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      Prevalence of resurgence of destructive behavior when thinning reinforcement schedules during functional communication training

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          Abstract

          Functional communication training is a well‐established treatment for socially reinforced destructive behavior that typically includes differential reinforcement of the functional communication response (FCR) in combination with extinction of destructive behavior. However, when the schedule of reinforcement for the FCR is thinned, destructive behavior may resurge (e.g., Greer, Fisher, Saini, Owen, & Jones, 2016). Currently, data are unavailable on the prevalence and characteristics of resurgence during reinforcement schedule thinning. In this study, we evaluated the prevalence of resurgence during reinforcement schedule thinning on a per‐case and per‐schedule‐step basis and also evaluated the magnitude of resurgence in relation to the functions of destructive behavior. We observed resurgence in 19 of the 25 (76%) applications of reinforcement schedule thinning. In some cases, the magnitude of resurgence exceeded the mean levels of destructive behavior observed in baseline. We discuss these results relative to prior translational and applied research on resurgence.

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          Most cited references50

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          Functional communication training: a review and practical guide.

          Functional communication training (FCT) is one of the most common and effective interventions for severe behavior problems. Since the initial description of FCT by Carr and Durand (1985), various aspects of the FCT treatment process have been evaluated, and from this research, best practices have emerged. This manuscript provides a review of these practices as they arise during the development of effective FCT interventions.
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            Effectiveness of functional communication training with and without extinction and punishment: a summary of 21 inpatient cases.

            Functional communication training (FCT) is a frequently used treatment for reducing problem behavior exhibited by individuals with developmental disabilities. Once the operant function of problem behavior is identified by a functional analysis, the client is taught to emit an appropriate communicative response to obtain the reinforcer that is responsible for behavioral maintenance. Studies on FCT have typically used small numbers of participants, have reported primarily on clients for whom FCT was successful, and have varied with respect to their use of other treatment components. The main purposes of the present study were to evaluate the efficacy of FCT for treating severe problem behavior in a relatively large sample of individuals with mental retardation (N = 21) and to determine the contribution of extinction and punishment components to FCT treatment packages. FCT with extinction was effective in reducing problem behavior for the majority of clients and resulted in at least a 90% reduction in problem behavior in nearly half the applications. However, when demand or delay-to-reinforcement fading was added to FCT with extinction, treatment efficacy was reduced in about one half of the applications. FCT with punishment (both with and without fading) resulted in at least a 90% reduction in problem behavior for every case in which it was applied.
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              Side effects of extinction: prevalence of bursting and aggression during the treatment of self-injurious behavior.

              Findings from basic and applied research suggest that treatment with operant extinction may produce adverse side effects; two of these commonly noted are an increase in the frequency of the target response (extinction burst) and an increase in aggression (extinction-induced aggression). Although extinction is often used to treat problem behavior in clinical settings, few applied studies have examined the prevalence of these side effects or their possible attenuation with other operant procedures. An analysis of 41 data sets for individuals who received treatment for self-injurious behavior indicated that extinction bursts or increases in aggression occurred in nearly one half of the cases. The prevalence of bursting and aggression was substantially lower when extinction was implemented as part of a treatment package rather than as the sole intervention.
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                Author and article information

                Contributors
                adam.briggs@unmc.edu
                Journal
                J Appl Behav Anal
                J Appl Behav Anal
                10.1002/(ISSN)1938-3703
                JABA
                Journal of Applied Behavior Analysis
                Wiley Subscription Services, Inc. (Hoboken, USA )
                0021-8855
                1938-3703
                17 May 2018
                Summer 2018
                : 51
                : 3 ( doiID: 10.1002/jaba.2018.51.issue-3 )
                : 620-633
                Affiliations
                [ 1 ] University of Nebraska Medical Center's Munroe‐Meyer Institute
                Author notes
                [*] [* ]Address correspondence to: Adam M. Briggs, Center for Autism Spectrum Disorders, 985450 Nebraska Medical Center, Omaha, Nebraska 68198. E‐mail: adam.briggs@ 123456unmc.edu
                Article
                JABA472
                10.1002/jaba.472
                6041172
                29774545
                e6f16fbd-c390-4060-97fc-2ef9eae969e1
                © 2018 The Authors. Journal of Applied Behavior Analysis published by Wiley Periodicals, Inc. on behalf of Society for the Experimental Analysis of Behavior (SEAB).*

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 February 2017
                : 18 July 2017
                Page count
                Figures: 2, Tables: 0, Pages: 14, Words: 7631
                Funding
                Funded by: National Institute of Child Health and Human Development
                Award ID: 5R01HD079113
                Award ID: 5R01HD083214
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                jaba472
                Summer 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.5.0 mode:remove_FC converted:08.10.2018

                differential reinforcement,extinction burst,functional communication training,reinforcement schedule thinning,resurgence

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