Twelve individuals (ages 3-43) with severe/profound mental retardation and life-threatening self-injurious behaviors were exposed to electrical aversion treatment using a remotely controlled device. With seven individuals, suppression of the behavior was nearly complete in that physical restraints were no longer necessary. With three individuals,…

Three experiments involving three adults with profound mental retardation whose self-injurious behavior (SIB) was maintained by automatic reinforcement, examined interactions between stereotypic SIB and the manipulation of objects that appeared to provide substitutable sources of reinforcement. Attempts to reduce SIB using the preferred objects as…

A study of three individuals with self-injurious behavior (SIB) evaluated a device designed for restraint fading with individuals who display hand-to-head SIB. Results demonstrated that stimulus control of SIB occurred in all individuals subsequent to restraint fading. The study also examined the effects of the rigid arm sleeves and restraint…

This response to a paper (EC 624 771) on the early development of stereotyped and self-injurious behavior in infants and young children considers reasons why such behaviors are maintained in some individuals. The use of functional behavioral assessment suggests these behaviors are influenced by environmental factors including attention, escape, or…

Because youth who are in residential facilities are sometimes dangerous to themselves or others, there are times when physical restraints must be used for the safety of both residents and staff. But the use of restraints is coming under increased scrutiny because of potential dangers. In this article facilities share how training can help reduce…

In this study, 11 males with autism and mental retardation were administered risperidone. Substantial clinical improvement was noted almost immediately; patients with aggression, self-injury, explosivity, and poor sleep hygiene were most improved. The modal dose for optimal response was 0.5 mg bid. Weight gain was a significant side effect.…

Three analyses were conducted to assess the effects of different consequent stimuli on the stereotypical and self-injurious behavior of two children with severe developmental disabilities and dual sensory impairments. Contingent presentation of the specially selected stimuli plus response interruption resulted in more suppression than contingent…

A study evaluated the effectiveness of an abbreviated habit reversal procedure to reduce maladaptive oral self-biting in an adolescent boy in residential care. Treatment involved a combination of relaxation and two competing responses (gum chewing and tongue-lip rubbing). The intervention eliminated the biting and the tissue damage it caused.…

This study evaluated a multicomponent treatment package with three adults having profound mental retardation who engaged in self-injurious hand mouthing. The intervention, which involved brief response interruption followed by the introduction of a preferred leisure item, was successfully implemented during both individual and small group…

The effects of a presession exposure to attention on responding during subsequent assessment of attention as a reinforcer were evaluated across three behavioral assessments. In each experiment, the children responded differentially within the test condition according to the presence or absence of dense schedule of attention immediately prior to…

This study evaluated the effects of restraint on occurrences of self-injurious behavior (SIB) and adaptive responses exhibited by two individuals with profound mental retardation across eight response-effort conditions with varying degrees of physical restraint. Analysis identified a restraint level for each individual that reduced SIB but did not…

This article describes an individual (age 49) with mental retardation who experienced behavioral exacerbation associated with clonazepam prescribed at 2 mg/day to treat aggression, self-injurious behavior, property destruction, and screaming. When clonazepam was reduced and discontinued, these behaviors significantly decreased from 3.1% of…

Questionnaires completed by parents of 40 patients with Lesch-Nyhan disease provide information on developmental history, life course, management, medication, variability, and topography of self-injury. Analysis indicated that patients could not inhibit self-injury but could predict it and request restraints; self-injury was strongly related to…

Four case studies concerning long-term psychodynamic treatment of German individuals with intellectual disabilities are presented: an aggressive young man with a mild intellectual disability; a young man with multiple disabilities with destructive behavior; a withdrawn young woman with self-destructive behavior; and a young man with autism with…

This article reviews the clinical literature regarding self-injurious behavior in infants and young children with particular emphasis on the developmental aspects of the behavior. It also discusses ways that the behavior is identified, methods of clinical assessment, and appropriate clinical interventions. The final section addresses unmet…