Eight young adults (ages 19-39) with autism were given the opiate antagonist naltrexone to control self-injurious behavior and maladaptive idiosyncratic mannerisms. Although one subject appeared to have partial decreases in maladaptive behaviors, the drug did not clearly reduce the self-injurious and other maladaptive behaviors of the subjects.…

Explores four types of intervention available in treating self-injurious behavior (SIB). One effective, although controversial, treatment in reducing SIB involves use of Self-Injurious Behavior Inhibiting System (SIBIS), a device which delivers a mild electric shock following a blow to the head. Reviews and explains the ethical and legal issues…

This commentary uses self-injurious behavior to illustrate the approach of the functional analysis of behavior as a guide to rational treatment strategies for individuals with autism, and to show that the characteristics of the clinical presentations can provide clues for underlying mechanisms that can be used for research and treatment. (Contains…

When used within a comprehensive positive behavioral support program, the CPI Postvention model can serve as a facilitation tool, guiding staff through functional behavioral assessment for individuals with Autism Spectrum Disorder. Challenging behavior is defined as behavior of such intensity, frequency, or duration that the physical safety of the…

Background: Embedded instruction and discrete-trial training are both recommended for teaching children with autism, but there is little research available comparing the two. The present study compared embedded instruction with discrete-trial training for a 12-year-old boy with autism. Method: An initial functional analysis indicated that the…

Objective: Compares DSM-IV ADHD subtypes in large samples of 3-to-5 and 6-to-12 year old children with pervasive developmental disorder (PDD) vs. nonPDD clinic referrals. Method: Parents and teachers completed a DSM-IV-referenced rating scale. Results: ADHD subtypes were clearly differentiated from the nonADHD group and showed a differential…

The use of operant procedures was extended to decrease immediate echolalia and increase appropriate responding to questions of a 21-year-old autistic man. Multiple baseline designs demonstrated that echolalia was rapidly replaced with correct stimulus-specific responses. A variety of generalized improvements were observed in verbal responses to…

The 15 chapters in this book address behavioral approaches to the assessment of youth with emotional and/or behavioral disorders. Chapters have the following titles and authors: (1) "Behavioral Assessment: An Overview" (Catherine Stanger); (2) "Legal and Ethical Issues in the Educational Assessment and Programming for Youth with…

In this study, 11 males with autism and mental retardation were administered risperidone. Substantial clinical improvement was noted almost immediately; patients with aggression, self-injury, explosivity, and poor sleep hygiene were most improved. The modal dose for optimal response was 0.5 mg bid. Weight gain was a significant side effect.…

The report describes the successful treatment of trichotillomania (compulsive hair pulling) in a mentally retarded 11-year-old boy with autism and severe mental retardation. Administration of haloperidol resulted in complete cessation of hair pulling which reappeared when the dosage was decreased and ceased again when dosage was reestablished. (DB)

A study investigated the impact of rhythmic entrainment on an 11-year-old girl with autism who engaged in head jerking and screaming. Rhythmic entrainment intervention was more effective when she exhibited behavior that resulted from a moderate level of stress and less effective when stressors were more severe. (CR)

This study evaluated a strategy for reducing severe problem behavior in an employment situation for three adults with mental retardation and autism. The strategy involved intervention based on hypotheses about the problem behavior's maintaining variables, multiple component intervention, and evaluation using a measure of latency to problem…

A study compared specific repetitive behaviors in 32 adults with autism with 34 controls with mental retardation. The occurrence of each behavior category, except dyskinesias, was higher in individuals with autism and they showed a greater number of topographies of stereotypy and compulsions. Repetitive behavior severity also predicated autism…

The present study investigated the relationship between behaviours exhibited by children with pervasive developmental disorders, particularly autism, and maternal stress levels. Participants consisted of 60 mothers who had a child diagnosed with a pervasive developmental disorder by an independent practitioner using DSM-IV criteria. Children were…

Objective: The short-term benefit of risperidone in ameliorating severe disruptive behavior in pediatric patients with autism spectrum disorders is well established; however, only one placebo-controlled, long-term study of efficacy is available. Method: Thirty-six children with an autism spectrum disorder (5-17 years old) accompanied by severe…