Background: Behavioural interventions conceptualise self-injurious behaviour (SIB) as developing from early repetitive behaviours through acquisition of homeostatic functions in regulating stimulation and subsequent shaping into SIB through socially mediated or automatic operant reinforcement. Despite high success rates, such interventions rarely…

A functional analysis was performed on a five-year-old nonverbal Autistic female with severe self-injurious behaviors. The self-injurious behaviors (hand-to-head, hand-to-jaw, hand-to-face) and loud vocalizations were targeted. Two types of sessions, enriched environment and instructor controlled preferred stimuli, were alternated throughout the…