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A REVIEW OF TREATMENT RESEARCH FOR SELF‐INJURIOUS AND STEREOTYPED RESPONDING

60 citations0/0 files storedJournal of Intellectual Disability Research

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Behavioral and Psychological Studies Autism Spectrum Disorder Research Down syndrome and intellectual disability research

Abstract

A review of current research in the treatment of self-injurious and stereotyped behaviour is made using rule-out criteria for methodologically inadequate studies and meta-analytic procedures. It was found that profoundly mentally retarded persons between 16 years of age and over are the most likely to be effectively treated. Sex of the subject seemed to have no effect, while the level of mental retardation and the degree to which it was a factor in treatment effectiveness was unclear. The behaviour most frequently treated were head hitting and body rocking. It may also be the case that reinforcement is more effective than frequently believed when compared to punishment. The greatest effectiveness was apparent with DRO, lemon juice therapy, time-out, air splints, and DRO plus overcorrection. The implications of these data for clinicians and future research are discussed.

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References

1969Experimental Design: Procedures for the Behavioral Sciences.1982Meta-analysis in social research 1982Meta-analysis of comparative therapy outcome studies: A replication and refinement.1973THE ELIMINATION OF AUTISTIC SELF‐STIMULATORY BEHAVIOR BY OVERCORRECTION1 1971A COMPARISON OF PROCEDURES FOR ELIMINATING SELF‐INJURIOUS BEHAVIOR OF RETARDED ADOLESCENTS1 1974REDUCING AGGRESSIVE AND SELF‐INJURIOUS BEHAVIOR OF INSTITUTIONALIZED RETARDED CHILDREN THROUGH REINFORCEMENT OF OTHER BEHAVIORS1 1978THE USE OF PHYSICAL RESTRAINT IN THE TREATMENT OF SELF‐INJURY AND AS POSITIVE REINFORCEMENT 1984Handbook of Clinical Child Psychology

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1992SELF‐INJURIOUS BEHAVIOUR: AN OVERVIEW OF RECENT TRENDS IN EPIDEMIOLOGICAL AND BEHAVIOURAL RESEARCH 1992Definition, Classification, and Taxonomy 1998The Treatment of Severe Self-Injurious Behavior by the Systematic Fading of Restraints: Effects on Self-Injury, Self-Restraint, Adaptive Behavior, and Behavioral Correlates of Affect 11This research was supported by a grant from The Mental Health Foundation. The authors wish to acknowledge the help given by the following people: the staff of Lambeth Walk day centre, Vicky Turk, Alex Proto, Roy Smith, Diane Langridge, and Angela Daniels

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