Cited by 198Behavioral and Psychological StudiesAutism Spectrum Disorder ResearchChild Nutrition and Feeding Issues

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A Review of Behavioral Treatments for Self-Injurious Behaviors of Persons With Autism Spectrum Disorders

Matson, Johnny L., LoVullo, Santino V.·2008·Behavior Modification

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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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“Nonetheless, function-based behavioral interventions have been effective at reducing the frequency of SIB in many cases (Iwata, Dorsey, Slifer, Bauman, & Richman, 1994; Kahng, Iwata, & Lewin, 2002; Matson & LoVullo, 2008).”
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“Other researchers have also included hair pulling and eye poking as forms of SIB (e.g., Berkson, Tupa, & Sherman 2001; Berkson, 2002; Matson & LoVullo, 2008).”
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“Behavior-analytic interventions have been shown to be highly efficacious for decreasing SIB and increasing appropriate behaviors (Erturk et al., 2018; Matson & LoVullo, 2008; Minshawi et al., 2015; Morano et al., 2017).”

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
DOI: 10.1177/0145445507304581
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
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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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A Review of Behavioral Treatments for Self-Injurious Behaviors of Persons With Autism Spectrum Disorders

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