Autism & Developmental

Reducing Public Masturbation in Individuals With ASD: An Assessment of Response Interruption Procedures.

Cividini-Motta et al. (2020) · Behavior modification 2020
★ The Verdict

A quick hand-removal plus “Stop” matched the full redirection package for stopping public masturbation, so begin with the shorter route.

✓ Read this if BCBAs working with teens or pre-teens with autism who engage in public masturbation.
✗ Skip if Clinicians already using complex packages that are working and want no change.

01Research in Context

01

What this study did

Cividini-Motta et al. (2020) compared two ways to stop public masturbation in youth with autism.

One way was simple response interruption: move the hand and say “Stop.”

The other way added redirection: after the stop, the youth had to do five quick exercises like clapping or touching shoulders.

The team tracked how long each episode lasted and how much staff time each method ate up.

02

What they found

Both methods cut the minutes of masturbation to near zero.

Simple interruption worked just as well as the longer redirection package.

Staff spent less time when they skipped the extra exercises.

03

How this fits with other research

Chen et al. (2022) looked at adults who vocalized repetitively. They found interruption alone did nothing; the redirection piece was required.

The difference is topography. Vocal stereotypy needs a demand to replace the sound. Public masturbation stops when the physical act is blocked.

Matson et al. (2011) showed a similar quick stop. They used interruption plus brief time-out to end foot-shoe fetish behavior in an adult.

Together the papers say: block the body response early; add demands only if the behavior can fill the same sensory slot.

04

Why it matters

You can save valuable session minutes. Start with the leanest plan: hand removal and a calm “Stop.”

If the behavior returns or shifts to another form, then layer in redirection or competing items.

Document which step actually gave you the gain so you do not run extra procedures forever.

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→ Action — try this Monday

Try simple response interruption first—block the response once and give a neutral stop cue—then add redirection only if needed.

02At a glance

Intervention
extinction
Design
single case other
Population
autism spectrum disorder
Finding
positive

03Original abstract

Individuals with autism may engage in sexual behavior at inappropriate times and/or in inappropriate places. The current study investigated the effects of response interruption and redirection (RIRD) and response interruption (RI) on public masturbation (PM) of children and adolescents with autism. Initial assessments showed that PM was maintained by automatic reinforcement. During the treatment evaluation phase, we compared RIRD and RI to determine whether either procedure was successful in decreasing the duration of PM. In the RIRD condition, contingent on the occurrence of any PM the participant completed physical activities involving both hands (e.g., moving chairs, touching toes). In the RI condition, the therapist interrupted all instances of PM using physical and verbal prompts (e.g., saying in a neutral tone, "Stop that" and moving hands away from genitals). Both procedures were effective in decreasing the duration of PM but RI required fewer resources and less time. Clinical implications and suggestions for future research are reviewed.

Behavior modification, 2020 · doi:10.1177/0145445518824277