The treatment of severe behavior disorders: behavior analysis approaches.

This monograph is divided into three sections. The first section comprises five chapters that review and discuss current treatment approaches, the second section comprises two chapters concerned with severe problems, and the third section comprises two chapters that address training concerns. The authors of these chapters used various approaches, but all are based on a philosophy of behavior analysis-behavior modification. Norris Haring, the author of the foreword, sees four areas-behavioral diagnostics, positive programming, self-management, and parent training-as new territory in behavioral management, and the book includes a chapter on each of these topics. Despite their differences, the primary focus of all of these approaches seems to be the humane, respectful treatment of the client. Section 1, Treatment Approaches, reviews token economies, self-management approaches, the use of punishment, positive programming, and behavioral diagnostics. Section 2, Severe Problems, addresses aggressive and disruptive behavior and communityreferenced research on self-stimulation. Section 3, Training Concerns, reviews behavioral parent training and effective staff management. Generally, the monograph articles are well written, although some are wordy, too narrowly focused, or defensive. Each approach is presented in a positive manner and is supported by other research. Application of each approach is discussed through either case studies or research completed by the author. Ideas on the implementation of approaches with different persons are discussed. Although the title of the book indicates that it addresses exclusively the treatment of severe behavior disorders, the authors also address mild behavior problems and approaches that can be applied to any type of problem. Additionally, many references are provided for further reading related to specific topic areas. An occupational therapist would find this book helpful. Many of the ideas are practical and easy to implement with a minimum of special equipment. The approaches covered generally require the therapist to work with other professionals when treating the clients. Although this book is not addressed specifically to occupational therapists, it would be helpful to the therapist working in developmental disabilities or psychiatry. Megan Gangl, MA, OTR