Abstract
Vision is one of the most essential and powerful faculties of organisms, and it seems intuitively plausible that interfering with it and denying it, even if only temporarily, must have a profound impact on a person’s behavior. Systematically blocking a client’s vision has played a small but important role in the treatment of behavior problems in persons with mental retardation particularly their self-injurious behavior (SIB). Visual occlusion as a mechanism of behavioral intervention can be used in two functionally different modes: Either it is administered contingent upon the target behavior, as in facial or visual screening, or independent of the target behavior, as in sensory extinction. Both application modes are covered in this chapter. A literature review uncovered a total of 12 papers1 on the treatment of SIB utilizing visual occlusion. In order to base our conclusions regarding visual occlusion techniques on a large enough sample, studies focusing on behavior problems other than SIB were included as well. This increased the number of articles to 31. Of these, 29 papers involved contingent visual occlusion, and only two employed visual sensory extinction. Naturally, the emphasis of this chapter is on contingent visual occlusion.
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References
Apsche, J., Bacevich, R., Axelrod, S., & Keach, S. ( 1978, April). Use of an Eyescreen (Blindfold) as a Timeout Procedure. Paper presented at the 11th annual Gatlinburg Conference on Mental Retardation, Gatlinburg, TN.
Barmann, B. C., & Murray, W. J. (1981). Suppression of inappropriate sexual behavior by facial screening. Behavior Therapy, 12, 730–735.
Barmann, B. C., & Vitali, D. L. (1982). Facial screening to eliminate trichotillomania in developmentally disabled persons. Behavior Therapy, 13, 735–724.
Barrett, R. P., Matson, J. L., Shapiro, E. S., & Ollendick, T. H. (1981). A comparison of punishment and DRO procedures for treating stereotypic behavior of mentally retarded children. Applied Research in Mental Retardation, 2, 247–256.
Barrett, R. P., Staub, R. W., & Sisson, L. A. (1983). Treatment of compulsive rituals with visual screening: A case study with long-term follow-up. Journal of Behaviour Therapy and Experimental Psychiatry, 14, 55–59.
Birnbrauer, J. S. (1968). Generalization of punishment effects-A case study. Journal of Applied Behavior Analysis, 1, 201–211.
Borreson, P. M. (1980). The elimination of a self-injurious avoidance response through a forced running consequence. Mental Retardation, 18, 73–77.
Carr, E., & Durand, V. M. (1985). Reducing behavioral problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126.
Corte, H. E., Wolf, M. M., & Locke, B. J. (1971). A comparison of procedures for eliminating self-injurious behavior of retarded adolescents. Journal of Applied Behavior Analysis, 4, 201–213.
Demetral, G. D., & Lutzker, J. R. (1980). The parameters of facial screening in treating self-injurious behavior. Behavior Research in Severe Developmental Disabilities, 1, 261–277.
Dick, D. M., & Jackson, H. J. (1983). The reduction of stereotypic screaming in a severely retarded boy through a visual screening procedure. Journal of Behaviour Therapy and Experimental Psychiatry, 14, 363–367.
Dixon, J. M., Helsel, W. J., Rojahn, J., Cipollone, R., & Lubetzky, M. J. (1989). Aversive conditioning of visual screening with aromatic ammonia for treating aggressive and disruptive behavior in a developmentally disabled child. Behavior Modification, 13, 91–107.
Dorsey, M. F., Iwata, B. A., Ong, P., & McSween, T. E. (1980). Treatment of self-injurious behavior using water mist: Initial response suppression and generalization. Journal of Applied Behavior Analysis, 13, 343–354.
Favell, J. E., McGimsey, J. F., & Jones, M. L. (1978). The use of physical restraint in the treatment of self-injury and as positive reinforcement. Journal of Applied Behavior Analysis, 11, 225–241.
Giles, D. K., & Wolf, M. M. (1966). Toilet training institutionalized, severe retardates: An application of operant behavior modification techniques. American Journal of Mental Deficiency, 70, 766–780.
Gross, A. M., Farrar, M. J., & Liner, D. (1982). Reduction of trichotillomania in a retarded cerebral palsied child using overcorrection, facial screening, and differential reinforcement of other behavior. Education and Treatment of Children, 5, 133–140.
Horton, S. V. (1987a). Reduction of disruptive behavior by facial screening. Behavior Modification, 11, 53–64.
Horton, S. V. (1987b). Reduction of maladaptive mouthing behavior by facial screening. Journal of Behavior Therapy and Experimental Psychiatry, 18, 185–190.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, C. S. (1982). Toward a functional analysis of self-injury. Analysis and Intervention in Developmental Disabilities, 2, 3–21.
Jordan, J., Singh, N. N., & Repp, A. C. (1989). An evaluation of gentle teaching and visual screening in the reduction of stereotypy. Journal of Applied Behavior Analysis, 22, 9–22.
Kazdin, A. E. (1977). Assessing the clinical or applied importance of behavior change through social validation. Behavior Modification, 1, 427–452.
Kazdin, A. E. (1980). Acceptability of time out from reinforcement procedures for disruptive child behavior. Behavior Therapy, 11, 329–344.
Kazdin, A. E., & Matson, J. L. (1981). Social validation in mental retardation. Applied Research in Mental Retardation, 2, 39–53.
Koegel, R. L., Firestone, P. B., Kramme, K., W., & Dunlap, G. (1974). Increasing spontaneous play by suppressing self-stimulation in autistic children. Journal of Applied Behavior Analysis, 7, 521–528.
LaVigna, G. W. ( 1987, May 25–28). The case against aversive stimuli: A review of the clinical and empirical evidence. Invited paper presented at the 13th annual convention of the Association for Behavior Analysis, Nashville, TN.
Lovaas, O. I., Newsome, C., & Hickman, C. (1987). Self-stimulatory behavior and perceptual reinforcement. Journal of Applied Behavior Analysis, 20, 45–68.
Lovaas, O. I., & Simmons, J. Q. (1969). Manipulation of self-destruction in three retarded children. Journal of Applied Behavior Analysis, 2, 143–157.
Lutzker, J. R. (1978). Reducing self-injurious behavior by facial screening. American Journal of Mental Deficiency, 82, 510–513.
Lutzker, J. R., & Spencer, T. (1974, September). Punishment of self-injurious behavior in retardates by brief application of a harmless face cover. Paper presented at the meeting of the American Psychological Association, New Orleans.
Lutzker, J. R., & Wesch, D. (1983). Facial screening: History and critical review. Australia and New Zealand Journal of Developmental Disabilities, 9, 209–223.
Matson, J. L., & DiLorenzo, T. M. (1984). Punishment and its alternatives. New York: Springer-Verlag.
McGee, J. J. (1986). Gentle approach: A four part video series on gentle teaching. Omaha, NE: Media Resource Center, Meyer Children’s Rehabilitation Institute.
McGonigle, J. J. (1986). An experimental comparison of visual screening and differential reinforcement of other behaviors on the reduction of stereotyped acts in preschool handicapped children. Unpublished doctoral dissertation, University of Pittsburgh (University Microfilms No. 87–01, 975).
McGonigle, J. J., Duncan, D., Cordisco, L., & Barrett, R. P. (1982). Visual screening: An alternative method for reducing stereotypic behavior. Journal of Applied Behavior Analysis, 15, 461–467.
McGonigle, J. J., Rojahn, J., Dixon, J., & Strain, P. S. (1987). Multiple treatment interference in the alternating treatment design as a function of the intercomponent interval length. Journal of Applied Behavior Analysis, 20, 171–178.
Menolascino, F. J., & McGee, J. J. (1983). Persons with severe mental retardation and behavioral challenges: From disconnectedness to human engagement. Journal of Psychiatric Treatment and Evaluation, 5, 187–193.
Murray, M. E., Keele, D. K., & McCarver, J. W. (1977). Treatment of ruminations with behavioral techniques: A case report. Behavior Therapy, 8, 999–1003.
Pickering, D., & Morgan, S. B. (1985). Parental ratings of treatments of self-injurious behavior. Journal of Autism and Developmental Disorders, 15, 303–314.
Repp, A. C., Felce, D., & Barton, L. E. (1988). Basing the treatment of stereotypic and self-injurious behaviors on hypotheses of their causes. Journal of Applied Behavior Analysis, 21, 281–289.
Rincover, A., (1978). Sensory extinction: A procedure for eliminating self-stimulatory behavior in developmentally disabled children. Journal of Abnormal Child Psychology, 6, 299–310.
Rincover, A. Cook, R., Peoples, A., & Packard, D. (1979). Sensory extinction and sensory reinforcement principles for programming multiple adaptive behavior change. Journal of Applied Behavior Analysis, 12, 212–233.
Rincover, A., & Devany, J. (1982). The application of sensory extinction procedures to self-injury. Analysis and Intervention in Developmental Disabilities, 2, 67–81.
Sajwaj, T., Libet, J., & Agras, S. (1974). Lemon juice therapy: The control of life-threatening rumination in a six-month old infant. Journal of Applied Behavior Analysis, 7, 557–563.
Singh, N. N. (1980). The effects of facial screening on infant self-injury. Journal of Behavior Therapy and Experimental Psychiatry, 11, 131–134.
Singh, N. N. (1981). Current trends in the treatment of self-injurious behavior. In L. A. Barness (Ed.), Advances in pediatrics (Vol. 28, pp. 377–440 ). Chicago: Year Book Publishers.
Singh, N. N., Beale, I. L., & Dawson, M. J. (1981). Duration of screening and suppression of self-injurious behavior: Analysis using an alternating treatments design. Behavioral Assessment, 3, 411–420.
Singh, N. N., Watson, J. E., & Winton, A. S. W. (1986). Treating self-injury: Water mist spray versus facial screening or forced arm exercise. Journal of Applied Behavior Analysis, 19, 403–410.
Singh, N. N., & Winton, A. S. W. (1984). Effects of a screening procedure on pica and collateral behavior. Behavior Therapy and Experimental Psychiatry, 15, 59–65.
Singh, N. N., Winton, A. S. W., & Dawson, M. J. (1982). Suppression of antisocial behavior by facial screening using multiple baseline and alternating treatments designs. Behavior Therapy, 13, 511–520.
St. Lawrence, J. S., & Drabman, R. S. (1984). Suppression of chronic high frequency spitting in a multiply handicapped and mentally retarded adolescent. Child and Family Behavior Therapy, 6, 45–55.
Tanner, B. A., & Zeiler, M. (1975). Punishment of self-injurious behavior using aromatic ammonia as the aversive stimulus. Journal of Applied Behavior Analysis, 8, 53–57.
Tarnowski, K. J., Rasnake, L. K., Mulick, J. A., & Kelly, P. A. (1989). Acceptability of behavioral interventions for self-injurious behavior. American Journal of Mental Retardation, 93, 575–580.
Watson, J., Singh, N. N., & Winton, A. S. W. (1986). Suppressive effects of visual and facial screening on self-injurious finger-sucking. American Journal of Mental Deficiency, 5, 526–534.
Winton, A. S. W., Singh, N. N., & Dawson, M. J. (1984). Effects of facial screening and blindfold on self-injurious behavior. Applied Research in Mental Retardation, 5, 29–42.
Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11, 203–214.
Zegiob, L., Alford, G. S., & House, A. (1978). Response suppressive and generalization effects of facial screening on multiple self-injurious behavior in a retarded boy. Behavior Therapy, 9, 688.
Zegiob, L. E., Jenkins, J., Becker, J., & Bristow, A. (1976). Facial screening: Effects on appropriate behaviors. Journal of Behavior Therapy and Experimental Psychiatry, 7, 355–357.
Zlomke, L., Smith, P., & Piersel, W. C. (1986). Visual blocking: Suppression of excessive verbalizations. Education and Training of the Mentally Retarded, 21, 138–143.
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Rojahn, J., Marshburn, E.C. (1992). Facial Screening and Visual Occlusion. In: Luiselli, J.K., Matson, J.L., Singh, N.N. (eds) Self-injurious Behavior. Disorders of Human Learning, Behavior, and Communication. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9130-2_8
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DOI: https://doi.org/10.1007/978-1-4613-9130-2_8
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