ABA Fundamentals

Assessment of problem behavior evoked by disruption of ritualistic toy arrangements in a child with autism.

Leon et al. (2013) · Journal of applied behavior analysis 2013
★ The Verdict

A child who hits when his toy line is moved can trade a "fix it" card for the ritual and aggression stops.

✓ Read this if BCBAs treating ritual-driven problem behavior in kids with autism at home or clinic.
✗ Skip if Clinicians working with adults or whose clients show no object rituals.

01Research in Context

01

What this study did

One child with autism hit and screamed when his toy lines were moved.

The team tested two ways to mess up his ritual: taking a toy away or shifting it to a new spot.

They taught the boy to hand over a card that said "fix it" instead of melting down.

02

What they found

When the card worked and the adult fixed the line, problem behavior dropped fast.

The same drop happened in both the removal test and the relocation test.

FCT plus extinction gave big, clear cuts in aggression across both toy games.

03

How this fits with other research

Rispoli et al. (2014) ran the same FCT-plus-extinction plan with three kids and added schedule thinning.

Both papers show the ritual is the reinforcer; the 2014 study proves the effect lasts after you thin.

Storch et al. (2012) saw mixed results when adults took control of stereotypy objects.

Their lone positive case hints that letting the child ask for control, as Yanerys did, may be the key piece.

04

Why it matters

If your learner blows up when blocks are nudged, try a simple "fix it" card.

Test it in two quick contexts—toy gone and toy moved—to be sure the function is ritual repair.

One card plus extinction beat the tantrum here and in later kids; start Monday and track the first ten trials.

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→ Action — try this Monday

Teach a one-word or one-card mand for "fix it" and withhold the ritual until the child uses it; run five removal trials and five relocation trials.

02At a glance

Intervention
functional communication training
Design
single case other
Sample size
1
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

A functional analysis suggested that the problem behavior of a 9-year-old girl with autism was maintained by gaining the opportunity to restore ritualistic toy arrangements that had been disrupted. Functional communication training and extinction produced clear decreases in problem behavior in 2 contexts: 1 in which we removed a play item, and 1 in which we merely relocated the item and blocked its rearrangement.

Journal of applied behavior analysis, 2013 · doi:10.1002/jaba.41