Teaching clerical support staff effective techniques for dealing with behavioral problem patients.
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We evaluated the separate treatment components of a functional communication training program for 3 severely handicapped persons who each displayed different topographies of aberrant behavior. Following a functional analysis of maintaining conditions for inappropriate behavior (self-injury, stereotypy, aggression), each participant was trained to emit a communicative response that functioned to solicit reinforcement. For 2 participants, consequences (time-out or graduated guidance) for inappropriate behavior were also included. Treatment continued until the participants emitted the communicative response independently and no occurrences of inappropriate behavior were observed for at least two sessions. Following treatment, the separate contributions of the treatment components for communicative responding and for inappropriate behavior were evaluated with a reversal design. The results indicated that both sets of treatment components were necessary for maximal control over aberrant behavior. These results are discussed in relation to the efficiency, history, and control over reinforcement of both appropriate and inappropriate responses.
We have studied the effectiveness of a neuroleptic, sultopride, in difficult patients with mental impairment and severe disorders of behavior and character. Twenty patients were entered into the study. Specific items were evaluated one week, two months and four months after initiation of treatment. Disorders of character abated quickly and significantly. Tolerance was satisfactory. Overall results were satisfactory in 75% of patients, with 55% good and 20% very good responses. Failures were recorded in patients with associated disorders of personality and affect.
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