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Applied Behavior Analysis Assessment and Intervention for Health: Threatening Self-Injury (Rectal Picking) in an Adult with Prader-Willi Syndrome

May Institute, Randolph, MA

^* To whom correspondence should be addressed. E-mail: jluiselli{at}mayinstitute.org.

	Abstract

The case of a 26-year-old man who had PraderWilli syndrome and health threatening selfinjury in the form of rectal picking is described. Functional behavioral assessment and analysis before intervention suggested that both nonrectal and rectal picking occurred because the behaviors sometimes produced social attention, escape from nonpreferred situations, and sensory pleasurable stimulation. Intervention was evaluated at the man’s vocational training program. The behavior support plan included timelimited bathroom visits, functional communication training, and differential positive reinforcement. Intervention eliminated rectal picking, was associated with improved health status, and remained effective over a nearly 8-month period.

First published on December 3, 2008, doi:10.1177/1534650108327011

Clinical Case Studies 2009;8:38.

A more recent version of this article appeared on February 1, 2009


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