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A review of “noncontingent” reinforcement as
treatment for the aberrant behavior of
individuals with developmental disabilities
James E. Carr*,1, Sean Coriaty, David A. Wilder2,
Brian T. Gaunt3, Claudia L. Dozier4, Lisa N. Britton5,
Claudia Avina, Curt L. Reed
University of Nevada, Reno, NV 89557-0062, USA
Abstract
The term noncontingent reinforcement (NCR) refers to the
delivery of an aberrant
behavior’s known reinforcer on a response-independent basis.
The typical result is a
decrease in responding from baseline (i.e., reinforcement)
levels. NCR has become one of
the most reported function-based treatments for aberrant
behavior in the recent literature.
The purpose of this review is to briefly discuss the history of
the procedure and summarize
the findings from the treatment research literature. The review
is organized into the
following sections: (a) basic research on NCR, (b) NCR as a
control procedure, (c) NCR
as a function-based treatment, (d) considerations in the
programming of NCR schedules,
(e) behavior-change mechanisms underlying NCR effects, and
(f) directions for future
research. © 2000 Elsevier Science Ltd. All rights reserved.
1 James Carr is now at Department of Psychology, Western
Michigan University, 1903 W.
Michigan Ave., Kalamazoo, MI 49008-5439.
2 David Wilder is now at The University of the Pacific.
3 Brian Gaunt is now at The University of South Florida.
4 Claudia Dozier is now at The University of Florida.
5 Lisa Britton is now at Spectrum Center.
* Corresponding author. Tel.:11-616-387-4925; fax:11-616-387-
4550.
E-mail address:[email protected] (J.E. Carr).
Research in Developmental Disabilities
21 (2000) 377–391
0891-4222/00/$ – see front matter © 2000 Elsevier Science Ltd.
All rights reserved.
PII: S 0 8 9 1 - 4 2 2 2 ( 0 0 ) 0 0 0 5 0 - 0
1. Introduction
One of the most significant advances in the treatment of
aberrant behavior of
individuals with developmental disabilities has been the
development of system-
atic methods for determining behavioral function. The advent of
functional
assessment methods has enabled researchers and practitioners to
design inter-
ventions that are based on a behavior’s maintaining variable(s),
rather than its
topography. Function-based approaches are considered
preferable to their non-
function-based counterparts for several reasons. First, function-
based interven-
tions necessarily emphasize reinforcement-based, as opposed to
punishment-
based, procedures. In addition, function-based interventions are
directed at the
response-reinforcer relationship, thus weakening a problematic
contingency as
opposed to simply overpowering it. Finally, function-based
interventions often
involve the establishment of an adaptive response-reinforcer
relationship, which
may result in increased maintenance of treatment gains.
Iwata, Vollmer, Zarcone, and Rodgers (1993) described three
general classes of
function-based interventions. The first class, the modification
of establishing opera-
tions (EOs), includes antecedent manipulations designed to
either weaken the rein-
forcer for the aberrant behavior or strengthen that of an
alternative behavior (for a
review, see Wilder & Carr, 1998). The second class, extinction,
involves withholding
the reinforcer that maintains the aberrant behavior. Finally, in
behavioral replacement
procedures, the aberrant behavior’s reinforcer is provided
contingent upon an alter-
native behaviorand withheld for the aberrant behavior. In recent
years, one of the
most widely researched group of treatments for aberrant
behavior has been noncon-
tingent reinforcement (NCR). NCR procedures are often
conceptualized as EO
manipulations, although extinction sometimes plays a role in
their effects. The basic
premise of NCR is that an aberrant behavior’s reinforcer is
delivered to the individual
on a response-independent basis. Through the operation of
several behavioral pro-
cesses, a subsequent behavior reduction is usually observed.
Before the more substantive areas of this review are presented,
a brief
discussion of the termnoncontingent reinforcementis warranted.
The quotes in
the title of the article are a hint that the term is problematic. As
has previously
been discussed in the literature, NCR is a misnomer for several
reasons. First, by
definition, reinforcement is acontingentprocess. Second, no
behavior is strength-
ened as a result of NCR, compared to reinforcement procedures.
Third, NCR is
an imprecise description as it refers to many procedurally
distinct treatments.
With all of these problems with the term, one would surmise
that researchers
would have adopted a more precise vocabulary with which to
refer to these
procedures. However, this has not yet happened, and with the
increasing fre-
quency at which the term is being reported in the literature, we
believe that a
change is unlikely to occur. Therefore, throughout this review,
the term NCR will
be used much as it is used in the current treatment literature.
We refer the reader
to several published commentaries on this issue for more in-
depth discussion, as
well as for potential alternatives to current terminology (Carr,
1996; Poling &
Normand, 1999; Vollmer, 1999).
378 J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
The purpose of this review is to briefly discuss the history of
NCR and
summarize the recent findings from the research literature.
First, the basic
research on NCR is briefly summarized, followed by a short
discussion of NCR’s
role as a methodological control procedure. Next, NCR is
discussed as a func-
tion-based treatment for aberrant behavior. We then discuss the
many variables
that should be considered when programming NCR schedules.
Next, we discuss
the behavior-change mechanisms responsible for NCR effects.
Finally, sugges-
tions for future research are presented.
1.1. Basic research on NCR
Although Skinner (1948) first addressed the possibilities of
fixed-time (FT)
schedules of reinforcement in his seminal article “Superstition
in the Pigeon,” it
was not until the 1960s that researchers began to systematically
study NCR
procedures. Since then, there have been dozens of articles
published in the basic
literature whose primary purposes have been to (a) examine the
procedural and
functional properties of NCR, and (b) use NCR as a control
procedure for
studying other behavioral phenomena (e.g., behavioral
momentum). Since the
purpose of the current paper is to review NCR procedures as
they relate to
clinical application, a comprehensive review of the basic NCR
literature is not
possible. Below, however, is a brief summary of some of the
early findings from
the basic literature that were important to the development of
our current
technology.
Zeiler (1968) evaluated variable-time (VT) and FT schedules in
pigeons that
had previously acquired an operant response (i.e., key pecking).
The results
showed that FT schedules produced consistent decreases in
responding, while VT
schedules produced ones that were more erratic. Rescorla and
Skucy (1969)
compared extinction with the response-independent delivery
(i.e., VT schedules)
of food in rats. The authors found that extinction (by omission)
decreased
responding more effectively than response-independent food
delivery, although
both procedures resulted in significant decreases in response
rates. Lachter, Cole,
and Schoenfeld (1971) evaluated both dense and lean FT
schedules in pigeons
and found that, although both were effective reductive
procedures, the dense
schedules produced the greater reductions. The aforementioned
studies and
others (e.g., Alleman & Zeiler, 1974; Calef et al., 1989;
Dickinson & Charnock,
1985; Edwards, Peek, & Wolfe, 1970; Halliday & Boakes, 1971;
Job, 1988;
Oakes, Rosenblum, & Fox, 1982) illuminated a consistent
phenomenon: a change
from response-dependent to response-independent reinforcement
consistently
produces a response reduction. This finding led to NCR being
adopted as an
experimental control procedure as an alternative to extinction.
1.2. NCR as a control procedure
Based on findings from the basic literature, researchers
introduced NCR in the
applied literature as an experimental control procedure. That is,
reinforcers were
379J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
delivered independent of the target response in either FT or VT
schedules to
evaluate the effects of reinforcement-based procedures.
Previously, extinction
had been employed as the modal control procedure; however,
extinction was
shown to produce a possible confound. When extinction
procedures are used, not
only is the response-reinforcer relationship terminated, but
thepresentationof
the stimulus is also removed from the individual. This type of
control (i.e.,
extinction) does not allow for the delineation of the effects of
stimulus presen-
tation and the response-reinforcer relationship (Lachter, 1980).
In contrast, NCR
procedures interrupt the response-reinforcer relationship while
still presenting
the stimulus to the individual, which allows for the examination
of the response-
reinforcer relationship independent of stimulus-presentation
effects.
Numerous studies in the applied literature have since employed
NCR as a
control for reinforcement procedures (e.g., O’Neill & Morris,
1979; Sheppard,
1969). Below are brief descriptions of two representative
studies. Hart, Reynolds,
Baer, Brawley, and Harris (1968) reported one of the first
demonstrations of the
use of NCR as a control procedure with humans. The
researchers used a reversal
design to evaluate the effects of contingent adult social
reinforcement on the
cooperative play behavior of a 5-year-old girl. In addition to a
contingent
attention condition, the authors employed a noncontingent
attention control
procedure. Increased cooperative play was observed in the
contingent attention
condition, but not in the noncontingent attention condition.
These results sug-
gested that the contingency between the response and the
reinforcer was respon-
sible for the effects of the intervention. Similarly, Horner
(1980) used an NCR
control procedure to assess the effects of differential
reinforcement, in conjunc-
tion with environmental enrichment, on the adaptive and
inappropriate behavior
of five individuals diagnosed with profound mental retardation.
The NCR pro-
cedure consisted of maintaining the environmental enrichment
procedure while
providing social reinforcement independent of the individuals’
adaptive and
inappropriate behavior. The results suggested that the
differential reinforcement
procedure (i.e., the contingency between the response and the
reinforcer) was
responsible for the decrease in inappropriate behavior and the
increase in adap-
tive behavior.
More recently, experimental functional analysis methods (Iwata,
Dorsey,
Slifer, Bauman, & Richman, 1994) have incorporated NCR as a
control proce-
dure. Functional analyses typically involve observing the
occurrence of aberrant
behavior during several experimental test conditions. The most
commonly re-
ported conditions are (a) contingent attention, (b) escape from
instructional
demands, (c) contingent materials (i.e., tangible items), (d)
alone or no interac-
tion, and (e) unstructured play (the NCR control condition).
During the “control”
or “play” condition, the individual receives frequent attention
that is usually
delivered on an FT schedule (e.g., FT 30s). In addition, the
individual has access
to preferred stimuli and/or leisure activities and is not presented
with instruc-
tional demands. This condition serves as a control procedure for
the (a) presence
of the experimenter, (b) availability of preferred stimuli and/or
leisure activities,
(c) absence of the presentation of demands, and (d) delivery of
attention.
380 J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
Responding in the control condition is then compared to
responding in the other
experimental conditions to assess behavioral function. Iwata et
al. (1994) pub-
lished an epidemiologic analysis of 152 functional analyses of
the self-injurious
behavior (SIB) of individuals diagnosed with developmental
disabilities. The
authors reported that NCR (via the control or play condition)
was successful in
reducing SIB in 127 out of the 152 cases (i.e., 83.6%).
Although NCR has proved useful as an experimental control
procedure, there
are times when other control procedures may be preferable. For
example, with
high-rate behaviors it is possible that reinforcers delivered
noncontingently will
be temporally contiguous with the occurrence of the target
behavior. This may
result in adventitious reinforcement and, therefore, increase the
occurrence of the
target behavior. On such occasions, the experimenter might
consider using
another control procedure, such as differential reinforcement of
zero rates of
behavior (DRO; Cooper, Heron, & Heward, 1987).
1.3. NCR as a function-based treatment
Boe (1977) and Thelen (1979) were the first to report the use of
NCR as
treatment for aberrant behavior. Boe used the VT delivery of
food to reduce the
aggression of a group of women diagnosed with mental
retardation. Thelen used
informally delivered noncontingent attention to reduce the
aggressive tantrums of
an 8-year-old girl. Although these were the first reports of NCR
as treatment for
aberrant behavior, the efforts cannot necessarily be considered
“function-based,”
as behavioral function was unknown in each report. More
recently, NCR has
been defined as “a response-independent or time-based delivery
of stimuli with
known reinforcing properties” (Vollmer, Iwata, Zarcone, Smith,
& Mazaleski,
1993, p. 10). The phraseknown reinforcing propertiesis
especially important.
Given the myriad behaviors in which an individual can engage,
NCR cannot be
implemented in afunction-basedmanner unless the reinforcing
stimulus is
identified for the aberrant behavior.
The recent literature has identified numerous benefits of
implementing NCR
as a treatment for aberrant behavior. First, as previously stated,
NCR is usually
a function-based procedure that addresses the response-
reinforcer relationship.
Second, NCR has been shown to produce greater, or at least
comparable behavior
reductions relative to DRO (Vollmer et al., 1993), differential
reinforcement of
alternative behavior (DRA; Kahng, Iwata, DeLeon, & Worsdell,
1997), and
extinction (Vollmer et al., 1998). Third, NCR has been shown to
result in a
higher rate of reinforcer delivery compared to other comparable
procedures (e.g.,
DRO; Britton, Carr, Kellum, Dozier, & Weil, in press; Vollmer
et al., 1993).
Fourth, FT schedules have been reported to be relatively easy to
implement
compared to other procedures. Although the delivery of stimuli
at fixed times
intuitively seems easier than implementing, for example, a DRO
procedure, no
social validity assessments have been reported to support this
claim. Fifth, NCR
has been shown to produce less extinction-induced behavior
(e.g., aggression,
381J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
response bursts) compared to other treatments (Vollmer et al.,
1993; Vollmer et
al., 1998).
In addition to the above benefits associated with NCR, recent
treatment
studies have demonstrated the generality of NCR across
behavioral topography
and function. NCR has been used to effectively treat aberrant
behavior main-
tained by attention (e.g., Hagopian, Fisher, & Legacy, 1994;
Mace & Lalli, 1991;
Vollmer et al., 1993), access to materials (e.g., Lalli, Casey, &
Kates, 1997;
Marcus & Vollmer, 1996; Smith, Lerman, & Iwata, 1996),
escape and/or avoid-
ance of instructional demands (e.g., Kahng et al., 1997;
Vollmer, Marcus, &
Table 1
Summary of noncontingent reinforcement treatment studies
Author(s) Year n Age Range Primary Diagnoses
Boe 1977 29 8–29 Profound-Severe MR
Britton et al. in press 3 7–41 Profound-Severe MR, Autism
Carr & Britton 1999 1 32 Moderate MR
Coleman & Holmes 1998 3 4 Autism, PDD
Derby et al. 1996 1 12 Profound MR
Fischer et al. 1997 2 34–44 Profound MR
Fisher et al. 1996 1 4 Severe-Moderate MR, Autism
Fisher et al. 1999 3 9–13 Moderate-Mild MR
Hagopian et al. 1994 4 5 Severe-Mild MR, PDD
Hagopian et al. 2000 1 26 Moderate MR
Hanley et al. 1997a 2 11–16 Severe-Moderate MR
Hanley et al. 1997b 2 4–8 Mild MR, Cerebral Palsy
Kahng et al. 1997 3 29–50 Profound-Severe MR
Lalli et al. 1997 3 3–9 Severe-Mild MR
Lalli et al. 1998 1 10 Severe MR
Luiselli 1994 1 8 Posttraumatic Neurological
Impairment
Mace & Lalli 1991 1 46 Moderate MR
Mace et al. 1998 1 7 Moderate MR, Autism
Marcus & Vollmer 1996 3 4–5 Profound-Moderate MR,
Autism
Persel et al. 1997 1 40 Traumatic Brain Injury
Piazza et al. 1996 1 17 Severe MR
Piazza et al. 1997 1 8 Mild MR
Piazza et al. 1998 3 4–17 Profound-Moderate MR,
Autism
Roscoe et al. 1998 3 20–35 Profound-Moderate MR
Sigafoos & Pennell 1995 1 10 Severe MR
Smith et al. 1996 1 32 Profound MR
Sprague et al. 1997 2 9–20 Severe MR
Thelen 1979 1 8 none
Vollmer et al. 1993 3 32–42 Profound-Severe MR
Vollmer et al. 1995 2 4–18 Profound MR
Vollmer et al. 1997 1 13 Severe MR
Vollmer et al. 1998 3 6–22 Severe-Moderate MR
Wilder et al. 1997 1 46 Profound MR
(continued on next page)
382 J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
Ringdahl, 1995), and automatic reinforcement (e.g., Roscoe,
Iwata, & Goh,
1998; Sprague, Holland, & Thomas, 1997). Additionally, recent
studies have
reported that NCR can be implemented with “arbitrary” stimuli
identified from
preference assessments (Fischer, Iwata, & Mazaleski, 1997;
Hanley, Piazza, &
Fisher, 1997). This finding is useful for cases in which
behavioral function
cannot be determined or the maintaining reinforcer cannot be
withheld (e.g.,
some automatically reinforced behaviors).
Table 1
(continued)
Aberrant Behavior(s) Function(s) NCR Form Schedule
Thinning
Aggression Unknown Variable-Time No
Aggression, SIB Attention, Materials Fixed-Time Yes
Inappropriate Speech Attention Fixed-Time Yes
Aggression, Disruption Escape Fixed-Time Yes
SIB, Self-Restraint Attention Continuous No
SIB Attention, Materials Fixed-Time Yes
Aggression, Disruption Attention Fixed-Time Yes
Aggression, Disruption, SIB Attention Fixed-Time No
Aggression, Disruption, SIB Attention Fixed-Time Yes
Excessive Medical Complaints Attention Fixed-Time Yes
Aggression, Disruption, SIB Attention Continuous No
Aggression, Disruption Attention, Escape Fixed-Time No
SIB Attention, Escape Fixed-Time No
Aggression, SIB Materials Fixed-Time Yes
SIB Attention Fixed-Time Yes
Stereotypy Unknown Continuous No
Inappropriate Speech Attention Variable-Time No
SIB Escape, Materials Fixed-Time No
Aggression, SIB Materials Fixed-Time Yes
Aggression, SIB Attention Fixed-Time No
Pica Automatic Continuous No
Aggression, Disruption Attention, Escape Continuous No
Pica Attention, Automatic Continuous No
SIB Automatic Continuous No
SIB Automatic Continuous No
SIB Materials Continuous No
SIB, Stereotypy Automatic Variable-Time No
Aggression Unknown Unknown No
SIB Attention Fixed-Time Yes
SIB Escape Fixed-Time Yes
Aggression Materials Fixed-Time Yes
Aggression, Disruption Attention, Escape Fixed-Time Yes
Rumination Unknown Fixed-Time No
Note: MR 5 mental retardation, PDD5 pervasive development
disorder, SIB5 self-injurious
behavior. “Escape” refers to behaviors that are maintained by
negative reinforcement contingencies.
“Unknown” is reported in the function column for studies that
did not report a systematic functional
assessment method.
383J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
NCR has also been shown to be an effective treatment for a
variety of aberrant
behaviors including aggression (e.g., Vollmer, Ringdahl, Roane,
& Marcus,
1997; disruption (e.g., Fisher, Ninness, Piazza, & Owen-
DeSchryver, 1996),
inappropriate speech (e.g., Carr & Britton, 1999), pica (e.g.,
Piazza et al., 1998),
rumination (e.g., Wilder, Draper, Williams, & Higbee, 1997),
SIB (e.g., Fischer
et al., 1997), and stereotypy (e.g., Sprague et al., 1997). More
detailed summaries
of the aforementioned studies and others can be found in Table
1.
1.4. Considerations in the programming of NCR schedules
In this section of our review, we present brief discussions of
several consid-
erations that are important when programming NCR schedules.
These consider-
ations include (a) selecting NCR schedule parameters (i.e.,
form, density, rein-
forcer magnitude, schedule-thinning method), (b) addressing the
possibility of
adventitious reinforcement, and (c) combining NCR with
adjunct procedures.
1.4.1. Schedule form
As previously stated, NCR refers to a wide range of
procedurally distinct
treatments. For example, NCR includes FT, VT, random-time
(RT), and contin-
uous-presentation schedules. In addition, any schedule that
delivers the reinforcer
for a behavior on a response-independent basis can be
considered an NCR
procedure. The majority of the NCR treatment studies involve
the implementa-
tion of FT schedules. The results have proved successful, and as
previously
mentioned, FT schedules offer the potential benefit of ease of
implementation.
Throughout this review, we use NCR to refer to FT schedules,
unless otherwise
stated. Only one study so far has reported the use of VT
schedules to reduce
aberrant behavior (Mace & Lalli, 1991). To date, there have
been no comparisons
between FT and VT schedules with humans, nor has there been
an evaluation of
RT schedules. NCR procedures that involve the continuous
presentation of a
behavior’s reinforcer have been successfully reported, primarily
with behaviors
maintained by automatic reinforcement (e.g., Roscoe et al.,
1998).
1.4.2. Schedule density and reinforcer magnitude
Hagopian et al. (1994) demonstrated that denser NCR schedules
produced greater
reductions than leaner schedules. This finding was a replication
of a similar finding
reported by Lachter et al. (1971) in the basic literature. Most
NCR treatment studies
report initial dense schedules that are thinned to leaner ones in
order to capitalize on
this effect. Several studies have shown that schedules denser
than the baseline
reinforcement rate can be effective in reducing behavior (e.g.,
Ringdahl & Vollmer,
1998; Wilder, Carr, & Gaunt, in press). In a study that
incorporated both basic and
applied features (i.e., a bridge study), Carr, Bailey, Ecott,
Lucker, and Weil (1998)
demonstrated that NCR schedules with high-magnitude
reinforcers produced greater
reductions than schedules with lower-magnitude reinforcers.
The studies by Hago-
384 J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
pian et al. (1994) and Carr et al. (1998) demonstrate the
importance of both schedule
density and reinforcer magnitude to the effectiveness of NCR
procedures. These
parameters should both be considered when developing an NCR
treatment plan,
especially with respect to behavioral function and frequency,
and the practical
resources required to implement the plan.
1.4.3. Schedule thinning
After the functional assessment and baseline periods, NCR is
typically
initially administered in a dense, often continuous, manner.
Once the aberrant
behavior is reduced to acceptable levels, the schedule is then
thinned to a
leaner version. If the behavior remains at acceptable levels, the
schedule is
thinned again. If the behavior increases above the level of
acceptability, the
schedule is usually returned to its previous version. This
process is typically
repeated until the NCR schedule is lean enough to be
implemented in a
practical manner. The modal terminal point for the NCR
thinning process in
the research literature has been 5 min (this is further discussed
below in
Directions for future research). Systematic methods for thinning
NCR sched-
ules have not yet been empirically established. In a related
matter, however,
Lalli et al. (1997) established an effective method for
programming initial
NCR schedules. The authors demonstrated that initial NCR
schedules based
on the mean latency to the first aberrant behavior during
baseline were
effective in reducing behavior. This method quickens the
thinning process, as
the resulting initial schedule is typically less-than-continuous.
For a more
detailed discussion of schedule thinning, we refer the reader to
a review by
Tucker, Sigafoos, and Bushell (1998).
1.4.4. Combining NCR with extinction
Another consideration in the programming of NCR schedules is
whether to
incorporate an extinction component. In most of the studies
reported in the
treatment literature, NCR has been implemented concurrently
with extinction. In
other words, not only was the aberrant behavior’s reinforcer
delivered on a
response-independent basis, but the behavior no longer
produced access to that
reinforcer. To date, there have been only a few studies that have
successfully
implemented NCR without extinction (e.g., Fischer et al., 1997;
Fisher et al.,
1999; Lalli et al., 1997). Hence, it is largely unknown how
important extinction
is to the success of NCR procedures. However, to the extent that
NCR achieves
its effects via an extinction process (seeBehavior-change
mechanisms underly-
ing NCR effectsbelow), it is probably reasonable to include
extinction concur-
rently with NCR.
1.4.5. Adventitious reinforcement
One of the potential side effects associated with NCR is the risk
of adventi-
tious, or accidental, reinforcement of the aberrant behavior. As
Skinner demon-
strated in 1948, it is possible for the FT delivery of a stimulus
to reinforce
385J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
behavior unintended by the deliverer. One would surmise that
aberrant behavior
that occurs at a high frequency would be more susceptible to
adventitious
reinforcement than a lower-frequency behavior. Using the same
logic, a denser
NCR schedule would be more likely to produce adventitious
reinforcement than
a leaner schedule. However, a review of the NCR treatment
literature reveals
many instances of successful treatment with dense schedules
and high-rate
behaviors. To date, the variables that produce adventitious
reinforcement have
not yet been delineated. However, two procedures can be used
to prevent
adventitious reinforcement from occurring. Vollmer et al.
(1997) used an omis-
sion contingency (i.e., fixed-time, nonresetting, momentary
DRO) to reduce
aberrant behavior that had been adventitiously reinforced during
NCR. In this
procedure, reinforcer deliveries are omitted if the aberrant
behavior has just
occurred. Similarly, Britton et al., in press reported the use of
NCR with a
stimulus delay procedure to prevent adventitious reinforcement.
With this vari-
ation of NCR, if the aberrant behavior occurs within 10s of
reinforcer delivery,
the delivery is postponed in 10-s increments until the aberrant
behavior has not
occurred for 10s. Thus, the possibility of adventitious
reinforcement is elimi-
nated, while the amount of stimulation (i.e., reinforcement)
received by the
individual is retained.
1.4.6. Combining NCR with adjunct procedures
One of the limitations associated with NCR is that, although an
aberrant behavior
can be successfully treated, an appropriate alternative response
is not strengthened.
Marcus and Vollmer (1996) and Goh, Iwata, and DeLeon (2000)
reported studies
that addressed this limitation. Both studies evaluated the effects
of NCR combined
with a DRA procedure in terms of behavioral reduction and
alternative response
acquisition. The NCR/DRA treatment packages were successful
in reducing aberrant
behavior, and once the initial continuous schedule was thinned,
individuals success-
fully acquired the alternative response.
Occasionally, NCR fails to reduce aberrant behavior to
acceptable levels. This
finding has sometimes been reported with cases in which the
behavior was
maintained by automatic reinforcement. In such cases, NCR can
be combined
with mild forms of punishment (e.g., response blocking) to
further reduce
responding to acceptable levels (e.g., Carr, Dozier, Patel,
Nicolson, & Martin,
2000; Piazza, Hanley, & Fisher, 1996). Of course, punishment
procedures should
always be implemented according to the philosophy of the Least
Restrictive
Alternative (Johnston & Sherman, 1993). However, if
punishment becomes
necessary in a specific case, NCR is an effective way to
maintain the delivery of
reinforcers to the individual.
1.5. Behavior-change mechanisms underlying NCR effects
The current understanding in the research literature is that NCR
procedures can
achieve their effects via three behavior-change mechanisms: (a)
attenuation of the
reinforcer’s EO, (b) extinction or disruption of the response-
reinforcer relationship,
386 J.E. Carr et al. / Research in Developmental Disabilities 21
(2000) 377–391
and (c) reinforcement of other responses that temporally
displace the target behavior
(Carr, 1996; Fisher et al., 1999). The extinction hypothesis
states that, through NCR,
the response-reinforcer contingency is eliminated or interrupted,
subsequently reduc-
ing the aberrant behavior. The success of lean NCR schedules in
behavioral reduction
supports this position (Hagopian et al., 1994). The EO (or
satiation) hypothesis states
that the noncontingent delivery of the behavior’s reinforcer
eliminates the …
JOURNAL OF APPLIED BEHAVIOR ANALYSIS
REDUCING BEHAVIOR PROBLEMS THROUGH
FUNCTIONAL
COMMUNICATION TRAINING
EDWARD G. CARR AND V. MARK DURAND
STATE UNIVERSITY OF NEW YORK AT STONY BROOK,
STATE UNIVERSITY OF
NEW YORK AT ALBANY, AND SUFFOLK CHILD
DEVELOPMENT CENTER
It is generally agreed that serious misbehavior in children
should be replaced with socially appro-
priate behaviors, but few guidelines exist with respect to
choosing replacement behaviors. We
address this issue in two experiments. In Experiment 1, we
developed an assessment method for
identifying situations in which behavior problems, induding
aggression, tantrums, and self-injury,
were most likely to occur. Results demonstrated that both low
level of adult attention and high
level of task difficulty were discriminative for misbehavior. In
Experiment 2, the assessment data
were used to select replacements for misbehavior. Specifically,
children were taught to solicit atten-
tion or assistance or both verbally from adults. This treatment,
which involved the differential
reinforcement of functional communication, produced replicable
suppression of behavior problems
across four developmentally disabled children. The results were
consistent with an hypothesis stating
that some child behavior problems may be viewed as a
nonverbal means of communication.
According to this hypothesis, behavior problems and verbal
communicative acts, though differing
in form, may be equivalent in function. Therefore, strengthening
the latter should weaken the
former.
DESCRIPTORS: disruptive behavior, assessment, classroom
behavior, communication, devel-
opmentally disabled children
A major portion of child behavior therapy is
justifiably concerned with the treatment of behav-
ior problems, given that such problems can seri-
ously disrupt the educational process (O'Leary &
O'Leary, 1977; Sulzer-Azaroff & Mayer, 1977)
and in some cases may lead to institutionalization
This investigation was supported in part by U.S.P.H.S.
Biomedical Research Support Grant 2 S07 RR-07067-18
to the State University of New York at Stony Brook to the
first author and a Sigma Xi Grant-in-Aid of Research to the
second author. Portions of this paper were presented at the
annual meeting of the American Psychological Association,
Washington, D.C., August 1982, and Anaheim, California,
August 1983. This research was based on a master's thesis
conducted by the second author under the direction of the
first author.
We thank Martin Hamburg, Executive Director, Suffolk
Child Development Center, for his generous support, and
Roseann D'Evanzo, JoAnn Giles, Terry Leykis, Cathy Sher-
edos, and Doug Walters for assistance with data collection.
Finally, we thank Alan 0. Ross, Susan G. O'Leary, K. Dan-
iel O'Leary, Crighton Newsom, Paul A. Dores, and Daniel
B. Crimmins for their helpful comments.
Requests for reprints or individual data should be sent to
Edward Carr, Department of Psychology, State University
of New York, Stony Brook, New York 11794-2500.
(Quay, 1979). Behaviorists have developed treat-
ment strategies designed to decelerate problem be-
haviors, which indude procedures involving ex-
tinction (Lovaas, Freitag, Gold, & Kassorla, 1965),
time-out (Zeilberger, Sampen, & Sloane, 1968),
response cost (Iwata & Bailey, 1974), overcorrec-
tion (Foxx & Bechtel, 1983), contingent electric
shock (Carr & Lovaas, 1983; Lovaas & Simmons,
1969), and ecological interventions (Durand,
1983). The focus has been on eliminating behavior
problems, particularly those such as self-injury,
aggression, and tantrums, that are serious enough
to jeopardize the safety and effective functioning
of the target children and their peers.
There is consensus among researchers and cli-
nicians that the elimination of behavior problems
is an important first step in remediation. Ulti-
mately, however, the problematic responses must
be replaced with socially usefuil behaviors (Goldia-
mond, 1974). Because there are few guidelines
available to suggest what these replacement be-
haviors should be (Donnellan, Mirenda, Mesaros,
& Fassbender, 1983; Voeltz, Evans, Derer, &
111
1985, 189 111-126 NumBER 2 (summER 1985)
EDWARD G. CARR and V. MARK DURAND
Hanashiro, 1983), we sought to develop a method
for identifying and assessing those educational sit-
uations in which behavior problems reliably occur
(Experiment 1) and, second, we sought to use the
assessment information in order to select replace-
ment behaviors (Experiment 2).
Research on the functional analysis of behavior
problems provides a good basis on which to build
identification and assessment methods. This liter-
ature indicates that the factors responsible for the
maintenance of behavior problems fall into two
broad dasses: escape behavior, controlled by neg-
ative reinforcement processes, and attention-seek-
ing behavior, controlled by positive reinforcement
processes (Carr & Durand, 1985).
There is ample evidence to suggest that many
children learn to emit behavior problems in the
presence of aversive stimuli. The display of such
problems frequently results in the removal of these
stimuli, a dear example of a negative reinforce-
ment process (Patterson, 1982). In the dassroom
setting, instructional demands may frequently
function as aversive stimuli and a variety of be-
havior problems induding aggression, self-injury,
and tantrums may serve as escape behaviors that
effectively allow the child to avoid further partic-
ipation in instructional tasks (Carr, 1977; Carr &
Newsom, in press; Carr, Newsom, & Binkoff,
1976, 1980; Durand, 1982; Iwata, Dorsey, Slifer,
Bauman, & Richman, 1982; Romanczyk, Colletti,
& Plotkin, 1980; Weeks & Gaylord-Ross, 1981).
The literature also indicates that the display of
behavior problems often results in the child's re-
ceiving attention, a dear example of a positive
reinforcement process (Patterson, 1982; Wahler,
1976). Many investigators have presented data
congruent with the notion that behavior problems
may be a form of attention-seeking (Carr &
McDowell, 1980; Iwata et al., 1982; Lovaas et
al., 1965; Patterson, 1980; Wahler, 1969). These
studies also imply that children may learn to emit
behavior problems in response to low levels of adult
attention.
Given the results of the empirical investigations
to date, it is dear that any method used to assess
behavior problems should indude an analysis of
the effects of level of attention (to identify possible
attention-seeking functions) as well as an analysis
of the effects of task difficulty (to identify possible
escape functions). This rationale formed the basis
for the assessment procedures used in Experi-
ment 1.
Once it has been determined that a behavior
problem likely serves a specific social function (e.g.,
escape or attention seeking), one is in a position to
consider appropriate replacement behaviors. One
behavioral alternative to escape would be some
form of assistance seeking. For example, it may be
possible to teach the child a response that is effec-
tive in evoking teacher assistance with a difficult
task. Once assistance is provided, the task should
no longer be as aversive and therefore escape be-
haviors should decrease. Likewise, in the case of
behavior problems that are attention seeking, one
could teach the child an appropriate alternative
response that is effective in securing adult atten-
tion.
An important question concerns the form of the
response alternatives to be taught. Several studies
suggest that children can be taught to solicit at-
tention and assistance verbally (Seymour & Stokes,
1976; Stokes, Fowler, & Baer, 1978). Verbal
communication training is not typically used as a
method for controlling behavior problems. None-
theless, the analysis just presented suggests that if
communicative phrases are carefully chosen so that
they serve the same presumptive social functions
as the behavior problems they are to replace, then
deceleration of these problems should be possible.
This training strategy was explored in Experi-
ment 2.
EXPERIMENT 1
METHOD
Children and Setting
Teachers in a day school program for develop-
mentally disabled children were interviewed, and
the first four children who met both the following
criteria were selected for indusion in this study:
BEHAVIOR PROBLEMS AND COMMUNICATION
TRAINING
They displayed at least one problem behavior per
hour in the classroom and had expressive language
skill consisting, at a minimum, of single word ut-
terances. Based on these criteria, two males and
two females were chosen. Jim and Sue were 13
years old; Eve, 14; and Tom, 7. The medical staff
had diagnosed Jim as autistic; Sue and Eve as brain
damaged; and Tom as developmentally delayed
and severely hearing impaired. Tom wore a hear-
ing aid. On the Peabody Picture Vocabulary Test,
the children's mental age scores were: Jim, 3 years;
Sue, 5 years, 10 months; Eve, 2 years, 5 months;
and Tom, 5 years. They displayed a variety of
aggressive, self-destructive, and disruptive behav-
iors that are defined in detail later. Jim and Tom
spoke spontaneously in complete sentences. Sue
spoke spontaneously in phrases of 2-3 words. Eve
was limited to using single noun labels, primarily
when prompted.
Sessions were conducted in a 5 x 10-m auxil-
iary dassroom located next to the regular dass-
room. The experimenter sat between two of the
children at a table on which various task materials
were placed. All materials were placed 0.3 m from
the child so that he or she could readily reach
them. If more than one set of materials was used
at a time, they were evenly spaced in front of the
child, also at 0.3 m distance. Small-group (two
children) instruction was used to approximate the
regular dassroom practice.
Experimental Design and Overview
In a given session, a child received either an easy
task or a difficult task; in addition, a child received
adult attention during either 100% or 33% of the
time intervals into which the session was divided.
The two levels of task difficulty and the two levels
of adult attention were combined to produce three
conditions: easy 100, easy 33, and difficult 100.
Comparison of easy 100 with easy 33 permitted
assessment of the effects of attention level (i.e.,
100% versus 33%) while task difficulty was held
constant. Comparison of easy 100 with difficult
100 permitted assessment of the effects of task
difficulty while attention level was held constant.
Easy 100 was designated as the baseline condition
with which the other two conditions were com-
pared. This designation was based on teacher re-
ports and our own informal dassroom observations
which suggested that a combination of easy tasks
and high levels of teacher attention generally re-
sulted in a low frequency of behavior problems.
The easy 33 and difficult 100 conditions alter-
nated with the baseline easy 100 condition in a
reversal design. The sequence of conditions was
counterbalanced across children to control for order
effects. Session length was always 10 min and 1-
3 sessions were run per day. When multiple ses-
sions were run on the same day, there was a 5-min
break between sessions.
Procedure
Easy 100. In easy 100, a child worked on
receptive labeling and match-to-sample and re-
ceived some form of adult attention for doing so
in 100% of the intervals in each session as deter-
mined by a time sampling procedure described
later. In the receptive labeling task, the child was
presented with several cards from the Peabody Pic-
ture Vocabulary Test, a measure of receptive la-
beling skill that is based on a series of picture cards
graded in difficulty. Each card on this test is di-
vided into quadrants, one picture per quadrant. A
card was placed on the table in front of the child
and the child was asked to point to the relevant
picture named by the adult (e.g., "Point to the
ball"). To ensure that this task was indeed easy,
an additional assessment was conducted prior to
the start of this condition. The child was twice
presented with the Peabody cards, and 20 cards
were selected on which the child always responded
correctly. These cards constituted the materials for
the receptive task.
For the match-to-sample task, 3 cards were se-
lected at random from the group of 20 cards de-
scribed above. One picture from each of the 3
cards was randomly chosen and 11 copies were
made of each picture. The three different pictures
were placed in a row in front of the child. These
pictures constituted the samples. The remaining 30
pictures (i.e., 10 copies of each picture) were mixed
together and placed in a pile 0.1 m behind the
113
EDWARD G. CARR and V. MARK DURAND
samples. The adult pointed to the card at the top
of the pile of copies and said to the child "Match
this" or an equivalent statement. The child was
then expected to place the card on top of the cor-
rect sample. The children had considerable expe-
rience on matching tasks and therefore did not
require any prompts to match each card correctly.
Typically, they would match several cards from
the pile following a single command from the adult.
Whenever they finished matching all the cards, the
adult would gather up the copies, mix them to-
gether, and again place them behind the samples.
The procedure was then recyded.
On those rare occasions on which a child made
an error on either the match-to-sample or receptive
labeling tasks, the adult would say "No!" or
"That's not correct!" and go on to the next trial.
Correct responding produced verbal praise (defined
later). The two tasks were alternated, 5 min each,
within each 10-min session. The task sequence was
randomized across sessions.
In each session, the adult would deliver atten-
tion in the form of mands, praise, and comments.
A mand (e.g., "Point to the " on the recep-
tive labeling task, and "Match this" on the match-
to-sample task) was presented in every third re-
cording interval. Praise was given in a different
third of the intervals, either contingent on correct
responding (e.g., "That's right!") or contingent on
general task-related behavior (e.g., "You're work-
ing very nicely!"). While giving verbal approval,
the adult made eye contact with the child, smiled
or nodded or both, and delivered physical approval
in the form of pats on the shoulder, mussing the
child's hair, tickling, and related actions. Finally,
comments were made in yet a different third of
the intervals and consisted of a variety of descrip-
tive statements (e.g., "It's sunny today.").
The adult was cued by a bug-in-the-ear device
as to when to deliver attention (i.e., a beep oc-
curred every 10 s). In addition, the adult kept a
written tally of the various forms of attention de-
livered, which helped ensure that the three forms
of attention were given equally throughout the ses-
sion. Some form of adult attention (i.e., mands,
praise, or comments) was given in every interval
of the session, with the three forms being presented
in a random sequence within and between sessions.
A new trial began, every 30 s on the average, with
the presentation of a mand. Thus, there were 20
mands given during each 10-min session. This
procedure was in effect during all conditions. The
other child who was seated at the table was given
independent desk work to do while the session was
being run. When the adult was not attending to
the target child, the adult attended to (i.e., in-
structed and praised) the second child.
When a child displayed a behavior problem,
the experimenter reacted as follows. If the child
left his or her seat, the experimenter waited 10 s
for the child to return. If the child did not return,
the experimenter led the child back to his or her
seat without comment. The experimenter ignored
all other behavior problems (i.e., made no com-
ment) and continued with the task at hand unless
the behavior posed a physical risk. In that case,
the experimenter restrained the child. For example,
if the child struck the experimenter hard, the ex-
perimenter would grasp the child's hand and re-
strain it on the child's lap for a period of 5-10 s
while the experimenter would continue with the
task at hand. This procedure was in effect during
all experimental conditions.
In this and subsequent conditions, approxi-
mately one-third of the sessions were conducted by
an adult (randomly chosen from a pool of five
adults) who was naive to the purpose of the ex-
periment. The other sessions were conducted by
the second author.
Easy 33. In the regular dassroom, teacher at-
tention was typically low during independent work
assignments. Because match-to-sample was the
most commonly used task for developing indepen-
dent work skills, we chose it to assess the effects
of low rates of adult attention on the level of be-
havior problems. This test was consistent with
classroom practice and was a task that the children
could complete without error. The sessions were
conducted as in easy 100 but the amount of adult
attention was decreased. Specifically, mands and
praise were each presented during one-third of the
recording intervals as before; however, they were
BEHAVIOR PROBLEMS AND COMMUNICATION
TRAINING
now programmed within the same interval rather
than in different intervals as had been the case for
easy 100. Also, comments were discontinued. These
changes resulted in a decrease in overall adult at-
tention from 100% to 33% of the intervals, with-
out altering the amount of praise or mands given.
That is, in the one interval out of three that in-
duded attention, both praise and mands occurred
at a level equal to that in easy 100. During those
periods of time in which the adult was not attend-
ing to the target child, the adult worked with the
other child seated at the table.
Difficult 100. In the regular classroom, vocab-
ulary tasks typically generated many errors. Be-
cause receptive labeling of picture cards from a
Peabody language development kit was one of the
most commonly used tasks for building vocabu-
lary, we chose a similar task for difficult 100, to
be consistent with dassroom practice. To ensure
that the task was indeed difficult, we carried out
an additional assessment prior to the start of this
condition. Specifically, cards from the Peabody Pic-
ture Vocabulary Test were selected on which the
child scored at chance levels with respect to recep-
tive labeling (25% correct). The method for se-
lecting these cards was the same as that used in
easy 100. In all other respects, this condition was
run in the same manner as easy 100.
Response Definitions and Reliability
Three classes of responses were recorded: dis-
ruptive behavior, adult attention, and academic
behavior. Based on our preliminary classroom ob-
servations as well as teacher reports, we identified
three to five common topographies of disruptive
behavior for each child. These topographies in-
cluded aggression for all four children (poking or
hitting other people, or pulling their hair; striking
or knocking over objects); tantrums for Jim, Tom,
and Sue (any loud voalization or screaming ac-
companied by whining or crying); self-injury for
Jim, Eve, and Sue (hitting one's head with one's
hand; biting one's hand); opposition for Jim, Eve,
and Sue (saying "No" to an adult's request or
pushing away the task materials); out of seat for
Tom and Sue (child's buttocks breaking contact
with the seat of the chair for 3 s or more); and
stripping in the case of Eve (removing any article
of clothing from one's body).
Adult attention consisted of praise, mands, and
comments. Praise was defined as any form of ver-
bal approval delivered contingent on correct re-
sponding to a task (e.g., "That's right!") or con-
tingent on general cooperative behavior (e.g., "I
like the way you're working today!"). Mands were
defined as any task-related request made by the
adult (e.g., "Point to the truck" for the receptive
labeling task, or "Match this" for the match-to-
sample task). Comments were defined as any de-
scriptive remarks made by the adult (e.g., "There
sure are a lot of pictures," or "It's sunny today.").
Academic behavior was defined separately for
the two tasks. On the receptive task, a correct
response was scored if the child pointed to the
picture named by the adult. An incorrect response
was scored if the child pointed to one of the other
three pictures on the Peabody card or failed to
respond within 10 s. On the match-to-sample task,
a correct response was scored if the child responded
to the adult's command by placing one of the
copies of the pictures on top of the appropriate
sample. An incorrect response was scored if the
child placed the copy on top of the wrong sample
or failed to respond within 10 s.
All responses were recorded using a continuous
10-s interval procedure. Observers sat in a corner
of the room, 2.5 m from the child, and out of the
child's line of sight. A tape recorder equipped with
earphones emitted the recording interval number
at the end of each 10-s interval. The presence or
absence of the responses previously defined was
recorded for each interval.
Reliability observers were drawn two at a time
from a pool of four undergraduate students. All
observers were trained prior to the investigation by
recording in classrooms. Training proceeded until
the observers reached a criterion of 75% agreement
on all behavior categories with one standard ob-
server (an undergraduate who had extensive ex-
perience in behavioral recording). During the ex-
periment, reliability was assessed in 70% of the
sessions conducted for each child. Observer records
115
EDWARD G. CARR and V. MARK DURAND
were compared on an interval-by-interval basis. For
disruptive behavior and adult attention, the reli-
ability index used was the number of agreements
divided by the number of agreements plus dis-
agreements multiplied by 100. Academic behav-
iors were scored on a trial-by-trial basis to yield
percent correct figures. The mean interobserver re-
liability was 80% or higher for all response cate-
gories.
REsuLTS
Validation of Task Difficulty and
Adult Attention Manipulations
For brevity, only group averages are reported;
however, in all cases, individual data were consis-
tent with the group means.
With respect to task difficulty, the mean percent
correct observed across the four children was 96.5%
in easy 100, 97.3% in easy 33, and 26.9% in
difficult 100. With respect to adult attention, the
mean level of this variable observed across the four
children was 99.7% in easy 100, 33.4% in easy
33, and 99.9% in difficult 100. Thus, we suc-
ceeded in creating two levels of task difficulty (an
easy level approximating 100% correct and a dif-
ficult level approximating 25% correct), and two
levels of adult attention (a high level approximat-
ing 100% attention and a low level approximating
33% attention). Finally, praise, mands, and com-
ments each occurred at an average of approxi-
mately 33% in all conditions except during easy
33 in which comments occurred at zero or near-
zero levels as planned.
Effects on Disruptive Behavior
Figure 1 shows the percentage of intervals in
which disruptive behavior occurred during each
session for the four children. There were three dis-
tinct patterns of disruptive behavior. Jim and Eve
were disruptive primarily in the difficult 100 con-
dition. Tom was disruptive primarily in the easy
33 condition, and Sue was disruptive in both easy
33 and difficult 100. As expected, disruptive be-
havior in easy 100 was negligible for all children
thus justifying our use of this condition as a base-
line. The filled circles in Figure 1 depict the results
of sessions run by naive experimenters. As can be
seen, there were no systematic differences between
these data points and those generated by the in-
formed experimenter (open circles).
DISCUSSION
The fact that there were several patterns of dis-
ruptive behavior displayed in Experiment 1 sug-
gests that more than one variable was controlling
the children's behavior. There is some evidence in
the published literature (Carmine, 1976) that long
intertrial intervals, such as those we used, may
contribute to off-task behavior. Nonetheless, we
felt that the use of long intervals was justified given
that a major educational goal for these children
involved group instruction, a situation in which
long intervals are inevitable. In fact, long intervals
did not in themselves guarantee disruptive behav-
ior. The nature of the task and level of adult at-
tention were the most reliable predictors.
Consider Jim and Eve. Their behavior problems
became more frequent when demands increased in
difficulty (difficult 100) but these children were
relatively well behaved in the other two conditions.
This behavior pattern is consistent with the notion
of escape responding. Specifically, it is hypothe-
sized that some children have a history of success-
fiully escaping from presumably aversive stimuli
(such as difficult task demands and ensuing failure)
contingent on the display of disruptive behavior.
If a child has this history, then difficult task de-
mands may eventually come to be discriminative
for the emission of problem behavior.
Tom's results suggest the operation of a second
controlling variable. His behavior problems be-
came more frequent when the overall level of adult
attention was reduced (easy 33) but he was rela-
tively well behaved in the other two conditions.
This pattern of behavior is consistent with the no-
tion of attention seeking. Specifically, it is hypoth-
esized that some children have experienced the fol-
lowing set of contingencies. First, the amount of
adult attention given to the child decreases to a
low level. From time to time, when the child mis-
behaves, the adult attends to the child. The cu-
BEHAVIOR PROBLEMS AND COMMUNICATION
TRAINING
J im
Easy Easy Easy Diff Easy Diff100 5 33 WIOT E 100 100 100
o..0o h o of o .
. .U
E v e
501
21
0-
Tom
100
50J
01
a
II,
E a s y
100
EasyI -i- ~
E asy
100
A _~~~~~~~~~~~~~~~~~~~~~~~~~~~
D i f f
100
Eas
Easy
33
9-7
E asy
100
Easy
33 :
Easy
100
Easy
33
Easy
100
I. . I . . I p
Eas Easy Easy
3 3
Diff
100 EasY10e
I .I I - - i. - - I -
Diff
100
Easy
100 I
b ~JoenOI
Diff Easy Diff Easy
100 1 100 1 100 i 100
Eas ~y,Diff Easy
100 100
Easy
100
Easy
33
11
11
11
11
11
1
E asy
100
Easy
33
Easy
33
Easy
100
I.I.. I - i i
1 2 3 4 5 6 7 8 9 1012 3 4 5 6 7 8 9 10 20 21 22 2-3 24 25 i6 27
28 i9 30 31
Figure 1. Percent intervals of disruptive behavior as a function
of level of task difficulty (easy vs. difficult) and overall
level of adult attention (100% vs. 33% of total intervals). Open
cirdes depict sessions conducted by an informed experi-
menter; filled cirdes, sessions conducted by naive
experimenters.
mulative effect of this intermittent reinforcement
is that the misbehavior is strengthened. If a child
has this history, then low levels of adult attention
may eventually come to be discriminative for the
emission of problem behavior.
Sue differed from the other three children in that
her behavior problems appeared to be under the
control of both the occurrence of difficult task de-
mands and the presence of low levels of adult
attention. This response pattern is consistent with
the results of previously cited research indicating
that the behavior problems of a given child can be
controlled by more than one set of variables.
We would like to qualify our analysis by sug-
gesting that the pattern of results observed could
plausibly be attributed to other processes than those
mentioned. For example, behavior problems as-
sociated with task difficulty might stem from a
child's failure to attend to adult instructions. Like-
wise, behavior problems occurring after a shift to
low levels of attention might be viewed as adjunc-
tive behavior induced by a decrease in the richness
of the prevailing schedule of reinforcement. These
alternative explanations need to be evaluated ex-
perimentally; however, our assumption concerning
the primacy of positive and negative reinforcement
processes is at least as plausible and heuristic as
the alternatives just presented.
117
(A
- CZ
4 0
Cc _LUJ
LA>
U. >
0-
u.
LUI
X* Sue
100
50
04
11 12 13 14 15 16 17 18 19
SE SS IO N S
EDWARD G. CARR and V. MARK DURAND
EXPERIMENT 2
In Experiment 2, we sought to reduce the be-
havior problems identified in Experiment 1 by
teaching the children verbal communicative phras-
es that served to elicit either adult assistance or
adult attention.
METHOD
Children and Setting
These were the same as in Experiment 1.
Experimental Design and Overview
The problematic situations identified for each
child in Experiment 1 constituted the baseline phase
in Experiment 2. The intervention consisted of two
phases: relevant response and irrelevant response.
Consider first the relevant response phase for
Jim, Eve, and Sue. Recall that these children mis-
behaved in the difficult 100 condition. Because
this condition involved difficult tasks, one treat-
ment strategy already noted would be to teach the
children to solicit adult assistance. A relevant com-
municative response for a child to make might be
a phrase such as "I don't understand." This phrase
would serve to prompt a teacher to provide help
on the difficult task. Accordingly, we taught this
phrase to the three children involved.
Consider next the relevant response phase for
Tom and again Sue. Recall that they misbehaved
in the easy 33 condition. Because this condition
involved low levels of adult attention, one treat-
ment strategy noted already would be to …

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A review of noncontingent” reinforcement astreatment for th

  • 1. A review of “noncontingent” reinforcement as treatment for the aberrant behavior of individuals with developmental disabilities James E. Carr*,1, Sean Coriaty, David A. Wilder2, Brian T. Gaunt3, Claudia L. Dozier4, Lisa N. Britton5, Claudia Avina, Curt L. Reed University of Nevada, Reno, NV 89557-0062, USA Abstract The term noncontingent reinforcement (NCR) refers to the delivery of an aberrant behavior’s known reinforcer on a response-independent basis. The typical result is a decrease in responding from baseline (i.e., reinforcement) levels. NCR has become one of the most reported function-based treatments for aberrant behavior in the recent literature. The purpose of this review is to briefly discuss the history of the procedure and summarize the findings from the treatment research literature. The review is organized into the following sections: (a) basic research on NCR, (b) NCR as a control procedure, (c) NCR as a function-based treatment, (d) considerations in the programming of NCR schedules, (e) behavior-change mechanisms underlying NCR effects, and (f) directions for future research. © 2000 Elsevier Science Ltd. All rights reserved.
  • 2. 1 James Carr is now at Department of Psychology, Western Michigan University, 1903 W. Michigan Ave., Kalamazoo, MI 49008-5439. 2 David Wilder is now at The University of the Pacific. 3 Brian Gaunt is now at The University of South Florida. 4 Claudia Dozier is now at The University of Florida. 5 Lisa Britton is now at Spectrum Center. * Corresponding author. Tel.:11-616-387-4925; fax:11-616-387- 4550. E-mail address:[email protected] (J.E. Carr). Research in Developmental Disabilities 21 (2000) 377–391 0891-4222/00/$ – see front matter © 2000 Elsevier Science Ltd. All rights reserved. PII: S 0 8 9 1 - 4 2 2 2 ( 0 0 ) 0 0 0 5 0 - 0 1. Introduction One of the most significant advances in the treatment of aberrant behavior of individuals with developmental disabilities has been the development of system- atic methods for determining behavioral function. The advent of functional assessment methods has enabled researchers and practitioners to design inter- ventions that are based on a behavior’s maintaining variable(s), rather than its topography. Function-based approaches are considered preferable to their non-
  • 3. function-based counterparts for several reasons. First, function- based interven- tions necessarily emphasize reinforcement-based, as opposed to punishment- based, procedures. In addition, function-based interventions are directed at the response-reinforcer relationship, thus weakening a problematic contingency as opposed to simply overpowering it. Finally, function-based interventions often involve the establishment of an adaptive response-reinforcer relationship, which may result in increased maintenance of treatment gains. Iwata, Vollmer, Zarcone, and Rodgers (1993) described three general classes of function-based interventions. The first class, the modification of establishing opera- tions (EOs), includes antecedent manipulations designed to either weaken the rein- forcer for the aberrant behavior or strengthen that of an alternative behavior (for a review, see Wilder & Carr, 1998). The second class, extinction, involves withholding the reinforcer that maintains the aberrant behavior. Finally, in behavioral replacement procedures, the aberrant behavior’s reinforcer is provided contingent upon an alter- native behaviorand withheld for the aberrant behavior. In recent years, one of the most widely researched group of treatments for aberrant behavior has been noncon- tingent reinforcement (NCR). NCR procedures are often conceptualized as EO manipulations, although extinction sometimes plays a role in their effects. The basic
  • 4. premise of NCR is that an aberrant behavior’s reinforcer is delivered to the individual on a response-independent basis. Through the operation of several behavioral pro- cesses, a subsequent behavior reduction is usually observed. Before the more substantive areas of this review are presented, a brief discussion of the termnoncontingent reinforcementis warranted. The quotes in the title of the article are a hint that the term is problematic. As has previously been discussed in the literature, NCR is a misnomer for several reasons. First, by definition, reinforcement is acontingentprocess. Second, no behavior is strength- ened as a result of NCR, compared to reinforcement procedures. Third, NCR is an imprecise description as it refers to many procedurally distinct treatments. With all of these problems with the term, one would surmise that researchers would have adopted a more precise vocabulary with which to refer to these procedures. However, this has not yet happened, and with the increasing fre- quency at which the term is being reported in the literature, we believe that a change is unlikely to occur. Therefore, throughout this review, the term NCR will be used much as it is used in the current treatment literature. We refer the reader to several published commentaries on this issue for more in- depth discussion, as well as for potential alternatives to current terminology (Carr, 1996; Poling &
  • 5. Normand, 1999; Vollmer, 1999). 378 J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 The purpose of this review is to briefly discuss the history of NCR and summarize the recent findings from the research literature. First, the basic research on NCR is briefly summarized, followed by a short discussion of NCR’s role as a methodological control procedure. Next, NCR is discussed as a func- tion-based treatment for aberrant behavior. We then discuss the many variables that should be considered when programming NCR schedules. Next, we discuss the behavior-change mechanisms responsible for NCR effects. Finally, sugges- tions for future research are presented. 1.1. Basic research on NCR Although Skinner (1948) first addressed the possibilities of fixed-time (FT) schedules of reinforcement in his seminal article “Superstition in the Pigeon,” it was not until the 1960s that researchers began to systematically study NCR procedures. Since then, there have been dozens of articles published in the basic literature whose primary purposes have been to (a) examine the procedural and functional properties of NCR, and (b) use NCR as a control
  • 6. procedure for studying other behavioral phenomena (e.g., behavioral momentum). Since the purpose of the current paper is to review NCR procedures as they relate to clinical application, a comprehensive review of the basic NCR literature is not possible. Below, however, is a brief summary of some of the early findings from the basic literature that were important to the development of our current technology. Zeiler (1968) evaluated variable-time (VT) and FT schedules in pigeons that had previously acquired an operant response (i.e., key pecking). The results showed that FT schedules produced consistent decreases in responding, while VT schedules produced ones that were more erratic. Rescorla and Skucy (1969) compared extinction with the response-independent delivery (i.e., VT schedules) of food in rats. The authors found that extinction (by omission) decreased responding more effectively than response-independent food delivery, although both procedures resulted in significant decreases in response rates. Lachter, Cole, and Schoenfeld (1971) evaluated both dense and lean FT schedules in pigeons and found that, although both were effective reductive procedures, the dense schedules produced the greater reductions. The aforementioned studies and others (e.g., Alleman & Zeiler, 1974; Calef et al., 1989;
  • 7. Dickinson & Charnock, 1985; Edwards, Peek, & Wolfe, 1970; Halliday & Boakes, 1971; Job, 1988; Oakes, Rosenblum, & Fox, 1982) illuminated a consistent phenomenon: a change from response-dependent to response-independent reinforcement consistently produces a response reduction. This finding led to NCR being adopted as an experimental control procedure as an alternative to extinction. 1.2. NCR as a control procedure Based on findings from the basic literature, researchers introduced NCR in the applied literature as an experimental control procedure. That is, reinforcers were 379J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 delivered independent of the target response in either FT or VT schedules to evaluate the effects of reinforcement-based procedures. Previously, extinction had been employed as the modal control procedure; however, extinction was shown to produce a possible confound. When extinction procedures are used, not only is the response-reinforcer relationship terminated, but thepresentationof the stimulus is also removed from the individual. This type of control (i.e., extinction) does not allow for the delineation of the effects of
  • 8. stimulus presen- tation and the response-reinforcer relationship (Lachter, 1980). In contrast, NCR procedures interrupt the response-reinforcer relationship while still presenting the stimulus to the individual, which allows for the examination of the response- reinforcer relationship independent of stimulus-presentation effects. Numerous studies in the applied literature have since employed NCR as a control for reinforcement procedures (e.g., O’Neill & Morris, 1979; Sheppard, 1969). Below are brief descriptions of two representative studies. Hart, Reynolds, Baer, Brawley, and Harris (1968) reported one of the first demonstrations of the use of NCR as a control procedure with humans. The researchers used a reversal design to evaluate the effects of contingent adult social reinforcement on the cooperative play behavior of a 5-year-old girl. In addition to a contingent attention condition, the authors employed a noncontingent attention control procedure. Increased cooperative play was observed in the contingent attention condition, but not in the noncontingent attention condition. These results sug- gested that the contingency between the response and the reinforcer was respon- sible for the effects of the intervention. Similarly, Horner (1980) used an NCR control procedure to assess the effects of differential reinforcement, in conjunc-
  • 9. tion with environmental enrichment, on the adaptive and inappropriate behavior of five individuals diagnosed with profound mental retardation. The NCR pro- cedure consisted of maintaining the environmental enrichment procedure while providing social reinforcement independent of the individuals’ adaptive and inappropriate behavior. The results suggested that the differential reinforcement procedure (i.e., the contingency between the response and the reinforcer) was responsible for the decrease in inappropriate behavior and the increase in adap- tive behavior. More recently, experimental functional analysis methods (Iwata, Dorsey, Slifer, Bauman, & Richman, 1994) have incorporated NCR as a control proce- dure. Functional analyses typically involve observing the occurrence of aberrant behavior during several experimental test conditions. The most commonly re- ported conditions are (a) contingent attention, (b) escape from instructional demands, (c) contingent materials (i.e., tangible items), (d) alone or no interac- tion, and (e) unstructured play (the NCR control condition). During the “control” or “play” condition, the individual receives frequent attention that is usually delivered on an FT schedule (e.g., FT 30s). In addition, the individual has access to preferred stimuli and/or leisure activities and is not presented with instruc-
  • 10. tional demands. This condition serves as a control procedure for the (a) presence of the experimenter, (b) availability of preferred stimuli and/or leisure activities, (c) absence of the presentation of demands, and (d) delivery of attention. 380 J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 Responding in the control condition is then compared to responding in the other experimental conditions to assess behavioral function. Iwata et al. (1994) pub- lished an epidemiologic analysis of 152 functional analyses of the self-injurious behavior (SIB) of individuals diagnosed with developmental disabilities. The authors reported that NCR (via the control or play condition) was successful in reducing SIB in 127 out of the 152 cases (i.e., 83.6%). Although NCR has proved useful as an experimental control procedure, there are times when other control procedures may be preferable. For example, with high-rate behaviors it is possible that reinforcers delivered noncontingently will be temporally contiguous with the occurrence of the target behavior. This may result in adventitious reinforcement and, therefore, increase the occurrence of the target behavior. On such occasions, the experimenter might consider using
  • 11. another control procedure, such as differential reinforcement of zero rates of behavior (DRO; Cooper, Heron, & Heward, 1987). 1.3. NCR as a function-based treatment Boe (1977) and Thelen (1979) were the first to report the use of NCR as treatment for aberrant behavior. Boe used the VT delivery of food to reduce the aggression of a group of women diagnosed with mental retardation. Thelen used informally delivered noncontingent attention to reduce the aggressive tantrums of an 8-year-old girl. Although these were the first reports of NCR as treatment for aberrant behavior, the efforts cannot necessarily be considered “function-based,” as behavioral function was unknown in each report. More recently, NCR has been defined as “a response-independent or time-based delivery of stimuli with known reinforcing properties” (Vollmer, Iwata, Zarcone, Smith, & Mazaleski, 1993, p. 10). The phraseknown reinforcing propertiesis especially important. Given the myriad behaviors in which an individual can engage, NCR cannot be implemented in afunction-basedmanner unless the reinforcing stimulus is identified for the aberrant behavior. The recent literature has identified numerous benefits of implementing NCR as a treatment for aberrant behavior. First, as previously stated, NCR is usually
  • 12. a function-based procedure that addresses the response- reinforcer relationship. Second, NCR has been shown to produce greater, or at least comparable behavior reductions relative to DRO (Vollmer et al., 1993), differential reinforcement of alternative behavior (DRA; Kahng, Iwata, DeLeon, & Worsdell, 1997), and extinction (Vollmer et al., 1998). Third, NCR has been shown to result in a higher rate of reinforcer delivery compared to other comparable procedures (e.g., DRO; Britton, Carr, Kellum, Dozier, & Weil, in press; Vollmer et al., 1993). Fourth, FT schedules have been reported to be relatively easy to implement compared to other procedures. Although the delivery of stimuli at fixed times intuitively seems easier than implementing, for example, a DRO procedure, no social validity assessments have been reported to support this claim. Fifth, NCR has been shown to produce less extinction-induced behavior (e.g., aggression, 381J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 response bursts) compared to other treatments (Vollmer et al., 1993; Vollmer et al., 1998). In addition to the above benefits associated with NCR, recent treatment
  • 13. studies have demonstrated the generality of NCR across behavioral topography and function. NCR has been used to effectively treat aberrant behavior main- tained by attention (e.g., Hagopian, Fisher, & Legacy, 1994; Mace & Lalli, 1991; Vollmer et al., 1993), access to materials (e.g., Lalli, Casey, & Kates, 1997; Marcus & Vollmer, 1996; Smith, Lerman, & Iwata, 1996), escape and/or avoid- ance of instructional demands (e.g., Kahng et al., 1997; Vollmer, Marcus, & Table 1 Summary of noncontingent reinforcement treatment studies Author(s) Year n Age Range Primary Diagnoses Boe 1977 29 8–29 Profound-Severe MR Britton et al. in press 3 7–41 Profound-Severe MR, Autism Carr & Britton 1999 1 32 Moderate MR Coleman & Holmes 1998 3 4 Autism, PDD Derby et al. 1996 1 12 Profound MR Fischer et al. 1997 2 34–44 Profound MR Fisher et al. 1996 1 4 Severe-Moderate MR, Autism Fisher et al. 1999 3 9–13 Moderate-Mild MR Hagopian et al. 1994 4 5 Severe-Mild MR, PDD Hagopian et al. 2000 1 26 Moderate MR Hanley et al. 1997a 2 11–16 Severe-Moderate MR Hanley et al. 1997b 2 4–8 Mild MR, Cerebral Palsy Kahng et al. 1997 3 29–50 Profound-Severe MR Lalli et al. 1997 3 3–9 Severe-Mild MR Lalli et al. 1998 1 10 Severe MR Luiselli 1994 1 8 Posttraumatic Neurological Impairment
  • 14. Mace & Lalli 1991 1 46 Moderate MR Mace et al. 1998 1 7 Moderate MR, Autism Marcus & Vollmer 1996 3 4–5 Profound-Moderate MR, Autism Persel et al. 1997 1 40 Traumatic Brain Injury Piazza et al. 1996 1 17 Severe MR Piazza et al. 1997 1 8 Mild MR Piazza et al. 1998 3 4–17 Profound-Moderate MR, Autism Roscoe et al. 1998 3 20–35 Profound-Moderate MR Sigafoos & Pennell 1995 1 10 Severe MR Smith et al. 1996 1 32 Profound MR Sprague et al. 1997 2 9–20 Severe MR Thelen 1979 1 8 none Vollmer et al. 1993 3 32–42 Profound-Severe MR Vollmer et al. 1995 2 4–18 Profound MR Vollmer et al. 1997 1 13 Severe MR Vollmer et al. 1998 3 6–22 Severe-Moderate MR Wilder et al. 1997 1 46 Profound MR (continued on next page) 382 J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 Ringdahl, 1995), and automatic reinforcement (e.g., Roscoe, Iwata, & Goh, 1998; Sprague, Holland, & Thomas, 1997). Additionally, recent studies have reported that NCR can be implemented with “arbitrary” stimuli identified from preference assessments (Fischer, Iwata, & Mazaleski, 1997;
  • 15. Hanley, Piazza, & Fisher, 1997). This finding is useful for cases in which behavioral function cannot be determined or the maintaining reinforcer cannot be withheld (e.g., some automatically reinforced behaviors). Table 1 (continued) Aberrant Behavior(s) Function(s) NCR Form Schedule Thinning Aggression Unknown Variable-Time No Aggression, SIB Attention, Materials Fixed-Time Yes Inappropriate Speech Attention Fixed-Time Yes Aggression, Disruption Escape Fixed-Time Yes SIB, Self-Restraint Attention Continuous No SIB Attention, Materials Fixed-Time Yes Aggression, Disruption Attention Fixed-Time Yes Aggression, Disruption, SIB Attention Fixed-Time No Aggression, Disruption, SIB Attention Fixed-Time Yes Excessive Medical Complaints Attention Fixed-Time Yes Aggression, Disruption, SIB Attention Continuous No Aggression, Disruption Attention, Escape Fixed-Time No SIB Attention, Escape Fixed-Time No Aggression, SIB Materials Fixed-Time Yes SIB Attention Fixed-Time Yes Stereotypy Unknown Continuous No Inappropriate Speech Attention Variable-Time No SIB Escape, Materials Fixed-Time No Aggression, SIB Materials Fixed-Time Yes Aggression, SIB Attention Fixed-Time No Pica Automatic Continuous No
  • 16. Aggression, Disruption Attention, Escape Continuous No Pica Attention, Automatic Continuous No SIB Automatic Continuous No SIB Automatic Continuous No SIB Materials Continuous No SIB, Stereotypy Automatic Variable-Time No Aggression Unknown Unknown No SIB Attention Fixed-Time Yes SIB Escape Fixed-Time Yes Aggression Materials Fixed-Time Yes Aggression, Disruption Attention, Escape Fixed-Time Yes Rumination Unknown Fixed-Time No Note: MR 5 mental retardation, PDD5 pervasive development disorder, SIB5 self-injurious behavior. “Escape” refers to behaviors that are maintained by negative reinforcement contingencies. “Unknown” is reported in the function column for studies that did not report a systematic functional assessment method. 383J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 NCR has also been shown to be an effective treatment for a variety of aberrant behaviors including aggression (e.g., Vollmer, Ringdahl, Roane, & Marcus, 1997; disruption (e.g., Fisher, Ninness, Piazza, & Owen- DeSchryver, 1996), inappropriate speech (e.g., Carr & Britton, 1999), pica (e.g., Piazza et al., 1998), rumination (e.g., Wilder, Draper, Williams, & Higbee, 1997),
  • 17. SIB (e.g., Fischer et al., 1997), and stereotypy (e.g., Sprague et al., 1997). More detailed summaries of the aforementioned studies and others can be found in Table 1. 1.4. Considerations in the programming of NCR schedules In this section of our review, we present brief discussions of several consid- erations that are important when programming NCR schedules. These consider- ations include (a) selecting NCR schedule parameters (i.e., form, density, rein- forcer magnitude, schedule-thinning method), (b) addressing the possibility of adventitious reinforcement, and (c) combining NCR with adjunct procedures. 1.4.1. Schedule form As previously stated, NCR refers to a wide range of procedurally distinct treatments. For example, NCR includes FT, VT, random-time (RT), and contin- uous-presentation schedules. In addition, any schedule that delivers the reinforcer for a behavior on a response-independent basis can be considered an NCR procedure. The majority of the NCR treatment studies involve the implementa- tion of FT schedules. The results have proved successful, and as previously mentioned, FT schedules offer the potential benefit of ease of implementation. Throughout this review, we use NCR to refer to FT schedules,
  • 18. unless otherwise stated. Only one study so far has reported the use of VT schedules to reduce aberrant behavior (Mace & Lalli, 1991). To date, there have been no comparisons between FT and VT schedules with humans, nor has there been an evaluation of RT schedules. NCR procedures that involve the continuous presentation of a behavior’s reinforcer have been successfully reported, primarily with behaviors maintained by automatic reinforcement (e.g., Roscoe et al., 1998). 1.4.2. Schedule density and reinforcer magnitude Hagopian et al. (1994) demonstrated that denser NCR schedules produced greater reductions than leaner schedules. This finding was a replication of a similar finding reported by Lachter et al. (1971) in the basic literature. Most NCR treatment studies report initial dense schedules that are thinned to leaner ones in order to capitalize on this effect. Several studies have shown that schedules denser than the baseline reinforcement rate can be effective in reducing behavior (e.g., Ringdahl & Vollmer, 1998; Wilder, Carr, & Gaunt, in press). In a study that incorporated both basic and applied features (i.e., a bridge study), Carr, Bailey, Ecott, Lucker, and Weil (1998) demonstrated that NCR schedules with high-magnitude reinforcers produced greater reductions than schedules with lower-magnitude reinforcers. The studies by Hago-
  • 19. 384 J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 pian et al. (1994) and Carr et al. (1998) demonstrate the importance of both schedule density and reinforcer magnitude to the effectiveness of NCR procedures. These parameters should both be considered when developing an NCR treatment plan, especially with respect to behavioral function and frequency, and the practical resources required to implement the plan. 1.4.3. Schedule thinning After the functional assessment and baseline periods, NCR is typically initially administered in a dense, often continuous, manner. Once the aberrant behavior is reduced to acceptable levels, the schedule is then thinned to a leaner version. If the behavior remains at acceptable levels, the schedule is thinned again. If the behavior increases above the level of acceptability, the schedule is usually returned to its previous version. This process is typically repeated until the NCR schedule is lean enough to be implemented in a practical manner. The modal terminal point for the NCR thinning process in the research literature has been 5 min (this is further discussed below in
  • 20. Directions for future research). Systematic methods for thinning NCR sched- ules have not yet been empirically established. In a related matter, however, Lalli et al. (1997) established an effective method for programming initial NCR schedules. The authors demonstrated that initial NCR schedules based on the mean latency to the first aberrant behavior during baseline were effective in reducing behavior. This method quickens the thinning process, as the resulting initial schedule is typically less-than-continuous. For a more detailed discussion of schedule thinning, we refer the reader to a review by Tucker, Sigafoos, and Bushell (1998). 1.4.4. Combining NCR with extinction Another consideration in the programming of NCR schedules is whether to incorporate an extinction component. In most of the studies reported in the treatment literature, NCR has been implemented concurrently with extinction. In other words, not only was the aberrant behavior’s reinforcer delivered on a response-independent basis, but the behavior no longer produced access to that reinforcer. To date, there have been only a few studies that have successfully implemented NCR without extinction (e.g., Fischer et al., 1997; Fisher et al., 1999; Lalli et al., 1997). Hence, it is largely unknown how important extinction
  • 21. is to the success of NCR procedures. However, to the extent that NCR achieves its effects via an extinction process (seeBehavior-change mechanisms underly- ing NCR effectsbelow), it is probably reasonable to include extinction concur- rently with NCR. 1.4.5. Adventitious reinforcement One of the potential side effects associated with NCR is the risk of adventi- tious, or accidental, reinforcement of the aberrant behavior. As Skinner demon- strated in 1948, it is possible for the FT delivery of a stimulus to reinforce 385J.E. Carr et al. / Research in Developmental Disabilities 21 (2000) 377–391 behavior unintended by the deliverer. One would surmise that aberrant behavior that occurs at a high frequency would be more susceptible to adventitious reinforcement than a lower-frequency behavior. Using the same logic, a denser NCR schedule would be more likely to produce adventitious reinforcement than a leaner schedule. However, a review of the NCR treatment literature reveals many instances of successful treatment with dense schedules and high-rate behaviors. To date, the variables that produce adventitious reinforcement have
  • 22. not yet been delineated. However, two procedures can be used to prevent adventitious reinforcement from occurring. Vollmer et al. (1997) used an omis- sion contingency (i.e., fixed-time, nonresetting, momentary DRO) to reduce aberrant behavior that had been adventitiously reinforced during NCR. In this procedure, reinforcer deliveries are omitted if the aberrant behavior has just occurred. Similarly, Britton et al., in press reported the use of NCR with a stimulus delay procedure to prevent adventitious reinforcement. With this vari- ation of NCR, if the aberrant behavior occurs within 10s of reinforcer delivery, the delivery is postponed in 10-s increments until the aberrant behavior has not occurred for 10s. Thus, the possibility of adventitious reinforcement is elimi- nated, while the amount of stimulation (i.e., reinforcement) received by the individual is retained. 1.4.6. Combining NCR with adjunct procedures One of the limitations associated with NCR is that, although an aberrant behavior can be successfully treated, an appropriate alternative response is not strengthened. Marcus and Vollmer (1996) and Goh, Iwata, and DeLeon (2000) reported studies that addressed this limitation. Both studies evaluated the effects of NCR combined with a DRA procedure in terms of behavioral reduction and alternative response
  • 23. acquisition. The NCR/DRA treatment packages were successful in reducing aberrant behavior, and once the initial continuous schedule was thinned, individuals success- fully acquired the alternative response. Occasionally, NCR fails to reduce aberrant behavior to acceptable levels. This finding has sometimes been reported with cases in which the behavior was maintained by automatic reinforcement. In such cases, NCR can be combined with mild forms of punishment (e.g., response blocking) to further reduce responding to acceptable levels (e.g., Carr, Dozier, Patel, Nicolson, & Martin, 2000; Piazza, Hanley, & Fisher, 1996). Of course, punishment procedures should always be implemented according to the philosophy of the Least Restrictive Alternative (Johnston & Sherman, 1993). However, if punishment becomes necessary in a specific case, NCR is an effective way to maintain the delivery of reinforcers to the individual. 1.5. Behavior-change mechanisms underlying NCR effects The current understanding in the research literature is that NCR procedures can achieve their effects via three behavior-change mechanisms: (a) attenuation of the reinforcer’s EO, (b) extinction or disruption of the response- reinforcer relationship, 386 J.E. Carr et al. / Research in Developmental Disabilities 21
  • 24. (2000) 377–391 and (c) reinforcement of other responses that temporally displace the target behavior (Carr, 1996; Fisher et al., 1999). The extinction hypothesis states that, through NCR, the response-reinforcer contingency is eliminated or interrupted, subsequently reduc- ing the aberrant behavior. The success of lean NCR schedules in behavioral reduction supports this position (Hagopian et al., 1994). The EO (or satiation) hypothesis states that the noncontingent delivery of the behavior’s reinforcer eliminates the … JOURNAL OF APPLIED BEHAVIOR ANALYSIS REDUCING BEHAVIOR PROBLEMS THROUGH FUNCTIONAL COMMUNICATION TRAINING EDWARD G. CARR AND V. MARK DURAND STATE UNIVERSITY OF NEW YORK AT STONY BROOK, STATE UNIVERSITY OF NEW YORK AT ALBANY, AND SUFFOLK CHILD DEVELOPMENT CENTER It is generally agreed that serious misbehavior in children should be replaced with socially appro- priate behaviors, but few guidelines exist with respect to choosing replacement behaviors. We
  • 25. address this issue in two experiments. In Experiment 1, we developed an assessment method for identifying situations in which behavior problems, induding aggression, tantrums, and self-injury, were most likely to occur. Results demonstrated that both low level of adult attention and high level of task difficulty were discriminative for misbehavior. In Experiment 2, the assessment data were used to select replacements for misbehavior. Specifically, children were taught to solicit atten- tion or assistance or both verbally from adults. This treatment, which involved the differential reinforcement of functional communication, produced replicable suppression of behavior problems across four developmentally disabled children. The results were consistent with an hypothesis stating that some child behavior problems may be viewed as a nonverbal means of communication. According to this hypothesis, behavior problems and verbal communicative acts, though differing in form, may be equivalent in function. Therefore, strengthening the latter should weaken the former. DESCRIPTORS: disruptive behavior, assessment, classroom behavior, communication, devel- opmentally disabled children A major portion of child behavior therapy is justifiably concerned with the treatment of behav- ior problems, given that such problems can seri- ously disrupt the educational process (O'Leary & O'Leary, 1977; Sulzer-Azaroff & Mayer, 1977) and in some cases may lead to institutionalization This investigation was supported in part by U.S.P.H.S.
  • 26. Biomedical Research Support Grant 2 S07 RR-07067-18 to the State University of New York at Stony Brook to the first author and a Sigma Xi Grant-in-Aid of Research to the second author. Portions of this paper were presented at the annual meeting of the American Psychological Association, Washington, D.C., August 1982, and Anaheim, California, August 1983. This research was based on a master's thesis conducted by the second author under the direction of the first author. We thank Martin Hamburg, Executive Director, Suffolk Child Development Center, for his generous support, and Roseann D'Evanzo, JoAnn Giles, Terry Leykis, Cathy Sher- edos, and Doug Walters for assistance with data collection. Finally, we thank Alan 0. Ross, Susan G. O'Leary, K. Dan- iel O'Leary, Crighton Newsom, Paul A. Dores, and Daniel B. Crimmins for their helpful comments. Requests for reprints or individual data should be sent to Edward Carr, Department of Psychology, State University of New York, Stony Brook, New York 11794-2500. (Quay, 1979). Behaviorists have developed treat- ment strategies designed to decelerate problem be- haviors, which indude procedures involving ex- tinction (Lovaas, Freitag, Gold, & Kassorla, 1965), time-out (Zeilberger, Sampen, & Sloane, 1968), response cost (Iwata & Bailey, 1974), overcorrec- tion (Foxx & Bechtel, 1983), contingent electric shock (Carr & Lovaas, 1983; Lovaas & Simmons, 1969), and ecological interventions (Durand, 1983). The focus has been on eliminating behavior problems, particularly those such as self-injury, aggression, and tantrums, that are serious enough to jeopardize the safety and effective functioning of the target children and their peers.
  • 27. There is consensus among researchers and cli- nicians that the elimination of behavior problems is an important first step in remediation. Ulti- mately, however, the problematic responses must be replaced with socially usefuil behaviors (Goldia- mond, 1974). Because there are few guidelines available to suggest what these replacement be- haviors should be (Donnellan, Mirenda, Mesaros, & Fassbender, 1983; Voeltz, Evans, Derer, & 111 1985, 189 111-126 NumBER 2 (summER 1985) EDWARD G. CARR and V. MARK DURAND Hanashiro, 1983), we sought to develop a method for identifying and assessing those educational sit- uations in which behavior problems reliably occur (Experiment 1) and, second, we sought to use the assessment information in order to select replace- ment behaviors (Experiment 2). Research on the functional analysis of behavior problems provides a good basis on which to build identification and assessment methods. This liter- ature indicates that the factors responsible for the maintenance of behavior problems fall into two broad dasses: escape behavior, controlled by neg- ative reinforcement processes, and attention-seek- ing behavior, controlled by positive reinforcement processes (Carr & Durand, 1985).
  • 28. There is ample evidence to suggest that many children learn to emit behavior problems in the presence of aversive stimuli. The display of such problems frequently results in the removal of these stimuli, a dear example of a negative reinforce- ment process (Patterson, 1982). In the dassroom setting, instructional demands may frequently function as aversive stimuli and a variety of be- havior problems induding aggression, self-injury, and tantrums may serve as escape behaviors that effectively allow the child to avoid further partic- ipation in instructional tasks (Carr, 1977; Carr & Newsom, in press; Carr, Newsom, & Binkoff, 1976, 1980; Durand, 1982; Iwata, Dorsey, Slifer, Bauman, & Richman, 1982; Romanczyk, Colletti, & Plotkin, 1980; Weeks & Gaylord-Ross, 1981). The literature also indicates that the display of behavior problems often results in the child's re- ceiving attention, a dear example of a positive reinforcement process (Patterson, 1982; Wahler, 1976). Many investigators have presented data congruent with the notion that behavior problems may be a form of attention-seeking (Carr & McDowell, 1980; Iwata et al., 1982; Lovaas et al., 1965; Patterson, 1980; Wahler, 1969). These studies also imply that children may learn to emit behavior problems in response to low levels of adult attention. Given the results of the empirical investigations to date, it is dear that any method used to assess behavior problems should indude an analysis of the effects of level of attention (to identify possible attention-seeking functions) as well as an analysis
  • 29. of the effects of task difficulty (to identify possible escape functions). This rationale formed the basis for the assessment procedures used in Experi- ment 1. Once it has been determined that a behavior problem likely serves a specific social function (e.g., escape or attention seeking), one is in a position to consider appropriate replacement behaviors. One behavioral alternative to escape would be some form of assistance seeking. For example, it may be possible to teach the child a response that is effec- tive in evoking teacher assistance with a difficult task. Once assistance is provided, the task should no longer be as aversive and therefore escape be- haviors should decrease. Likewise, in the case of behavior problems that are attention seeking, one could teach the child an appropriate alternative response that is effective in securing adult atten- tion. An important question concerns the form of the response alternatives to be taught. Several studies suggest that children can be taught to solicit at- tention and assistance verbally (Seymour & Stokes, 1976; Stokes, Fowler, & Baer, 1978). Verbal communication training is not typically used as a method for controlling behavior problems. None- theless, the analysis just presented suggests that if communicative phrases are carefully chosen so that they serve the same presumptive social functions as the behavior problems they are to replace, then deceleration of these problems should be possible. This training strategy was explored in Experi- ment 2.
  • 30. EXPERIMENT 1 METHOD Children and Setting Teachers in a day school program for develop- mentally disabled children were interviewed, and the first four children who met both the following criteria were selected for indusion in this study: BEHAVIOR PROBLEMS AND COMMUNICATION TRAINING They displayed at least one problem behavior per hour in the classroom and had expressive language skill consisting, at a minimum, of single word ut- terances. Based on these criteria, two males and two females were chosen. Jim and Sue were 13 years old; Eve, 14; and Tom, 7. The medical staff had diagnosed Jim as autistic; Sue and Eve as brain damaged; and Tom as developmentally delayed and severely hearing impaired. Tom wore a hear- ing aid. On the Peabody Picture Vocabulary Test, the children's mental age scores were: Jim, 3 years; Sue, 5 years, 10 months; Eve, 2 years, 5 months; and Tom, 5 years. They displayed a variety of aggressive, self-destructive, and disruptive behav- iors that are defined in detail later. Jim and Tom spoke spontaneously in complete sentences. Sue spoke spontaneously in phrases of 2-3 words. Eve was limited to using single noun labels, primarily when prompted.
  • 31. Sessions were conducted in a 5 x 10-m auxil- iary dassroom located next to the regular dass- room. The experimenter sat between two of the children at a table on which various task materials were placed. All materials were placed 0.3 m from the child so that he or she could readily reach them. If more than one set of materials was used at a time, they were evenly spaced in front of the child, also at 0.3 m distance. Small-group (two children) instruction was used to approximate the regular dassroom practice. Experimental Design and Overview In a given session, a child received either an easy task or a difficult task; in addition, a child received adult attention during either 100% or 33% of the time intervals into which the session was divided. The two levels of task difficulty and the two levels of adult attention were combined to produce three conditions: easy 100, easy 33, and difficult 100. Comparison of easy 100 with easy 33 permitted assessment of the effects of attention level (i.e., 100% versus 33%) while task difficulty was held constant. Comparison of easy 100 with difficult 100 permitted assessment of the effects of task difficulty while attention level was held constant. Easy 100 was designated as the baseline condition with which the other two conditions were com- pared. This designation was based on teacher re- ports and our own informal dassroom observations which suggested that a combination of easy tasks and high levels of teacher attention generally re- sulted in a low frequency of behavior problems.
  • 32. The easy 33 and difficult 100 conditions alter- nated with the baseline easy 100 condition in a reversal design. The sequence of conditions was counterbalanced across children to control for order effects. Session length was always 10 min and 1- 3 sessions were run per day. When multiple ses- sions were run on the same day, there was a 5-min break between sessions. Procedure Easy 100. In easy 100, a child worked on receptive labeling and match-to-sample and re- ceived some form of adult attention for doing so in 100% of the intervals in each session as deter- mined by a time sampling procedure described later. In the receptive labeling task, the child was presented with several cards from the Peabody Pic- ture Vocabulary Test, a measure of receptive la- beling skill that is based on a series of picture cards graded in difficulty. Each card on this test is di- vided into quadrants, one picture per quadrant. A card was placed on the table in front of the child and the child was asked to point to the relevant picture named by the adult (e.g., "Point to the ball"). To ensure that this task was indeed easy, an additional assessment was conducted prior to the start of this condition. The child was twice presented with the Peabody cards, and 20 cards were selected on which the child always responded correctly. These cards constituted the materials for the receptive task. For the match-to-sample task, 3 cards were se- lected at random from the group of 20 cards de- scribed above. One picture from each of the 3
  • 33. cards was randomly chosen and 11 copies were made of each picture. The three different pictures were placed in a row in front of the child. These pictures constituted the samples. The remaining 30 pictures (i.e., 10 copies of each picture) were mixed together and placed in a pile 0.1 m behind the 113 EDWARD G. CARR and V. MARK DURAND samples. The adult pointed to the card at the top of the pile of copies and said to the child "Match this" or an equivalent statement. The child was then expected to place the card on top of the cor- rect sample. The children had considerable expe- rience on matching tasks and therefore did not require any prompts to match each card correctly. Typically, they would match several cards from the pile following a single command from the adult. Whenever they finished matching all the cards, the adult would gather up the copies, mix them to- gether, and again place them behind the samples. The procedure was then recyded. On those rare occasions on which a child made an error on either the match-to-sample or receptive labeling tasks, the adult would say "No!" or "That's not correct!" and go on to the next trial. Correct responding produced verbal praise (defined later). The two tasks were alternated, 5 min each, within each 10-min session. The task sequence was randomized across sessions.
  • 34. In each session, the adult would deliver atten- tion in the form of mands, praise, and comments. A mand (e.g., "Point to the " on the recep- tive labeling task, and "Match this" on the match- to-sample task) was presented in every third re- cording interval. Praise was given in a different third of the intervals, either contingent on correct responding (e.g., "That's right!") or contingent on general task-related behavior (e.g., "You're work- ing very nicely!"). While giving verbal approval, the adult made eye contact with the child, smiled or nodded or both, and delivered physical approval in the form of pats on the shoulder, mussing the child's hair, tickling, and related actions. Finally, comments were made in yet a different third of the intervals and consisted of a variety of descrip- tive statements (e.g., "It's sunny today."). The adult was cued by a bug-in-the-ear device as to when to deliver attention (i.e., a beep oc- curred every 10 s). In addition, the adult kept a written tally of the various forms of attention de- livered, which helped ensure that the three forms of attention were given equally throughout the ses- sion. Some form of adult attention (i.e., mands, praise, or comments) was given in every interval of the session, with the three forms being presented in a random sequence within and between sessions. A new trial began, every 30 s on the average, with the presentation of a mand. Thus, there were 20 mands given during each 10-min session. This procedure was in effect during all conditions. The other child who was seated at the table was given independent desk work to do while the session was being run. When the adult was not attending to
  • 35. the target child, the adult attended to (i.e., in- structed and praised) the second child. When a child displayed a behavior problem, the experimenter reacted as follows. If the child left his or her seat, the experimenter waited 10 s for the child to return. If the child did not return, the experimenter led the child back to his or her seat without comment. The experimenter ignored all other behavior problems (i.e., made no com- ment) and continued with the task at hand unless the behavior posed a physical risk. In that case, the experimenter restrained the child. For example, if the child struck the experimenter hard, the ex- perimenter would grasp the child's hand and re- strain it on the child's lap for a period of 5-10 s while the experimenter would continue with the task at hand. This procedure was in effect during all experimental conditions. In this and subsequent conditions, approxi- mately one-third of the sessions were conducted by an adult (randomly chosen from a pool of five adults) who was naive to the purpose of the ex- periment. The other sessions were conducted by the second author. Easy 33. In the regular dassroom, teacher at- tention was typically low during independent work assignments. Because match-to-sample was the most commonly used task for developing indepen- dent work skills, we chose it to assess the effects of low rates of adult attention on the level of be- havior problems. This test was consistent with classroom practice and was a task that the children could complete without error. The sessions were
  • 36. conducted as in easy 100 but the amount of adult attention was decreased. Specifically, mands and praise were each presented during one-third of the recording intervals as before; however, they were BEHAVIOR PROBLEMS AND COMMUNICATION TRAINING now programmed within the same interval rather than in different intervals as had been the case for easy 100. Also, comments were discontinued. These changes resulted in a decrease in overall adult at- tention from 100% to 33% of the intervals, with- out altering the amount of praise or mands given. That is, in the one interval out of three that in- duded attention, both praise and mands occurred at a level equal to that in easy 100. During those periods of time in which the adult was not attend- ing to the target child, the adult worked with the other child seated at the table. Difficult 100. In the regular classroom, vocab- ulary tasks typically generated many errors. Be- cause receptive labeling of picture cards from a Peabody language development kit was one of the most commonly used tasks for building vocabu- lary, we chose a similar task for difficult 100, to be consistent with dassroom practice. To ensure that the task was indeed difficult, we carried out an additional assessment prior to the start of this condition. Specifically, cards from the Peabody Pic- ture Vocabulary Test were selected on which the child scored at chance levels with respect to recep- tive labeling (25% correct). The method for se-
  • 37. lecting these cards was the same as that used in easy 100. In all other respects, this condition was run in the same manner as easy 100. Response Definitions and Reliability Three classes of responses were recorded: dis- ruptive behavior, adult attention, and academic behavior. Based on our preliminary classroom ob- servations as well as teacher reports, we identified three to five common topographies of disruptive behavior for each child. These topographies in- cluded aggression for all four children (poking or hitting other people, or pulling their hair; striking or knocking over objects); tantrums for Jim, Tom, and Sue (any loud voalization or screaming ac- companied by whining or crying); self-injury for Jim, Eve, and Sue (hitting one's head with one's hand; biting one's hand); opposition for Jim, Eve, and Sue (saying "No" to an adult's request or pushing away the task materials); out of seat for Tom and Sue (child's buttocks breaking contact with the seat of the chair for 3 s or more); and stripping in the case of Eve (removing any article of clothing from one's body). Adult attention consisted of praise, mands, and comments. Praise was defined as any form of ver- bal approval delivered contingent on correct re- sponding to a task (e.g., "That's right!") or con- tingent on general cooperative behavior (e.g., "I like the way you're working today!"). Mands were defined as any task-related request made by the adult (e.g., "Point to the truck" for the receptive labeling task, or "Match this" for the match-to-
  • 38. sample task). Comments were defined as any de- scriptive remarks made by the adult (e.g., "There sure are a lot of pictures," or "It's sunny today."). Academic behavior was defined separately for the two tasks. On the receptive task, a correct response was scored if the child pointed to the picture named by the adult. An incorrect response was scored if the child pointed to one of the other three pictures on the Peabody card or failed to respond within 10 s. On the match-to-sample task, a correct response was scored if the child responded to the adult's command by placing one of the copies of the pictures on top of the appropriate sample. An incorrect response was scored if the child placed the copy on top of the wrong sample or failed to respond within 10 s. All responses were recorded using a continuous 10-s interval procedure. Observers sat in a corner of the room, 2.5 m from the child, and out of the child's line of sight. A tape recorder equipped with earphones emitted the recording interval number at the end of each 10-s interval. The presence or absence of the responses previously defined was recorded for each interval. Reliability observers were drawn two at a time from a pool of four undergraduate students. All observers were trained prior to the investigation by recording in classrooms. Training proceeded until the observers reached a criterion of 75% agreement on all behavior categories with one standard ob- server (an undergraduate who had extensive ex- perience in behavioral recording). During the ex- periment, reliability was assessed in 70% of the
  • 39. sessions conducted for each child. Observer records 115 EDWARD G. CARR and V. MARK DURAND were compared on an interval-by-interval basis. For disruptive behavior and adult attention, the reli- ability index used was the number of agreements divided by the number of agreements plus dis- agreements multiplied by 100. Academic behav- iors were scored on a trial-by-trial basis to yield percent correct figures. The mean interobserver re- liability was 80% or higher for all response cate- gories. REsuLTS Validation of Task Difficulty and Adult Attention Manipulations For brevity, only group averages are reported; however, in all cases, individual data were consis- tent with the group means. With respect to task difficulty, the mean percent correct observed across the four children was 96.5% in easy 100, 97.3% in easy 33, and 26.9% in difficult 100. With respect to adult attention, the mean level of this variable observed across the four children was 99.7% in easy 100, 33.4% in easy 33, and 99.9% in difficult 100. Thus, we suc- ceeded in creating two levels of task difficulty (an easy level approximating 100% correct and a dif- ficult level approximating 25% correct), and two
  • 40. levels of adult attention (a high level approximat- ing 100% attention and a low level approximating 33% attention). Finally, praise, mands, and com- ments each occurred at an average of approxi- mately 33% in all conditions except during easy 33 in which comments occurred at zero or near- zero levels as planned. Effects on Disruptive Behavior Figure 1 shows the percentage of intervals in which disruptive behavior occurred during each session for the four children. There were three dis- tinct patterns of disruptive behavior. Jim and Eve were disruptive primarily in the difficult 100 con- dition. Tom was disruptive primarily in the easy 33 condition, and Sue was disruptive in both easy 33 and difficult 100. As expected, disruptive be- havior in easy 100 was negligible for all children thus justifying our use of this condition as a base- line. The filled circles in Figure 1 depict the results of sessions run by naive experimenters. As can be seen, there were no systematic differences between these data points and those generated by the in- formed experimenter (open circles). DISCUSSION The fact that there were several patterns of dis- ruptive behavior displayed in Experiment 1 sug- gests that more than one variable was controlling the children's behavior. There is some evidence in the published literature (Carmine, 1976) that long intertrial intervals, such as those we used, may contribute to off-task behavior. Nonetheless, we
  • 41. felt that the use of long intervals was justified given that a major educational goal for these children involved group instruction, a situation in which long intervals are inevitable. In fact, long intervals did not in themselves guarantee disruptive behav- ior. The nature of the task and level of adult at- tention were the most reliable predictors. Consider Jim and Eve. Their behavior problems became more frequent when demands increased in difficulty (difficult 100) but these children were relatively well behaved in the other two conditions. This behavior pattern is consistent with the notion of escape responding. Specifically, it is hypothe- sized that some children have a history of success- fiully escaping from presumably aversive stimuli (such as difficult task demands and ensuing failure) contingent on the display of disruptive behavior. If a child has this history, then difficult task de- mands may eventually come to be discriminative for the emission of problem behavior. Tom's results suggest the operation of a second controlling variable. His behavior problems be- came more frequent when the overall level of adult attention was reduced (easy 33) but he was rela- tively well behaved in the other two conditions. This pattern of behavior is consistent with the no- tion of attention seeking. Specifically, it is hypoth- esized that some children have experienced the fol- lowing set of contingencies. First, the amount of adult attention given to the child decreases to a low level. From time to time, when the child mis- behaves, the adult attends to the child. The cu-
  • 42. BEHAVIOR PROBLEMS AND COMMUNICATION TRAINING J im Easy Easy Easy Diff Easy Diff100 5 33 WIOT E 100 100 100 o..0o h o of o . . .U E v e 501 21 0- Tom 100 50J 01 a II, E a s y 100 EasyI -i- ~ E asy 100 A _~~~~~~~~~~~~~~~~~~~~~~~~~~~
  • 43. D i f f 100 Eas Easy 33 9-7 E asy 100 Easy 33 : Easy 100 Easy 33 Easy 100 I. . I . . I p Eas Easy Easy 3 3 Diff 100 EasY10e I .I I - - i. - - I -
  • 44. Diff 100 Easy 100 I b ~JoenOI Diff Easy Diff Easy 100 1 100 1 100 i 100 Eas ~y,Diff Easy 100 100 Easy 100 Easy 33 11 11 11 11 11 1 E asy 100 Easy 33
  • 45. Easy 33 Easy 100 I.I.. I - i i 1 2 3 4 5 6 7 8 9 1012 3 4 5 6 7 8 9 10 20 21 22 2-3 24 25 i6 27 28 i9 30 31 Figure 1. Percent intervals of disruptive behavior as a function of level of task difficulty (easy vs. difficult) and overall level of adult attention (100% vs. 33% of total intervals). Open cirdes depict sessions conducted by an informed experi- menter; filled cirdes, sessions conducted by naive experimenters. mulative effect of this intermittent reinforcement is that the misbehavior is strengthened. If a child has this history, then low levels of adult attention may eventually come to be discriminative for the emission of problem behavior. Sue differed from the other three children in that her behavior problems appeared to be under the control of both the occurrence of difficult task de- mands and the presence of low levels of adult attention. This response pattern is consistent with the results of previously cited research indicating that the behavior problems of a given child can be controlled by more than one set of variables. We would like to qualify our analysis by sug- gesting that the pattern of results observed could plausibly be attributed to other processes than those
  • 46. mentioned. For example, behavior problems as- sociated with task difficulty might stem from a child's failure to attend to adult instructions. Like- wise, behavior problems occurring after a shift to low levels of attention might be viewed as adjunc- tive behavior induced by a decrease in the richness of the prevailing schedule of reinforcement. These alternative explanations need to be evaluated ex- perimentally; however, our assumption concerning the primacy of positive and negative reinforcement processes is at least as plausible and heuristic as the alternatives just presented. 117 (A - CZ 4 0 Cc _LUJ LA> U. > 0- u. LUI X* Sue 100 50
  • 47. 04 11 12 13 14 15 16 17 18 19 SE SS IO N S EDWARD G. CARR and V. MARK DURAND EXPERIMENT 2 In Experiment 2, we sought to reduce the be- havior problems identified in Experiment 1 by teaching the children verbal communicative phras- es that served to elicit either adult assistance or adult attention. METHOD Children and Setting These were the same as in Experiment 1. Experimental Design and Overview The problematic situations identified for each child in Experiment 1 constituted the baseline phase in Experiment 2. The intervention consisted of two phases: relevant response and irrelevant response. Consider first the relevant response phase for Jim, Eve, and Sue. Recall that these children mis- behaved in the difficult 100 condition. Because this condition involved difficult tasks, one treat- ment strategy already noted would be to teach the children to solicit adult assistance. A relevant com-
  • 48. municative response for a child to make might be a phrase such as "I don't understand." This phrase would serve to prompt a teacher to provide help on the difficult task. Accordingly, we taught this phrase to the three children involved. Consider next the relevant response phase for Tom and again Sue. Recall that they misbehaved in the easy 33 condition. Because this condition involved low levels of adult attention, one treat- ment strategy noted already would be to …