Functional analysis and treatment of multiply controlled inappropriate mealtime behavior

Melanie H. Bachmeyer, Cathleen C. Piazza, Laura D. Fredrick, Gregory K. Reed, Kristi D. Rivas, Heather J. Kadey

Research output: Contribution to journalArticle

52 Scopus citations


Functional analyses identified children whose inapptopriate mealtime behavior was maintained by escape and adult attention. Function-based extinction procedures were tested individually and in combination. Attention extinction alone did not result in decreases in inappropriate mealtime behavior or a significant increase in acceptance. By contrast, escape extinction alone resulted in a decrease in inappropriate mealtime behavior and an increase in acceptance. However, inappropriate mealtime behavior did not decrease to clinically acceptable levels. A combined extinction technique (i.e., escape and attention extinction) resulted in a decrease in inappropriate mealtime behavior to clinically acceptable levels and high and stable acceptance.

Original languageEnglish (US)
Pages (from-to)641-658
Number of pages18
JournalJournal of applied behavior analysis
Issue number3
StatePublished - Sep 1 2009



  • Escape extinction
  • Food refusal
  • Food selectivity
  • Negative reinforcement
  • Pediatric feeding disorders

ASJC Scopus subject areas

  • Philosophy
  • Applied Psychology
  • Sociology and Political Science

Cite this