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Noncontingent reinforcement and competing stimuli in the treatment of pseudoseizures and destructive behaviors
Author(s) -
DeLeon Iser G.,
Uy Michelle,
Gutshall Katharine
Publication year - 2005
Publication title -
behavioral interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.605
H-Index - 34
eISSN - 1099-078X
pISSN - 1072-0847
DOI - 10.1002/bin.192
Subject(s) - psychology , reinforcement , developmental psychology , seizure disorders , epilepsy , neuroscience , audiology , clinical psychology , social psychology , medicine
Individuals diagnosed with epilepsy have sometimes also been observed to display ‘pseudoseizures’, or clinical events that mimic those observed during epileptic seizures, but are not associated with abnormal cortical electrical discharges. Several investigators have hypothesized that pseudoseizures, in some proportion of those individuals that display them, may be maintained through operant contingencies. In the present study, this sort of hypothesis was tested in a 10‐year‐old boy with severe mental retardation and a seizure disorder. Informal observations, and later, response‐reinforcer contingencies, revealed that the pseudoseizures, as well as other destructive behaviors, occurred at high rates when they resulted in attention from caregivers. Subsequently, a treatment package consisting of noncontingent reinforcement (NCR) and competing stimuli was used to decrease levels of seizure‐like activity and other problem behaviors. This study adds to the literature that suggests that seizure‐like activity may come under operant control and extends the use of NCR and competing stimuli to a novel target behavior. Copyright © 2005 John Wiley & Sons, Ltd.