Nicole M. Rodriguez

FUNCTIONAL ANALYSIS AND TREATMENT OF ARRANGING AND ORDERING BY INDIVIDUALS WITH AN AUTISM SPECTRUM DISORDER

Of the diagnostic features of autism, relatively little research has been devoted to restricted and repetitive behavior, particularly topographically complex forms of restricted and repetitive behavior such as rigidity in routines or compulsive-like behavior (e.g., arranging objects in patterns or rows). Like vocal or motor stereotypy, topographically complex forms of restricted and repetitive behavior may be associated with negative outcomes such as interference with skill acquisition, negative social consequences, and severe problem behavior associated with interruption of restricted and repetitive behavior. In the present study, we extended functional analysis methodology to the assessment and treatment of arranging and ordering for 3 individuals with an autism spectrum disorder. For all 3 participants, arranging and ordering was found to be maintained by automatic reinforcement, and treatments based on function reduced arranging and ordering.

Behavioral variability and autism spectrum disorder

Restricted and repetitive behavior is a diagnostic characteristic of autism spectrum disorder (ASD). To the extent that the behavior of individuals with ASD can be conceptualized as problems of invariance, our understanding of environmental variables that influence restricted and repetitive behavior may be informed by the basic and applied literature on response variability. The purposes of this paper are (a) to describe how restricted and repetitive behavior can be conceptualized as problems of invariance, (b) to consider the implications of a lack of varied responding for individuals with ASD, (c) to review relevant basic and applied research on response variability, (d) to present methods to address invariant responding for individuals with ASD, and (e) to suggest areas for future research.

ASSESSMENT OF THE RELATIVE EFFECTS OF ATTENTION AND ESCAPE ON NONCOMPLIANCE

The current study presents a method for assessing the relative effects of attention and escape on noncompliance in preschoolers. Attention and escape conditions were alternated in a multielement design, and a contingency reversal procedure, in which one test condition served as a control for the other, was used to demonstrate control. For all 3 participants, noncompliance was maintained, at least in part, by social attention. Functional analyses of noncompliance such as the one described here may be valuable for developing function-based treatments.

An evaluation of the generalization and maintenance of functional communication and self‐control skills with preschoolers

The preschool life skills (PLS) program (Hanley, Heal, Tiger, & Ingvarsson, 2007; Luczynski & Hanley, 2013) involves teaching social skills as a means of decreasing and preventing problem behavior. However, achieving durable outcomes as children transition across educational settings depend on the generalization and long-term maintenance of those skills. The purpose of this study was to evaluate procedures for promoting generalization and long-term maintenance of functional communication and self-control skills for 6 preschool children. When the childrens social skills decreased across repeated observations during a generalization assessment, we incorporated modifications to the teaching procedures. However, the effects of the modifications were variable across skills and children. Satisfactory generalization was observed only after the teacher was informed of the target skills and teaching strategies. Maintenance of most social skills was observed 3 months after teaching was discontinued. We discuss the importance of improving child and teacher behavior to promote generalization and maintenance of important social skills.

Effects of a history of differential reinforcement on preference for choice.

The effects of a history of differential reinforcement for selecting a free-choice versus a restricted-choice stimulus arrangement on the subsequent responding of 7 undergraduates in a computer-based game of chance were examined using a concurrent-chains arrangement and a multiple-baseline-across-participants design. In the free-choice arrangement, participants selected three numbers, in any order, from an array of eight numbers presented on the computer screen. In the restricted-choice arrangement, participants selected the order of three numbers preselected from the array of eight by a computer program. In initial sessions, all participants demonstrated no consistent preference or preference for restricted choice. Differential reinforcement of free-choice selections resulted in increased preference for free choice immediately and in subsequent sessions in the absence of programmed differential outcomes. For 5 participants, changes in preference for choice were both robust and lasting, suggesting that a history of differential reinforcement for choice may affect preference for choice.

The Use of Protective Equipment in the Management of Severe Behavior Disorders

What do a roller-coaster harness, boxing gloves, a parachute, and a football helmet all have in common? They are all forms of protective equipment or restraints that allow individuals to safely engage in responses that would otherwise be quite dangerous. For example, a parachute allows a person to jump out of a plane flying 10,000 ft above the earth and, in almost all cases, reach the ground safely. In fact, Captain Joe Kittenger jumped from a gondola that was 102,800 ft (19.5 miles) above the earth and lived to tell about it. This amazing feat illustrates the extent to which protective equipment can reduce the health risks associated with dangerous or risky behavior.

Restricted interests and teacher presentation of items.

Restricted and repetitive behavior (RRB) is more pervasive, prevalent, frequent, and severe in individuals with autism spectrum disorders (ASDs) than in their typical peers. One subtype of RRB is restricted interests in items or activities, which is evident in the manner in which individuals engage with items (e.g., repetitious wheel spinning), the types of items or activities they select (e.g., preoccupation with a phone book), or the range of items or activities they select (i.e., narrow range of items). We sought to describe the relation between restricted interests and teacher presentation of items. Overall, we observed 5 teachers interacting with 2 pairs of students diagnosed with an ASD. Each pair included 1 student with restricted interests. During these observations, teachers were free to present any items from an array of 4 stimuli selected by experimenters. We recorded student responses to teacher presentation of items and analyzed the data to determine the relation between teacher presentation of items and the consequences for presentation provided by the students. Teacher presentation of items corresponded with differential responses provided by students with ASD, and those with restricted preferences experienced a narrower array of items.

Do mirrors facilitate acquisition of motor imitation in children diagnosed with autism

We evaluated the efficacy of a procedure that incorporated a mirror to teach gross motor imitation with a 2-year-old boy who had been diagnosed with autistic disorder. Responses taught with a mirror were acquired more quickly than responses taught without the mirror and were maintained after the mirror was removed. These data indicate that a mirror can facilitate acquisition of motor imitation.

Arranging and ordering in autism spectrum disorder: Characteristics, severity, and environmental correlates

Abstract Background There is a need for a more accurate characterisation of higher level restricted and repetitive behaviour (RRB) in autism spectrum disorder (ASD), including why it might be considered problematic and events associated with its occurrence. Method We selected one form of higher level RRB—arranging and ordering—that was rated as severe for a large percentage of the population sampled. We interviewed 20 students’ teachers and conducted naturalistic observations for 15 of those students. Results The characteristics of arranging and ordering varied across, and sometimes within, individuals. Problems associated with compulsive-like1 behaviour also varied, with several unanticipated reported problems. With the exception of attention, social consequences were relatively infrequent. Conclusions These data highlight the need for research on the assessment and treatment of arranging and ordering and clinical attention to compulsive-like behaviour in ASD. Interviews and naturalistic observations are useful for structuring additional observations and analyses.

Effects of Differential Reinforcement and Rules With Feedback on Preference for Choice and Verbal Reports

We evaluated the effects of differential reinforcement and accurate verbal rules with feedback on the preference for choice and the verbal reports of 6 adults. Participants earned points on a probabilistic schedule by completing the terminal links of a concurrent-chains arrangement in a computer-based game of chance. In free-choice terminal links, participants selected 3 numbers from an 8-number array; in restricted-choice terminal links participants selected the order of 3 numbers preselected by a computer program. A pop-up box then informed the participants if the numbers they selected or ordered matched or did not match numbers generated by the computer but not displayed; matching in a trial resulted in one point earned. In baseline sessions, schedules of reinforcement were equal across free- and restricted-choice arrangements and a running tally of points earned was shown each trial. The effects of differentially reinforcing restricted-choice selections were evaluated using a reversal design. For 4 participants, the effects of providing a running tally of points won by arrangement and verbal rules regarding the schedule of reinforcement were also evaluated using a nonconcurrent multiple-baseline-across-participants design. Results varied across participants but generally demonstrated that (a) preference for choice corresponded more closely to verbal reports of the odds of winning than to reinforcement schedules, (b) rules and feedback were correlated with more accurate verbal reports, and (c) preference for choice corresponded more highly to the relative number of reinforcements obtained across free- and restricted-choice arrangements in a session than to the obtained probability of reinforcement or to verbal reports of the odds of winning.