Clinical Case Studies

 

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First published on June 12, 2008
Clinical Case Studies 2008, doi:10.1177/1534650108319915


Article

Errorless Priming: A Brief, Success-Focused Intervention for a Child With Severe Reactive Aggression

Anthony Folino1, Joseph M. Ducharme1*, and Nathalie K. Conn2

1 University of Toronto, The Centre for Addiction and Mental Health
2 University of Toronto

* To whom correspondence should be addressed. E-mail: jducharme{at}oise.utoronto.ca.


   Abstract
Reactive aggressive children experience social encoding and interpretation difficulties. Such deficits increase the likelihood that reactive aggressive children perceive the actions of others as provocative and respond in an aggressive manner. Errorless priming was developed as a proactive and success-focused treatment for an 8-year-old boy demonstrating severe reactive aggression (RA). Observations of the child revealed several antecedents that immediately preceded his aggression. This information enabled prediction of aggressive outbursts and development of an intervention that involved providing the child with preparatory information (i.e., priming statements) to moderate his reaction to upcoming stressors. As is characteristic of errorless approaches, a graduated hierarchy was used to systematically fade priming statements. Following treatment, the child was able to tolerate, without problem behavior, antecedent conditions that he found challenging prior to treatment. Errorless priming may have broad potential as a brief and time-efficient intervention for RA.


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