Many individuals who engage in self-injurious behavior (SIB) also exhi
bit self-restraint. We compared rates of SIB exhibited by a 32-year-ol
d woman diagnosed with profound retardation across conditions in which
access to restraint was (a) continuously available, (b) presented as
a consequence for SIB, or (c) unavailable. Rates of SIB increased when
access to restraint was contingent upon SIB and decreased when restra
int was unavailable, suggesting that self-restraint functioned as posi
tive reinforcement for SIB.