The authors report the case of a 21-year-old man who had autism and feared having his blood drawn as a required medical procedure. He was first exposed to simulated blood draws during a baseline phase and subsequently an intervention phase that (a) gradually exposed him to the procedures that constituted a blood draw, (b) reinforced his compliant behavior, and (c) provided stimulus distraction. He successfully completed intervention and tolerated actual blood draws 1 month and 4 months later. The authors discuss clinical and research issues when conducting intervention for medical fears among people who have intellectual and developmental disabilities.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
2.
BraffM.NealonL. (1979). Sedation of autistic dental patient for dental procedures. Journal of Dentistry for Children, 46, 404-407.
3.
ConyersC.MiltenbergerR. G.PetersonB.GubinA.JurgensM.SeldersA.. . . BarenzR. (2004). An evaluation of in vivo desensitization and video modeling to increase compliance with dental procedures in persons with mental retardation. Journal of Applied Behavior Analysis, 37, 233-238.
4.
HamiltonJ. (1995). Needle phobia: A neglected diagnosis. Journal of Family Practice, 41, 169-175.
5.
LuiselliJ. K. (2011). Fears and phobias. In LuiselliJ. K. (Ed.), Teaching and behavior support for children and adults with autism spectrum disorder: A practitioner’s guide (pp. 159-164). New York, NY: Oxford University Press.
6.
McComasJ. J.WackerD. P.CooperL. J. (1998). Increasing compliance with medical procedures: Application of the high-probability request procedure to a toddler. Journal of Applied Behavior Analysis, 31, 287-290.
7.
RiviereV.BecquetM.PeltretE.FaconB.DarchevilleJ. (2011). Increasing compliance with medical examination requests directed to children with autism: Effects of a high-probability request procedure. Journal of Applied Behavior Analysis, 44, 193-197.
8.
ShabaniD. B.FisherW. W. (2006). Stimulus fading and differential reinforcement for the treatment of needle phobia in a youth with autism. Journal of Applied Behavior Analysis, 39, 449-452.
9.
SliferK. J.HankinsonJ. C.ZettlerM. A.FrutcheyR. A.HendricksM. C.WardC. M.ReedmanJ. (2011). Distraction, exposure therapy, counterconditioning, and topical anesthetic for acute pain management during needle sticks in children with intellectual and developmental disabilities. Clinical Pediatrics, 20, 1-10.
10.
StokesT. F.BaerD. M. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10, 349-367.
