Treatment of compulsive rituals with visual screening: A case study with long-term follow-up |
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Authors: | Rowland P. Barrett Robert W. Staub Lori A. Sisson |
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Affiliation: | Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, U.S.A. |
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Abstract: | The present study reports on the use of visual screening, a mildly aversive response suppression procedure, as a treatment for reducing compulsive behaviors in a four and one-half year-old developmentally disabled boy. Two distinct patterns of compulsive responding were observed: repetitive (stereotyped) shoe-related behaviors and a ritualistic shoe-related act. The effect of visual screening on repetitive shoe-related responses was initially evaluated in a laboratory setting under A-B-A-B-B1 experimental conditions and systematically extended to the classroom setting in multiple baseline fashion. Visual screening was also contingently applied as treatment for the shoe-related ritual, with the effects analyzed using a similar multiple baseline format across hospital residential unit and natural home settings. Results of the study indicated that visual screening was an effective treatment for suppressing both forms of the subject's compulsive responding and that it was an easily learned and administered procedure from both staff and parent perspectives. Follow-up data across 12 months were obtained and indicated that the effect of treatment was exceptionally durable. |
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Keywords: | Requests for reprints should be addressed to Rowland P. Barrett Ph.D. The John Merck Program for Multiply Disabled Children Western Psychiatric Institute and Clinic University of Pittsburgh School of Medicine 3811 O'Hara Street Pittsburgh PA 15213 U.S.A.. |
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