Background: Pica is a very dangerous form of self-injurious behaviour because one occurrence can be lethal. Dealing successfully with dangerous pica in a large institution requires a high level of administrative support. It cannot be relegated to each psychologist to write a programme. A written behaviour programme is only one component of…

Individuals with intellectual and developmental disabilities are often prescribed psychotropic medication to treat behaviors such as aggression and self-injury. Evaluation of these medications is often based on caregiver report or changes in frequency of behavior. The purpose of this research was to characterize the rate and function of problem…

A reevaluation of data from Berkman and Meyer (1988), a study supporting the effectiveness of positive-oriented programing approaches with persons with mental retardation, suggests that medication, especially the introduction of Thorazine (with subsequent increases of dosage), may have been related to reductions in the client's self-injurious…

This guide to preventing self-injurious behavior, in question-and-answer format, is intended for parents, teachers, and other caregivers of people with disabilities. It describes the more common types of self-injurious behavior, discusses methods for identifying causes of self injury, and outlines interventions. Specifically, the guide covers: (1)…

This response to a critique (EC 605 541) of the authors' case study, supporting the effectiveness of positive-oriented programing approaches with persons with mental retardation, offers follow-up information on the individual involved, including his complete medication history, and defends the view that the self-determination supported by their…