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Controlling extremely dangerous aggressive outbursts when functional analysis fails.

J R Dura1

  • 1Department of Psychology, Bowling Green State University, OH 43403.

Psychological Reports
|October 1, 1991
PubMed
Summary

This study details an effective treatment for dangerous aggression in a multiply handicapped child. Combining differential reinforcement and restraint successfully eliminated aggressive incidents, ensuring long-term safety.

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Area of Science:

  • Behavioral Psychology
  • Developmental Disabilities
  • Clinical Interventions

Background:

  • Addressing severe aggression in children with multiple disabilities presents significant challenges.
  • Case study focuses on an 11-year-old blind, multiply handicapped, and profoundly mentally retarded girl with dangerous aggressive behavior.

Observation:

  • The patient exhibited extremely dangerous aggressive behavior, injuring others despite a lack of clear antecedents.
  • Functional analysis did not identify predictable triggers for aggression.

Findings:

  • A treatment program utilizing punishment to establish a superordinate contingency was implemented.
  • Differential reinforcement of alternative behavior (DRA) combined with contingent restraint effectively reduced and eliminated aggression.

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  • Follow-up confirmed the sustained absence of aggressive behavior.

    • Implications:

    • The findings support the efficacy of behavioral interventions for severe aggression in complex pediatric cases.
    • Highlights the importance of balancing research methodology with ethical considerations and the right to effective treatment.
    • Demonstrates the social validity of the intervention in achieving long-term behavioral change.