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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Using food aversion to decrease severe pica by a child with autism
Summer J Ferreri1, Lori Tamm, Kristin G Wier
1The Ohio State University, USA.
Insights
Food aversion therapy effectively reduced plastic pica in a young autistic boy, preventing digestive issues. The intervention also maintained appropriate toy play skills.
Area of Science:
- Behavioral science
- Developmental psychology
- Clinical psychology
Background:
- Pica, the compulsive consumption of non-food items, presents significant health risks, particularly in children with autism spectrum disorder (ASD).
- Plastic ingestion from toys can lead to severe digestive complications, necessitating effective interventions.
- Addressing pica is crucial for the well-being and developmental progress of children with ASD.
Observation:
- A 4-year-old boy diagnosed with autism exhibited plastic pica, leading to digestive problems.
- The child ingested plastic material from various toys.
- The behavior occurred during instructional periods in his preschool setting.
Findings:
- Food aversion therapy proved effective in significantly reducing the frequency of plastic pica.
- The intervention was successfully generalized across classroom settings and involved 25 teachers.
- Crucially, the therapy did not negatively impact the child's interaction with toys, preserving appropriate play skills.
Implications:
- Food aversion therapy offers a promising, non-restrictive approach to managing pica in children with autism.
- Successful generalization highlights the potential for widespread implementation in educational settings.
- Maintaining play skills alongside pica reduction is vital for holistic child development and treatment success.
Abstract:
Food aversion was shown to be effective in the reduction of plastic pica by a 4-year-old boy with autism. The participant was suffering from digestive complications due to the ingestion of plastic from a variety of toys. The intervention was initially conducted in the child's preschool classroom during instructional periods and was systematically generalized to the entire preschool classroom, and eventually to both classrooms within the preschool and across 25 teachers. The success of the intervention in decreasing pica was enhanced by its achievement in not reducing interactions with toys, considering appropriate play skills were a target goal.
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