Efeitos da Música Não Contingente na Apresentação de Estereotipias Vocais em Crianças com Transtorno do Espectro do Autismo
DOI:
https://doi.org/10.1590/0102.3772e41402.en%20Palavras-chave:
estereotipia vocal, música, reforçamento não-contingente, Transtorno do Espectro do AutismoResumo
As estereotipias vocais podem ser consideradas um comportamento-problema por prejudicarem o ambiente de aprendizagem. O acesso a música não-contingente (NCM) vem sendo utilizado para reduzir essas respostas. Essa pesquisa teve o objetivo de verificar os efeitos de um procedimento de NCM com reforçamento diferencial de zero respostas (MDRO) na diminuição de estereotipias vocais em duas crianças com TEA com um delineamento de reversão. Os resultados indicaram diminuição de 50 a 65% em média de estereotipias vocais nas sessões de intervenção para os dois participantes. Discutem-se as funções mantenedoras dessas respostas vocais e se a música, como estímulo reforçador auditivo, fornecida de forma não-contingente, pode ter alterado as operações motivacionais para engajamento dos participantes nessas respostas vocais estereotipadas.
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Referências
Ahearn, W. H., Clark, K. M., Gardenier, N. C., Chung, B. I., & Dube, W. V. (2003). Persistence of stereotypic behavior: Examining the effects of external reinforcers. Journal of Applied Behavior Analysis, 36(4), 439-448. https://doi.org/10.1901/jaba.2003.36-439
https://doi.org/10.1901/jaba.2003.36-439
Ahearn, W. H., Clark, K. M., MacDonald, R. P., & Chung, B. I. (2007). Assessing and treating vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 40(2), 263-275. https://doi.org/10.1901/jaba.2007.30-06
https://doi.org/10.1901/jaba.2007.30-06
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental disorders DSM 5. 5 ed. American Psychiatric Association.
Chu, S.Y., & Baker, S. (2011). Effects of "Noncontingent Reinforcement Plus Differential Reinforcement of Alternative Behavior" and "Response Interruption and Redirection" on a Child's Vocal Stereotypy Maintained by Automatic Reinforcement. Studies in Special Education, 36, 109-127. http://bse.spe.ntnu.edu.tw/upload/journal/prog/KS0_43R_29H_24K41022.pdf
http://bse.spe.ntnu.edu.tw/upload/journal/prog/KS0_43R_29H_24K41022.pdf
Cooper, J. O., Heron, T. E., & Heward, W. L. (2014). Applied Behavior Analysis Pearson Educational International.
Cunningham, A. B, & Schreibman, L. (2008). Stereotypy in autism: the importance of function. Research in Autism Spectrum Disorders, 2(3), 469-479. https://doi.org/ 10.1016/j.rasd.2007.09.006
https://doi.org/ 10.1016/j.rasd.2007.09.006
Deleon, I. G., Williams, D. C., Gregory, M. K. E., & Hagopian, L. P. (2005). Unexamined potential effects of the noncontingent delivery of reinforcers. European Journal of Behavior Analysis, 6(1), 557-569. https://doi.org/10.1080/15021149.2005.11434250
https://doi.org/10.1080/15021149.2005.11434250
Dickson, C., Macdonald, R., Mansfield, R., Guilhardi, P., Johnson, C. & Ahearn, W. (2013). Social validation of the New England Center for Children-Core Skills Assessment. Journal of Autism and Developmental Disorders, 44(1), 65-74. https://doi.org/10.1007/s10803-013-1852-5
https://doi.org/10.1007/s10803-013-1852-5
Durand, V. M. & Carr, E. G. (1987). Social influences on "self-stimulatory" behavior: Analysis and treatment application. Journal of Applied Behavior Analysis, 20, 119-132. https://doi.org/10.1901/jaba.1987.20-119
https://doi.org/10.1901/jaba.1987.20-119
Gast, D. L., & Hammond, D. (2010). Withdrawal and reversal designs. In D. L., Gast (Ed.), Single subject research methodology in behavioral sciences (pp. 234-275). Routlegde.
Gibbs, A. R., Tullis, C. A., Thomas, R., & Elkins, B. (2018). The effects of noncontingent music and response interruption and redirection on vocal stereotypy. Journal of Applied Behavior Analysis, 51(4), 899-914. https://doi.org/10.1002/jaba.485
https://doi.org/10.1002/jaba.485
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1982). Toward a functional analysis of self-injury. Analysis and Intervention in Developmental Disabilities, 2, 3-20. https://doi.org/10.1901/jaba.1994.27-197
https://doi.org/10.1901/jaba.1994.27-197
Kennedy, C. H., Meyer, K. A., Knowles, T., & Shukla, S. (2000). Analyzing the multiple functions of stereotypical behavior for students with autism: implications for assessment and treatment. Journal of Applied Behavior Analysis, 33(4), 559-571. https://doi.org/10.1901/jaba.2000.33-559
https://doi.org/10.1901/jaba.2000.33-559
Lanovaz, M. J., Rapp, J. T., & Ferguson, S. (2012). The utility of assessing musical preference before implementation of noncontingent music to reduce vocal stereotypy. Journal of Applied Behavior Analysis, 45(4), 845-851. https://doi.org/10.1901/jaba.2012.45-845
https://doi.org/10.1901/jaba.2012.45-845
Lanovaz, M. J., & Sladeczek, I. E. (2012). Vocal stereotypy in individuals with autism spectrum disorders: A review of behavioral interventions. Behavior Modification, 36, 146-164. https://doi.org/10.1177/0145445511427192
https://doi.org/10.1177/0145445511427192
Lanovaz, M. J., Sladeczek, I. E., & Rapp, J. T. (2011). Effects of music on vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 44(3), 647-651. https://doi.org/10.1901/jaba.2011.44-647
https://doi.org/10.1901/jaba.2011.44-647
Lilley, R. (2017). What's in a Flap? The curious history of Autism and hands stereotypies. Neurosocieties Symposium: Explorations of the brain, culture, and ethics, Monash University, Australia.
Liu-Gitz, L., & Banda, D. R. (2010). A replication of the RIRD strategy to decrease vocal stereotypy in a student with autism. Behavioral Interventions, 25, 77-87. https://doi.org/10.1002/bin
Mantzoros, T., McCoy, A. R., & Lee, D. L. (2022). Treatments for automatically reinforced vocal stereotypy for individuals with autism spectrum disorder: A literature and meta‐analytic review. Behavioral Interventions, 37(2), 485-504. https://doi.org/10.1002/bin.1856
https://doi.org/10.1002/bin.1856
Marcus, B. A., & Vollmer, T. R. (1996). Combining noncontingent reinforcement and differential reinforcement schedules as treatment for aberrant behavior.Journal of Applied Behavior Analysis, 29(1), 43-51. https://doi.org/10.1901/jaba.1996.29-43
https://doi.org/10.1901/jaba.1996.29-43
Martin, G., & Pear, J. (2018). Behavior modification: what it is and how to do it (10th ed.). Editora Roca.
Michael, J. (2000). Implications and refinements of the establishing operation concept. Journal of Applied Behavior Analysis, 33(4), 401-410. https://doi.org/10.1901/jaba.2000.33-401
https://doi.org/10.1901/jaba.2000.33-401
Pace, G. M., Ivancic, M. T., Edwards, G. L., Iwata, B. A., & Page, T. J. (1985). Assessment of stimulus preference and reinforcer value with profoundly retarded individuals. Journal of Applied Behavior Analysis, 18(3), 249-255. https://doi.org/ 10.1901/jaba.1985.18-249
https://doi.org/ 10.1901/jaba.1985.18-249
Saylor, S., Sidener, T. M., Reeve, S. A., Fetherston, A., & Progar, P. R. (2012). Effects of three types of non-contingent auditory stimulation on vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 45, 185-190. https://doi.org/10.1901/jaba.2012.45-185
https://doi.org/10.1901/jaba.2012.45-185
Sturmey, P. (1996). Functional analysis in clinical psychology John Wiley & Sons.
Sundberg, M. L. (2008). Verbal behavior milestones assessment and placement program: The VB-MAPP AVB Press.
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(2), 221-233. https://doi.org/10.1901/jaba.1979.12-221
https://doi.org/10.1901/jaba.1979.12-221
Tromans, S., Chester, V., Kiani, R., Alexander, R., & Brugha, T. (2018). The Prevalence of Autism Spectrum Disorders in Adult Psychiatric Inpatients: A Systematic Review. Clinical Practice Epidemiol Mental Health, 14, 177-187. https://doi.org/10.2174/1745017901814010177
https://doi.org/10.2174/1745017901814010177
Vollmer, T. R., Ringdahl, J. E., Roane, H. S., & Marcus, B. A. (1997). Negative side effects of noncontingent reinforcement. Journal of Applied Behavior Analysis, 30(1), 161-164. https://doi.org/10.1901/jaba.1997.30-161
https://doi.org/10.1901/jaba.1997.30-161
Wunderlich, K.L., & Vollmer, T.R. (2015) Data analysis of response interruption and redirection as a treatment for vocal stereotypy. Journal of Applied Behavior Analysis, 48, 749-764. https://doi.org/10.1002/jaba.227
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