluation of empirically derived consequences for the treatment of pica. Journal of Applied Behavior Analysis, 27, 447-457.
6.
Foxx, R. M., & Martin, E. D. (1975). Treatment of scavenging behavior (coprophagy and pica) by overcorrection. Behavioral Research and Therapy, 13, 153-162.
7.
Ginsberg, A. J. (1988). Feeding disorders in the developmentally disabled population. In D. E. Russo & J. H. Kedesdy (Eds.), Behavioral medicine with the developmentally disabled (pp. 21-41). New York: Plenum.
8.
Goh, H., Iwata, B. A., & Kahng, S. (1999). Multicomponent assessment and treatment of cigarette pica. Journal of Applied Behavior Analysis, 32, 297-316.
9.
Iwata, B. A. (1991, May). The functions of self-injurious behavior: An experimentalepidemiological analysis. In S. O'Brien (chair), Considerations in the treatment of severe maladaptive behaviors. Symposium conducted at the annual meeting of the Association for Behavior Analysis, Atlanta, GA.
10.
Lewander, W., Wine, H., Carnevale, R., Lindenmayer, J., Harvey, E., Hallwaker, C., et al. (1997). Ingestion of cigarettes and cigarette butts by children: Rhode Island, January 1994-July 1996. Journal of the American Medical Association, 277, 785-785.
11.
Linscheid, T. R. (1992). Eating problems in children. In C. E. Walker & M. C. Roberts (Eds.), Handbook of clinical child psychology (2nd ed., pp. 451-473). New York: Wiley.
12.
McLoughlin, I. J. (1988). Pica as a cause of death in three mentally handicapped men. British Journal of Psychiatry, 152, 842-845.
13.
Moncrieff, A. A., Koumides, O. P., Clayton, B. E., Patrick, A. D., Renwick, A. G. C., & Roberts, G. E. (1964). Lead poisoning in children. Archives of Diseases in Childhood, 39, 1-13.
14.
Mulick, J. A., Barbour, R., Schroeder, S., & Rojahn, J. (1980). Overcorrection of pica in two profoundly retarded adults: Analysis of setting effects, stimulus, and response generalization. Applied Research in Mental Retardation, 1, 241-252.
15.
Palmer, S., & Horn, S. (1978). Feeding problems in children. In S. Palmer & S. Ekvall (Eds.), Pediatric nutrition in developmental disorders (pp. 107-128). Springfield, IL: Charles C. Thomas.
16.
Piazza, C. C., Fisher, W. W., Hanley, G. P., LeBlanc, L. A., Worsdell, A. S., Lindauer, S. E., et al. (1998). Treatment of pica through multiple analyses of its reinforcing functions. Journal of Applied Behavior Analysis, 31, 165-189.
17.
Riordan, M. M., Iwata, B. A., Finney, J. W., Wohl, M. K., & Stanley, A. E. (1984). Behavioral assessment and treatment of chronic food refusal in handicapped children. Journal of Applied Behavior Analysis, 17, 327-341.
18.
Singh, N. N., & Bakker, L. (1984). Suppression of pica by overcorrection and physical restraint: A comparative analysis. Journal of Autism and Developmental Disorders, 14, 331-341.
19.
Singh, N. N., & Winton, A. (1984). Effects of a screening procedureon pica and collateral behaviors. Journal of Behavior Therapy and Experimental Psychiatry, 15, 59-65.
20.
Vollmer, T. R. (1994). The concept of automatic reinforcement: Implications for behavioral researchin developmentaldisabilities. Research in DevelopmentalDisabilities, 15, 187-207.
21.
Williamson, D. A., Kelley, M. L., Cavell, T. A., & Prather, R. C. (1987). Eating and elimination disorders. In C. L. Frame & J. L. Matson (Eds.), Handbook of assessment in childhood psychopathology: Applied issues in differential diagnosis and treatment evaluation (pp. 461-487). New York: Plenum.
