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JOURNAL OF APPLIED BEHAVIOR ANALYSIS 1998, 31, 529–542 NUMBER 4 (WINTER 1998)

FIXED-TIME SCHEDULES ATTENUATE


EXTINCTION-INDUCED PHENOMENA IN
THE TREATMENT OF SEVERE ABERRANT BEHAVIOR
TIMOTHY R. VOLLMER, PATRICK R. PROGAR, JOSEPH S. LALLI,
CAROLE M. VAN CAMP, BARBARA J. SIERP, CARRIE S. WRIGHT,
JULIA NASTASI, AND KEVIN J. EISENSCHINK
UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE AND
CHILDREN’S SEASHORE HOUSE

We compared the effects of extinction (EXT) and fixed-time (FT) schedules as treatment
for severe problem behavior displayed by 3 individuals with developmental disabilities.
First, functional analyses identified the reinforcers maintaining aberrant behavior for all
3 individuals. Next, EXT and FT schedules were compared using a multielement design.
During EXT, the reinforcer maintaining problem behavior was withheld. During FT, the
reinforcers were presented response independently at preset intervals. Results showed that
FT schedules were generally more effective than EXT schedules in reducing aberrant
behavior. FT schedules may be used in situations when extinction-induced phenomena
are problematic.
DESCRIPTORS: fixed-time schedules, extinction, noncontingent reinforcement,
self-injury, aggression, functional analysis

Extinction (EXT) involves the discontin- Fixed-time schedules involved presenting re-
uation of reinforcement (e.g., Catania, inforcers on a response-independent time-
1992). Traditionally, EXT has been accom- based schedule. The FT schedule has been
plished by withholding a previously conse- described previously in applied behavior
quent reinforcer when a response occurs analysis as noncontingent reinforcement
(Lerman & Iwata, 1996), and the result is a (NCR); however, we will use the term FT
disruption in the contingency between re- in this article because the central purpose of
sponse and reinforcer. Response-indepen- the study was to evaluate schedule effects.
dent schedules, such as fixed-time (FT) or There are several reasons to conduct an
variable-time (VT) schedules, also eliminate evaluation of EXT and FT schedules. First,
the contingency between a response and a previous studies have shown that FT sched-
reinforcing event because responding does ules can be effective as treatment across mul-
not alter the probability of a reinforcer de- tiple response functions, including behavior
livery (Catania, 1992; Vollmer, Iwata, Zar- that was maintained by attention (e.g., Ha-
cone, Smith, & Mazaleski, 1993). In this gopian, Fisher, & Legacy, 1994), escape
study, we evaluated the effects of EXT and (e.g., Vollmer, Marcus, & Ringdahl, 1995),
FT schedules in the treatment of severe or access to materials (Lalli, Casey, & Kates,
problem behavior. Extinction involved with- 1997). Vollmer et al. (1993) suggested that
holding reinforcers that previously had been FT schedules may reduce the probability of
presented contingent on problem behavior. problem behavior for at least two reasons:
(a) The motivation to engage in problem be-
We thank Kim Coleman for her assistance in con- havior is reduced because reinforcers are
ducting this study. available on a free and frequent basis; in a
Reprints may be obtained from Timothy R. Voll-
mer, who is now at the Department of Psychology, sense, the environment is enriched with ac-
University of Florida, Gainesville, Florida 32611. cess to positive reinforcers and the attenua-

529
530 TIMOTHY R. VOLLMER et al.

tion of aversive stimuli (see Horner, 1980); served as a discriminative stimulus for lever
and (b) the contingent relation between the pressing because rats pressed a lever almost
response and a reinforcer is eliminated. Fur- immediately after receiving a food pellet ac-
ther, FT schedules are easier to implement cording to the DRO schedule. Fewer lever
than differential reinforcement of other be- presses were observed during EXT, presum-
havior (DRO), for example, because there is ably because no food was ever presented to
never a need to reset a timer contingent on serve as a stimulus for responding.
a response or to observe every instance of If the relations reported by Rescorla and
problem behavior (i.e., problem behavior has Skucy (1969) and by Uhl and Garcia (1969)
no effect on reinforcer delivery). Finally, hold true in applied settings, response-in-
some prior research has suggested that FT dependent schedules may be contraindicated
schedules may attenuate extinction-induced in some cases. For example, noncontingent
phenomena such as response bursts and re- attention may produce temporary increases
sponse variation (Vollmer et al., 1993). Most in attention-maintained aberrant behavior
behavioral treatment packages contain some immediately following an attention delivery
means of disrupting response–reinforcer re- despite the absence of a response–reinforcer
lations (such as extinction or NCR). How- contingency. However, FT schedules in the
ever, no explicit comparison of EXT and FT applied context are considerably different
schedules has been conducted in the applied than schedules that have been compared to
context. EXT in the laboratory context. Specifically,
A second reason to evaluate EXT and in most applications of response-indepen-
time-based schedules is that basic and ap- dent schedules, the FT interval is gradually
plied studies have yielded seemingly discrep- increased beginning with continuous or
ant outcomes. Whereas applications of re- near-continuous access to reinforcers and
sponse-independent schedules have generally ending with a more manageable schedule
produced immediate and sustained reduc- (such as FT 5 min or FT 10 min). In con-
tions in aberrant behavior (e.g., Hagopian et trast, schedules in basic work have typically
al., 1994; Vollmer et al., 1993), laboratory been arranged to mimic baseline reinforce-
research has shown that behavior may persist ment rates. As such, it is not clear whether
at a low level despite the absence of a re- the negative side effect (response persistence
sponse–reinforcer contingency. For example, associated with the stimulus properties of re-
Rescorla and Skucy (1969) showed that lever inforcer delivery) is relevant to applied work
pressing in rats was suppressed relative to a if escalating FT schedules are used.
reinforcement baseline with both VT and A third reason to evaluate EXT and FT
EXT schedules, but that lever pressing per- schedules is to identify potential adverse side
sisted at a higher level during VT than dur- effects of either procedure, such as incidental
ing EXT. It is possible that the VT schedule reinforcement (with FT) or extinction-in-
represented a context that was more similar duced behavior (with EXT). Incidental re-
to the reinforcement baseline (in VT, food inforcement might occur if reinforcer deliv-
was delivered on an average once per 2 min; ery is contiguous to responding. Although
in a variable-interval [VI] baseline, the re- incidental reinforcement is rare in published
sponse-dependent schedule also revolved studies using FT or VT applications, it has
around a 2-min average, VI 2 min). Similar been reported to occur under some condi-
findings were reported by Uhl and Garcia tions (e.g., Vollmer, Ringdahl, Roane, &
(1969), who compared DRO to EXT. Uhl Marcus, 1997). One potential advantage of
and Garcia’s results suggested that food EXT schedules is that, if they are applied
FIXED-TIME SCHEDULES 531

correctly, incidental reinforcement cannot fective (e.g., noncontingent attention or


occur. However, the possibility of extinction- noncontingent escape), it is not known
induced phenomena (such as response burst- whether such schedules attenuate extinction-
ing and response variation) needs to be bal- induced effects, as has been previously sug-
anced with the possibility of incidental re- gested (e.g., Vollmer et al., 1993). Also, al-
inforcement or other potential side effects of though most behavioral applications have
FT. Recently, reviews of the EXT literature involved extinction in combination with
have suggested that commonly referenced other procedures such as differential rein-
extinction-induced phenomena are actually forcement, extinction remains a commonly
rare in applied research (e.g., Lerman & Iwa- recommended procedure in practice (e.g.,
ta, 1995, 1996). If extinction-induced phe- ‘‘just ignore the behavior’’); therefore, eval-
nomena are not common in applied settings, uation of its effects in isolation (as a point
the putative adverse side effects of extinction of comparison) seems appropriate from a
may be exaggerated and previous claims that clinical as well as a conceptual standpoint.
FT schedules should attenuate such side ef- In this study, after completing functional an-
fects may have been unfounded. On the oth- alyses based on Iwata et al. (1982/1994), es-
er hand, the Lerman and Iwata reviews of calating FT schedules and EXT were com-
the literature on extinction also suggested pared as treatment with 3 individuals who
that use of extinction alone is rare in applied displayed severe aberrant behavior. The ef-
work because it is usually a component of fects of both schedules were evaluated across
treatment packages that include reinforce- three different behavioral functions (atten-
ment of an alternative behavior. Thus, the tion, escape from instructional activity, and
effects of extinction in isolation have been escape from social proximity) and across
rarely studied in applied contexts, and no three behavioral topographies (aggression,
definitive conclusions about the relative ef- disruption, and self-injury).
fects or side effects of FT and EXT schedules
can be gleaned from existing data. Indeed,
METHOD
until the advent of functional analysis pro-
cedures as a form of assessment (e.g., Iwata, Participants
Dorsey, Slifer, Bauman, & Richman, 1982/ Dana was a 22-year-old woman who had
1994), it was not clear whether applications been diagnosed with severe mental retarda-
that were called extinction actually involved tion and who displayed repetitive behaviors
discontinuation of reinforcement (because such as stereotypic rocking and repetitive
the reinforcer had not been identified). For playing with unusual objects. Dana did not
example, the variation of extinction known speak, although she used some modified
as ‘‘ignoring’’ would not be an actual appli- manual signs to request access to the bath-
cation of extinction if the target behavior room, food, or drinks. She required mod-
was maintained by escape (Iwata, Pace, erate assistance with most self-care activities
Cowdery, & Miltenberger, 1994). To accu- and was able to feed herself. Throughout the
rately evaluate the effects of extinction, a study she received Tegretol as treatment for
functional analysis must be conducted so a seizure disorder and Risperdal (held con-
that a known reinforcer can be withheld. stant throughout the study) for behavioral
To date, no studies have directly evaluated concerns. She was referred for treatment, in
FT schedules in comparison to extinction as part, due to severe aggression in the form of
treatment for aberrant behavior. Although hitting other people (usually directed toward
escalating FT schedules are known to be ef- the eyes) and pinching.
532 TIMOTHY R. VOLLMER et al.

Alan was a 6-year-old boy who had been line, or both, but did not produce the iden-
diagnosed with moderate mental retardation tified reinforcers during extinction. For
and severe hearing loss. Alan used American Dana, problem behavior was aggression,
sign language and had a vocabulary of sev- which was defined as hitting or pinching
eral dozen signed words. He required mod- others. For Alan, problem behaviors were
erate assistance with his self-care needs and disruption and self-injury, each scored indi-
was progressing well in basic academic skills vidually. We also scored the duration of tan-
such as number and letter identification. trums for Alan (reported as the percentage
Throughout the study he received Risperdal, of a session) as a potential side effect of the
but the dosage was held constant. Alan was procedures (tantrums produced no social
referred for treatment due to severe disrup- consequences). Disruptions were defined as
tion (e.g., kicking holes in walls, throwing throwing objects, destroying objects, and
objects), self-injury (e.g., self-hitting), and hitting or kicking the floor, desk, or wall.
tantrums (e.g., screaming and flopping to Self-injury was defined as self-slapping or
the floor). self-punching (nail picking was also scored,
Matthew was a 16-year-old boy who was but was observed only once). Tantrums were
blind and who had been diagnosed with defined as screaming and crying. For Mat-
moderate mental retardation. He commu- thew, problem behaviors were aggression and
nicated vocally with the approximate vocab- disruption. Aggression was defined as hitting,
ulary of a typical 4- to 6-year-old child. He kicking, biting, or throwing objects in the
responded to verbal prompts to complete direction of the therapist. Disruption was de-
self-care and activities of daily living, al- fined as throwing or destroying objects. Ob-
though he sometimes became aggressive and servers also scored the therapist’s behaviors
disruptive during those activities. Matthew to assess procedural integrity; no integrity
hit people with objects such as chairs, shoes, failures were reported.
or other items that were in the room during Observers were seated behind a one-way
an instructional activity. observation window and recorded data dur-
ing all functional analysis and treatment ses-
Setting sions. Data were usually collected using lap-
All sessions were conducted on an inpa- top computers. Interobserver agreement was
tient unit in domicile-style therapy rooms assessed by having a second observer simul-
that contained couches, chairs, beds, or oth- taneously but independently score each of
er items as necessary for sessions. During the relevant behaviors during 20.9% of the
functional analysis sessions, the contents of sessions. Each session was divided into a se-
the room varied depending on the condition ries of 10-s bins, and the smaller number of
in effect. Sessions were usually conducted observed responses (by one observer) was di-
two to eight times per day, 5 days per week. vided by the larger number of observed re-
All sessions lasted 10 min. sponses (by the other observer). For duration
measures (i.e., Alan’s tantrums), the smaller
Recording and Interobserver Agreement number of seconds within a 10-s bin was
During observational sessions, each in- divided by the larger number of seconds
stance of problem behavior was scored. The within the 10-s bin. Thus, for both rate and
primary dependent variable was the rate of duration measures, each 10-s bin created an
problem behavior. Problem behavior pro- agreement score, and the agreement scores
duced the consequences being tested as re- for each bin were averaged across the session.
inforcers in the functional analysis, the base- Overall, session-by-session agreement for
FIXED-TIME SCHEDULES 533

problem behavior averaged 98.3%. In addi- was included, in which the therapist began
tion, 46 of the 59 sessions in which inter- the session by stepping out of the room
observer agreements were scored yielded (rather than engaging in work) and returned
100% agreement (overall range, 84% to and provided mild reprimands and comfort
100%). Interobserver agreement was not statements for 30 s contingent on SIB or
lower than 93.5% for any response of any disruption.
participant in any single condition. During the materials condition, a thera-
pist began a session by withdrawing access
Experimental Design and Procedure to a preferred item, which remained in view
Each individual participated in a func- (for Dana and Alan) or just out of reach (for
tional analysis, conducted within a multi- Matthew). Contingent upon each aberrant
element design to identify the reinforcers behavior, the materials were returned for 30 s.
that maintained aberrant behavior. Then, During the escape condition, a therapist
following a baseline, each participant re- presented instructions using a three-prompt
ceived an EXT treatment and an FT treat- instructional sequence (verbal, touch, guid-
ment within a multielement design, in ance) on an FT 30-s schedule (for Alan) or
which session order was either quasi-random whenever on-task behavior stopped (for
(Dana and Alan) or counterbalanced (Mat- Matthew). For Matthew, tasks involved ac-
thew). For all participants, one therapist was tivities of daily living such as bed making or
correlated with EXT and one therapist was cleaning. For Alan, tasks involved basic ac-
correlated with FT, and no single therapist
ademic activities such as counting, sorting,
was a therapist for more than 1 individual.
or tracing. Contingent upon aberrant behav-
Functional analysis. The functional analy-
ior, instructional activity was terminated for
ses were based on the procedures described
30 s (and the therapist stated, ‘‘Never mind,
by Iwata et al. (1982/1994). The responses
you may take a break now’’).
that received consequences during the anal-
ysis were aggression (Dana and Matthew) During social escape (Dana only), a ther-
and disruption or SIB for Alan. For Mat- apist stood within 1 m of Dana and spoke
thew, disruptions were also scored but did to her (e.g., about the weather, her schedule,
not receive the planned consequences. As it visitors, etc.). Contingent upon each in-
turned out, disruption occurred in only one stance of aggression, the therapist stopped
condition. The test conditions included at- talking and moved away for 20 s to a dis-
tention, materials, escape, social escape tance of at least 3 m. This condition was
(Dana only), and alone (Alan only). A con- arranged as a test for escape as a reinforcer
trol condition was implemented for all 3 because Dana was observed (outside of ses-
participants, consisting of no instructional sions) to become agitated and aggressive
demands and free access to attention and when she was being closely examined, as-
preferred materials. sisted, or otherwise required to stand near
During the attention condition, a thera- other people.
pist provided statements of concern or mild An alone condition was not conducted for
reprimands on a continuous reinforcement Dana and Matthew because by definition
schedule (CRF) contingent on aberrant be- aggression could not occur when the person
havior. The therapist engaged in work to di- was alone. Only one alone session was con-
vert attention, and the participants were giv- ducted for Alan; the session began with a
en preferred items with which to interact. therapist leaving the room and was followed
For Alan, a modified attention condition by a high rate of disruption directed toward
534 TIMOTHY R. VOLLMER et al.

the door. The behavior appeared to be re- not conducted (an additional session at a
lated to withdrawal of attention. given schedule was conducted), or when the
Baseline. The condition that produced participant was doing consistently well in
problem behavior during the functional FT toward the end of treatment (in which
analysis for each participant was used as a case only one session at a given schedule was
baseline. For Dana, the baseline was social required for advancement). Initially, the par-
escape. For Matthew, the baseline was escape ticipants received continuous access to es-
from specific tasks (bed making and table cape (Dana and Matthew) or attention
cleaning), and we included disruption in ad- (Alan). Next, the FT component was imple-
dition to aggression because these responses mented, during which 10 s of reinforcer ac-
appeared to be correlated. For Alan, the cess was removed from every minute. A ther-
baseline was the modified attention condi- apist stood next to Dana for 10 s, presented
tion. In addition to recording Alan’s disrup- instructions for 10 s to Matthew unless he
tion and SIB, observers recorded instances was working, or left the room for 10 s for
of tantrums as a possible side effect of the Alan. This schedule represents an FT 10-s
treatments that followed baseline. However, schedule with 50-s reinforcer access. For
tantrums did not produce attention. Two Matthew, breaks were signaled verbally (i.e.,
therapists (one who was eventually correlat- ‘‘You can take a break, Matthew’’). The next
ed with extinction and one who was even- schedule progression consisted of an increase
tually correlated with FT) alternated as base- to 20 s (with 40 s of access to the reinforcer),
line therapists. then to 30 s (with 30 s of access to the re-
Extinction. During EXT sessions, the re- inforcer), and then (for Dana only) to 40 s
inforcer was withheld for problem behavior (with 20 s of access to the reinforcer). When
and was never presented otherwise. For the schedule progressed to 30 s for Alan and
Dana and Matthew, aggression or disruption Matthew, it was functionally equivalent to
did not produce negative reinforcement. For an FT 1-min schedule with a 30-s reinforcer
Alan, disruption and SIB did not produce interval (because the reinforcer delivery oc-
positive reinforcement. Although data col- curred once per minute independent of be-
lection ended for Alan after 10 min, the havior). Thus, for Alan and Matthew, the
adult never reentered the room until at least next progression was to FT 1 min, and all
a 30-s period had elapsed without aberrant subsequent reinforcer deliveries lasted 30 s.
behavior. When the schedule progressed to 40 s for
Fixed time. During FT sessions, the rein- Dana, it was functionally equivalent to an
forcer (escape for Dana and Matthew; atten- FT 1-min schedule with a 20-s reinforcer
tion for Alan) was presented on a response- interval. Thus, the next progression was to
independent schedule. The reinforcer–rein- FT 1 min, and all subsequent reinforcer de-
forcer interval increased across sessions, and liveries lasted 20 s. For all participants, after
the progression was based on the procedures FT 1 min, the schedule progressed as fol-
described by Vollmer et al. (1993). As a gen- lows: FT 1.5 min, FT 2 min, FT 2.5 min,
eral rule, when aberrant behavior was re- FT 3 min, FT 3.5 min, FT 4 min, FT 5
duced by 80% or more from baseline levels min. For Matthew, as in baseline, on task
for one (Dana) or two (Alan and Matthew) was considered any time he was actively en-
consecutive FT sessions, the schedule was gaged or receiving instructional prompts
advanced to the next level. This general rule (which occurred whenever he stopped work-
for schedule advancement was altered occa- ing unless the escape period was in effect).
sionally after weekends when sessions were For Alan, a timer with large numbers was
FIXED-TIME SCHEDULES 535

used to count down the seconds to the 0.35 responses per minute; range, 0 to 2.0).
scheduled attention delivery. The therapist Within-session analyses of behavior sequenc-
pointed to the timer and then left the room. es showed that Matthew often was disruptive
For Matthew, a timer with a bell was intro- first and then was aggressive.
duced at one stage of treatment (described
in the Results section). For Dana, no timer Treatment
was used. Figure 2 shows the results of EXT and FT
for Alan across three topographies. During
baseline, disruption averaged 0.74 responses
RESULTS
per minute (range, 0.4 to 1.8). Extinction
Functional Analysis produced an immediate, large increase in re-
Figure 1 shows the results of the func- sponding (M for the first five sessions 5
tional analysis for all 3 participants. Alan’s 5.54 responses per minute; range, 2.2 to
disruption was consistently highest in the 9.8). In contrast, FT immediately eliminated
modified attention condition (M 5 0.93 re- responding. Overall, disruption rates were
sponses per minute) compared to all other generally higher and more variable during
conditions except alone (M for all other con- EXT (M 5 2.0 responses per minute; range,
ditions combined 5 0.05 responses per min- 0 to 10.0) compared to FT response rates
ute), suggesting that the behavior was main- (M 5 0.3 responses per minute; range, 0 to
tained by positive reinforcement in the form 4.9). Disruption rates increased above base-
of attention (or adult proximity). Recall that line levels during only two FT sessions (Ses-
only one alone session was conducted be- sions 32 and 40).
cause the intended purpose of the condition The center panel of Figure 2 shows the
(low stimulation, no social reinforcement for results for Alan’s SIB. The same general pat-
aberrant behavior) seemed to be confounded terns observed for disruption are seen in the
by attention withdrawal. Discounting the analysis of SIB. In baseline, the mean rate of
alone session, self-injury (not graphically dis- SIB was 0.08 responses per minute (range,
played) occurred mostly in the modified at- 0 to 0.2). Extinction produced an immediate
tention and regular attention conditions (M increase in SIB (M for the first five sessions
5 0.16 responses per minute in attention 5 0.6 responses per minute; range, 0.4 to
sessions; M 5 0.01 responses per minute in 1.1) and FT produced an immediate de-
all other sessions combined), but at a lower crease in SIB (M for the first five sessions 5
rate than disruption. 0 responses per minute). The initial burst in
Dana’s aggression occurred during the so- EXT is especially notable because we had
cial escape condition only (M 5 0.5 respons- previously observed only low rates of SIB.
es per minute). These results suggest that Overall, SIB rates remained generally higher
Dana’s aggression was maintained by escape and more variable during EXT (M 5 0.22
from social proximity. responses per minute; range, 0 to 1.2) when
Matthew’s aggression was observed in the compared to SIB rates during FT (M 5
escape condition only (M 5 0.22 responses 0.01).
per minute; range, 0 to 0.8), suggesting that The lower panel of Figure 2 shows the
Matthew’s aggression was maintained by es- results for Alan’s tantrums. Tantrums are of
cape from instructional activity. Although no interest as a potential negative side effect.
consequences were presented for disruption, During baseline, tantrums occurred at no-
the behavior occurred in the escape condi- table levels but were on a decreasing trend
tion only (not graphically displayed; M 5 (M 5 9.8% of the session; range, 1% to
536 TIMOTHY R. VOLLMER et al.

Figure 1. Results of the functional analysis for Alan (upper panel), Dana (center panel), and Matthew
(lower panel).
FIXED-TIME SCHEDULES 537

Figure 2. Results of extinction (EXT) and fixed-time (FT) schedules for Alan’s disruption (upper panel),
SIB (center panel), and tantrums (lower panel). Arrows indicate sessions when the FT schedule progressed. The
dashed condition-change line is used for tantrums to indicate that the behavior was not reinforced during
baseline.
538 TIMOTHY R. VOLLMER et al.

Figure 3. Results of extinction (EXT) and fixed-time (FT) for Dana (upper panel) and Matthew during
bed making (lower panel). Arrows indicate sessions when the FT schedule progressed.

35%), presumably because they were never only). During baseline, Dana’s aggression oc-
reinforced and other aberrant behaviors (dis- curred at an average of 0.53 responses per
ruption and SIB) produced attention. Ex- minute (range, 0.3 to 0.9). During EXT and
tinction of disruption and SIB produced an FT, the general response patterns are similar
immediate increase in tantrums (M for the to those observed with Alan. Although the
first five sessions 5 37.4% of the session; first session was lower than the baseline
range, 14% to 55%). By contrast, an im- mean, EXT produced a general increase in
mediate decrease in tantrums was observed aggression in the early stages of treatment
during FT sessions (M for the first five ses- (M for the first five sessions 5 1.9 responses
sions 5 0%). Overall, tantrums remained per minute; range, 0 to 6.3), whereas FT
generally higher and more variable during immediately decreased responding to zero.
EXT (M 5 8% of the session; range, 0% to Overall, aggression was generally higher and
55%) when compared to levels during FT more variable during EXT (M 5 0.89;
(M 5 0.7%; range, 0% to 21%). range, 0 to 6.3) than levels during FT (M
Figure 3 shows the results of EXT and FT 5 0.02; range, 0 to 0.3).
for Dana and Matthew (for bed making The lower panel of Figure 3 shows the
FIXED-TIME SCHEDULES 539

results for Matthew during the bed-making and FT conditions was demonstrated (as a
task. During baseline, aggression and disrup- result of the discontinuation of EXT), results
tion occurred at an average of 0.72 responses for table cleaning are not depicted graphi-
per minute (range, 0 to 1.7) and was vari- cally.
able. The comparison between EXT and FT
was terminated early for Matthew (discussed
below), but an emerging pattern in the rel- DISCUSSION
ative response rates was similar to that seen Extinction and fixed-time schedules were
with the other participants after six EXT and presented in a multielement design to com-
seven FT sessions. During EXT, aggression pare their relative effects on severe behavior
and disruption averaged 0.63 responses per problems. Using five-session means as indi-
minute (range, 0 to 1.8), which does not cators of bursting at the onset of treatment,
represent a burst when the mean is com- EXT produced an increase in aggression, dis-
pared to baseline rates, but was higher than ruption, and tantrums for Alan, and aggres-
during FT. During FT, no aggression or dis- sion for Dana. For all 3 participants, FT
ruption was observed throughout treatment. yielded lower overall response rates than
Matthew’s EXT sessions were discontinued EXT and eventually yielded zero rates of ab-
for three reasons: (a) Aggression intensity errant behavior. The absence of bursting in
had increased with the onset of treatment, the early stages of FT is consistent with pre-
placing the therapist at risk; (b) no aggres- viously reported results (e.g., Hagopian et
sion was observed in the FT condition dur- al., 1994; Lalli et al., 1997; Vollmer et al.,
ing bed making, which made it a preferred 1993). For at least two reasons, the current
treatment option from a clinical standpoint; results should be viewed with a degree of
and (c) clear differentiation between EXT caution: (a) A high rate of aggression was
and FT at the outset of treatment was con- observed in both FT and EXT during an
sistent with the results for Alan and Dana, incomplete analysis with Matthew’s table-
precluding the need for a more extended cleaning task (not depicted graphically), and
analysis. That is, combined with Alan’s and (b) although incidental reinforcement effects
Dana’s results, Matthew’s results in bed mak- were not observed during FT, another paper
ing provide additional support for the rela- recently detailed incidental reinforcement ef-
tive efficacy of FT. It should be noted that fects on an FT 1-min schedule (Vollmer et
an additional comparison of FT and EXT al., 1997). Thus, practitioners might expect
was conducted for Matthew during a table- increased rates during FT in some cases, as
cleaning task, but the results were equivocal, a result of reinforcement.
with high rates of aggression and disruption The overall treatment package used in the
during both FT and EXT. Results remained FT condition contains several potentially
equivocal up to the point when EXT was operative components, including (a) extinc-
terminated due to the severity of aggression. tion of aberrant behavior, because the con-
During table cleaning, aggression and dis- tingency between aberrant behavior and its
ruption rates averaged 0.88 responses per reinforcer is disrupted; (b) changes in estab-
minute (range, 0.3 to 1.5) in baseline. Rates lishing operations, because reinforcers are
increased to an average of 3.92 responses per available freely and frequently; and (c) the
minute (range, 0 to 6.5) in EXT and to an progressive escalation of the FT schedule,
average of 2.08 responses per minute (range, which perhaps functions to teach a ‘‘toler-
0 to 5.3) in FT. Because no experimental ance’’ to delays to reinforcement. This latter
control or clear differentiation between EXT component has been infrequently studied
540 TIMOTHY R. VOLLMER et al.

and may be helpful in augmenting the ef- uous access to the reinforcer. As such, dis-
fects of other procedures. For example, in crimination between baseline and treatment
functional communication training, difficul- conditions may have been enhanced. At the
ty may arise if a communicative response same time, the establishing operation (dep-
cannot be immediately reinforced (e.g., din- rivation from attention; aversive stimulation)
ner is delayed; a favorite toy is being used was not in effect during the early stages of
by someone else). A history with progressive our FT treatment. The absence of an estab-
FT schedules may promote tolerance to such lishing operation at the outset of treatment
delays. probably accounts for the immediate re-
It might be argued that a comparison in- sponse suppression seen in the cases we eval-
volving EXT is moot if few practitioners rec- uated. Again, by contrast, the establishing
ommend EXT in isolation of other proce- operation (food deprivation) was in effect
dures (such as functional communication during Rescorla and Skucy’s VT schedule
training, differential negative reinforcement, analysis. In addition, the establishing oper-
etc.). However, a common recommendation ations (deprivation from attention; aversive
given to parents and teachers is to ‘‘ignore’’ instructional demands) were in effect during
problem behavior. Perhaps ignoring (extinc- our EXT sessions. Future studies should
tion) is recommended over FT because con- evaluate (a) the effects of different baseline
sultants are unfamiliar with FT applications schedules of reinforcement on subsequent
(see Blampied & France, 1993, for a recent EXT and FT interventions, and (b) the ef-
discussion). Also, a potential clinical limita- fects of different schedule parameters during
tion of both FT and EXT schedules is that FT. There is evidence that the initial contin-
no alternative behavior is explicitly rein- uous access used in FT in this study is not
forced (Vollmer et al., 1993). However, re- always necessary (e.g., Lalli et al., 1997), but
cent research has shown that alternative be- it is not clear how baseline and treatment
haviors can be reinforced and maintained schedule parameters interact.
even though the same reinforcers are avail- Also, evidence of the so-called extinction
able noncontingently (Marcus & Vollmer, burst was obtained in this study. This find-
1996). Further, following the conclusion of ing seems to contradict the conclusions of
this study, each of the participants received Lerman and Iwata (1995, 1996), who re-
additional treatment that involved reinforce- ported that the extinction burst is rather un-
ment of communication skills such as sign common in applied studies. However, many
language (Alan and Dana), communication studies reviewed by Lerman and Iwata either
cards (Dana), and vocalizations (Matthew). had not used extinction in isolation or had
To a degree, aspects of the results appear not systematically identified the functional
to be inconsistent with some previous find- reinforcer prior to the implementation of ex-
ings. For example, in laboratory work with tinction. In this study, we used extinction
rats as subjects, Rescorla and Skucy (1969) alone, and we systematically identified the
showed that EXT was superior to response- reinforcer that maintained the target re-
independent schedules in suppressing lever sponse (to ensure that it was withheld during
pressing rates. However, the VT schedules extinction). In addition to observing the ex-
used in the Rescorla and Skucy analysis re- tinction burst, we found evidence for pos-
sembled the VI schedules used in a baseline sible undesired response variation (the emer-
reinforcement condition because the rein- gence of higher rates of tantrums for Alan)
forcement rates were similar. By contrast, in and response-rate variability with all partic-
our study, the treatment began with contin- ipants. However, the rates of behavior ob-
FIXED-TIME SCHEDULES 541

served during EXT could have been en- Catania, A. C. (1992). Learning (3rd ed.). Englewood
Cliffs, NJ: Prentice Hall.
hanced because of low rates of access to re- Hagopian, L. P., Fisher, W. P., & Legacy, S. M.
inforcement relative to the FT condition; (1994). Schedule effects of noncontingent rein-
EXT alone may not have yielded response forcement on attention-maintained destructive be-
bursts had it not been alternated with FT. havior in identical quadruplets. Journal of Applied
Behavior Analysis, 27, 317–325.
Future comparisons could use a reversal de- Horner, R. D. (1980). The effects of an environmen-
sign format, with conditions counterbal- tal ‘‘enrichment’’ program on the behavior of in-
anced across subjects, to help control for de- stitutionalized profoundly retarded children. Jour-
sign-induced contrast effects (Reynolds, nal of Applied Behavior Analysis, 13, 473–491.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K.
1961). E., & Richman, G. S. (1994). Toward a func-
The results of this study are by no means tional analysis of self-injury. Journal of Applied Be-
definitive. For example, various baseline and havior Analysis, 27, 197–209. (Reprinted from
Analysis and Intervention in Developmental Dis-
FT schedule parameters could produce very abilities, 2, 3–20, 1982)
different effects of both FT and EXT, as the Iwata, B. A., Pace, G. M., Cowdery, G. E., & Mil-
Rescorla and Skucy (1969) study suggests. tenberger, R. G. (1994). What makes extinction
Furthermore, more direct comparisons of work: An analysis of procedural form and func-
tion. Journal of Applied Behavior Analysis, 27,
prototype behavior-reduction procedures us- 131–144.
ing various formats and parameters could be Lalli, J. S., Casey, S. D., & Kates, K. K. (1997). Non-
evaluated systematically (e.g., differential re- contingent reinforcement as treatment for severe
inforcement of other behavior, differential problem behavior: Some procedural variations.
Journal of Applied Behavior Analysis, 30, 127–136.
reinforcement of alternative behavior). For Lerman, D. C., & Iwata, B. A. (1995). Prevalence of
example, Repp and colleagues conducted a the extinction burst and its attenuation during
series of elegant studies during the 1970s treatment. Journal of Applied Behavior Analysis, 28,
93–94.
and 1980s on DRO parameters (e.g., Repp, Lerman, D. C., & Iwata, B. A. (1996). Developing
Barton, & Brulle, 1983; Repp & Deitz, a technology for the use of operant extinction in
1974; Repp & Slack, 1977). However, those clinical settings: An examination of basic and ap-
studies were conducted prior to the wide- plied research. Journal of Applied Behavior Analysis,
29, 345–382.
spread application of functional analysis Marcus, B. A., & Vollmer, T. R. (1996). Combining
technology as a pretreatment assessment, so noncontingent reinforcement and differential re-
it is not known how DRO parameters influ- inforcement schedules as treatment for aberrant
ence responding when the functional rein- behavior. Journal of Applied Behavior Analysis, 29,
43–51.
forcer is both withheld and delivered in a Repp, A. C., Barton, L. E., & Brulle, A. R. (1983).
differential reinforcement arrangement (just A comparison of two procedures for programming
as EXT and FT influence behavior much the differential reinforcement of other behavior.
differently when functional rather than ar- Journal of Applied Behavior Analysis, 16, 435–445.
Repp, A. C., & Deitz, S. M. (1974). Reducing ag-
bitrary reinforcers are identified). In short, gressive and self-injurious behavior of institution-
the effective application of reinforcement alized retarded children through reinforcement of
schedules is inseparable from the functional other behaviors. Journal of Applied Behavior Anal-
ysis, 7, 313–325.
analysis of those schedules and their param- Repp, A. C., & Slack, D. (1977). Reducing respond-
eters. ing of retarded persons by DRO schedules follow-
ing a history of low-rate responding: A compari-
son of ascending interval lengths. Psychological
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Rescorla, R. A., & Skucy, J. (1969). Effects of re-
Blampied, N. M., & France, K. G. (1993). A behav- sponse-independent reinforcement during extinc-
ioral model of infant sleep disturbance. Journal of tion. Journal of Comparative and Physiological Psy-
Applied Behavior Analysis, 26, 477–492. chology, 67, 381–389.
542 TIMOTHY R. VOLLMER et al.

Reynolds, G. S. (1961). Behavioral contrast. Journal (1995). Noncontingent escape as treatment for
of the Experimental Analysis of Behavior, 4, 57–71. self-injurious behavior maintained by negative re-
Uhl, C. N., & Garcia, E. E. (1969). Comparison of inforcement. Journal of Applied Behavior Analysis,
omission with extinction in response elimination 28, 15–26.
in rats. Journal of Comparative and Physiological Vollmer, T. R., Ringdahl, J. E., Roane, H. S., & Mar-
Psychology, 69, 554–562. cus, B. A. (1997). Negative side effects of non-
Vollmer, T. R., Iwata, B. A., Zarcone, J. R., Smith, R. contingent reinforcement. Journal of Applied Be-
G., & Mazaleski, J. L. (1993). The role of atten- havior Analysis, 30, 161–164.
tion in the treatment of attention-maintained self-
injurious behavior: Noncontingent reinforcement
(NCR) and differential reinforcement of other be- Received February 10, 1997
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ysis, 26, 9–26. Final acceptance June 15, 1998
Vollmer, T. R., Marcus, B. A., & Ringdahl, J. E. Action Editor, James W. Halle

STUDY QUESTIONS

1. What is one discrepancy between findings in the basic and applied literature with respect
to the effects of fixed-time (FT) schedules of reinforcement? What procedural differences
might account for this discrepancy?

2. Why was it important to conduct a functional analysis of participants’ problem behaviors


before undertaking the treatment comparisons proposed by the authors?

3. Although the extinction component was described functionally, no procedural details were
given by the authors. Describe what procedures might have been used as extinction for the
3 participants.

4. Describe the general procedures used in the FT condition and the method used for length-
ening the FT schedule.

5. Reinforcement was available continuously during the initial FT sessions. What are two
potential advantages of beginning treatment with a very dense FT schedule?

6. The authors initially suggested that both FT schedules and EXT may be associated with
negative side effects. What are these side effects, and to what extent were they observed in
this study?

7. How might the experimental design used in this study have increased the likelihood of
observing problem behavior in the extinction condition?

8. Although the FT schedule suppressed Dana’s behavior more effectively than did EXT, why
might EXT be a more practical treatment, given the function of her behavior?

Questions prepared by SungWoo Kahng and Rachel Thompson, The University of Florida

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