This paper will examine possible extinction properties of behavior-specific manual restraint. It will analyze the possibility of extinction being produced via restraint with respect to the target behavior's possible environmental functions. The theoretical analysis will involve the analysis of behavioral properties of restraint during two temporal periods: (1) during the restraint itself and (2) subsequent to the restraint. Keywords: manual restraint, target behavior function, socially mediated access, socially mediated escape direct access, replacement behavior. ********** The use of manual restraint procedures is a controversial and endemic topic for personnel working with clients in residential and day treatment programs, schools, inpatient units and community settings. Manual restraint involves physically containing a client or student, without mechanical devices, in a position where movement of the arms, legs, and/or body becomes improbable. Manual restraint can be authorized for use in some facilities and school programs when a client exhibits behaviors that are considered to be dangerous (Harris, 1996) and thereby constitute a behavioral crisis or emergency (as found in California Positive Behavioral Intervention Regulations, Education Code Section 3052). When emergency restraint is deployed, its application is deemed clinically necessary by designated staff members to prevent an impending (or curtail a currently existing) dangerous situation. Behaviors such as self-injury and aggression towards people or property, which appear to threaten the welfare of the client or others, can be considered to constitute such an emergency. A decision is made the spot to deploy restraint procedures by such designated persons. While the use of emergency restraint is often justified as a mechanism to assure the safety of the client and persons in the immediate vicinity, its effects on client behavior are inevitable. What treatment effects accrue from emergency restraint has not received sufficient research attention, with the results of one study showing differential results between the two subjects (Luiselli, Kane, Treml, & Young, 2000). Due to the subjective nature of emergency restraint, its deployment for specific target behaviors may be haphazard and submit an intermittent contingency for target behavior problems. Research studies have demonstrated that the effects of intermittent schedules of a punishing stimulus may not result in significant changes in behavior when compared to a continuous schedule or more dense schedule (Cipani, Brendlinger, McDowell, & Usher, 1991; Clark, Rowbury, Baer, & Baer, 1973). Without evaluating whether punishing effects can result from emergency implementation of restraint, untoward results may occur. Emergency restraint can certainly be justified as a safety procedure. However, failing to understand its functional effects while using it may result in an exacerbation of problem behavior, thus necessitating restraint more frequently. While the treatment effects of emergency restraint are not sufficiently understood, the behavioral effects of behavior-specific restraint across several topographies of problem behavior have been demonstrated (Bitgood, Crowe, Suarez, & Peters, 1980; Cipani & Wolter, 1983; Luiselli et. al., 2000; Grace, et al., 1994; Matson & Keyes, 1988; Rapoff, Altman, & Christopherson, 1980; Rolider, Williams, Cummings, & VanHouten, 1991). For example, a client with mental retardation who engaged in self-injury was effectively treated by immobilizing his arms (i.e., on the table he was seated at) as a contingency for hits to his head (Cipani & Wolter, 1983). In another study, a 30-second restraint contingent upon self-hitting reduced such behavior to zero levels for a two month period of treatment (Rapoff, et al., 1980). The effectiveness of behavior-specific restraint is often assessed in combination with other treatment components. …
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