ABSTRACT

As individuals with autism spectrum disorder (ASD) transition to adulthood, problem behavior may present restrictions to an independent lifestyle. In addition, problem behavior may interfere with performance of daily routines necessary for independent living. We developed a successful treatment for automatically reinforced toilet lid destruction of an adolescent with ASD during routine bathroom visits. The treatment was informed by a competing stimulus assessment (CSA) that identifies a preferred stimulus, the presentation of which is intended to compete with automatic reinforcement of problem behavior. Results indicated that access to the competing stimulus reduced the participant’s toilet lid destruction while in the bathroom, and these treatment gains maintained during long term follow-up visits.

摘要

随着患有自闭症谱系障碍（ASD）的人过渡到成年期，问题行为可能会限制独立生活方式的发展。此外，有问题的行为可能会干扰独立生活所必需的日常工作。我们开发了一种成功的治疗方法，可以在例行洗手间自动破坏ASD青少年的马桶盖。该治疗由竞争性刺激评估（CSA）决定，该刺激性评估确定了首选刺激，该刺激的表述旨在与自动增强问题行为相竞争。结果表明，使用竞争性刺激减少了参与者在浴室时马桶盖的破坏，并且在长期的随访中这些治疗效果得以保持。