Briggs Adam M, Fisher Wayne W, Greer Brian D, Kimball Ryan T
University of Nebraska Medical Center's Munroe-Meyer Institute.
J Appl Behav Anal. 2018 Jul;51(3):620-633. doi: 10.1002/jaba.472. Epub 2018 May 17.
Functional communication training is a well-established treatment for socially reinforced destructive behavior that typically includes differential reinforcement of the functional communication response (FCR) in combination with extinction of destructive behavior. However, when the schedule of reinforcement for the FCR is thinned, destructive behavior may resurge (e.g., Greer, Fisher, Saini, Owen, & Jones, 2016). Currently, data are unavailable on the prevalence and characteristics of resurgence during reinforcement schedule thinning. In this study, we evaluated the prevalence of resurgence during reinforcement schedule thinning on a per-case and per-schedule-step basis and also evaluated the magnitude of resurgence in relation to the functions of destructive behavior. We observed resurgence in 19 of the 25 (76%) applications of reinforcement schedule thinning. In some cases, the magnitude of resurgence exceeded the mean levels of destructive behavior observed in baseline. We discuss these results relative to prior translational and applied research on resurgence.
功能性沟通训练是一种针对社会强化的破坏性行为的成熟治疗方法，通常包括对功能性沟通反应（FCR）进行差别强化，并结合对破坏性行为的消退。然而，当FCR的强化程序变稀疏时，破坏性行为可能会再次出现（例如，Greer、Fisher、Saini、Owen和Jones，2016年）。目前，关于强化程序变稀疏期间再次出现的发生率和特征的数据尚不可得。在本研究中，我们在每个案例和每个程序步骤的基础上评估了强化程序变稀疏期间再次出现的发生率，并评估了再次出现的程度与破坏性行为功能的关系。我们在25次强化程序变稀疏的应用中有19次（76%）观察到了再次出现。在某些情况下，再次出现的程度超过了基线期观察到的破坏性行为的平均水平。我们将相对于之前关于再次出现的转化研究和应用研究来讨论这些结果。
