Assessment & Research

A functional analysis of finger sucking in children.

Stricker et al. (2002) · Behavior modification 2002
★ The Verdict

A home FA can show that finger sucking is powered only by mouth or finger feel, giving you a clear sensory toy to swap in.

✓ Read this if BCBAs treating auto-reinforced habits in young kids at home or clinic.
✗ Skip if Clinicians working with older clients whose habits are socially driven.

01Research in Context

01

What this study did

Parents ran a mini-lab in their living rooms. They tested why their kids sucked their fingers.

The team changed what happened right after finger sucking. Sometimes they gave kids a chewy toy. Other times they gave a soft finger brush. They watched which reward kept the habit alive.

02

What they found

Every child kept sucking for the feel of it, not for hugs or snacks. The mouth and finger sensations were the real pay-off.

Once the parents gave matching sensory toys, finger sucking dropped. The habit was auto-reinforced.

03

How this fits with other research

McCord et al. (2025) repeated the same logic with food stealing in autistic kids. They also saw the behavior run on automatic thrills, not adult attention.

Cullinan et al. (2001) showed that free, non-contingent toys or snacks can crowd out a habit. Their data back the idea that rich sensory substitutes can replace finger sucking.

Holmes (1990) mapped how moms naturally hand out reinforcers. McCarron et al. (2002) simply turned those everyday parent moves into a quick test.

04

Why it matters

You can copy this living-room FA next week. Grab two sensory items that match the habit—one for the mouth, one for the hand. Watch which one the child picks when both are free. The winner tells you the reinforcer, and you can build a treatment plan around matched sensory toys instead of nagging.

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→ Action — try this Monday

Offer a chewy tube and a soft brush after finger sucking, note which one the child uses most, and pick that item for non-contingent replacement.

02At a glance

Intervention
functional analysis
Design
single case other
Sample size
3
Population
neurotypical
Finding
not reported

03Original abstract

In this investigation, the authors experimentally assessed the functions of finger sucking for 3 typically developing children ages 6, 7, and 14. In Experiment 1, a parent-conducted functional analysis, completed in each child's natural environment, showed that each of the children's finger sucking was most likely to occur when the child was alone, suggesting that the behaviors were maintained by automatic reinforcement. Experiment 2 involved assessing the nature of the sensory stimulation that maintained finger sucking by attenuating the sensory stimulation to the fingers via the use of Band-Aids and attenuating the sensory stimulation to the mouth with a mild numbing agent for 2 of the 3 children. For the 3rd child, mouthing objects were made available noncontingently to determine whether access to such items would result in low levels of finger sucking, suggesting reinforcer substitutability. Results of these analyses suggested that finger sucking was maintained by both oral and digital stimulation for 2 children and by oral stimulation for the 3rd.

Behavior modification, 2002 · doi:10.1177/0145445502026003008