Gm. Pace et al., STIMULUS (INSTRUCTIONAL) FADING DURING EXTINCTION OF SELF-INJURIOUS ESCAPE BEHAVIOR, Journal of applied behavior analysis, 26(2), 1993, pp. 205-212
Three individuals with developmental disabilities were exposed to a se
ries of assessment conditions to identify the source of reinforcement
for their self-injurious behavior. In each case, self-injury occurred
most often in instructional (demand) situations containing a brief tim
e-out from the task contingent on self-injury, indicating that the beh
avior was an escape response (i.e., maintained by negative reinforceme
nt). Treatment was implemented in a multiple baseline across subjects
design and consisted of extinction (prevention of escape) plus instruc
tional fading (initial elimination of instructions followed by their g
radual reintroduction). Results showed that the combined treatment pro
duced immediate and large reductions in self-injury that were maintain
ed as the frequency of instructions was increased across sessions to m
atch the original baseline rate of presentation. Results of a componen
t analysis conducted with 1 subject suggested that stimulus fading acc
elerated the behavior-reducing effects of extinction.