Relationship among challenging, repetitive, and communicative behaviors in children with severe intellectual disabilities.
Problem behaviors and communication are neighbors in time and purpose—assess and treat them as one package.
01Research in Context
What this study did
Yip et al. (2009) watched children with severe intellectual disability in everyday routines. They timed when challenging acts, repetitive movements, and communication happened. They also ran short functional analyses to see what kept each behavior going.
What they found
Most challenging and repetitive behaviors were rewarded by social events—attention, items, or escape. The surprise: communicative acts almost always occurred within seconds of the problem behaviors, like a tight dance.
How this fits with other research
Carr et al. (1985) already showed that teaching a child to ask for the same social payoff can replace hitting or screaming. Jane's team adds the timing detail that lets you know exactly when to prompt the new words.
Meyer (1999) did the same in classrooms: after a 2-condition test, teaching function-matched requests ended off-task behavior. Jane's data say the link is so close you can predict the moment to intervene.
Gilroy et al. (2023) later tested high- and low-tech AAC for autistic children with ID. Function-based AAC beat generic teaching, proving the payoff Jane spotted still works when you give kids a device or picture card.
Why it matters
When you see a hit, scream, or hand-flap, look at what the child just got or avoided. Then teach one clear communicative response that earns the same thing at that exact second. Your functional analysis already tells you the payoff; Jane's timing map tells you when to deliver the replacement skill.
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02At a glance
03Original abstract
We used experimental and descriptive functional analyses and lag sequential analyses to examine the functional and temporal relationship among the self-injurious (SIB), potentially injurious, repetitive, challenging, and pragmatic communicative behaviors of 6 children with intellectual disabilities. Functional analyses revealed social function for SIB, potentially injurious, and repetitive behaviors across 5, 4, and 5 participants, respectively. Sixteen functionally equivalent response classes were identified across participants using both experimental and naturalistic observation data. Repetitive, potentially injurious, and SIB behaviors were significantly temporally associated, and pragmatic communicative behaviors were strongly temporally associated with challenging behaviors. The importance of the temporal and functional relationship between imperative communicative acts and challenging behavior is discussed.
American journal on intellectual and developmental disabilities, 2009 · doi:10.1352/1944-7558-114.5.356