ABA Fundamentals

Modification of human gastric acid secretion with operant-conditioning procedures.

Whitehead et al. (1975) · Journal of applied behavior analysis 1975
★ The Verdict

Gastric acid secretion can be brought under operant control in humans using simple feedback and monetary reinforcement.

✓ Read this if BCBAs running biofeedback or health-behavior programs
✗ Skip if Clinicians who only work with verbal behavior or academic skills

01Research in Context

01

What this study did

Four healthy women sat in a lab. A tube in their stomach measured acid. A screen showed them a line that moved when acid went up or down. If they hit a high acid target they got money. If they hit a low acid target they also got money. The team flipped the target every few days to see if the women could follow the switch.

02

What they found

Three of the four women tripled their acid when the game paid for high acid. When the rule flipped and paid for low acid, they dropped back to baseline. The fourth woman showed the same pattern but smaller. The acid level tracked the money, not the clock. Clear operant control of a gut function.

03

How this fits with other research

Annable et al. (1979) got rats to wash their paws more with food pellets. E et al. did the same trick in people, but the reinforcer was cash and the response was stomach juice. Same rule: pick a biological act, pay for it, and it grows.

Corfield-Sumner et al. (1977) saw rats drink buckets of water after food deliveries. They called it schedule-induced polydipsia. E et al. show the same schedule logic can turn acid on and off, proving the gut can be schedule-controlled just like water intake.

Madden et al. (2003) put cocaine self-injection under stimulus control. E et al. did it with gastric acid. Together they say operant procedures can tame drug-taking and digestion alike. The mechanism is general.

04

Why it matters

If you can reinforce stomach acid you can probably reinforce any measurable body signal. Biofeedback sessions for heart rate, skin temp, or gut pH become behavior plans, not magic. Pick a signal, give clear feedback, add a reinforcer, and shape the curve. Your client learns to control the very thing you used to think was automatic.

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Add a visible line graph to any biofeedback setup and pay on criterion—watch the body signal move.

02At a glance

Intervention
other
Design
single case other
Sample size
4
Population
neurotypical
Finding
positive
Magnitude
large

03Original abstract

In an attempt to control gastric acid secretion with operant-conditioning techniques, four normal women were given visual feedback on gastric pH plus money reinforcers. When money was made dependent on increased secretion in a differential-reinforcement-of-high-rates schedule, the rate of secretion of three of the four subjects increased to three times baseline. When money was then made dependent on decreased secretion in a differential-reinforcement-of-other-behaviors schedule, the rate of secretion of these three subjects returned to baseline levels. Heart rate, respiratory frequency, abdominal electromyographic activity, and stomach motility (measured by the electrogastrogram method) were not consistently correlated with acid secretion across subjects, although individual subjects showed substantial correlations between acid secretion and one or more other physiological response.

Journal of applied behavior analysis, 1975 · doi:10.1901/jaba.1975.8-147