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Journal of Applied Behavior Analysis logoLink to Journal of Applied Behavior Analysis
. 1990 Spring;23(1):53–78. doi: 10.1901/jaba.1990.23-53

Clinical evaluation of the self-injurious behavior inhibiting system (SIBIS).

T R Linscheid 1, B A Iwata 1, R W Ricketts 1, D E Williams 1, J C Griffin 1
PMCID: PMC1286211  PMID: 2335486

Abstract

Five cases involving the treatment of longstanding, severe, and previously unmanageable self-injurious behavior are presented. In each case, the behavior was forceful contact with the head or face, and treatment consisted of mild and brief contingent electrical stimulation, delivered automatically or by a therapist, via the Self-Injurious Behavior Inhibiting System. Results of reversal and/or multiple baseline designs, in which sessions ranged in duration from 10 min to all day across a variety of settings, showed that the effects of the system were immediate and produced almost complete elimination of the self-injurious behavior. Controlled and anecdotal follow-up data for four of the five cases suggest continuing benefits and the absence of detrimental side effects associated with treatment. Potential applications of the device, as well as extensions and limitations, are discussed.

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Selected References

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  1. Birnbrauer J. S. Generalization of punishment effects-a case study. J Appl Behav Anal. 1968 Fall;1(3):201–211. doi: 10.1901/jaba.1968.1-201. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Carr E. G., Newsom C. D., Binkoff J. A. Escape as a factor in the aggressive behavior of two retarded children. J Appl Behav Anal. 1980 Spring;13(1):101–117. doi: 10.1901/jaba.1980.13-101. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carr E. G. The motivation of self-injurious behavior: a review of some hypotheses. Psychol Bull. 1977 Jul;84(4):800–816. [PubMed] [Google Scholar]
  4. Corte H. E., Wolf M. M., Locke B. J. A comparison of procedures for eliminating self-injurious behavior of retarded adolescents. J Appl Behav Anal. 1971 Fall;4(3):201–213. doi: 10.1901/jaba.1971.4-201. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Griffin J. C., Williams D. E., Stark M. T., Altmeyer B. K., Mason M. Self-injurious behavior: a state-wide prevalence survey of the extent and circumstances. Appl Res Ment Retard. 1986;7(1):105–116. doi: 10.1016/0270-3092(86)90022-6. [DOI] [PubMed] [Google Scholar]
  6. Iwata B. A., Pace G. M., Kalsher M. J., Cowdery G. E., Cataldo M. F. Experimental analysis and extinction of self-injurious escape behavior. J Appl Behav Anal. 1990 Spring;23(1):11–27. doi: 10.1901/jaba.1990.23-11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lang P. J., Melamed B. G. Avoidance conditioning therapy of an infant with chronic ruminative vomiting. J Abnorm Psychol. 1969 Feb;74(1):1–8. doi: 10.1037/h0027077. [DOI] [PubMed] [Google Scholar]
  8. Lennox D. B., Miltenberger R. G., Spengler P., Erfanian N. Decelerative treatment practices with persons who have mental retardation: a review of five years of the literature. Am J Ment Retard. 1988 May;92(6):492–501. [PubMed] [Google Scholar]
  9. Lichstein K. L., Schreibman L. Employing electric shock with autistic children. A review of the side effects. J Autism Child Schizophr. 1976 Jun;6(2):163–173. doi: 10.1007/BF01538060. [DOI] [PubMed] [Google Scholar]
  10. Lovaas O. I., Simmons J. Q. Manipulation of self-destruction in three retarded children. J Appl Behav Anal. 1969 Fall;2(3):143–157. doi: 10.1901/jaba.1969.2-143. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lundervold D., Bourland G. Quantitative analysis of treatment of aggression, self-injury, and property destruction. Behav Modif. 1988 Oct;12(4):590–617. doi: 10.1177/01454455880124006. [DOI] [PubMed] [Google Scholar]
  12. Mace F. C., Knight D. Functional analysis and treatment of severe pica. J Appl Behav Anal. 1986 Winter;19(4):411–416. doi: 10.1901/jaba.1986.19-411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Maisto C. R., Baumeister A. A., Maisto A. A. An analysis of variables related to self-injurious behaviour among institutionalised retarded persons. J Ment Defic Res. 1978 Mar;22(1):27–36. doi: 10.1111/j.1365-2788.1978.tb00960.x. [DOI] [PubMed] [Google Scholar]
  14. Pace G. M., Ivancic M. T., Edwards G. L., Iwata B. A., Page T. J. Assessment of stimulus preference and reinforcer value with profoundly retarded individuals. J Appl Behav Anal. 1985 Fall;18(3):249–255. doi: 10.1901/jaba.1985.18-249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Pace G. M., Iwata B. A., Edwards G. L., McCosh K. C. Stimulus fading and transfer in the treatment of self-restraint and self-injurious behavior. J Appl Behav Anal. 1986 Winter;19(4):381–389. doi: 10.1901/jaba.1986.19-381. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Repp A. C., Felce D., Barton L. E. Basing the treatment of stereotypic and self-injurious behaviors on hypotheses of their causes. J Appl Behav Anal. 1988 Fall;21(3):281–289. doi: 10.1901/jaba.1988.21-281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Risley T. R. The effects and side effects of punishing the autistic behaviors of a deviant child. J Appl Behav Anal. 1968 Spring;1(1):21–34. doi: 10.1901/jaba.1968.1-21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Romanczyk R. G., Goren E. R. Severe self-injurious behavior: the problem of clinical control. J Consult Clin Psychol. 1975 Oct;43(5):730–739. doi: 10.1037//0022-006x.43.5.730. [DOI] [PubMed] [Google Scholar]
  19. Schroeder S. R., Schroeder C. S., Smith B., Dalldorf J. Prevalence of self-injurious behaviors in a large state facility for the retarded: a three-year follow-up study. J Autism Child Schizophr. 1978 Sep;8(3):261–269. doi: 10.1007/BF01539629. [DOI] [PubMed] [Google Scholar]
  20. Steege M. W., Wacker D. P., Berg W. K., Cigrand K. K., Cooper L. J. The use of behavioral assessment to prescribe and evaluate treatments for severely handicapped children. J Appl Behav Anal. 1989 Spring;22(1):23–33. doi: 10.1901/jaba.1989.22-23. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Sturmey P., Carlsen A., Crisp A. G., Newton J. T. A functional analysis of multiple aberrant responses: a refinement and extension of Iwata et al.'s (1982) methodology. J Ment Defic Res. 1988 Feb;32(Pt 1):31–46. doi: 10.1111/j.1365-2788.1988.tb01386.x. [DOI] [PubMed] [Google Scholar]
  22. Tate B. G., Baroff G. S. Aversive control of self-injurious behavior in a psychotic boy. Behav Res Ther. 1966 Nov;4(4):281–287. doi: 10.1016/0005-7967(66)90024-6. [DOI] [PubMed] [Google Scholar]
  23. Touchette P. E., MacDonald R. F., Langer S. N. A scatter plot for identifying stimulus control of problem behavior. J Appl Behav Anal. 1985 Winter;18(4):343–351. doi: 10.1901/jaba.1985.18-343. [DOI] [PMC free article] [PubMed] [Google Scholar]

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