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      Relapse and its mitigation: Toward behavioral inoculation

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          Abstract

          Relapse following the successful treatment of problem behavior can increase the likelihood of injury and the need for more intensive care. Current research offers some predictions of how treatment procedures may contribute to relapse, and conversely, how the risk of relapse can be mitigated. This review describes relapse‐mitigation procedures with varying levels of support, the quantitative models that have influenced the research on relapse mitigation, different experimental methods for measuring relapse mitigation, and directions for future research. We propose that by viewing the implementation of relapse‐mitigation procedures as a means of producing behavioral inoculation, clinicians are placed in the proactive and intentional role of exposing their client's behavior to an array of reinforcement and stimulus conditions during treatment with the goal of decreasing the detrimental impact of future treatment challenges.

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          Most cited references179

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          Some current dimensions of applied behavior analysis1

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            An implicit technology of generalization1

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              Context, time, and memory retrieval in the interference paradigms of Pavlovian learning.

              In this article I review research and theory on the "interference paradigms" in Pavlovian learning. In these situations (e.g., extinction, counterconditioning, and latent inhibition), a conditioned stimulus (CS) is associated with different unconditioned stimuli (USs) or outcomes in different phases of the experiment; retroactive interference, proactive interference, or both are often observed. In all of the paradigms, contextual stimuli influence performance, and when information is available, so does the passage of time. Memories of both phases are retained, and performance may depend on which is retrieved. Despite the similarity of the paradigms, conditioning theories tend to explain them with separate mechanisms. They also do not provide an adequate account of the context's role, fail to predict the effects of time, and overemphasize the role of learning or storage deficits. By accepting 4 propositions about animal memory (i.e., contextual stimuli guide retrieval, time is a context, different memories are differentially dependent on context, and interference occurs at performance output), a memory retrieval framework can provide an integrated account of context, time, and performance in the various paradigms.
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                Author and article information

                Contributors
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                Journal
                Journal of Applied Behavior Analysis
                J of App Behav Analysis
                Wiley
                0021-8855
                1938-3703
                April 2023
                January 30 2023
                April 2023
                : 56
                : 2
                : 282-301
                Affiliations
                [1 ] Department of Counseling and Applied Behavioral Studies University of Saint Joseph West Hartford CT USA
                [2 ] Rutgers Brain Health Institute Piscataway NJ USA
                [3 ] Children's Specialized Hospital–Rutgers University Center for Autism Research, Education, and Services (CSH–RUCARES) Somerset NJ USA
                [4 ] Department of Pediatrics Rutgers Robert Wood Johnson Medical School New Brunswick NJ USA
                [5 ] Department of Special Education Vanderbilt University Nashville TN USA
                Article
                10.1002/jaba.971
                fa1f2fa0-eaf8-4edc-8416-f3fd5a506c15
                © 2023

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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