Research Symposium Program - Individual Details

Tolerating the Uncomfortable

Abstract

The client in the procedure is a ten-year-old boy who is diagnosed with autism spectrum disorder. He began services at the Early Childhood Autism Program in April of 2022. Throughout his clinical and home environments, it has been reported that the client displayed a deficit in his ability to tolerate non-preferred topics, such as bugs, blood, throw up etc. When encountering non-preferred topics throughout his environment, the client would engage in maladaptive behaviors including screaming, crying, and elopement. To remediate these deficits, the clinical team opted to implement a Communicating Novel Topics program. The procedure implemented denial and tolerance training to non-preferred topics, before fading in conversations regarding the non-preferred topics. Differential reinforcement and escape extinction from the nonpreferred topic were implemented to aid in the acquisition of the procedure. Research conducted by O’Rourke et al. (2019) demonstrated that the utilization of tolerance training increased the subject’s ability to tolerate a non-preferred stimulus event. Within the individual steps of the program, the client appropriately and independently rejected a conversation involving a non-preferred topic. Once the client was appropriately rejecting a conversation, the client was then required to engage in conversations with up to two exchanges involving the non-preferred conversation. This program was implemented within the month of February 2024 and was mastered in March 2024. Parental reports have shown that the procedure has generalized across environments including his school, the community with friends, and at his home.

Keywords: Tolerance training