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An applied behaviour analytic approach to challenging behaviours shown by survivors of traumatic brain injury

Rahman, Barzan (2009)
Ph.D. thesis, University of Birmingham.

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Challenging behaviours are often shown by survivors of traumatic brain injury, especially those with severe injuries. Challenging behaviours are a significant obstacle in the achievement of a successful rehabilitative outcome. A meta-analysis was conducted and it was found that interventions based on operant conditioning techniques were effective in treating challenging behaviours. However, the treatment outcome of learning based interventions can be enhanced by predetermining the function served by the challenging behaviour. Various functional assessment methods can be used, which were analysed in this study. A detailed descriptive analysis was conducted with nine participants. The findings showed that challenging behaviours were precipitated and maintained by social contingencies. Further analyses revealed that functionally equivalent challenging behaviours were structured either hierarchically or sequentially. Identification of precursor behaviours can facilitate the rehabilitation process. A structured descriptive assessment was used for the first time with the traumatic brain injury population. This new functional assessment method proved to have great clinically utility.

Type of Work:Ph.D. thesis.
Supervisor(s):Oliver, Christopher
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology
Keywords:aggression, brain injury, challenging behaviour, descriptive analysis, function, functional assessment, meta analysis, observation, sequential analysis, structured descriptive assessment
Subjects:BF Psychology
Institution:University of Birmingham
ID Code:302
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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