Abstract
Autism spectrum disorder is associated with communication impairment and problem behavior such as aggression and self-injury. Researchers have found an inverse relation between problem behavior and communicative competence, suggesting that some problem behavior might have a communicative basis. Additional support for this relation emanates from studies aimed at identifying variables that control problem behavior with experimental-functional analysis methodology. In this chapter, we review the results of current research that has used experimental-functional analyses of problem behavior among individuals with autism spectrum disorder. Results suggest that a substantial percentage of individuals with autism spectrum disorder present with problem behavior controlled by (a) attention from another person, (b) access to preferred objects/activities, and/or (c) escape from or avoidance of non-preferred objects/activities/people. Problem behavior controlled by these variables might be conceptualized as prelingusitic forms of intentional communication related to (a) recruiting attention, (b) requesting access to preferred objects/activities, and/or (c) rejecting non-preferred objects/activities/people. In such cases, intervention aimed at replacing the problematic forms by teaching appropriate communication alternatives has proven to be effective. Challenges in conducting experimental-functional analyses and interpreting their results are discussed, as are directions for future research related to replacing problematic prelinguistic forms with more acceptable alternatives.
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Notes
- 1.
Efficacy refers to how well an intervention works under controlled/research conditions, whereas effectiveness refers to how well an intervention works under real-world conditions (Singal, Higgins, & Waljee, 2014).
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Asmus, J. M., Ringdahl, J. E., Sellers, J. A., Call, N. A., Andelman, M. S., & Wacker, D. P. (2004). Use of a short-term inpatient model to evaluate aberrant behavior: Outcome data summaries from 1996 to 2001. Journal of Applied Behavior Analysis, 37, 283–304.
Baghdadli, A., Pascal, C., Grisi, S., & Aussilloux, C. (2003). Risk factors for self-injurious behaviours among 222 young children with autistic disorders. Journal of Intellectual Disability Research, 47, 622–627.
Beitchman, J. H., & Peterson, M. (1986). Disorders of language, communication, and behavior in mentally retarded children: Some ideas on their co-occurrence. Psychiatric Clinics in North America, 9, 689–698.
Bloom, S. E., Iwata, B. A., Fritz, J. N., Roscoe, E. M., & Carreau, A. B. (2011). Classroom application of a trial-based functional analysis. Journal of Applied Behavior Analysis, 44, 19–31.
Brady, N., & Halle, J. W. (2002). Breakdowns and repairs in conversations between beginning AAC users and their partners. In J. Reichle, D. Beukelman, & J. Light (Eds.), Exemplary practices for beginning communicators (pp. 323–351). Baltimore: Paul H. Brookes Publishing Co.
Carr, E. (1994). Emerging themes in the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 27, 393–399.
Carr, E. G. (1977). The motivation of self-injurious behavior: A review of some hypotheses. Psychological Bulletin, 84, 800–816.
Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126.
Carr, E. G., & Kemp, D. C. (1989). Functional equivalence of autistic leading and communicative pointing: Analysis and treatment. Journal of Autism and Developmental Disorders, 19, 561–578.
Carr, E. G., Newsom, C. D., & Binkoff, J. A. (1976). Stimulus control of self-destructive behavior in a psychotic child. Journal of Abnormal Child Psychology, 4, 139–153.
Carr, E. G., Schreibman, L., & Lovaas, O. I. (1975). Control of echolalic speech in psychotic children. Journal of Abnormal Child Psychology, 3, 331–351.
Carr, E. G., Yarbrough, S. C., & Langdon, N. A. (1997). Effects of idiosyncratic stimulus variables on functional analysis outcomes. Journal of Applied Behavior Analysis, 30, 673–686.
Chamberlain, L., Chung, M. C., & Jenner, L. (1993). Preliminary findings on communication and challenging behavior in learning difficulty. British Journal of Developmental Disabilities, 39, 118–125.
Crone, D. A., & Horner, R. H. (2003). Building positive behavior support systems in schools. New York: The Guilford Press.
Derby, K. M., Wacker, D. P., Sasso, G., Steege, M., Northup, J., Cigrand, K., et al. (1992). Brief functional assessment techniques to evaluate aberrant behavior in an outpatient setting: A summary of 79 cases. Journal of Applied Behavior Analysis, 25, 713–721.
Didden, R., Sturmey, P., Sigafoos, J., Lang, R., O’Reilly, M., & Lancioni, G. E. (2012). Nature, prevalence and characteristics of challenging behavior. In J. Matson (Ed.), Functional assessment for challenging behaviors (pp. 25–44). New York: Springer.
Durand, M., & Crimmins, D. B. (1992). The motivation assessment scale administration guide. Topeka, KS: Monaco & Associates.
Durand, V. M. (1986). Self-injurious behavior as intentional communication. Advances in Learning & Behavioral Disabilities, 5, 141–155.
Durand, V. M. (1990). Severe behavior problems: A functional communication training approach. Albany, NY: Guilford Press.
Emerson, E. (2001). Challenging behavior: Analysis and intervention in people with severe intellectual disabilities (2nd ed.). Cambridge: Cambridge University Press.
Fitzer, A., & Sturmey, P. (Eds.). (2009). Language and autism: Applied behavior analysis, evidence, and practice. Austin, TX: Pro-Ed.
Gardner, A., Wacker, D., & Boelter, E. (2009). An evaluation of the interaction between quality of attention and negative reinforcement with children who display escape-maintained problem behavior. Journal of Applied Behavior Analysis, 42, 343–348.
Gevarter, C., Mulloy, A., Ramdoss, S., O’Reilly, M. F., & Watkins, L. (2014). Communication repair behaviors of children with autism and limited vocal language: A systematic review. Manuscript submitted for publication.
Golonka, Z., Wacker, D., Berg, W., Derby, K., Harding, J., & Peck, S. (2000). Effects of escape to alone versus escape to enriched environments on adaptive and aberrant behavior. Journal of Applied Behavior Analysis, 33, 243–246.
Halle, J. W., & Drasgow, E. (2003). Response classes: Don Baer’s contribution to understanding their structure and function. In K. S. Budd & T. Stokes (Eds.), A small matter of proof: The legacy of Donald M. Baer (pp. 113–124). Reno, NV: Context Press.
Healy, O., Lydon, S., & Murray, C. (2014). Aggressive behavior. In P. Sturmey & R. Didden (Eds.), Evidence-based practice and intellectual disabilities (pp. 103–132). Chichester, UK: Wiley Blackwell.
Herrnstein, R. J. (1961). Stereotypy and intermittent reinforcement. Science, 133, 2067–2069.
Holden, B., & Gitlesen, J. P. (2006). A total population study of challenging behavior in the county of Hedmark, Norway: Prevalence and risk markers. Research in Developmental Disabilities, 27, 456–465.
Horner, R. H., & Billingsley, F. F. (1988). The effect of competing behavior on the generalization and maintenance of adaptive behavior in applied settings. In R. H. Horner, G. Dunlap, & R. I. Koegel (Eds.), Generalization and maintenance: Life-style changes in applied settings (pp. 197–220). Baltimore: Paul H. Brookes Publishing.
Horner, R., & Day, H. M. (1991). The effects of response efficiency on functionality equivalent competing behaviors. Journal of Applied Behavior Analysis, 24, 719–732.
Iwata, B. A., & Dozier, C. L. (2008). Clinical application of functional analysis methodology. Behavior Analysis in Practice, 1, 3–9.
Iwata, B., Dorsey, M., Slifer, K., Bauman, K., & Richman, G. (1982). Toward a functional analysis of self-injury. Analysis and Intervention in Developmental Disabilities, 2, 3–20 (Reprinted in Journal of Applied Behavior Analysis, 27, 197–209, 1994).
Iwata, B., Pace, G., Dorsey, M., Zarcone, J., Vollmer, T., Smith, R., … Willis, K. (1994). The functions of self-injurious behavior: An experimental-epidemiological analysis. Journal of Applied Behavior Analysis, 27, 215–240.
Keen, D. (2005). The use of non-verbal repair strategies by children with autism. Research in Developmental Disabilities, 26, 243–254.
Kennedy, C. H. (2005). Single-case designs for educational research. Boston: Allyn and Bacon.
Kodak, T., Northup, J., & Kelley, M. (2007). An evaluation of the types of attention that maintain problem behavior. Journal of Applied Behavior Analysis, 40, 167–171.
Kozlowski, A. M., & Matson, J. L. (2012). Interview and observation methods in functional assessment. In J. L. Matson (Ed.), Functional assessment for challenging behaviors (pp. 105–124). New York: Springer.
Kurtz, P. F., Chin, M. D., Huete, J. M., Tarbox, R. S. F., O’Connor, J. T., Paclawskyj, T. R., et al. (2003). Functional analysis and treatment of self-injurious behavior in young children: A summary of 30 cases. Journal of Applied Behavior Analysis, 36, 205–219.
Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., & Didden, R. (2012). Function of challenging behavior. In J. L. Matson (Ed.), Functional assessment for challenging behaviors (pp. 45–64). New York: Springer.
Lang, R., O’Reilly, M., Lancioni, G., Rispoli, M., Machalicek, W., Chan, J., … Franco, J. (2009). Discrepancy in functional analysis results across two settings: Implications for intervention design. Journal of Applied Behavior Analysis, 42, 393–397.
Lang, R., Sigafoos, J., van der Meer, L., O’Reilly, M. F., Lancioni, G. E., & Didden, R. (2013). Early signs and early behavioral intervention of challenging behavior. In R. Hastings & J. Rojahn (Eds.), International review of research in developmental disabilities: Challenging behavior (Vol. 44, pp. 1–35). London: Elsevier.
Liss, M., Harel, B., Fein, D., Allen, D., Dunn, M., Feinstein, C., … Rapin, I. (2001). Predictors and correlates of adaptive functioning in children with developmental disorders. Journal of Autism and Developmental Disorders, 31, 219–230.
Lovaas, O. I. (1982). Comments on self-destructive behaviors. Analysis and Intervention in Developmental Disabilities, 2, 115–124.
Love, J. R., Carr, J. E., & LeBlanc, L. A. (2009). Functional assessment of problem behavior in children with autism spectrum disorders: A summary of 32 outpatient cases. Journal of Autism and Developmental Disorders, 39, 363–372.
Mace, F. C., & West, B. J. (1986). Analysis of demand conditions associated with reluctant speech. Journal of Behavior Therapy and Experimental Psychiatry, 17, 285–294.
Maljaars, J., Noens, I., Jansen, R., Scholte, E., & van Berckelaer-Onnes, I. (2011). Intentional communication in nonverbal and verbal low-functioning children with autism. Journal of Communication Disorders, 44, 601–614.
Mancil, R. G. (2006). Functional communication training: A review of the literature related to children with autism. Education and Training in Developmental Disabilities, 41, 213–224.
Matson, J. L. (Ed.). (2012). Functional assessment for challenging behaviors. New York: Springer.
Matson, J. L., & Minshawi, N. F. (2006). Functional assessment of challenging behavior: Toward a strategy for applied settings. Research in Developmental Disabilities, 28, 353–361.
Matson, J. L., & Rivet, T. T. (2008). Characteristics of challenging behaviours in adults with autistic disorder, PDD-NOS, and intellectual disability. Journal of Intellectual and Developmental Disability, 33, 323–329.
Matson, J. L., Wilkins, J., & Fodstad, J. C. (2010). Children with autism spectrum disorders: A comparison of those who regress vs. those who do not. Developmental Neurorehabilitation, 13, 37–45.
Matson, J. L., Wilkins, J., & Macken, J. (2009). The relationship of challenging behaviors to severity and symptoms of autism spectrum disorders. Journal of Mental Health Research in Intellectual Disabilities, 2, 29–44.
McAdam, D., DiCesare, A., Murphy, S., & Marshall, B. (2004). The influence of different therapists on functional analysis outcomes. Behavioral Interventions, 19, 39–44.
McCord, B., Iwata, G., Galensky, T., Ellingson, S., & Thompson, R. (2001). Functional analysis and treatment of problem behavior evoked by noise. Journal of Applied Behavior Analysis, 34, 447–462.
Mirenda, P., & Iacono, T. (Eds.). (2009). Autism spectrum disorders and AAC. Baltimore: Paul H. Brookes Publishing Co.
Moore, J. W., Edwards, R. P., Sterling-Turner, H. E., Riley, J., DuBard, M., & McGeorge, A. (2002). Teacher acquisition of functional analysis methodology. Journal of Applied Behavior Analysis, 35, 73–77.
Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: The contribution of non-verbal communication measures. Journal of Child Psychology and Psychiatry, 27, 657–669.
Murphy, O., Healy, O., & Leader, G. (2009). Risk factors for challenging behaviors among 157 children with autism spectrum disorder in Ireland. Research in Autism Spectrum Disorders, 3, 474–482.
Northup, J., Wacker, D., Sasso, G., Steege, M., Cigrand, K., Cook, J., et al. (1991). A brief functional analysis of aggressive and alternative behavior in an outclinic setting. Journal of Applied Behavior Analysis, 24, 509–522.
O’Neill, R. E., Horner, R. H., Albin, R. W., Sprague, J. R., Storey, K., & Newton, J. S. (1997). Functional assessment and program development for problem behavior: A practical handbook (2nd ed.). Belmont, CA: Wadsworth.
O’Reilly, M., Lang, R., Davis, T., Rispoli, M., Machalicek, W., Sigafoos, J., … Didden, R. (2009). A systematic examination of different parameters of presession exposure to tangible stimuli that maintain problem behavior. Journal of Applied Behavior Analysis, 42(4), 773–783.
O’Reilly, M., Rispoli, M., Davis, T., Machalicek, W., Lang, R., Sigafoos, J., … Didden, R. (2010). Functional analysis of challenging behavior in children with autism spectrum disorders: A summary of 10 cases. Research in Autism Spectrum Disorders, 4, 1–10.
Osterling, J., Dawson, G., & McPartland, J. (2001). Autism. In C. E. Walker & M. C. Roberts (Eds.), Handbook of clinical child psychology (3rd ed., pp. 432–452). New York: Wiley.
Phillips, K. J., & Mudford, O. C. (2008). Functional analysis skills training of residential caregivers. Behavioral Interventions, 23, 1–12.
Reeve, C. E., & Carr, E. G. (2000). Prevention of severe behavior problems in children with developmental disorders. Journal of Positive Behavior Interventions, 2, 144–160.
Rispoli, M., Ninci, J., Neely, L., & Zaini, S. (2014). A systematic review of trial-based functional analysis of challenging behavior. Journal of Developmental and Physical Disabilities, 26, 271–283.
Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The behavior problems inventory: An instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disorders, 31, 577–588.
Rowland, C. M. (2009). Presymbolic communicators with autism spectrum disorders. In P. Mirenda & T. Iacono (Eds.), Autism spectrum disorders and AAC (pp. 51–81). Baltimore: Paul H. Brookes Publishing Co.
Rutter, M. (1978). Diagnosis and definition. In M. Rutter & E. Schopler (Eds.), Autism: A reappraisal of concepts and treatment (pp. 1–25). New York: Plenum Press.
Schlichenmeyer, K., Roscoe, E., Rooker, G., Wheeler, E., & Dube, W. (2013). Idiosyncratic variables that affect functional analysis outcomes: A review (2001–2010). Journal of Applied Behavior Analysis, 46, 339–348.
Schmidt, J. D., Drasgow, E., Halle, J. W., Martin, C. A., & Bliss, S. A. (2014). Discrete-trial functional analysis and functional communication training with three individuals with autism and severe problem behavior. Journal of Positive Behavior Interventions, 16, 44–55.
Sigafoos, J. (2000). Communication development and aberrant behavior in children with developmental disabilities. Education and Training in Mental Retardation and Developmental Disabilities, 35, 168–176.
Sigafoos, J., Drasgow, E., Halle, J. W., O’Reilly, M., Seely-York, S., Edrisinha, C., et al. (2004). Teaching VOCA use as a communicative repair strategy. Journal of Autism & Developmental Disorders, 34, 411–422.
Sigafoos, J., O’Reilly, M. F., Drasgow, E., & Reichle, J. (2002). Strategies to achieve socially acceptable escape and avoidance. In J. Reichle, D. Beukelman, & J. Light (Eds.), Exemplary practices for beginning communicators (pp. 157–186). Baltimore: Paul H. Brookes Publishing Co.
Sigafoos, J., O’Reilly, M. F., & Lancioni, G. E. (2009). Functional communication training and choice-making interventions for the treatment of problem behavior in individuals with autism spectrum disorders. In P. Mirenda & T. Iacono (Eds.), Autism spectrum disorders and AAC (pp. 333–353). Baltimore: Paul H. Brookes Publishing Co.
Sigafoos, J., O’Reilly, M. F., Lancioni, G. E., Lang, R., & Didden, R. (2014). Self-injurious behavior. In P. Sturmey & R. Didden (Eds.), Evidence-based practice and intellectual disabilities (pp. 133–162). Chichester, UK: Wiley Blackwell.
Sigafoos, J., & Saggers, E. (1995). A discrete-trial approach to the functional analysis of aggressive behavior in two boys with autism. Australia & New Zealand Journal of Developmental Disabilities, 20, 287–297.
Singal, M. G., Higgins, P. D. R., & Waljee, A. K. (2014). A primer on effectiveness and efficacy trails. Clinical and Translational Gastroenterology, 5, e45. doi:10.1038/ctg.2013.13.
Skinner, B. F. (1953). Science and human behavior. New York: Macmillan.
Skinner, B. F. (1957). Verbal behavior. Englewood Cliffs, NJ: Prentice-Hall.
Skinner, J., Veerkamp, M., Kamps, D., & Andra, P. (2009). Teacher and peer participation in functional analysis and intervention for a first grade student with attention deficit hyperactivity disorder. Education and Treatment of Children, 32, 243–266.
Sobsey, D., & Reichle, J. (1989). Components of reinforcement for attention signal switch activation. The Mental Retardation and Learning Disabilities Bulletin, 17, 46–60.
Stevens, M. C., Fein, D. A., Dunn, M., Allen, D., Waterhouse, L. H., Feinstein, C., et al. (2000). Subgroups of children with autism by cluster analysis: A longitudinal examination. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 346–352.
Stokes, J. V., & Luiselli, J. K. (2008). In-home parent training of functional analysis skills. International Journal of Behavioral Consultation and Therapy, 4, 259–263.
Sturmey, P. (2009). Reducing inappropriate verbal behavior. In A. Fitzer & P. Sturmey (Eds.), Language and autism: Applied behavior analysis, evidence, and practice (pp. 279–297). Austin, TX: Pro-Ed.
Suess, A. N., Romani, P. W., Wacker, D. P., Dyson, S. M., Kuhle, J. L., Lee, J. F., … Waldron, D. B. (2014). Evaluating the treatment fidelity of parents who conduct in-home functional communication training with coaching via telehealth. Journal of Behavioral Education, 23, 34–59.
Tait, K., Sigafoos, J., Woodyatt, G., O’Reilly, M. F., & Lancioni, G. E. (2004). Evaluating parent use of functional communication training to replace and enhance prelinguistic behaviours in six children with developmental and physical disabilities. Disability and Rehabilitation, 26, 1241–1254.
Tiger, J., Fisher, W., Toussaint, K., & Kodak, T. (2009). Progressing from initially ambiguous functional analyses: Three case examples. Research in Developmental Disabilities, 30, 910–926.
Vollmer, T. R., & Iwata, B. A. (1991). Establishing operations and reinforcement effects. Journal of Applied Behavior Analysis, 24(2), 279–291.
Vollmer, T. R., Roane, H. S., & Rone, A. B. (2012). Experimental functional analysis. In J. L. Matson (Ed.), Functional assessment for challenging behaviors (pp. 125–141). New York: Springer.
Wacker, D. P., Berg, W. K., Harding, J. W., Barretto, A., Rankin, B., & Ganzer, J. (2005). Treatment effectiveness, stimulus generalization, and acceptability to parents of functional communication training. Educational Psychologist, 25, 233–256.
Wacker, D. P., Berg, W. K., Harding, J. W., Derby, K. M., Asmus, J. M., & Healy, A. (1998). Evaluation and long-term treatment of aberrant behavior displayed by young children with disabilities. Journal of Developmental and Behavioral Pediatrics, 19, 260–266.
Wacker, D. P., Lee, J. F., Padilia Dalmau, Y. C., Kopelman, T. G., Lindgren, S. D., Kuhle, J., … Waldron, D. B. (2013). Conducting functional communication training via telehealth to reduce the problem behavior of young children with autism. Journal of Developmental and Physical Disabilities, 25, 35–48.
Wallace, M. D., Doney, J. K., Mintz-Resudek, C. M., & Tarbox, R. S. (2004). Training educators to implement functional analyses. Journal of Applied Behavior Analysis, 37, 89–92.
Weiss, J. (2003). Self- injurious behaviors in autism: A literature review. Journal on Developmental Disabilities, 9, 129–143.
Worsdell, A. S., Iwata, B. A., Conners, J., Kahng, S. W., & Thompson, R. H. (2000). Relative influences of establishing operations and reinforcement contingencies on self-injurious behavior during functional analyses. Journal of Applied Behavior Analysis, 33(4), 451–461.
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Sigafoos, J. et al. (2016). Functional Assessment of Problematic Forms of Prelinguistic Behavior. In: Keen, D., Meadan, H., Brady, N., Halle, J. (eds) Prelinguistic and Minimally Verbal Communicators on the Autism Spectrum. Springer, Singapore. https://doi.org/10.1007/978-981-10-0713-2_7
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