摘要：The assessment and treatment of self-injurious behavior (SIB) has received much attention in the literature; however, few studies have focused on early intervention for this behavior. In the current study, functional analyses with developmentally appropriate modifications were conducted in an outpatient clinic with 30 children (aged 10 months to 4 years 11 months) to assess SIB and problem behavior in its early stages. The reported mean age of SIB onset was 17 months, and head banging was the most prevalent topography. Functional analyses identified sources of reinforcement for SIB in 62.1% of cases; with the inclusion of all forms of problem behavior, sources of reinforcement were identified for 87.5% of cases. Function-based treatments were developed for 24 cases, with functional communication training prescribed most often (70.8% of cases). Implications of these findings for the development of early intervention programs for SIB are discussed. Full Text The Full Text of this article is available as a PDF (133K). Selected References These references are in PubMed. This may not be the complete list of references from this article. Berkson G, Tupa M, Sherman L. Early development of stereotyped and self-injurious behaviors: I. Incidence. Am J Ment Retard. 2001 Nov; 106 (6):539–547. [ PubMed ] Charlop MH, Schreibman L, Thibodeau MG. Increasing spontaneous verbal responding in autistic children using a time delay procedure. J Appl Behav Anal. 1985 Summer; 18 (2):155–166. [ PubMed ] DE LISSOVOY V. Head banging in early childhood. Child Dev. 1962 Mar; 33 :43–56. [ PubMed ] Derby KM, Wacker DP, Sasso G, Steege M, Northup J, Cigrand K, Asmus J. Brief functional assessment techniques to evaluate aberrant behavior in an outpatient setting: a summary of 79 cases. J Appl Behav Anal. 1992 Fall; 25 (3):713–721. [ PubMed ] Fisher W, Piazza CC, Bowman LG, Hagopian LP, Langdon NA. Empirically derived consequences: a data-based method for prescribing treatments for destructive behavior. Res Dev Disabil. 1994 Mar–Apr; 15 (2):133–149. [ PubMed ] Fisher W, Piazza CC, Bowman LG, Hagopian LP, Owens JC, Slevin I. A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. J Appl Behav Anal. 1992 Summer; 25 (2):491–498. [ PubMed ] Fisher W, Piazza C, Cataldo M, Harrell R, Jefferson G, Conner R. Functional communication training with and without extinction and punishment. J Appl Behav Anal. 1993 Spring; 26 (1):23–36. [ PubMed ] Guess D, Carr E. Emergence and maintenance of stereotypy and self-injury. Am J Ment Retard. 1991 Nov; 96 (3):299–344. [ PubMed ] Hagopian LP, Fisher WW, Sullivan MT, Acquisto J, LeBlanc LA. Effectiveness of functional communication training with and without extinction and punishment: a summary of 21 inpatient cases. J Appl Behav Anal. 1998 Summer; 31 (2):211–235. [ PubMed ] Hall S, Oliver C, Murphy G. Early development of self-injurious behavior: an empirical study. Am J Ment Retard. 2001 Mar; 106 (2):189–199. [ PubMed ] Iwata BA, Dorsey MF, Slifer KJ, Bauman KE, Richman GS. Toward a functional analysis of self-injury. J Appl Behav Anal. 1994 Summer; 27 (2):197–209. [ PubMed ] Iwata BA, Duncan BA, Zarcone JR, Lerman DC, Shore BA. A sequential, test-control methodology for conducting functional analyses of self-injurious behavior. Behav Modif. 1994 Jul; 18 (3):289–306. [ PubMed ] Iwata BA, Pace GM, Dorsey MF, Zarcone JR, Vollmer TR, Smith RG, Rodgers TA, Lerman DC, Shore BA, Mazalesk JL, et al. The functions of self-injurious behavior: an experimental-epidemiological analysis. J Appl Behav Anal. 1994 Summer; 27 (2):215–240. [ PubMed ] Iwata BA, Wallace MD, Kahng SW, Lindberg JS, Roscoe EM, Conners J, Hanley GP, Thompson RH, Worsdell AS. Skill acquisition in the implementation of functional analysis methodology. J Appl Behav Anal. 2000 Summer; 33 (2):181–194. [ PubMed ] Lovaas OI. Behavioral treatment and normal educational and intellectual functioning in young autistic children. J Consult Clin Psychol. 1987 Feb; 55 (1):3–9. [ PubMed ] Mace FC, Page TJ, Ivancic MT, O'Brien S. Analysis of environmental determinants of aggression and disruption in mentally retarded children. Appl Res Ment Retard. 1986; 7 (2):203–221. [ PubMed ] Magee SK, Ellis J. Extinction effects during the assessment of multiple problem behaviors. J Appl Behav Anal. 2000 Fall; 33 (3):313–316. [ PubMed ] McEachin JJ, Smith T, Lovaas OI. Long-term outcome for children with autism who received early intensive behavioral treatment. Am J Ment Retard. 1993 Jan; 97 (4):359–391. [ PubMed ] Murphy G, Hall S, Oliver C, Kissi-Debra R. Identification of early self-injurious behaviour in young children with intellectual disability. J Intellect Disabil Res. 1999 Jun; 43 ( :149–163. [ PubMed ] Pelios L, Morren J, Tesch D, Axelrod S. The impact of functional analysis methodology on treatment choice for self-injurious and aggressive behavior. J Appl Behav Anal. 1999 Summer; 32 (2):185–195. [ PubMed ] Piazza CC, Fisher WW, Hanley GP, LeBlanc LA, Worsdell AS, Lindauer SE, Keeney KM. Treatment of pica through multiple analyses of its reinforcing functions. J Appl Behav Anal. 1998 Summer; 31 (2):165–189. [ PubMed ] Richman DM, Wacker DP, Asmus JM, Casey SD, Andelman M. Further analysis of problem behavior in response class hierarchies. J Appl Behav Anal. 1999 Fall; 32 (3):269–283. [ PubMed ] Ringdahl JE, Sellers JA. The effects of different adults as therapists during functional analyses. J Appl Behav Anal. 2000 Summer; 33 (2):247–250. [ PubMed ] Sallustro F, Atwell CW. Body rocking, head banging, and head rolling in normal children. J Pediatr. 1978 Oct; 93 (4):704–708. [ PubMed ] Schroeder SR, Oster-Granite ML, Berkson G, Bodfish JW, Breese GR, Cataldo MF, Cook EH, Crnic LS, DeLeon I, Fisher W, Harris JC, Horner RH, Iwata B, Jinnah HA, King BH, Lauder JM, Lewis MH, Newell K, Nyhan WL, Rojahn J, Sackett GP, Sandman C, Symons F, Tessel RE, Thompson T, Wong DF. Self-injurious behavior: gene-brain-behavior relationships. Ment Retard Dev Disabil Res Rev. 2001; 7 (1):3–12. [ PubMed ] Wacker DP, Berg WK, Harding JW, Derby KM, Asmus JM, Healy A. Evaluation and long-term treatment of aberrant behavior displayed by young children with disabilities. J Dev Behav Pediatr. 1998 Aug; 19 (4):260–266. [ PubMed ]
