Behavioral Interventions to Reduce the Pica of Persons with Developmental Disabilities

Author:

McAdam David B.1,Sherman James A.,Sheldon Jan B.2,Napolitano Deborah A.1

Affiliation:

1. Bancroft Neuro Health

2. The University of Kansas

Abstract

The consumption of nonfood items (i. e., pica) frequently occurs in persons with developmental disabilities. Pica may result in the puncture or blockage of the digestive tract, infestation by gastrointestinal parasites, and can interfere with an individual’s daily learning, occupational performance, and quality of life. Twenty-six published studies have examined the efficacy of behavioral-intervention packages (e. g., differential reinforcement of other behavior, noncontingent attention, or overcorrection) on the pica of persons with developmental disabilities. This article reviews those studies and discusses the effectiveness, generality, and acceptability of the various intervention packages used to reduce pica. Additionally, this article highlights the recent clinical advancements that have been made in the treatment of the pica of persons with developmental disabilities.

Publisher

SAGE Publications

Subject

Arts and Humanities (miscellaneous),Clinical Psychology,Developmental and Educational Psychology

Reference44 articles.

1. Albin, J. B. (1977). The treatment of pica (scavenging) behavior in the retarded: A critical analysis and implications for research. Mental Retardation, 15, 14-17.

2. Ausman, J., Ball, T. S. & Alexander, D. (1974). Behavior therapy of pica with a profoundly retarded adolescent. Mental Retardation, 12, 16-18.

3. FIXED-RATIO PUNISHMENT1

4. Behavioral treatments for pica: A review of empirical studies

5. The long-term treatment of life-threatening pica: A case study of a woman with profound mental retardation living in an applied setting

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