A Comparison of Stimulus-Stimulus Pairing,Standard Echoic Training,and Control Procedures on the Vocal Behavior of Children With Autism

An alternating treatments design was employed to compare the effect of stimulus-stimulus pairing, standard echoic training, and a control condition on the vocal behavior of 3 preschoolers with autism. Data were recorded during pre- and postsession observations. During the stimulus-stimulus pairing condition, the experimenter''s vocal model was paired with the delivery of a preferred item. During the standard echoic training condition, the experimenter presented a vocal model and delivered a preferred item contingent on an echoic response. During the control condition, the experimenter presented a vocal model and, after a 10-s delay, presented a preferred edible item. Results from the post-session observations during the stimulus-stimulus pairing condition showed an immediate but temporary increase in the target sound for 1 participant only. Implications and suggestions for future research are provided.     

Using Stimulus-Stimulus Pairing and Direct Reinforcement to Teach Vocal Verbal Behavior to Young Children With Autism

In this study the effect of a stimulus-stimulus pairing procedure was used as part of a clinical investigation to increase vocalizations for two young children diagnosed with autism. This procedure involved pairing a vocal sound with a preferred stimulus (e.g., toy) to condition automatic reinforcement. In addition, this study assessed the effects of a direct reinforcement procedure to bring a vocalization under echoic control following the pairing procedure for 1 of the participants. The results showed the pairing procedure was used successfully to increase a vocalization for one of the participants, and the vocalization was brought under echoic control.     

Evaluating Stimulus-Stimulus Pairing and Direct Reinforcement in the Establishment of an Echoic Repertoire of Children Diagnosed with Autism

Many children with autism do not imitate adult vocalizations, an important skill in learning to talk. Pairing adult vocalizations with preferred stimuli has been shown to increase free-operant vocalizations but effects are temporary; thus, direct reinforcement may be necessary to establish durable vocal behaviors. In Experiment 1, directly reinforced echoic responses did not increase following stimulus-stimulus pairings in three children with autism. Similarly, pairings did not increase free-operant vocalizations in Experiment 2, a replication of Miguel et al. (2002). Experiment 3 demonstrated that shaping increased vowel frequency for one participant. Results suggest that variables are yet to be delineated that influence effectiveness of a stimulus-stimulus pairing procedure on vocalization frequency and acquisition of a verbal operant following such pairings.     

Stimulus-Stimulus Pairing and Subsequent Mand Acquisition of Children with Various Levels of Verbal Repertoires

Effects of a stimulus-stimulus pairing procedure on the subsequent acquisition of mand operants were investigated. An attempt was made to shape novel sounds that emerged through the pairing procedure into a mand. Six children, aged two to five years, with moderate to severe language and communication delays, participated. Two conditions were used following the pairing condition: postpairing and direct reinforcement. The emergence of mands was compared across these conditions. An additional analysis was made of the relation between participants'' baseline verbal repertoires and the effects of the pairing and the emergence of mands. Results indicate the possibility of stimulus control from a stimulus-stimulus pairing to mand as shown in two of the participants who had demonstrated high rates of vocal play and low to no verbal repertoire prior to this study. Target vocal sounds during postpairing and direct reinforcement condition remained at zero to low levels for participants with high verbal repertoire and little vocal play, warranting future studies on relations between the pre-existing verbal repertoire and the effectiveness of stimulus-stimulus pairing.     

Stimulus-Stimulus Pairing to Increase Vocalizations in Children with Language Delays: a Review

Stimulus-stimulus pairing (SSP) is a procedure used to increase vocalizations in children with significant language delays. However, results from studies that have examined the effectiveness of SSP have been discrepant. The following review of the literature summarizes the results from 13 experiments published between 1996 and 2014 that used this procedure with children with language delays. Studies were analyzed across various participant and procedural variables, and an effect size estimate (nonoverlap of all pairs) was calculated for a portion of the participants in the studies reviewed. Results indicated an overall moderate intervention effect for SSP of speech sounds. Recommendations are provided for future researchers about information to report and potential avenues for future studies.     

Analyzing Stimulus-Stimulus Pairing Effects on Preferences for Speech Sounds

Several studies have demonstrated effects of stimulus-stimulus pairing (SSP) on children's vocalizations, but numerous treatment failures have also been reported. The present study attempted to isolate procedural variables related to failures of SSP to condition speech sounds as reinforcers. Three boys diagnosed with autism-spectrum disorders participated. Phase 1 was designed to assess SSP effects on production of auditory stimuli via button pressing. When SSP failed to produce a preference for the target stimulus, we instituted a series of procedural manipulations intended to address potential reasons for failure. One participant preferred the target stimulus when given the opportunity to select preferred items for pairing prior to each session, but a subsequent reversal attempt produced ambiguous results. Two participants showed no consistent preference in Phase 1 and underwent a within-session reinforcer evaluation in Phase 2, in which alternative controlling variables were demonstrated by delivering preferred stimuli contingent on button pressing.     

The Effects of a Delay of Noncontingent Reinforcement during a Pairing Procedure in the Development of Stimulus Control of Automatically Reinforced Vocalizations

Children with autism and related disabilities frequently fail to develop echoic repertoires. Among the ways in which treatment approaches vary is the extent to which automatic reinforcement is utilized. The present experiment was designed to test the efficacy of a procedure that incorporates automatic reinforcement and socially mediated reinforcement in the development of an echoic repertoire. The implementation of this treatment package resulted in an increase in the vocal play and echoic behavior for two participants, each of whom had very limited verbal repertoires. The study was conducted as a multiple probe across sounds design. Vocal play for Participant 1 increased from baseline rates as low as .2 per min to 4.5 per min during treatment, and her percent correct echoic behavior increased from 0% to at least 90% on both sounds. Participant 2 showed rapid gains in echoic control on one sound before requiring dismissal from the study. Interobserver agreement on the occurrence of target vocals equaled 100%. The results of this study have implications for which procedures to use in the establishment of echoic, echoic mand, and mand repertoires.     

Assessing the Effects of Observational Conditioning and Response-Contingent Pairing on the Vocalizations of Children With Autism Spectrum Disorder

Children with autism spectrum disorder (ASD) often display impairments in communication, such as limited echoic behavior, few vocal-verbal responses, and a lack of functional communication. One potential way to foster the acquisition of vocal responses in individuals with disabilities is by conditioning vocalizations as reinforcers. Conditioning procedures include stimulus–stimulus pairing, response-contingent pairing (RCP), operant discrimination training, and observational conditioning (OC). However, previous research has not evaluated whether OC can be used to condition vocalizations as reinforcers. The current study assessed whether two conditioning procedures, RCP and OC, were effective in conditioning vocalizations as a reinforcer and also evaluated their effect on the rate of vocalizations. Participants included three children with ASD, ages 5–10 years old. During the conditioning phase, rates of vocalizations during the RCP and OC conditions and a control condition were compared within an adapted alternating-treatments design. Reinforcer assessments were completed in a multielement design, pre- and postconditioning, to assess whether the target vocalizations acquired reinforcing properties. A conditioning effect and an increase in the rate of vocalizations were observed for two of the three participants; however, the conditioning effect was minor for one participant. Overall, the results of this study indicate both the RCP and OC procedures may be beneficial in increasing vocalizations for some children and could be incorporated into clinical programs and further explored in future research.     

Using a Lag Reinforcement Schedule to Increase Phonemic Variability in Children With Autism Spectrum Disorders

Shaping functional vocal language is difficult when an individual has not yet acquired an echoic repertoire and does not emit sufficient phonemes (i.e., speech sounds) for shaping. Few studies have evaluated interventions to increase the frequency and breadth of phonemes. The current study extended Esch, Esch, and Love (2009) by evaluating the effects of a Lag 1 reinforcement schedule on vocal variability and limiting the definition of variability to responses that incorporated a novel phoneme. For 2 of the 3 participants, the cumulative number of novel phonemes, the percentage of trials with variability, and the number of different phonemes emitted per session increased during the Lag 1 intervention phase.     

Stimulus-Stimulus Pairing of Vocalizations: A Systematic Replication

The current study replicated an enhanced stimulus-stimulus pairing (SSP) procedure used by Esch et al. (Journal of Applied Behavior Analysis 42: 42–225, 2009) for increasing vocalizations in children with autism. The enhanced SSP procedure consisted of pairing target vocalizations with high-preference items, interspersed target and nontarget trials, an observing response, and the presentation of the vocalizations in “motherese” speech. Results showed substantial increases in target vocalizations above baseline levels and above nontarget vocalizations for two of three participants.     

Is a Reasonable Attempt Reasonable? Shaping Versus Reinforcing Verbal Attempts of Preschoolers with Autism

The effectiveness of a language-training procedure that emphasized reinforcing vocal “reasonable attempts” (any response directed at an interventionist and within a broader class of correct responses) was compared with a procedure that emphasized shaping (reinforcing successive approximations that more closely resembled the target vocalization). Three preschoolers who had been diagnosed with autism spectrum disorders participated in the study. Data indicated that the children mastered vocal skills more rapidly when they learned through shaping than in the reasonable attempts condition. Implications for teaching children with autism spectrum disorders are discussed.     

Auditory Stream Segregation Improves Infants' Selective Attention to Target Tones Amid Distractors

The present study examined the role of auditory stream segregation in the selective attention to target tones in infancy. Using a task adapted from Bregman and Rudnicky's (1975) study and implemented in a conditioned head-turn procedure, infant and adult listeners had to discriminate the temporal order of 2200 and 2400 Hz target tones presented alone, preceded and followed by 1460 Hz flanker tones, and presented within a series of 1460 Hz captor tones meant to release the target tones from the effects of the flankers by capturing the flankers into a separate stream. Infants showed the same pattern of discrimination across conditions as adults: discrimination of target tones in the target-alone condition, a decrease in performance when flanker tones were introduced, and a return to target-alone level in the captor condition. These results suggest that infants' perceptual organization of tones is similar to that of adults, and that their ability to selectively attend to target sounds and ignore distractors depends on the structural properties and perceptual organization of the non-target sounds.     

The Leader as the Face of a Crisis: Philip Morris' CEO's Speeches During the 1990s

This research investigated Philip Morris' crisis communication management strategies during the 1990s through the study of its CEO's speeches. This analysis explored the company's maneuvers to camouflage controversies in acceptable social expectations. Pairing framing theory with centering resonance analysis, this research found 3 distinct frames: profitable multinational (1994–1996), litigation target (1997–1998), and corporate good citizen (1999–2001). Avoidance of talk about health issues indicated the company's strategic adaptation to a shifting legal and public opinion climate, as it sought to authenticate its right to do business by reframing the notion of corporate responsibility away from healthy products and toward high-price philanthropy.     

DIRECT SUPERVISION: ADDING COMPUTER-ASSISTED FEEDBACK AND DATA CAPTURE TO LIVE SUPERVISION

This is a critical review of live supervision with emphasis on technical innovations such as earphones or bug-in-the-ear, Teleprompters, and computers. A computer-assisted approach is described that overcomes many criticisms of live supervision. Direct supervision uses a computer monitor to unobtrusively provide information to the therapist about the supervisor's perceptions of the clients' and therapist's behavior, the expected therapeutic behaviors, and the therapist's "on target" behavior. Direct supervision has the advantage over other forms of supervision by providing an immediate, continuous, and permanent record for postsession supervision and for research into the supervisor-therapist-client process. The paper provides several suggestions for research.     

Using Transfer Procedures to Teach Tacts to a Child with Autism

This applied study attempted to evaluate a combination of transfer procedures commonly used to teach tacts to children with autism. A receptive to echoic to tact transfer and an echoic to tact transfer procedure were combined during 5-min instructional sessions to teach tacts to a seven-year-old vocal child with autism. A multiple baseline design across three sets of ten tacts was used. Without the teaching procedure, the child acquired no target tacts. With the 5-min teaching procedure implemented first with Set 1 then with Sets 2 and 3, respectively, the child acquired thirty new tacts over sixty teaching sessions. The results have wide application for children with and without autism who need instruction to learn tacts.     

Generalized Negatively Reinforced Manding in Children with Autism

Individuals with developmental disabilities are often unable to influence their social environment in traditional ways (i.e., vocal language) and frequently exhibit challenging behaviors (e.g., aggression and self-injury) because such behaviors were previously reinforced under similar conditions. While the area of positive reinforcement manding has been well-documented and empirically validated, there is less research in the area of negatively reinforced manding—particularly in the area of negatively reinforced manding of nonpreferred items. Using a multiple baseline design across participants, this study sought to teach three children with autism to replace their challenging behaviors with more socially appropriate ways to request the removal of nonpreferred items. Results showed that all participants were able to learn the negatively reinforced mand response and these mand responses were generalized to other untrained items. In addition to extending the research in the area, the study empirically defined a procedure for teaching negatively reinforced manding of nonpreferred items. Moreover, teaching the mand response resulted in quality of life improvements for all participants and their families.     

Multiple exemplar instruction and the emergence of generative production of suffixes as autoclitic frames

We report 2 experiments that tested the effects of multiple exemplar instruction (MEI) across training sets on the emergence of productive autoclitic frames (suffixes) for 6 preschoolers with and without language-based disabilities. We implemented multiple exemplar tact instruction with subsets of stimuli whose "names" contained the suffix "-er" denoting the comparative form of adjectives. Subsets of stimuli included regular, irregular, and contrived tacts containing the target relational autoclitic frame in order to determine if our MEI procedure would induce the abstraction of the frame across all stimulus sets. In the second experiment, additional tasks were introduced to the participants to control for a possible sequence effect. A nonconcurrent multiple probe design was used to evaluate the functional relation between MEI and emergence of untaught tact responses containing the comparative adjective "-er." The results of both experiments showed relations between MEI and novel, untaught tact responses containing the target autoclitic frame; the second experiment showing a functional relation. The results are discussed in terms of environmental sources for productive verbal behavior.     

Grammatical constructions in typical developing children: effects of explicit reinforcement, automatic reinforcement and parity

This study replicated and extended Wright (2006) and Whitehurst, Ironsmith, and Goldfein (1974) by examining whether preschool aged children would increase their use of passive grammatical voice rather than using the more age-appropriate active grammatical construction when the former was modeled by an adult. Results showed that 5 of the 6 participants began using the passive voice after this verbal behavior had been modeled. For 3 of the participants, this change was large. The change occurred even though the adult model explicitly rewarded the participant with praise and stickers for using the active voice, while providing no praise or stickers for using the passive form that was modeled. For 1 participant, the modeling procedure had no effect on use of the passive voice. These results indicate a strong automatic reinforcement effect of achieving parity with the grammatical structures used by adults, compared to the effects of explicit reinforcement by the adult. This might help to explain why children acquire grammatical structures prevalent in their language community apparently without explicit instruction.     

A Functional Analysis of Non-Vocal Verbal Behavior of a Young Child With Autism

The functions of an American Sign Language response were experimentally evaluated with a young boy diagnosed with autism. A functional analysis procedure based on that reported by Lerman et al. (2005) was used to evaluate whether the target sign response would occur under mand, tact, mimetic, or control conditions. The target sign was observed most often in the mand and mimetic test conditions, very seldom in the tact test condition, and never in the control condition. These results support those reported by Lerman et al. and extend previous research by evaluating a non-vocal verbal response using a brief multi-element arrangement with a single control condition. The implications for language assessment and suggestions for future research are discussed.     

A Primer for the Use of Multilevel Models in Couple and Family Therapy Research

This article serves as a primer for understanding how to use multilevel modeling (MLM) techniques in couple and family therapy outcome and process research. It outlines the use of HLM and Mplus—two of many software programs that can perform multilevel modeling—and provides an applied example of using MLM to investigate the use of postsession feedback on couple satisfaction and change, as well as the influence of trauma on the use of postsession feedback. Two graduate students in COAMFTE accredited PhD programs read the primer and provided questions to the first author that arose. Answers to these questions have been incorporated throughout the explanation of this methodological approach in hopes of addressing common stuck points for those using MLM.