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Establishing Appropriate Mealtime Behaviour of a Severely Disruptive Mentally Handicapped Woman

  • Ursula de Kock (a1), Jim Mansell (a1), David Felce (a1) and Judith Jenkins (a1)

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

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Breuning, S. E., Ferguson, D. G. and Cullari, S. (1980). Analysis of single-double blind procedures, maintenance of placebo effects and drug-induced dyskinesia with mentally retarded persons. Applied Research in Mental retardation 1, 175192.
Budd, K., Green, D. and Baer, D. (1976). An analysis of multiple misplaced parental social contingencies. Journal of Applied Behavior Analysis 9, 459470.
Coles, E. and Blunden, R. (1981). Maintaining new procedures using feedback to staff, a hierarchical reporting system, and a multidisciplinary management group. Journal of Organisational Behaviour Management 3, 1933.
Crisp, T. and Coll, P. (1980). Modification of self-injurious behaviour in a profoundly retarded child by differentially reinforcing imcompatible behaviour. British Journal of Mental Subnormality 26, 8185.
Goldiamond, J. (1974). Toward a constructional approach to social problems: ethical and constitutional issues raised by applied behaviour analysis. Behaviourism 2, 184.
Grant, G. W. B. and Moores, B. (1976). Comparison of patient activities in two hospitals for the mentally handicapped. Apex 4, 2829.
Holland, J. G. (1974). Political implications of applying behavioral psychology. In Control of Human Behavior, Vol. 3, Ulrich, R., Stachnik, T. and Mabry, J. (Eds), Illinois: Scott, Foresman and Company.
Intagliata, J. and Willer, B. (1982). Reinstitutionalisation of mentally retarded persons successfully placed into family-care and group homes. American Journal of Mental Deficiency 87, 3439.
Jenkins, J. (1975). Changing the Patterns of Staff-Client Interactions in Group Care Situations: An Evaluation of Training Materials. Unpublished doctoral dissertation, University of Kansas.
King, R., Raynes, N. and Tizard, J. (1971). Patterns of Residential Care. London: Routledge and Kegan Paul.
Lipman, R. S. (1970). The use of psychopharmacological agents in residential facilities for the retarded. In Psychiatric Approaches to Mental Retardation. Menolacino, F. J. (Ed.), New York: Basic Books.
Mansell, J., Felce, D., De Kock, U. and Jenkins, J. (1982). Increasing purposeful activity of severely and profoundly mentally handicapped adults. Behaviour Research and Therapy 20, 593604.
Measel, C. J. and Alfieri, P. A. (1976). Treatment of self-injurious behavior by a combination of reinforcement for incompatible behaviors and overcorrection. American Journal of Mental Deficiency 81, 147153.
Parsonson, B. S., Baer, A. M. and Baer, D. M. (1974). The application of generalised correct social contingencies: an evaluation of a training program. Journal of Applied Behavior Analysis 7, 427437.
Porterfield, J., Blunden, R. and Blewitt, E. (1980). Improving environments for profoundly handicapped adults: using prompts and social attention to maintain high group engagement. Behaviour Modification 4, 225241.
Powell, J., Martindale, A. and Kulp, S. (1975). An evaluation of time-sample measures of behavior. Journal of Applied Behavior Analysis 8, 463469.
Raynes, N. V. (1980). The less you've got the less you get: functional grouping, a cause for concern. Mental Retardation 18, 217220.
Rotegard, L. L., Bruininks, R. H. and Lakin, K. C. (1982). Epidemiology of mental retardation and trends in residential services in the United States.Paper presented at the NICHD conference on the impact of residential environments on retarded persons and their care providers.Lake Wilderness, Washington.
Smolev, S. R. (1971). The use of operant techniques for the modification of self-injurious behavior. American Journal of Mental Deficiency 76, 348351.
Sprague, R. L. (1977). Overview of psychopharmocology for the retarded in the United States. In Research to Practice in Mental Retardation Biomedical Aspects, Vol. III. Baltimore: University Park Press.
Stokes, T. F. and Baer, D. M. (1977). An implicit technology of generalisation. Journal of Applied Behavior Analysis 10, 349367.
Tarpley, H. D. and Schroeder, D. R. (1979). Comparison of DRO and DRI on rate of suppression of self-injurious behavior. American Journal of Mental Deficiency 84, 188194.
Winett, R. A. and Winkler, R. C. (1972). Current behavior modification in the classroom: be still, be quiet, be docile. Journal of Applied Behavior Analysis 5, 499504.
Wolfensberger, W. (1972). Normalisation: The Principle of Normalisation in Human Services. Toronto: National Institute on Mental Retardation.
Young, J. A. and Wincze, J. P. (1974). The effects of reinforcement of compatible and incompatible alternative behaviours on the self-injurious and related behaviours of a profoundly retarded female adult. Behaviour Therapy 5, 614623.
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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
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