Clinical Assessment of Self-Injurious Behavior

Abstract

The Timed Self-injurious Behavior Scale is an observational scale rating the frequency of 16 types of self-injurious behaviors during each 10-sec. interval of a 10-min. observation period. Advantages of the scale are utilization of direct observation and independence from the variable recollection of symptoms by subjects and care givers. 19 videotaped sessions of a subject who exhibited eight types of self-injurious behaviors were rated with the scale independently by three raters. Eighty percent and better agreement was found for the four specific forms of those behaviors exhibited by the subject sufficiently frequently, self biting, head punching, head slapping, and hair removal.

Feasibility of virtual low-cost quantitative continuous measurement of movements in the extremities of people with Parkinson’s disease

“…In the past when raters could readily gather together, trained raters were seated in a room with a similar view of a monitor to observe videotapes jointly. Raters were allowed to see the recordings once and required to make ratings independently [ [24] , [25] ]. Immediately after completing all ratings without consultation with anyone else, the raters conducted a consensus conference to discuss the findings to attain a scored agreed by all raters.…”

Masochistic habits in a child patient:A case report and its management

“…[7] But there are disadvantages to pharmacologic treatment as it usually requires chronic use of the drug(s) and these agents often place patients in a chronic stupor. [89]…”

Self‐Injurious Behaviors: Assessment and Diagnosis

“…The first step in assessing client SIB is to thoroughly determine the frequency, duration, and onset of the SIB and the antecedents and consequences of the SIB. Although measures have been developed to assess for the severity (see Iwata, Pace, Kissel, Nau, & Farber, 1990) and the frequency and sever-ity (see Brasic et al, 1997) of repetitive stereotypical and compulsive SIB concurrent with mental retardation, autism, neuroacanthocytosis, and Tourette's syndrome, no formal assessments have been developed to assess for impulsive or major SIB. Because no formal assessment measures have been developed to assess for SIB, a thorough informal assessment during the diagnostic interview is necessary.…”