Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T09:26:21.876Z Has data issue: false hasContentIssue false

Establishing Appropriate Mealtime Behaviour of a Severely Disruptive Mentally Handicapped Woman

Published online by Cambridge University Press:  16 June 2009

Ursula de Kock
Affiliation:
Health Care Evaluation Research Team, Dawn House, Sleepers Hill, Winchester S022 4NG
Jim Mansell
Affiliation:
Health Care Evaluation Research Team, Dawn House, Sleepers Hill, Winchester S022 4NG
David Felce
Affiliation:
Health Care Evaluation Research Team, Dawn House, Sleepers Hill, Winchester S022 4NG
Judith Jenkins
Affiliation:
Health Care Evaluation Research Team, Dawn House, Sleepers Hill, Winchester S022 4NG

Extract

A profoundly mentally handicapped woman was reported to be a major management problem for staff in the residential home where she lived, especially at mealtimes. Following a constructional approach the subject's appropriate behaviour was targeted. A multiple baseline design with reversal was used to investigate the effects of a contingent contact procedure on the subject's level of engagement. Results showed the procedure to be effective in increasing the amount of time the subject spent engaged in appropriate mealtime behaviour. Continuing problem behaviour at other times of day is discussed within the context of the overall living environment.

Type
Clinical Section
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Breuning, S. E., Ferguson, D. G. and Cullari, S. (1980). Analysis of single-double blind procedures, maintenance of placebo effects and drug-induced dyskinesia with mentally retarded persons. Applied Research in Mental retardation 1, 175192.CrossRefGoogle ScholarPubMed
Budd, K., Green, D. and Baer, D. (1976). An analysis of multiple misplaced parental social contingencies. Journal of Applied Behavior Analysis 9, 459470.CrossRefGoogle ScholarPubMed
Coles, E. and Blunden, R. (1981). Maintaining new procedures using feedback to staff, a hierarchical reporting system, and a multidisciplinary management group. Journal of Organisational Behaviour Management 3, 1933.Google Scholar
Crisp, T. and Coll, P. (1980). Modification of self-injurious behaviour in a profoundly retarded child by differentially reinforcing imcompatible behaviour. British Journal of Mental Subnormality 26, 8185.CrossRefGoogle Scholar
Goldiamond, J. (1974). Toward a constructional approach to social problems: ethical and constitutional issues raised by applied behaviour analysis. Behaviourism 2, 184.Google Scholar
Grant, G. W. B. and Moores, B. (1976). Comparison of patient activities in two hospitals for the mentally handicapped. Apex 4, 2829.Google Scholar
Holland, J. G. (1974). Political implications of applying behavioral psychology. In Control of Human Behavior, Vol. 3, Ulrich, R., Stachnik, T. and Mabry, J. (Eds), Illinois: Scott, Foresman and Company.Google Scholar
Intagliata, J. and Willer, B. (1982). Reinstitutionalisation of mentally retarded persons successfully placed into family-care and group homes. American Journal of Mental Deficiency 87, 3439.Google Scholar
Jenkins, J. (1975). Changing the Patterns of Staff-Client Interactions in Group Care Situations: An Evaluation of Training Materials. Unpublished doctoral dissertation, University of Kansas.Google Scholar
King, R., Raynes, N. and Tizard, J. (1971). Patterns of Residential Care. London: Routledge and Kegan Paul.Google Scholar
Lipman, R. S. (1970). The use of psychopharmacological agents in residential facilities for the retarded. In Psychiatric Approaches to Mental Retardation. Menolacino, F. J. (Ed.), New York: Basic Books.Google Scholar
Mansell, J., Felce, D., De Kock, U. and Jenkins, J. (1982). Increasing purposeful activity of severely and profoundly mentally handicapped adults. Behaviour Research and Therapy 20, 593604.CrossRefGoogle ScholarPubMed
Measel, C. J. and Alfieri, P. A. (1976). Treatment of self-injurious behavior by a combination of reinforcement for incompatible behaviors and overcorrection. American Journal of Mental Deficiency 81, 147153.Google ScholarPubMed
Parsonson, B. S., Baer, A. M. and Baer, D. M. (1974). The application of generalised correct social contingencies: an evaluation of a training program. Journal of Applied Behavior Analysis 7, 427437.CrossRefGoogle ScholarPubMed
Porterfield, J., Blunden, R. and Blewitt, E. (1980). Improving environments for profoundly handicapped adults: using prompts and social attention to maintain high group engagement. Behaviour Modification 4, 225241.CrossRefGoogle Scholar
Powell, J., Martindale, A. and Kulp, S. (1975). An evaluation of time-sample measures of behavior. Journal of Applied Behavior Analysis 8, 463469.CrossRefGoogle ScholarPubMed
Raynes, N. V. (1980). The less you've got the less you get: functional grouping, a cause for concern. Mental Retardation 18, 217220.Google ScholarPubMed
Rotegard, L. L., Bruininks, R. H. and Lakin, K. C. (1982). Epidemiology of mental retardation and trends in residential services in the United States.Paper presented at the NICHD conference on the impact of residential environments on retarded persons and their care providers.Lake Wilderness, Washington.Google Scholar
Smolev, S. R. (1971). The use of operant techniques for the modification of self-injurious behavior. American Journal of Mental Deficiency 76, 348351.Google ScholarPubMed
Sprague, R. L. (1977). Overview of psychopharmocology for the retarded in the United States. In Research to Practice in Mental Retardation Biomedical Aspects, Vol. III. Baltimore: University Park Press.Google Scholar
Stokes, T. F. and Baer, D. M. (1977). An implicit technology of generalisation. Journal of Applied Behavior Analysis 10, 349367.CrossRefGoogle Scholar
Tarpley, H. D. and Schroeder, D. R. (1979). Comparison of DRO and DRI on rate of suppression of self-injurious behavior. American Journal of Mental Deficiency 84, 188194.Google ScholarPubMed
Winett, R. A. and Winkler, R. C. (1972). Current behavior modification in the classroom: be still, be quiet, be docile. Journal of Applied Behavior Analysis 5, 499504.CrossRefGoogle ScholarPubMed
Wolfensberger, W. (1972). Normalisation: The Principle of Normalisation in Human Services. Toronto: National Institute on Mental Retardation.Google Scholar
Young, J. A. and Wincze, J. P. (1974). The effects of reinforcement of compatible and incompatible alternative behaviours on the self-injurious and related behaviours of a profoundly retarded female adult. Behaviour Therapy 5, 614623.Google Scholar
Submit a response

Comments

No Comments have been published for this article.