Noncontingent reinforcement (NCR) is a commonly used treatment for severe problem behavior displayed by individuals with intellectual and developmental disabilities. The current study sought to extend the literature by reporting outcomes achieved with 27 consecutive applications of NCR as the primary treatment for severe problem behavior. All applications of NCR were included regardless of treatment outcome to minimize selection bias favoring successful cases. Participants ranged in age from 5 to 33 years. We analyzed the results across behavioral function and with regard to the use of functional versus alternative reinforcers. NCR effectively treated problem behavior maintained by social reinforcement in 14 of 15 applications, using either the functional reinforcer or alternative reinforcers. When we implemented NCR to treat problem behavior maintained by automatic reinforcement, we often had to add other treatment components to produce clinically significant effects (five of nine applications). Results provide information on the effectiveness and limitations of NCR as treatment for severe problem behavior.

The benefits of permanent pictorial prompts in enhancing maintenance and generalization are likely dependent on their degree of stimulus control and the extent to which their use is generalized. Although several studies on the use of pictorial prompts have demonstrated their efficacy (e.g., Pierce & Schreibman, 1994; Wacker & Berg, 1983; Wacker, Berg, Berrie, & Swatta, 1985), there is still some question regarding what ultimately controlled responding. The present study allowed an explicit examination of stimulus control by pictorial prompts. Three 4-year-old children with developmental disabilities were taught to complete 4 instructional sets (5 steps each) using pictorial prompts such that the prompts would control responding. All 3 participants showed generalization to the final set after training with 3 sets. These results suggest that training a single task sequence may not be sufficient for acquisition of generalized pictorial instruction following. However, establishing stimulus control by the pictorial prompts rather than teaching behavioral chains may facilitate acquisition of a generalized repertoire.

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Despite a large body of research demonstrating that generalization to novel stimuli can be produced by training sufficient exemplars, the methods by which exemplars can be trained remain unclear. The purpose of the current study was to evaluate 2 methods, serial and concurrent presentation of stimuli, to train sufficient exemplars. Five preschool children with developmental delays were taught to identify letters or letter sounds using serial and concurrent presentation. Generalization to untrained exemplars was evaluated for targets trained using each method. Participants reached the mastery criterion in fewer training sessions, on average, using the concurrent method of presentation than the serial method, and the concurrent method also resulted in greater generalization to untrained exemplars.