A Review of Behavioral Treatments for Self-Injurious Behaviors of Persons With Autism Spectrum Disorders
Abstract
Autism spectrum disorders (ASD) are considered to be among the most serious of the mental health conditions. Concomitant with many cases of ASD is intellectual disability. Further compounding the disability is the fact that both conditions are known risk factors for self-injurious behavior (SIB). To date, the most effective intervention methods, based on the available data, appear to be variants of behavior modification. This article provides an overview of the current status of learning-based interventions for SIB in ASD and provides a review of specific studies. Although most studies describe some combination of reinforcement and punishment procedures, efforts are under way to develop more positively oriented strategies, such as functional assessment, to decrease the use of punishment. However, almost all the treatment studies employ single case designs, thus preventing a comparison of treatment efficacy. These issues are discussed along with other strengths, weaknesses, and future directions for clinical practice and treatment.
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These self-injurious behaviours appear to differ in nature from NSSI in typically developing populations: they occur in front of others without attempts to disguise them, being most commonly associated with intellectual disability and severe receptive and expressive language deficits.
“These self-injurious behaviours, which have been the focus of autism research in children and adults [12–14], appear to differ in nature from NSSI in the typically developing populations: they occur in front of others without attempts to disguise them, being most commonly associated with intellectual disability and severe receptive and expressive language deficits.”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [14]
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Self-citationFactor Structure of the Autism Spectrum Disorders-Diagnostic for Children (ASD-DC)
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Gender effects on challenging behaviors in children with autism spectrum disorders
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Self-citationWhy are there so many unsubstantiated treatments in autism?
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- Authors
- Matson, J. L., & LoVullo, S. V.
- Affiliations
- Louisiana State University (US)
- ORCID
- Matson, Johnny L.
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2008-01
- Volume
- 32
- Issue
- 1
- Pages
- 61-76
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2023686336
- Cited by
- 198
- References
- 92
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 5 · 2021: 10 · 2020: 4 · 2019: 10 · 2018: 10 · 2017: 13 · 2016: 5 · 2015: 6 · 2014: 26 · 2013: 24 · 2012: 19
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- Civil War Book Review (submittedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- self-harm, autism spectrum disorder, intellectual disability, behavioral interventions, reinforcement, punishment, functional assessment, positive reinforcement, single-case experimental design, treatment efficacy
- MeSH terms
- Autistic Disorder, Behavior Therapy, Humans, Intellectual Disability, Punishment, Reinforcement, Psychology, Self-Injurious Behavior, Evidence-Based Medicine
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