ABA Fundamentals

The aversive control of excessive alcohol consumption by chronic alcoholics in the laboratory setting.

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

Electric shock quickly stops alcoholic drinking, but the effect vanishes when shock stops, so you must plan for long-term maintenance.

✓ Read this if BCBAs designing intensive interventions for severe self-injury or substance use in adult clinics.
✗ Skip if RBTs or school BCBAs who work where punishment is banned or less restrictive options exist.

01Research in Context

01

What this study did

Wilson et al. (1975) worked with adults who drank too much. The team gave a small electric shock right after each sip. They watched what happened in a lab room.

When the shock stopped, they looked to see if drinking came back. The study was one of the first to test punishment for alcohol use in a single-case design.

02

What they found

Shock cut drinking almost at once. The change was large and clear. As soon as the shock ended, drinking returned to old levels.

The effect did not last without the shock. The authors warned that you need a plan to keep gains after punishment ends.

03

How this fits with other research

Staddon et al. (2002) later showed the same shock method can work for years. They tracked one teen whose self-injury stayed near zero for five years. The difference: staff also managed meds, illness, and daily care.

Duker et al. (1996) found mixed long-term results. Seven of twelve clients with self-injury stayed safe without restraints, but five still needed daily shocks or restraints. Together these papers say: punishment can work, but real-world upkeep is hard.

Ahlborn et al. (2008) looked for side effects. They saw no new fear, sadness, or social problems after shock. This calms the worry that punishment always harms the client.

04

Why it matters

If you ever use punishment, know that the behavior will return once the aversive stops. Pair the procedure with reinforcement and maintenance plans from day one. Track medical and environmental variables too, because Staddon et al. (2002) show they decide whether gains last. Always weigh these limits against the risk of the target behavior, and get full consent.

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Add a maintenance phase to any punishment plan: schedule thin punishment, build replacement behaviors, and track side effects weekly.

02At a glance

Intervention
other
Design
single case other
Population
substance use disorder
Finding
positive
Magnitude
large

03Original abstract

The efficacy of several methods of aversive control of excessive alcoholic drinking was investigated in a semi-naturalistic setting that permitted objective measurement of the drinking behavior of chronic alcoholics. Studies 1A and 1B compared an excape-conditioning precedure with a control procedure in which aversive electrical shocks were administered before drinking. Neither procedure effectively decreased subjects' pretreatment, baseline alcoholic drinking behavior. In Study 2, aversive response-contingent shocks effectively suppressed alcoholic drinking, but drinking subsequently returned to its former levels after withdrawal of punishment. Self-administered shock appeared to be as effective as experimenter-administered punishment for controlling drinking, even when the punishment contingency was faded out over time. Study 3 replicated the suppressant effect of punishment, and demonstrated that contingent shock was significantly more effective than yoked, noncontingent shock. A direct comparison of self-versus experimenter-administered punishment suggested a possible slight advantage for the latter.

Journal of applied behavior analysis, 1975 · doi:10.1901/jaba.1975.8-13