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Biomedical subjects

R G Miltenberger

Publications and source records attributed to R G Miltenberger.

At least 19 recordsLinked to original sources
PubMed2001

Using real-time recording to enhance the analysis of within-session functional analysis data.

Functional analysis methods have become standard practice for determining the maintaining variables of problem behavior. The analysis of within-session response patterns has been proposed as a useful adjunct to the functional analysis. Many within-session analyses have been conducted on data obtained from interval scoring methods. However, interval methods only provide an estimate of within-session data. The authors briefly describe a real-time recording method and provide a rationale for its use. The authors then provide descriptions of several research studies from their lab in which real-time data were crucial in determining behavioral function from experimental analyses.

Adolescent↗
PubMed2001

Functional analysis and treatment of hair twirling in a young child.

A young child participated in a functional analysis and treatment of hair twirling, a frequently occurring precursor to hair pulling. The functional analysis showed that hair twirling occurred mostly when the child was alone at bedtime. Noncontingent application of mittens decreased hair twirling to near-zero levels in two settings (home and day care).

Behavior Therapy↗
PubMed2000

Analysis and treatment of finger sucking.

We analyzed and treated the finger sucking of 2 developmentally typical children aged 7 and 10 years. The functional analysis revealed that the finger sucking of both children was exhibited primarily during alone conditions, suggesting that the behavior was maintained by automatic reinforcement. An extended analysis provided support for this hypothesis and demonstrated that attenuation of stimulation produced by the finger sucking resulted in behavior reductions for both children. Treatment consisted of having each child wear a glove on the relevant hand during periods when he or she was alone. Use of the glove produced zero levels of finger sucking for 1 participant, whereas only moderate reductions were obtained for the other. Subsequently, an awareness enhancement device was used that produced an immediate reduction in finger sucking.

Awareness↗
PubMed1999

Evaluating direct and indirect measures for the functional assessment of binge eating.

OBJECTIVE: This study examined the usefulness of the Function of Binge Eating Scale and monitoring forms for a sample of subclinical binge eaters. METHOD: Participants included 23 college students who reported engaging in binge eating an average of two or more times per week. Participants completed the Function of Binge Eating Scale at the initial session, at 2 weeks, and at 4 weeks. Participants also monitored binge eating behavior and completed an Antecedent Checklist each time they engaged in binge eating. RESULTS: Participants responded similarly to direct and indirect measures of antecedents of binge eating although they tended to rate items on the indirect measures as more intense than on the direct measures. Boredom and dissatisfaction with body weight and shape were rated as the most intense proximate antecedents while anxiety and anger at others were reported as least intense. Irritability and depressed mood were the most frequently reported temporally remote antecedents. DISCUSSION: Implications and suggestions for future research are discussed.

Adult↗
PubMed1999

A descriptive analysis of factors contributing to binge eating.

This study was designed to examine temporally proximal and remote antecedents as well as immediate and delayed consequences of binge eating behavior. Participants included 16 undergraduate females who reported engaging in binge eating at least two times per week and experiencing a sense of lack of control during binge eating episodes on the Questionnaire of Eating and Weight Patterns. Results indicated that the most frequent proximal antecedents to binge eating were negative emotions such as feeling depressed, angry, empty, hopeless, worried, or dissatisfied. The most frequent consequences of binge eating included relief from negative feelings and thoughts and decrease in hunger or craving. The results of this study suggest that the function of binge eating can be identified through assessment of antecedents and consequences with real time recording and retrospective reports. Treatment implications are discussed.

Adult↗
PubMed1999

A functional analysis of hair pulling.

We experimentally assessed the functions of hair pulling and hair manipulation of a 19-year-old woman (Kris) with moderate mental retardation and cerebral palsy. In Phase 1 a functional analysis revealed that Kris pulled and manipulated hair for the greatest amount of time in the alone condition, suggesting that the behaviors were maintained by some form of automatic reinforcement (Vaughan & Michael, 1982). In Phase 2 we assessed the nature of the sensory stimulation that maintained hair pulling by providing continuous access to previously pulled or cut hair and, thereafter, by having Kris wear a rubber glove. The results suggested that hair pulling was maintained by digital-tactile stimulation (automatic positive reinforcement). These findings are discussed, and recommendations for further analyses of automatically reinforced habit behaviors are provided.

Adult↗
PubMed1999

Augmenting simplified habit reversal in the treatment of oral-digital habits exhibited by individuals with mental retardation.

We investigated whether a simplified habit reversal treatment eliminates fingernail biting and related oral-digital habits exhibited by individuals with mild to moderate mental retardation. Although simplified habit reversal did little to decrease the target behaviors for 3 of 4 participants, simplified habit reversal plus additional treatment procedures decreased the behavior to near-zero levels for all participants. These procedures included remote prompting, remote contingencies involving differential reinforcement plus response cost, and differential reinforcement of nail growth. Limitations of habit reversal for individuals with mental retardation along with directions for future research involving therapist-mediated treatment procedures, particularly those involving remote prompting and remote contingencies, are discussed.

Adult↗
PubMed1999

Training and generalization of sexual abuse prevention skills for women with mental retardation.

Previous research has shown that behavioral skills training to teach sexual abuse prevention skills to women with mental retardation results in skill acquisition but poor generalization. In this investigation we evaluated procedures for enhancing generalization following training. Five women with mental retardation received 10 behavioral skills training sessions followed by in situ training when the skills did not fully generalize. Behavioral skills training resulted in skill acquisition and in situ training produced generalized responding during naturalistic assessments.

Adult↗
PubMed1998

A review of behavioral and pharmacological treatments for habit disorders in individuals with mental retardation.

This paper reviews the prevalence and behavioral and pharmacological treatment-outcome studies for habit disorders exhibited by individuals with mental retardation. The treatment-outcome studies target the habit disorders identified previously by researchers including nervous habits (nail biting, bruxism, and trichotillomania), motor and vocal tics, and Tourette's disorder. The paucity of behavioral treatments and the lack of controlled pharmacological research warrants further experimental evaluation of treatments for habit disorders affecting individuals with mental retardation. Conclusions and recommendations for future research are made.

Behavior Therapy↗
PubMed1998

Brief application of simplified habit reversal to treat stuttering in children.

We evaluated a brief therapy protocol involving the simplified regulated breathing method as a treatment for stuttering in children. The simplified treatment included awareness training, competing response training, and social support. Treatment was implemented in a multiple baseline across subjects design for 5 boys between the ages of 5 and 11. Each child received a 1 h treatment session, and 1/2 h booster sessions as needed. Four of the 5 children reduced their stuttering to less than 3% stuttered words (the criterion for successful treatment) after one 1 h treatment session. These results were maintained for 3 of the subjects from 6 to 9 months posttreatment. Social validity measures revealed significant differences between ratings on baseline and posttreatment speech samples. Treatment acceptability and credibility measures indicated that the subjects' guardians found the simplified regulated breathing method a reasonable treatment for stuttering in children.

Behavior Therapy↗
PubMed1998

Simplified habit reversal treatment for chronic hair pulling in three adolescents: a clinical replication with direct observation.

Three developmentally normal adolescents with chronic hair pulling were treated with a simplified habit reversal procedure consisting of awareness training, competing response training, and social support. Treatment resulted in an immediate reduction to near-zero levels of hair pulling, with one to three booster sessions required to maintain these levels. The results were maintained from 18 to 27 weeks posttreatment, although 1 participant reported difficulty at follow-up. The effectiveness of simplified habit reversal and suggestions for future research are discussed.

Awareness↗
PubMed1998

Applying behavior analysis to clinical problems: review and analysis of habit reversal.

This article provides a review and analysis of habit reversal, a multicomponent procedure developed by Azrin and Nunn (1973, 1974) for the treatment of nervous habits, tics, and stuttering. The article starts with a discussion of the behaviors treated with habit reversal, behavioral covariation among habits, and functional analysis and assessment of habits. Research on habit reversal and simplified versions of the procedure is then described. Next the article discusses the limitations of habit reversal and the evidence for its generality. The article concludes with an analysis of the behavioral processes involved in habit reversal and suggestions for future research.

Awareness↗
PubMed1998

Augmenting simplified habit reversal with an awareness enhancement device: preliminary findings.

The chronic hair pulling of a 36-year-old woman with moderate mental retardation was initially treated with a simplified habit-reversal (SHR) procedure that consisted of awareness training, competing response training, and social support. When SHR did not produce large and sustained reductions in hair pulling, an awareness enhancement device was added, and it reduced hair pulling to near-zero levels in two settings. The results are discussed, and directions for future research with this device are provided.

Adult↗
PubMed1998

Evaluation of a sexual abuse prevention program for adults with mental retardation.

Programs to teach sexual abuse prevention skills to persons with mental retardation have rarely been evaluated empirically, and typical evaluations are limited to assessment of the participants' knowledge rather than their performance of specific skills. In the present study, 6 adult women with mental retardation were trained in sexual abuse prevention, and performance was assessed using four separate measures: pretests and posttests of knowledge, verbal report, role play, and naturalistic probes. All women learned the skills but failed to exhibit them to criterion during the probes. We discuss the implications for further training and assessment of sexual abuse prevention skills.

Adult↗
PubMed1997

Sexual abuse prevention for persons with mental retardation.

The problem of sexual abuse among persons with mental retardation, skills for preventing sexual abuse, and methods for assessing prevention skills were discussed. Because very little research on teaching sexual abuse prevention skills exists, research on abduction prevention programs for persons with mental retardation as well as on sexual abuse prevention programs for children, was reviewed. Suggestions for future research in the area of sexual abuse prevention for persons with mental retardation were discussed.

Adolescent↗
PubMed1996

Simplified treatment and long term follow-up for stuttering in adults: a study of two cases.

A simplified treatment for stuttering, involving awareness and competing response training, was implemented with two adult stutterers. The procedures resulted in a decrease in stuttering during reading and conversation for both subjects, although only one subject achieved the criterion of less than 3% stuttered words. Long-term follow up (1.5 years and 2 years 3 months) indicated that gains were maintained by one subject while stuttering increased somewhat for the other subject. Both subjects rated the treatment as acceptable and credible and indicated satisfaction with the results. Social validity ratings indicated greatly improved fluency from baseline to post-treatment.

Adult↗