Abstract
Repetitive self-injurious eye poking and stereotypic hand clapping were assessed in a child with autism and hearing impairment. A functional behavioral assessment conducted to identify the variables maintaining eye-poking behaviors indicated automatic reinforcement. Choice and environmental enrichment strategies were implemented to decrease the motivating operations associated with eye poking. Providing a choice of toys to hold in his hand led to the greatest reductions in both repetitive eye poking and hand clapping. Three follow-up observations were conducted 9 months after the intervention, which indicated that eye poking was eliminated and hand clapping was greatly reduced. This antecedent intervention was simple and effective, two hallmarks of sustainable behavior interventions.
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