A Demonstration of the Effects of Augmentative Communication on the Extreme Aggressive Behavior of a Child With Autism Within an Integrated Preschool Setting

Abstract

Research in the area of behavior support has repeatedly demonstrated the positive effects of learning more effective and efficient communication on the challenging behaviors of individuals with developmental disabilities. More recently, augmentative and alternative communication strategies have been receiving increased attention as primary teaching goals for young children with autism. Use of picture exchange and choice-making opportunities has been reported to facilitate speech acquisition and/or result in increased communicative attempts across daily routines. The case study discussed in this article examines the effects of picture exchange on the severe aggressive behavior of a preschooler with autism who was at risk of losing his integrated school placement. Picture exchange was introduced within two play routines in the classroom. The effects of picture exchange on the student's aggression were evaluated within a multiple baseline design. Results indicated that the student's aggressive behavior was eliminated in a brief amount of time when picture exchanges were in place. These findings are discussed in terms of integrating augmentative communication into behavioral support planning and future research in this area.

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References

Bird, F. , Dores, P. , Moniz, D. , & Robinson, J. (1989). Reducing severe aggression and self-injurious behaviors with functional communication training. American Journal of Mental Retardation, 94, 37-48.

Bondy, A.S. , & Frost, L.A. (1994). The picture exchange communication system. Focus on Autistic Behavior, 9, 1-19.

Carr, E.G. , & Durand, V.M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis , 18, 111-126.

Dunlap, G. , dePerczel, M. , Clarke, S. , Wilson, D. , Wright, S. , White, R. , & Gomez, A. (1994). Choice making to promote adaptive behavior for students with emotional and behavioral challenges. Journal of Applied Behavior Analysis, 27, 505-518.

Durand, V.M. (1990). Severe behavior problems: A functional communication training approach. New York: Guilford Press.

Durand, V.M. (1993). Functional communication training using assistive devices: Effects on challenging behavior. Augmentative and Alternative Communication, 9, 168-176.

Frea, W.D. , & Hepburn, S.L. (1999). A demonstration of teaching parents of children with autism how to perform functional assessments to plan interventions for extremely disruptive behaviors. Journal of Positive Behavioral Interventions, 1, 112-116.

Frost, L.A. , & Bondy, A.S. (1994). PECS: The picture exchange communication system training manual. Pyramid Educational Consultants.

Halle, J.W. (1995). Innovations in choice-making research: An editorial introduction. Journal of the Association for Persons with Severe Handicaps, 10, 79-86.

10.

Horner, R. , & Day, H.M. (1991). The effects of response efficiency on functionally equivalent competing behaviors. Journal of Applied Behavior Analysis, 24, 719-732.

11.

Hunt, P. , Alwell, M. , Goetz, L. , & Sailor, W. (1990). Generalized effects of conversation skill training . Journal of the Association for Persons with Severe Handicaps , 15, 250-260.

12.

Kern, L. , Vorndran, C.M. , Hilt, A. , Ringdahl, J.E. , Adelman, B.E. , & Dunlap, G. (1998). Choice as an intervention to improve behavior: A review of the literature. Journal of Behavioral Education , 8, 151-169.

13.

Lalli, J. , Browder, D. , Mace, C. , & Brown, D. (1993). Teacher use of descriptive analysis data to implement interventions to decrease students' problem behaviors. Journal of Applied Behavior Analysis, 25, 227-238.

14.

Lalli, J. , Casey, S. , & Kates, K. (1995). Reducing escape behavior and increasing task completion with functional communication training, extinction, and response chaining . Journal of Applied Behavior Analysis, 28, 261-268.

15.

Mirenda, P. (1997). Supporting individuals with challenging behavior through functional communication training and AAC: Research review. Augmentative and Alternative Communication, 13, 207-225.

16.

Moes, D. , & Frea, W.D. (2000). Using an assessment of family context to inform intervention planning for the treatment of challenging behavior in a child with autism. Journal of Positive Behavior Interventions, 2, 40-46.

17.

Peck, S. , Wacker, D. , Berg, W. , Cooper, L. , Brown, K. , Richman, D. , McComas, J. , Frischmeyer, P. , & Millard, T. (1996). Choice-making treatment of young children's severe behavior problems. Journal of Applied Behavior Analysis, 29, 263-290.

18.

Sigafoos, J. , & Meikle, B. (1996). Functional communication training for the treatment of multiply determined challenging behavior in two boys with autism. Behavior Modification, 20, 60-84.

19.

Stiebel, D. (1999). Promoting augmentative communication during daily routines: A parent problem solving intervention. Journal of Positive Behavior Support, 1, 159-169.