Assessment & Research

Assessing the repeatability of resurgence in humans: Implications for the use of within‐subject designs

Kestner et al. (2018) · Journal of the Experimental Analysis of Behavior 2018
★ The Verdict

Resurgence fades when extinction is repeated—so don’t trust A-B comparisons within the same person.

✓ Read this if BCBAs who run repeated relapse probes in clinic or research.
✗ Skip if Practitioners who test resurgence only once per client.

01Research in Context

01

What this study did

Kestner et al. (2018) asked a simple question. If you test resurgence twice in the same person, does it come back just as strong?

Adults pressed buttons for points on a computer. First, pressing the left button paid off. Then only the right button paid. Finally neither button paid. This last part is extinction. The left-button presses that return are resurgence.

Two weeks later the same adults repeated the whole sequence. The team compared the size of resurgence in round one versus round two.

02

What they found

Resurgence shrank the second time. The first extinction gave a big burst of old button presses. The second gave barely a blip.

The drop was large enough to wreck within-subject designs. You can’t fairly compare two treatments if the mere order changes the outcome.

03

How this fits with other research

Nist et al. (2021) saw the opposite. They also ran two extinction tests, but resurgence stayed strong across both. The difference? They thinned the alternative reinforcement within each session. Kestner removed it all at once. Method shapes outcome.

Ritchey et al. (2021) also repeated extinction with humans and still got resurgence. Yet they lengthened initial training before each test. More training history can overpower the order effect, keeping relapse alive.

Greer et al. (2024) worked with children who had severe behavior. They found minimal resurgence when thinning was gradual. Again, the way you withdraw reinforcement matters more than how many times you test.

04

Why it matters

If you plan to compare two resurgence-reduction tactics in the same client, don’t alternate them back-to-back. The second round will look better even if it isn’t. Instead, use separate groups or give enough time and re-training between tests. Always taper alternative reinforcement slowly; abrupt stops invite bigger, less reliable relapse.

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Space relapse probes weeks apart and re-train the baseline response before each test.

02At a glance

Intervention
extinction
Design
other
Population
not specified
Finding
negative

03Original abstract

Resurgence refers to the recurrence of a previously reinforced response following the worsening of reinforcement conditions (e.g., extinction) for an alternative response. Because of the implications for treatment relapse, researchers have become particularly interested in mitigating resurgence of human behavior. Some studies have employed reversal designs and varied parameters across replications (e.g., ABCADC) to compare effects of second-phase variables. Although resurgence is generally repeatable within and between subjects, the extent to which similar levels of resurgence occur across replications is less clear. To assess the repeatability of resurgence, we conducted a secondary analysis of 62 human-operant data sets using ABCABC reversal designs from two laboratories in the United States. We found significant reductions in the magnitude of resurgence during the second exposure to extinction relative to the first exposure when all other phase variables were held constant. These results suggest that researchers should exercise caution when using within-subject, across-phase replications to compare resurgence between variable manipulations with human participants.

Journal of the Experimental Analysis of Behavior, 2018 · doi:10.1002/jeab.477