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The Reduction of Low Frequency Aggression in a Woman with Learning Difficulties

Published online by Cambridge University Press:  16 June 2009

Simon Whitaker
Affiliation:
Princess Royal Community Health Centre, Huddersfield

Extract

In the past, aggressive behaviour shown by people with learning difficulties has often been reduced by means of punishment. A non-punitive alternative to punishment is Differential Reinforcement of Other Behaviours (DRO). However, there is no evidence that DRO can be used to reduce target behaviours that are less frequent than once or twice a day. A case study is presented in which DRO is used to reduce aggression in a lady who was aggressive once or twice a month. The factors that may have led to the effectiveness of DRO in this case are discussed.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1992

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References

Adams, W. (1980). Treatment of assaultive hair pulling in a mutli-handicapped youth. Journal of Autism and Developmental Disorders 10, 335342.CrossRefGoogle Scholar
Altmeyer, B. K., Williams, D. E. and Sams, V. (1985). Treatment of severe self-injurious and aggressive biting. Journal of Behavior Therapy and Experimental Psychiatry 16, 159167.CrossRefGoogle ScholarPubMed
Andrews, M. (1988). Changing disruptive behaviour in an adult training centre client. Behavioural Psychotherapy 16, 108114.CrossRefGoogle Scholar
Barton, L. E. and Lagrow, S. J. (1983). Reducing self-injurious and aggressive behaviour in deaf-blind person through overcorrection. Journal of Visual Impairment and Blindness 77, 421424.CrossRefGoogle Scholar
Blunden, R. and Allen, D. (Eds) (1987). Facing the Challenge: An Ordinary Life for People with Learning Difficulties and Challenging Behaviours. London: King's Fund.Google Scholar
Branidsma, J. and Stein, L. (1973). The use of punishment as a treatment modality: a case report. Journal of Nervous and Mental Disease 15, 3037.CrossRefGoogle Scholar
Bucher, B. and King, L. W. (1971). Generalization of punishment effects in the deviant behaviour of a psychotic child. Behaviour Therapy 2, 6877.CrossRefGoogle Scholar
Burchard, J. D. and Barrera, F. (1972). An analysis of time out and response cost in a programmed environment. Journal of Applied Behavior Analysis 5, 271282.CrossRefGoogle Scholar
Carr, E. G., Robinson, S., Taylor, J. C. and Carlson, J. I. (1990). Positive Approaches to the Treatment of Severe Behavior Problems in Persons with Developmental Disabilities: A Review and Analysis of Reinforcement and Stimulus-Based Procedures. Monograph of the Association of Persons with Severe Handicaps. Seattle: TASH.Google Scholar
Conroy, J. W. (1977). Trends in deinstitutionalization of the mentally retarded. Mental Retardation 15, 4446.Google ScholarPubMed
Doke, L. A., Wolery, M. and Sumberg, C. (1983). Treating chronic aggression: effects and side effects of response contingent ammonia spirits. Behaviour Modification 7, 531556.CrossRefGoogle ScholarPubMed
Foxx, R. M. and Azrin, N. H. (1972). Restitution: a method of eliminating aggressive disruptive behavior of retarded and brain damaged patients. Behavior Research and Therapy 10, 1527.CrossRefGoogle ScholarPubMed
Frankel, F., Moss, D., Schofield, S. and Simmons, J. Q. (1976). Case study: use of differential reinforcement to suppress self-injurious and aggressive behavior. Psychological Reports 39, 843849.CrossRefGoogle ScholarPubMed
Guess, D., Helmstetter, E., Turnball, H. R. and Knowlton, S. (1987). The Use of Aversive Procedures with Persons who are Disabled: An Historical Review and Critical Analysis. Seattle W A: The Association for Persons with Severe Handicaps.Google Scholar
Horner, H. L. and Peterson, L. (1980). Differential reinforcement of other behavior: a preferred response elimination procedure. Behavior Therapy 11, 449471.Google Scholar
Intagliata, J. and Willer, B. (1982). Reinstitutionalization of mentally retarded persons successfully placed into family care and group homes. American Journal of Mental Deficiency 87, 3439.Google ScholarPubMed
LaVigna, G. W. and Donnellan, A. M. (1986). Alternatives to Punishment: Solving Behavior Problems with Non-Aversive Strategies. New York: Irvington.Google Scholar
Luiselli, J. K. and Reisman, J. (1980). Some variations in the use of differential reinforcement procedures with mentally retarded children in specialized treatment settings. Applied Research in Mental Retardation 1, 277288.CrossRefGoogle ScholarPubMed
Luiselli, J. K. and Slocumb, P. B. (1983). Management of multiple aggressive behavior by differential reinforcement. Journal of Behavior Therapy and Experimental Psychiatry 14, 343347.CrossRefGoogle ScholarPubMed
McGee, J. J., Menolascino, F., Hobb, D. C. and Menousek, P. E. (1987). Gentle Teaching: A Non-aversive Approach for Helping Persons with Mental Retardation. New York: Human Science Press.Google Scholar
Novaco, R. W. (1979). The cognitive regulation of anger and stress. In P. C. Kendall and S. D. Hollon Cognitive-Behavioural Interventions Theory Research and Procedures. London: Academic Press.Google Scholar
O'Brien, S. and Repp, A. C. (1990). Reinforcement based reductive procedures: a review of 20 years of their use with persons with severe, or profound retardation. Journal of the Association for Persons with Severe Handicaps 15, 148159.CrossRefGoogle Scholar
Pendergrass, V. E. (1971). Effects of length of time out schedule from positive reinforcement and schedule of application in suppression of aggressive behaviour. The Psychological Record 21, 7580.CrossRefGoogle Scholar
Poling, A. and Ryan, C. (1982). Differential Reinforcement of Other Behavior Schedules: therapeutic applications. Behavior Modification 6, 321.CrossRefGoogle Scholar
Repp, A. C. and Deitz, S. A. (1974). Reducing aggressive and self-injurious behavior of institutionalized retarded children through reinforcement of other behaviors. Journal of Applied Behavior Analysis 7, 313325.CrossRefGoogle ScholarPubMed
Sewell, E., McCoy, J. F. and Sewell, W. R. (1973). Modification of an antagonistic social behavior using positive reinforcement of other behavior. The Psychological Record 23, 499504.CrossRefGoogle Scholar
Van Houten, R. and Rolider, A. (1988). Recreating the scene: an effective way to provide delayed punishment for inappropriate motor behavior. Journal of Applied Behavior Analysis 21, 187192.CrossRefGoogle ScholarPubMed
Whitaker, S. (1991). Coping with low frequency aggression.Paper read at the International Conference on How to Develop Good Community Mental Handicap Services with the Closure of Hospitals.Huddersfield.Google Scholar
Whitman, T. L. (1990). Self-regulation and mental retardation. American Journal on Mental Retardation 94, 347362.Google ScholarPubMed
Woods, T. S. (1982). Reducing severe aggressive and self-injurious behavior: a non-intrusive home based approach. Behavioral Disorders 7, 180188.CrossRefGoogle Scholar
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