ABA is most effective if the behavior in question is reinforced by the environment. The authors examined a 10-year old boy and found that stereotypy can be reinforced by the environment. This is in contrast to the commonly held belief that children perform the repetitive behavior in order to get sensory stimulation. Instead, the child in this case study was using stereotypy to avoid or escape interacting with other people. Consequently, they suggested that ABA be used to prevent the reinforcement and therefore discourage the behavior.
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