Although differential reinforcement is a procedure generally used to increase responding, it can also be used to decrease responding that is inappropriate. This article contains a review of 49 articles on studies describing reduced maladaptive responding of persons with severe or profound mental retardation. Four differential reinforcement procedures were reviewed, including the differential reinforcement of (a) alternative behavior (DRA), (b) low rates of responding (DRL), (c) other behavior (DRO), and (d) incompatible behavior (DRI). However, because there were only three articles concerning the first two categories, data were presented only for DRO and DRI. The review categorized the findings in three areas: (a) demographics, (b) methodology, and (c) results. Demographic data showed that the procedures were implemented most often by teachers, in schools or institutions, to treat stereotypy or self-injury. Procedural data showed that (a) information on reinforcer selection was seldom indicated, (b) although social reinforcement was quite common, it appeared to be the least effective consequence, (c) AB or reversal designs were the most common, and (d) only a quarter of the studies provided maintenance data. The results on the individual procedures showed that (a) DRI studies seldom measured the incompatible behavior being increased, (b) DRO studies seldom indicated the basis on which the interval was chosen, and (c) neither group tended to provide information on reinforcement schedules. Results were discussed in terms of areas for further study and proposed methodological changes.
BarmannB. C. (1980). Use of contingent vibration in the treatment of self-stimulatory hand-mouthing and ruminative vomiting behavior. Journal of Behavior Therapy and Experimental Psychiatry, 11, 307–311.
2.
BartonL. E.BrulleA. R.ReppA. C. (1986). Maintenance of therapeutic change by momentary DRO. Journal of Applied Behavior Analysis, 19, 277–282.
3.
CampbellD. T.StanleyJ. C. (1963). Experimental and quasiexperimental designs for research on teaching. In GageN. L. (Ed.), Handbook of research on teaching (pp. 171–246). Chicago: Rand McNally.
4.
CarrE. G. (1977). The motivation of self-injurious behavior: A review of some hypotheses. Psychological Bulletin, 84, 800–816.
5.
CarrE. G. (1988). Functional equivalence as a mechanism of response generalization. In HornerR.KoegelR. L.DunlapG. (Eds.), Generalization and maintenance: Life-style changes in applied settings (pp. 194–216). Baltimore: Paul H. Brookes.
6.
CarrE. G.DurandV. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126.
7.
CarrE. G.RobinsonS.PalumboL. W. (1990). The wrong issue: Aversive versus nonaversive treatment. The right issue: Functional versus nonfunctional treatment. In ReppA. C.SinghN. N. (Eds.), Perspectives on the use of nonaversive and aversive interventions with persons with developmental disabilities (pp. 359–377). Sycamore, IL: Sycamore Publishing.
8.
Cavelier;A. R.FerrettiR. P. (1980). Stereotyped behavior, alternative behavior and collateral effects: A comparison of four intervention procedures. Journal of Mental Deficiency Research, 24, 219–230.
9.
CrossS. M.DicksonA. L.SizemoreD. A. (1978). A comparison of three response-elimination procedures following VR training with institutionalized moderately retarded individuals. The Psychological Record, 28, 589–594.
10.
DattiloJ. (1986). Computerized assessment of preferences for severely handicapped individuals. Journal of Applied Behavior Analysis, 19, 445–448.
11.
FavellJ. E.McGimseyJ. F.JonesM. L. (1978). The use of physical restraint in the treatment of self-injury and as positive reinforcement. Journal of Applied Behavior Analysis, 11, 225–241.
12.
FersterC. B.SkinnerB. F. (1957). Schedules of reinforcement.New York: Appleton-Century-Crofts.
13.
FoxxR. M.McMorrowM. J.FenlonS.BittleR. G. (1986). The reductive effects of reinforcement procedure on the genital stimulation and stereotypy of a mentally retarded adolescent male. Analysis and Intervention in Developmental Disabilities, 6, 239–248.
14.
FrimanP. C.BarnardJ. D.AltmanK.WolfM. M. (1986). Parent and teacher use of DRO and DRI to reduce aggressive behavior. Analysis and Intervention in Developmental Disabilities, 6, 319–330.
15.
GreenC. W.ReidD. H.WhiteL. K.HalfordR. C.BrittainD. P.GardnerS. M. (1988). Identifying reinforcers for persons with profound handicaps: Staff opinion versus systematic assessment of preferences. Journal of Applied Behavior Analysis, 21, 32–43.
16.
GuessD.CarrE. G. (1990). Conceptual model for the emergence and maintenance of stereotyped and self-injurious behavior among persons with disabilities. Unpublished manuscript.
17.
Halderman v. Pennhurst State School and Hospital, 446 F. Supp. 1295 (E.D. Pa. 1977). Aff'd in part, re'd in part, 612 F.2d 84 (3d Cir. 1979), rev'd and remanded, 451 U.S. 1 (1981).
18.
HandenB. J.ApolitoP. M.SeltzerG. B. (1984). Use of differential reinforcement of low rate behaviors to decrease repetitive speech in an autistic adolescent. Journal of Behavior Therapy and Experimental Psychiatry, 15, 359–364.
19.
HartmannD. P. (1977). Considerations in the choice of interobserver reliability estimates. Journal of Applied Behavior Analysis, 10, 103–116.
20.
JohnsonW. L.BaumeisterA. A.PenlandM. J.InwaldC. (1982). Experimental analysis of self-injurious, stereotypic, and collateral behavior of retarded persons: Effects of overcorrection and reinforcement of alternative responding. Analysis and Intervention in Developmental Disabilities, 2, 41–66.
21.
KonczakL. J.JohnsonC. M. (1983). Reducing inappropriate verbalizations in a sheltered workshop through differential reinforcement of other behavior. Education and Training of the Mentally Retarded, 18, 120–124.
22.
LaVignaG. W.DonnellanA. M. (1986). Alternatives to punishment: Solving behavior problems with nonaversive strategies.New York: Irvington.
23.
LuiselliJ. K.SlocombP. R. (1983). Management of multiple aggressive behaviors by differential reinforcement. Journal of Behavior Therapy and Experimental Psychiatry, 14, 343–347.
24.
LundervoldD.BourlandG. (1988). Quantitative analysis of treatment of aggression, self-injury, and property destruction. Behavior Modification, 12, 590–617.
25.
MaceF. C.KratochwillT. R.FielloR. A. (1983). Positive treatment of aggressive behavior in a mentally retarded adult: A case study. Behavior Therapy, 14, 689–696.
26.
MasonS. A.McGeeG. G.Farmer-DouganV.RisleyT. R. (1989). A practical strategy for ongoing reinforcer assessment. Journal of Applied Behavior Analysis, 22, 171–179.
27.
McGonigleJ. J.RojahnJ.DixonJ.StrainP. S. (1987). Multiple treatment interference in the alternating treatments design as a function of the intercomponent interval length. Journal of Applied Behavior Analysis, 20, 171–178.
28.
MulickJ. A.HoytP.RojahnJ.SchroederS. R. (1978). Reduction of a “nervous habit” in a profoundly retarded youth by increasing toy play. Journal of Behavior Therapy and Experimental Psychiatry, 9, 381–385.
29.
PaceG. M.IvancicM. T.EdwardsG. L.IwataB. A.PageT. J. (1985). Assessment of stimulus preferences and reinforcer value with profoundly retarded individuals. Journal of Applied Behavior Analysis, 18, 249–255.
30.
ProvinaleR. A.LutzkerJ. R. (1980). Elimination of assaultive and inappropriate sexual behavior by reinforcement and social restitution. Mental Retardation, 18, 27–30.
31.
ReppA. C.BartonL. E.BrulleA. R. (1983). A comparison of two procedures for programming the differential reinforcement of other behaviors. Journal of Applied Behavior Analysis, 16, 435–445.
32.
ReppA. C.FelceD.BartonL. E. (in press). The effects of initial interval size on the efficacy of DRO schedules of reinforcement. Exceptional Children.
33.
ReppA. C.KarshK. G. (1990). A taxonomic approach to the nonaversive treatment of maladaptive behavior of persons with developmental disabilities. In ReppA. C.SinghN. N. (Eds.), Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities (pp. 332–347). Sycamore, IL: Sycamore Publishing.
34.
ReppA. C.SinghN. N., (Eds.) (1990). Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities.Sycamore, IL: Sycamore Publishing.
35.
ReppA. C.SlackD. J. (1977). Reducing responding of retarded persons by DRO schedules following a history of low-rate responding: A comparison of ascending interval sizes. The Psychological Record, 27, 581–588.
36.
RoliderA.Van HoutenR. (1984). The effects of DRO alone and DRO plus reprimands on the undesirable behavior of three children in home settings. Education and Treatment of Children, 7, 17–31.
37.
SissonL. A.Van HasseltV. B.HersenM.AurandJ. C. (1988). Tripartite behavioral intervention to reduce stereotypic and disruptive behaviors in young multihandicapped children. Behavior Therapy, 19, 503–526.
38.
SmithM. D. (1987). Treatment of pica in an adult disabled by autism by differential reinforcement of incompatible behavior. Journal of Behavior Therapy and Experimental Psychiatry, 18, 285–288.
39.
StarinS. P.FuquaR. W. (1987). Rumination and vomiting in the developmentally disabled: A critical review of the behavioral, medical, and psychiatric treatment research. Research in Developmental Disabilities, 8, 575–605.
40.
UhlC. N.GarciaE. E. (1969). Comparison of omission with extinction in response elimination in rats. Journal of Comparative and Clinical Psychology, 69, 554–562.
41.
Van HoutenR.RoliderA. (1990). The role of reinforcement in reducing inappropriate behavior: Some myths and misconceptions. In ReppA. C.SinghN. N. (Eds.), Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities (pp. 119–127). Sycamore, IL: Sycamore Publishing.
42.
WackerD. P.BergW. K.WigginsB.MuldoonM.CavanaughJ. (1985). Evaluation of reinforcer preferences for profoundly handicapped students. Journal of Applied Behavior Analysis, 18, 173–178.
43.
Wyatt v. Aderholt, 503 F.2d 1305 (5th Cir. 1974).
44.
YoungJ. A.WinczeJ. B. (1974). The effects of the reinforcement of incompatible behavior on the self-injurious and related behavior of a profoundly retarded female adult. Behavior Therapy, 5, 614–623.
