The authors describe the assessment and treatment of vocal stereotypy in two children diagnosed with an autism spectrum disorder. Both the case studies evaluated the effectiveness of response cost (RC). The RC interventions quickly reduced and eventually eliminated the vocal stereotypy in one participant and reduced it to near-zero levels in the second. Postintervention probes for one participant confirmed the continued reduction of vocal stereotypy 1 month after treatment and its elimination 8 months after treatment. Directions for future research are also discussed.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (4th ed., text rev.). Washington, DC: Author.
2.
BishopS.GahaganS.LordC. (2007). Re-examining the core features of autism: A comparison of autism spectrum disorder and fetal alcohol spectrum disorder. Journal of Child Psychology and Psychiatry, 48, 1111-1121.
3.
BlampiedN. M.KahanE. (1992). Acceptability of alternative punishments: A community survey. Behavior Modification, 16, 400-413.
4.
BruininksR. H.WoodcockR. W.WeathermanR. F.HillB. K. (1996). Scales of Independent Behavior–Revised (SIB-R). Chicago, IL: Riverside.
5.
CarrJ. E.NicolsonA. C.HigbeeT. S. (2000). Evaluation of a brief multiple-stimulus preference assessment in a naturalistic context. Journal of Applied Behavior Analysis, 33, 353-357.
6.
FalcomataT. S.RoaneH. S.HovanetzA. N.KetteringT. L.KeeneyK. M. (2004). An evaluation of response cost in the treatment of inappropriate vocalizations maintained by automatic reinforcement. Journal of Applied Behavior Analysis, 37, 83-87.
7.
HigbeeT. S.ChangS.EndicottK. (2005). Noncontingent access to preferred sensory stimuli as a treatment for automatically reinforced stereotypy. Behavioral Interventions, 20, 177-184.
8.
KeeneyK. M.FisherW. W.AdelinisJ. D.WilderD. A. (2000). The effects of response cost in the treatment of aberrant behavior maintained by negative reinforcement. Journal of Applied Behavior Analysis, 33, 255-258.
9.
KennedyC. H.SouzaG. (1995). Functional analysis and treatment of eye poking. Journal of Applied Behavior Analysis, 28, 27-37.
10.
LangR.O’ReillyM.SigafoosJ.LancioniG. E.MachalicekW.RispoliM.WhiteP. (2009). Enhancing the effectiveness of a play intervention by abolishing the reinforcing value of stereotypy: A pilot study. Journal of Applied Behavior Analysis, 42, 889-894.
11.
LangR.O’ReillyM.SigafoosJ.MachalicekW.RispoliM.LancioniG. E.AguilarJ.FragaleC. (2010). The effects of an abolishing operation intervention component on play skills, challenging behavior, and stereotypy. Behavior Modification, 34, 267-289.
12.
LanovazM. J.RappJ. T.FletcherS. E. (2010). Expanding functional analysis of automatically reinforced behavior using a three-component multiple-schedule. European Journal of Behavior Analysis, 11, 17-27.
13.
LarawayS.SyncerskiS.MichaelJ.PolingA. (2003). Motivating operations and terms to describe them: Some further refinements. Journal of Applied Behavior Analysis, 36, 407-414.
14.
LoftinR. L.OdomS. L.LantzJ. F. (2008). Social interaction and repetitive motor behaviors. Journal of Autism and Developmental Disorders, 38, 1124-1135.
15.
MichaelJ. (2006, April). Beyond the EO. Paper presented at the Behavior Analysis Society of Illinois Annual Conference, Naperville, IL.
16.
MiltenbergerR. G. (2004). Behavior modification: Principles and procedures (3rd ed.). Belmont, CA: Wadsworth/Thomson Learning.
17.
National Autism Center. (2009). National standards report. Randolph, MA: Author.
18.
PiazzaC. C.AdelinisJ. D.HanleyG. P.GohH.DeliaM. D. (2000). An evaluation of the effects of matched stimuli on behaviors maintained by automatic reinforcement. Journal of Applied Behavior Analysis, 33, 13-27.
19.
RappJ. T. (2004). Effects of prior access and environmental enrichment on stereotypy. Behavioral Interventions, 19, 287-295.
20.
RappJ. T.VollmerT. R. (2005). Stereotypy I: A review of behavioral assessment and treatment. Research in Developmental Disabilities, 26, 527-547.
21.
RappJ. T.VollmerT. R.St. PeterC.DozierC. L.CotnoirN. M. (2004). Analysis of response allocation in individuals with multiple forms of stereotyped behavior. Journal of Applied Behavior Analysis, 37, 481-501.
22.
RingdahlJ. E.VollmerT. R.MarcusB. A.RoaneH. S. (1997). An analogue evaluation of environmental enrichment: The role of stimulus preference. Journal of Applied Behavior Analysis, 30, 203-216.
23.
SchwartzS. S.GallagherR. J.BerksonG. (1986). Normal repetitive and abnormal stereotyped behavior of non retarded infants and young mentally retarded children. American Journal of Mental Deficiency, 90, 625-630.
24.
VollmerT. R.MarcusB. A.LeBlancL. (1994). Treatment of self-injury and hand mouthing following inconclusive functional analyses. Journal of Applied Behavior Analysis, 27, 331-344.
