Document Detail


Noncontingent attention for the treatment of excessive medical complaints in a medically fragile man with mental retardation.
MedLine Citation:
PMID:  10939319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
L P Hagopian; L A LeBlanc; K A Maglieri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Research in developmental disabilities     Volume:  21     ISSN:  0891-4222     ISO Abbreviation:  Res Dev Disabil     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2000-11-27     Completed Date:  2000-12-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709782     Medline TA:  Res Dev Disabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  215-21     Citation Subset:  IM    
Affiliation:
The Johns Hopkins University School of Medicine, Baltimore, MD 21218, USA.
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MeSH Terms
Descriptor/Qualifier:
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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