Abstract
We evaluated the effects of client positioning on the occurrence of self-injurious behavior (i.e., repetitive head weaving resulting in tissue damage and hair loss) exhibited by a child with Duane and Goldenhar syndromes. First, we conducted a functional analysis of head weaving, the results of which suggested that the behavior was maintained by automatic reinforcement. Next, we conducted a preference assessment to identify stimuli that would result in high levels of appropriate engagement and low levels of head weaving. Following the preference assessment, we evaluated the influence of client position on the occurrence of head weaving with results suggesting that body position (i.e., lying in a supine position) had an evocative effect on the occurrence of this response. Finally, we implemented an antecedent-based treatment consisting of both access to preferred items and manipulation of client body position.
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