Errorless compliance training is a noncoercive, success-focused approach to treatment of problem behavior in children. The intervention involves graduated exposure of a child to increasingly more challenging requests at a slow enough rate to ensure that noncompliance rarely occurs, providing parents with many opportunities to reinforce cooperative responses and rendering punishment unnecessary. The authors evaluated this approach with three boys with characteristics of Asperger syndrome. Mothers first delivered a range of requests to their children and recorded child responses. For each child, the authors calculated compliance probability for all requests and categorized them into four probability levels, from those yielding high compliance (Level 1) to those that commonly led to opposition (Level 4). Treatment began with delivery of Level 1 requests. Requests from Levels 2 through 4 were faded in sequentially over several weeks. All three children demonstrated substantial generalized improvement in compliance.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
2.
Asperger, H. (1991). Autistic psychopathy in childhood. In U. Frith (Ed. & Trans.), Autism and Asperger syndrome (pp. 37-92). Cambridge: Cambridge University Press. (Original work published in 1944)
3.
Barkley, R.A. (1997). Defiant children: A clinician's manual for parent training (2nd ed.). New York : Guilford.
4.
Barlow, D.H., & Hersen, M. (1984). Single case experimental designs. New York: Pergamon.
5.
Cavell, T.A. (2001). Updating our approach to parent training: The case against targeting noncompliance. Clinical Psychology: Science and Practice, 8, 299-318.
6.
Ducharme, J.M. (2005). Errorless compliance training. In M. Hersen & J. Rosqvist (Eds.), Encyclopedia of Behavior Modification and Cognitive Behavior Therapy (Vol. 2: Child Clinical Applications). Thousand Oaks, CA: Sage.
7.
Ducharme, J.M., Atkinson, L., & Poulton, L. (2000). Success-based, noncoercive treatment of oppositional behavior in children from violent homes. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 995-1004.
8.
Ducharme, J.M., & Drain, T. (2004). Treatment and generalization effects of errorless academic compliance training for children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 163-171.
9.
Ducharme, J.M., Popynick, M., Pontes E., & Steele, S. (1996). Errorless compliance to parental requests, III: Group parent training with parent observational data and long-term follow-up . Behavior Therapy, 27, 353-372.
10.
Ducharme, J.M., Spencer, T., Davidson, A., & Rushford, N. (2002). Errorless compliance training: Building a cooperative relationship between brain-injured parents at risk for maltreatment and their oppositional children. American Journal of Orthopsychiatry , 72(4), 585-595.
11.
Fombonne, E., & Tidmarsh, L. (2003). Epidemiologic data on Asperger syndrome. Child and Adolescent Clinics of NorthAmerica, 12, 15-21.
12.
Forehand, R.L., & McMahon, R.J. (1981). Helping the noncompliant child: A clinician's guide to parent training. New York: Guilford.
13.
Ghaziuddin, M. (2002). Asperger syndrome: Associated psychiatric and medical conditions. Focus on Autism and Other Developmental Disabilities, 17(3), 138-144.
14.
Green, J., Gilchrist, A., Burton, D., & Cox, A. (2000). Social and psychiatric functioning in adolescents with Asperger syndrome compared with conduct disorder. Journal of Autism and Developmental Disorders, 30, 279-293.
15.
Howlin, P. (1998). Children with autism and Asperger syndrome: A guide for practitioners and carers. New York: John Wiley & Sons.
16.
Howlin, P., & Goode, S. (1998). Outcome in adult life for people with autism and Asperger syndrome. In F. Volkmar (Ed.), Autism and Pervasive Developmental Disorders (pp. 209-240). Cambridge, UK: Cambridge University Press.
17.
Kim, J.A., Szatmari, P., Bryson, S.E., Streiner, D.L., & Wilson, F.J. (2000). The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism, 4(2), 117-132.
18.
Krasny, L., Williams, B.J., Provencal, S., & Ozonoff, S. (2003). Social skills interventions for the autism spectrum: Essential ingredients and model curriculum. Child and Adolescent Clinics of NorthAmerica, 12(1), 107-122.
19.
Landis, R., & Koch, G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159-174.
20.
Loeber, R., & Schmaling, K.B. (1985). Empirical evidence for overt and covert patterns of antisocial conduct problems: A meta-analysis . Journal of Abnormal Child Psychology, 13, 337-352.
21.
Mesibov, G.B., Shea, V., & Adams, L.W. (2001). Understanding Asperger syndrome and high functioning autism. New York: Kluwer Academic/Plenum .
22.
Myles, B.S. (2003). Behavioral forms of stress management for individuals with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 123-141.
23.
Parrish, J.M., Cataldo, M.F., Kolko, D., Neef, N.A., & Egel, A. (1986). Experimental analysis of response covariation among compliant and inappropriate behavior. Journal of Applied Behavior Analysis, 19, 241-254.
24.
Stoddard, L.T., & Sidman, M. (1967). The effects of errors on children's performance on a circle-ellipse discrimination. Journal of the Experimental Analysis of Behavior, 10, 261-270.
25.
Szatmari, P. (1991). Asperger syndrome: Diagnosis, treatment, and outcome . Psychiatric Clinics of North America, 14, 81-93.
26.
Terrace, H.S. (1966). Stimulus control. In W. K. Honig (Ed.), Operant behavior: Areas of research and application (pp. 271-344). New York: Appleton —Century—Crofts.
27.
Tonge, B.J., Brereton, A.V., Gray, K.M., & Einfeld, S.L. (1999). Behavioral and emotional disturbance in high-functioning autism and Asperger syndrome. Autism, 3(2), 117-130.
28.
Touchette, P.E. (1968). The effects of graduated stimulus change on the acquisition of a simple discrimination in severely retarded boys. Journal of the Experimental Analysis of Behavior, 11, 39-48.
29.
Wolf, M.M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11, 203-214.
