| How does this new information regarding the origins of the behavior change the intervention? |
|---|
Teach functional communication to gain attention or non contingency reinforcement |
.Provide periods of non contingent attention |
Teach Tara new ways to engage in social interactions and to gain others attention |
The new information changes everything: Extinction is no longer appropriate — it retraumatizes Tara. Treatment should instead emphasize consistent, safe attention, functional communication training, and proactive reinforcement of alternative ways to get connection. The lens shifts from “stop self-injury” to “heal trauma, build trust, and teach safe communication.” |
NCR with attention |
use NCR with attention |
Schedule times throughout the day Tara will be "ignored." prime her and show visuals to her when that time will come. provide reinforcement for when she is successful. |
Provide her NCR reinforcemebnt and then DRA when seeking adult attention |
Provide non contingent attention prior to escalation of behaviors |
POsitive reinforcement with attention |
Try a DRA instead |
Provide attention at regular intervals |
Provide NCR in the form of attention continuously throughout the day and then reinforce other forms of behavior that are not self injury |
Attention |
remove extinction- based intervention and add NCR + FCT intervention for attention |
NCR wit attention |
Provide attention to Tara for behaviors incompatible with head hitting |
Provide non-contingent attention, teach FC for attention |
Changes the function of the behavior |
Given Tara’s history of neglect, extinction is contraindicated as it replicates past trauma. A trauma-informed approach would emphasize consistent, safe, and predictable access to attention, reinforce appropriate communication or coping behaviors, and ensure treatment builds trust rather than withholding connection. |
Remove extinction procedure, utilize NCR for attention and utilize FCT to teach Tara to request for attention appropriately. Gradually decrease NCR as Tara starts to utilize functional communication and appropriate coping strategies |
provide NCR |
Being ignored is a trigger. Treatment may need to be more compassionate |
Teach FCt responses and how to gain attention |
I would provide noncontingent reinforcement of attention and stop with the extinction method |
| How does this new information regarding the origins of the behavior change the intervention? |
