The Use of Mild Punishment in Combination with Reinforcement of Alternate Behaviors to Reduce the Self-Injurious Behavior of a Profoundly Retarded Individual

Abstract

A procedure involving the response-contingent presentation of a mild aversive stimulus, reinforcement of alternative behaviors, and training for stimulus control was used to suppress self-injurious behavior of a profoundly retarded individual. This procedure, implemented by several people in varied settings throughout the entire school day, produced an immediate and substantial suppression effect in the training environments. Examination of school records and extensive staff interviewing indicates that the suppression effect generalized from the training environments to the hospital living area. In addition, it was durable in both the training and nontraining settings over an 8-month interval, although 20 months after treatment termination, a large portion of the generalized suppression effect in the nontraining environment was reversed. Possible explanations for this phenomenon are presented. These records and interviews also indicate that the inhibition factor of self-injurious responding was not associated with increases in existing stereotypic behavior or the development of new stereotypic behaviors. The public school personnel who conducted the program were completely trained in one school day without disruption to their normal activities.