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Clinical Case Studies
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Errorless Priming

A Brief, Success-Focused Intervention for a Child With Severe Reactive Aggression

Anthony Folino

University of Toronto The Centre for Addiction and Mental Health

Joseph M. Ducharme

University of Toronto The Centre for Addiction and Mental Health, jducharme{at}oise.utoronto.ca

Nathalie K. Conn

University of Toronto

Reactive aggressive children experience social encoding and interpretation difficulties. Such deficits increase the likelihood that reactive aggressive children perceive the actions of others as provocative and respond in an aggressive manner. Errorless priming was developed as a proactive and success-focused treatment for an 8-year-old boy demonstrating severe reactive aggression (RA). Observations of the child revealed several antecedents that immediately preceded his aggression. This information enabled prediction of aggressive outbursts and development of an intervention that involved providing the child with preparatory information (i.e., priming statements) to moderate his reaction to upcoming stressors. As is characteristic of errorless approaches, a graduated hierarchy was used to systematically fade priming statements. Following treatment, the child was able to tolerate, without problem behavior, antecedent conditions that he found challenging prior to treatment. Errorless priming may have broad potential as a brief and time-efficient intervention for RA.

Key Words: aggression • antecedent intervention • errorless intervention • priming • classroom-based intervention • treatment of problem behavior

This version was published on December 1, 2008

Clinical Case Studies, Vol. 7, No. 6, 507-520 (2008)
DOI: 10.1177/1534650108319915
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