Fitting In Clinical Applications 4

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Strategy Choice-making intervention for restrictive behaviors (Fisher et al., 2019) Choice-making intervention for restrictive behaviors (Fisher et al., 2019)
Description of implementation and outcomes

Increase reinforcement for preferred/ alternate choice
  • Implementation is graduated ensuring the least-restrictive intervention, beginning with the asymmetrical choice condition. It is possible, but unlikely, that the intervention will not need to advance any further.
  • Physical prompting is used and also escape extinction, which will require the learner to remain in the chair for the duration of the interval. If problem behavior occurs, the trial intervals might be lessened to minimize the use of escape extinction.
  • A highly desired reinforcer, such as a tablet, will need to be used.
Possible clinical obstacles

refusal of choice
  • Fading the reinforcer may present an obstacle.
  • Generalization to natural contexts is unknown.
  • The alternative choice could become the new restrictive behavior (alternating alternative choice options may avoid this issue).