Fitting In Clinical Applications 4

Your response Response suggestion
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

Present Michael with the option to wear his winter outfit with and without the winter accessories. If he chooses to wear the winter accessories, he can access a reward as a reinforcer. If he is not selecting the winter accessories prompt, then only provide that as a choice if needed.

  • 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

You may have to continue training and move to a restricted 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).