Resurgence of destructive behavior following decreases in alternative reinforcement: A prospective analysis

• Published in: Journal of applied behavior analysis Vol. 57; no. 3; pp. 599 - 614
• Main Authors: Greer, Brian D., Shahan, Timothy A., Irwin Helvey, Casey, Fisher, Wayne W., Mitteer, Daniel R., Fuhrman, Ashley M.
• Format: Journal Article
• Language: English
• Published: Hoboken, USA Wiley Subscription Services, Inc 01.07.2024
• Subjects: Adolescent; alternative reinforcement; Behavior Therapy - methods; Child; Child, Preschool; destructive behavior; Female; Humans; Male; Prospective Studies; Reinforcement Schedule; reinforcement schedule thinning; Reinforcement, Psychology; resurgence; translational research; alternative reinforcement; resurgence; translational research; reinforcement schedule thinning; destructive behavior
• ISSN: 0021-8855; 1938-3703
• DOI: 10.1002/jaba.1083

Basic and retrospective translational research has shown that the magnitude of resurgence is determined by the size of the decrease in alternative reinforcement, with larger decreases producing more resurgence. However, this finding has not been evaluated prospectively with a clinical population. In Experiment 1, five participants experienced a fixed progression of reinforcement schedule‐thinning steps during treatment of their destructive behavior. Resurgence occurred infrequently across steps and participants, and when resurgence did occur, its clinical meaningfulness was often minimal. In Experiment 2, five new participants experienced these same schedule‐thinning steps but in a counterbalanced order. Resurgence occurred most often and was generally largest with larger decreases in alternative reinforcement programmed earlier in the evaluation. Large decreases in alternative reinforcement may be more problematic clinically when they occur earlier in treatment. Whether larger transitions can be recommended in the clinic following the success of smaller ones will require additional research.