| Noncontingent attention for the treatment of excessive medical complaints in a medically fragile man with mental retardation. | |
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MedLine Citation:
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PMID: 10939319 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Providing medical care to individuals with developmental disabilities who have medical problems may pose several challenges with regard to accurate and reliable report of symptoms. In addition, medical complaints may take on operant functions such as an attention function or an escape function as a result of the natural consequences in the environment. It may be difficult to withhold reinforcers for medical complaints such as attention or escape, making a standard analog functional analysis or extinction-based intervention less appropriate. Recent studies have shown that noncontingent reinforcement without extinction and noncontingent reinforcement using alternative reinforcers can be effective in reducing problem behavior. One practical implication of these findings is that noncontingent reinforcement may be an appropriate treatment in cases where the reinforcer responsible for behavioral maintenance cannot be identified or withheld. In the current study, attention served as a reinforcer for a young man with medical complaints and noncontingent attention without ignoring effectively reduced the participant's excessive medical complaints. |
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Authors:
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L P Hagopian; L A LeBlanc; K A Maglieri |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Research in developmental disabilities Volume: 21 ISSN: 0891-4222 ISO Abbreviation: Res Dev Disabil Publication Date: 2000 May-Jun |
Date Detail:
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Created Date: 2000-11-27 Completed Date: 2000-12-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8709782 Medline TA: Res Dev Disabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 215-21 Citation Subset: IM |
Affiliation:
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The Johns Hopkins University School of Medicine, Baltimore, MD 21218, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attention Health Status* Humans Male Mental Retardation / complications, psychology* Patient Satisfaction Physician-Patient Relations* Reinforcement (Psychology) Somatoform Disorders / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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