Abstract

The effectiveness of social isolation, aversion-relief treatment, one-to-one monitoring with point earning and point loss contingencies, and no-programmed contingencies were compared in treating a 22-year-old mildly retarded woman with Prader-Willi Syndrome for obesity. While the patient lost some weight during contingent social isolation and aversion therapy, her weight increased rapidly on discontinuing these procedures. The patient lost 44 lb. over 5 months of 1:1 monitoring with immediate point-gain and point-loss contingencies and dropped 8 more pounds over 3 succeeding months in a less rigorously controlled setting.

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