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Combining pharmacological and positive behaviour support strategies in the treatment of self-injury

Baker, P.A., Wills, S., Smith, H., Kok, A., Zakrewski, K. (2012) Combining pharmacological and positive behaviour support strategies in the treatment of self-injury. International Journal of Positive Behavioural Support, 2 (1). pp. 11-18. ISSN 2047-0924. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:46654)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)

Abstract

Background: Positive behaviour support is increasingly using multiple perspectives to identify functional relationships and to examine and validate approaches for producing behavioural change. This would include gene-brain-behaviour relationships with the implication that pharmacological strategies could be incorporated in positive behaviour support plans.

Method and materials: A single-case methodology was used to examine the effects adding Naltrexone to the positive behaviour support plan of a woman with severe intellectual disability who presents self-injurious behaviour. Efficacy of the medication was examined across three functional analytic analogue conditions using a multi-element reversal design utilising blind ratings.

Results: Differential responding was observed across experimental conditions with tentative evidence of a positive treatment effect specifically and exclusively in the automatic reinforcement condition. Conclusions: Implications for prescribing practice of Naltrexone and other medications and the identification of behavioural markers correlated with positive treatment responses are highlighted.

Item Type: Article
Uncontrolled keywords: NALTREXONE; PHARMACOLOGY; POSITIVE BEHAVIOURAL SUPPORT; SELF-INJURY
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard
Depositing User: Jo Ruffels
Date Deposited: 13 Jan 2015 15:20 UTC
Last Modified: 16 Feb 2021 13:22 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/46654 (The current URI for this page, for reference purposes)
Baker, P.A.: https://orcid.org/0000-0003-1421-9639
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