Operant Management of the Behavioural Sequelae of Wilson's Disease: A Case Report^*

Abstract

An approach to the management of the behavioural manifestations of Wilson's Disease by operant technique is outlined. There was considerable improvement in the patient's ability to perform autonomously on this program. When the contingencies were changed the patient's behaviour deteriorated markedly, thereby suggesting that improvement in behaviour was not due to medication alone.

Ten Years Later: Toilet Training in the Post-Azrin-and-Foxx Era

“…Most noteworthy is the application of multifactorial treatment packages to the multiply handicapped population, including profoundly retarded deaf-blind (Lancioni, 1980), profoundly retarded nonambulatory (Edgar et al, 1975), trainable mental ly retarded with behavior disorders (Watts, 1977), a blind retarded child (Waye & Melnyr, 1973), and those with severe neurological impairments, including Wilson's Disease (Jarrett, Gauthier & Oliver, 1978), Hirschsprung's Disease (Epstein & McCoy, 1977;Kohlenberg, 1973), and spina bifida (Butler, 1976). These studies offer potential solutions to the complex toilet training problems of the severely and profound ly retarded population, as well as physically handi capped populations with similar complex handicaps.…”