Reducing Stereotypic Handmouthing of a Child with Severe/Profound Retardation

Abstract

Many severely/profoundly retarded and autistic children exhibit stereotypic behaviors that interfere significantly with learning. Some of these stereotypies appear to be maintained by the sensory (e.g., auditory, visual, tactile) consequences they provide the child. This article presents a case study of a young girl who exhibited excessive handmouthing. Contingent sensory reinforcement was used to reduce her handmouthing to substantially lower levels. The intervention provided her with an altemate means of obtaining the type of reinforcement that appeared to maintain her handmouthing. The results are discussed in reference to the benefits for the child and the feasability of using the procedures in the classroom.

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References

Baumeister, A.A. , MacLean, W.B. , Kelly, J. , & Kasari, C. (1980). Observational studies of retarded children with multiple stereotyped movements. Journal of Abnormal Child Psychology, 8, 501-521.

Devany, J. , & Rincover, A. (1982). Self-stimulatory behavior and sensory reinforcement . In R.L Koegel , A. Rincover , & A.L Egel (Eds.), Educating and understanding autistic children . Houston: College-Hill Press.

Gunter, P. , Brady, M.P. , Shores, R.E. , Fox, J.J. , Owen, S. , & Goldzweig, I. (1984). The reduction of aberrant vocalizations with auditory feedback and resulting collateral behavior change of two autistic boys. Behavioral Disorders, 9, 254-263.

Koegel, R.L. , & Covert, A. (1972). The relationship of self-stimulation and learning in autistic children. Journal of Applied Behavior Analysis , 5, 381-387.

Rincover, A. (1978). Sensory extinction: A pro. cedure for eliminating self-stimulatory behavior in developmentally disabled children. Journal of Abnormal Child Psychology, 6, 299-310.

Rincover, A. , Cook, A.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.

Rincover, A., Newsom, C.D., & Carr, E.G. ( 1979). Using sensory extinction procedures in the treatment of compulsive behavior of developmentally disabled children. Journal of Consulting and Clinical Psychology, 47, 695-701.

Romanczyk, R.G. , Kristner, J.A. , & Plienis, A. (1982). Self-stimulatory and self-injurious behavior : Etiology and treatment. In J.J. Steffen & P. Karoly (Eds.), Autism and severe psychopathology (pp. 189-254). Lexington, MA: Lexington Books.