Self-injurious Behavior

1. Front Matter

   Pages i-x

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2. General Issues

   1. Front Matter

      Pages 1-1

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   2. Definition, Classification, and Taxonomy

      • Virginia E. Fee, Johnny L. Matson

      Pages 3-20

   3. The Incidence and Prevalence of Self-injurious Behavior

      • Willard L. Johnson, Robert M. Day

      Pages 21-56

3. Etiology and Assessment

   1. Front Matter

      Pages 57-57

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   2. Neurobiological Factors in Self-injurious Behavior

      • James C. Harris

      Pages 59-92

   3. Psychophysiology and Issues of Anxiety and Arousal

      • Raymond G. Romanczyk, Stephanie Lockshin, Julia O’Connor

      Pages 93-121

   4. Functional Analysis and Treatment of Self-injury

      • F. Charles Mace, Joseph S. Lalli, Michael C. Shea

      Pages 122-152

4. Treatment

   1. Front Matter

      Pages 153-153

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   2. Behavioral Diagnostic Interventions

      • David A. M. Pyles, Jon S. Bailey

      Pages 155-180

   3. Treatments of Self-injury Based on Teaching Compliance and/or Brief Physical Restraint

      • Ron Van Houten, Ahmos Rolider, Mike Houlihan

      Pages 181-199

   4. Facial Screening and Visual Occlusion

      • Johannes Rojahn, Elaine C. Marshburn

      Pages 200-234

   5. Protective Equipment

      • James K. Luiselli

      Pages 235-268

   6. Aversive Stimulation

      • Thomas R. Linscheid

      Pages 269-292

   7. Self-restraint

      • Stephen R. Schroeder, James K. Luiselli

      Pages 293-306

   8. Psychopharmacology of Self-injury

      • Nirbhay N. Singh, Yadhu N. Singh, Cynthia R. Ellis

      Pages 307-351

   9. Peer Review and Human Rights Committees

      • Walter P. Christian, Stephen C. Luce, Eric V. Larsson

      Pages 352-390

5. Back Matter

   Pages 391-393

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This volume addresses the topic of self-injurious behavior (SIB) in per­ sons with developmental disabilities. Among professionals and the lay public alike, there is little debate over the seriousness of self-injury, its detrimental effects, and the need for therapeutic intervention. At the same time, there are divergent views concerning its etiology and treat­ ment. Understanding the causes of self-injury, for example, requires an analysis of biological factors, socioenvironmental variables, communica­ tion competencies, and in complex clinical cases, the interrelationships among these influences. There is also uncertainty with regard to the function of self-injury. Put simply, why would people willingly inflict injury upon themselves? Finally, although there is little disagreement about the necessity to intervene for self-injury, clinicians do not make uniform therapeutic recommendations, and, in fact, considerable dif­ ferences in treatment selection are common. This fact is most apparent when one considers the ongoing controversy with regard to aversive and nonaversive programming. Our premise for this volume is that a greater understanding of self­ injurious behavior is dependent upon an empirical research base. Theories of causality must be conceptually valid and capable of being evaluated objectively. Treatment must be functionally determined, operationalized, and replicable across personnel and settings. For these reasons, we have assembled chapters by individuals who are experi­ enced clinicians and researchers in the fields of psychology, medicine, psychiatry, education, psychopharmacology, and developmental dis­ abilities.

• Aggressionskrankheit
• Autoaggression
• Selbstverletzung
• compliance
• intervention
• pharmacology
• physiology
• psychophysiology
• self-injury

• Psychological and Educational Resource Associates, Concord, USA

  James K. Luiselli

• Department of Psychology, Louisiana State University, Baton Rouge, USA

  Johnny L. Matson

• Department of Psychiatry, Medical College of Virginia, Richmond, USA

  Nirbhay N. Singh

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