FUNCTIONAL ANALYSIS AND TREATMENT OF SEVERE PICA

F. Charles Mace

140 citations0/0 files storedJournal of Applied Behavior Analysis

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Behavioral and Psychological Studies Autism Spectrum Disorder Research Child Nutrition and Feeding Issues

Abstract

A two-phase functional analysis of a profoundly retarded 19-year-old male's pica facilitated the design of an effective intervention containing no aversive components. In the first analysis, frequent staff-client interaction resulted in 25% and 66% less pica than limited and no interaction, respectively. Paradoxical effects were obtained in the second analysis, where no protective helmet resulted in 38% and 26% less pica than the helmet with face shield and helmet without face shield, respectively. On the basis of these analyses, limited interaction and no helmet conditions were combined in an effective, staff-implemented treatment at a medium-sized institution.

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References

1982Toward a functional analysis of self-injury 1982Treatment of self-injury by providing alternate sensory activities 1979SENSORY EXTINCTION AND SENSORY REINFORCEMENT PRINCIPLES FOR PROGRAMMING MULTIPLE ADAPTIVE BEHAVIOR CHANGE 1981Measures of interobserver agreement: Calculation formulas and distribution effects

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1999An evaluation of functional variables affecting severe problem behaviors in adults with mental retardation by using the Questions About Behavioral Function Scale (QABF)11This study was conducted in collaboration with Pinecrest Developmental Center, Pineville, Louisiana. The authors gratefully acknowledge the support of the administration and staff of Pinecrest Developmental Center.1990CLINICAL EVALUATION OF THE SELF‐INJURIOUS BEHAVIOR INHIBITING SYSTEM (SIBIS)1994A PRELIMINARY EVALUATION OF EMPIRICALLY DERIVED CONSEQUENCES FOR THE TREATMENT OF PICA 2015Functional Behavior Assessment in Schools: Current Status and Future Directions 1996Some implications of functional analysis for school psychology.2013Pica in persons with developmental disabilities: Approaches to treatment 2002VARYING RESPONSE EFFORT IN THE TREATMENT OF PICA MAINTAINED BY AUTOMATIC REINFORCEMENT 2011

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