We evaluated separate and interactive effects between common classroom contingencies and methylphenidate (MPH) on disruptive and off-task behaviors for 4 children with a diagnosis of attention deficit hyperactivity disorder. Analogue conditions consisting of contingent teacher reprimands, brief time-out, no interaction, and alone were conducted in a multielement design. Medication status (MPH or placebo) was alternated across days in a superordinate multielement design. Results indicate that (a) the behavioral effects of MPH were influenced by one or more of the analogue conditions for each participant, and (b) time-out was associated with zero or near-zero levels of both disruptive and off-task behavior for 3 of the 4 participants during MPH and placebo conditions. Implications for the clinical effectiveness of MPH and possible behavioral mechanisms of action of MPH in applied settings are discussed.

We conducted reinforcer assessments for 3 boys with a diagnosis of attention deficit hyperactivity disorder who alternately received either placebo or previously prescribed methylphenidate. Our purpose was to evaluate whether methylphenidate altered the relative reinforcing effectiveness of various stimuli that are often used in classroom-based behavioral treatment programs (e.g., activities, tangible items). Results showed clear differences for some stimuli between reinforcer assessments conducted when participants had received methylphenidate compared to placebo. Results suggest that methylphenidate might act as an establishing operation for some common classroom reinforcers. Implications for the development and evaluation of behavioral treatments are discussed.DESCRIPTORS: reinforcer assessment, methylphenidate, attention deficit hyperactivity disorder, establishing operations Methylphenidate (MPH; Ritalin) is a stimulant medication that is commonly and increasingly prescribed for children with a diagnosis of attention deficit hyperactivity disorder (ADHD) and is often effective for the immediate management of a variety of disruptive or maladaptive behaviors (Barkley, 1990;Safer, Zito, & Fine, 1996). It has been suggested that the combination of MPH and behavioral treatments for disruptive behaviors in the classroom can have separate, additive, or interactive effects (e.g., Cooper et al

We evaluated the effects of parent training for four children whose aberrant behaviors were maintained by social positive or negative reinforcement. Interventions were based on the behavioral function of the problem behavior. Child participants were four children (ages 3 to 5 years) who had developmental delays and exhibited signi®cant aberrant behaviors (tantrums and aggression). The children's mothers were the parent participants. The children's behavior improved as a function of the parents' performance.

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Iwata, Dorsey, Slifer, Bauman, and Richman developed an assessment method to identify the operant functions of self-injurious behavior. In this study, a similar method was used to assess the operant functions of aggression displayed by children and adolescents with developmental disabilities. Although previous research has shown that aggression is an operant behavior, there has been no comprehensive analysis of aggression using analog functional analysis method. Eight children and adolescents participated. The experimental conditions involved attention, escape, materials, no interaction, and control. Results for 7 of the 8 participants identified clear operant functions (positive or negative reinforcement) for aggression. For 1 child, subsequent analyses suggested that aggression was possibly sensitive to peer attention as reinforcement.