Touchette
Touchette
Line graphs that average response frequency over long periods obscure the major rate changes that
indicate sources of behavioral control. A scatter plot can make patterns of responding identifiable
and, in turn, suggest environmental features that occasion undesirable behavior. Use of scatter
diagrams is illustrated in three cases.
DESCRIPTORS: data analysis, stimulus control, antecedents, self-injury, aggression
343
344
Starting Date_
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Successive Days
Figure 1. Scatter plot grid with a key at the top to indicate response frequencies corresponding to filled, slashed, and
open boxes. Each location on the grid identifies a unique time interval on a given day.
are available induding home-based, self-manage- selves to easy interpretation as the following exment, community, industrial, and educational pro- amples show.
grams. The data necessary for a scatter plot are
those typically collected in applied settings: freGENERAL PROCEDURE
quency counts in half-hour or shorter intervals.
The first step is to design a grid like that in
Minimal training is required to generate this visual
display. The simplicity of this vehide enables the Figure 1. Vertically, the grid segments time of day
observer to record directly on a scatter chart or into hours, half hours, quarter hours, or any time
transfer observed frequencies to it without calcu- unit appropriate to the duration of elements of the
lation. The visual patterns that result lend them- client's schedule. Horizontal segments of the grid
SCATTER PLOT
represent successive days. When data are plotted,
a blank cell is used to represent a 0 rate. Filled
cells are used to indicate that the problem behavior
occurred during that interval. In some cases it is
useful to break the occurrence category into high
and low rates. The lower frequency can be recorded
as a slash or an outlined cell. We have found that
more than three categories can result in charts that
are difficult to interpret.
The frequency differential sufficient to produce
a cell change must reflect the character of the behavior problem under consideration. For many serious behavior problems the only acceptable rate is
0. A low rate category can have practical significance even when the eventual target is complete
elimination of the behavior. The occurrence of a
lower than usual frequency may constitute an important approximation and suggest the course of
program development when there are few or no 0
intervals in the baseline. As with all visual data
presentations, plotting parameters must be selected
so as to ensure that the display is both accurate
and easily interpreted.
As the scatter chart is filled with observations,
each unit of time contains a designation indicating
whether the behavior occurred at a high, low or 0
rate. An initial evaluation of variables associated
with high, low, and 0 rates is then obtained by
visual inspection of the data array. A pattern,
should one exist, can emerge as soon as several
days are plotted. When observations are recorded
for 7 successive days, the atypical character of the
weekend can add further insights as in Case 1,
below.
Problem behavior may be highly correlated with
a time of day, the presence or absence of certain
people, a social setting, a class of activities, a contingency of reinforcement, a physical environment,
and combinations of these and other variables. Very
likely, several probable sources of control are confounded. As the following case examples show, it
may not be necessary to isolate the specific controlling variable(s) to eliminate the problem behavior. The three cases presented below illustrate
some uses of scatter plots. In each case the scatter
diagram facilitated identification of a relationship
345
between problem behavior and one or more environmental features. Altering the client's schedule,
activities, setting, or instructors reduced or eliminated the target response(s).
The three adolescents in these illustrations had
all been diagnosed as autistic or autistic-like (Rutter, 1978) and moderately to severely retarded.
Etiologies were unknown, but their current health
was excellent. Examination by a physician revealed
no pain sources, seizure activity, or other reason to
suspect a physiological basis for self-injurious or
assaultive behavior.
Interobserver Agreement
The data reported here were collected by program staff in the course of their daily responsibilities. Reliability observations were recorded by other program staff and us. The extended period of
time (12 or more hours a day) covered by these
scatter plots could present a special problem in
estimating interobserver agreement. Fortunately, the
responses to be tracked were few in number, grossly deviant, and readily identifiable. Reliability of
response recording was evaluated in all three cases
both during baseline and subsequent to intervention.
Interventions resulted in long periods with no occurrence of the target behavior. Interobserver
agreement was calculated using the following
formula: agreements/agreements + disagreements x 100. An interval was scored as an agreement if both observers recorded the target behavior
as having occurred at the same rate category (0,
low, or high). In Cases 1 and 3, interobserver
agreement was evaluated for half-hour intervals;
but in Case 2 reliability assessments were based on
5 minute intervals. Reliability checks resulted in
100% agreement between observers in all instances.
CASE ILLUSTRATION 1
346
I JOAN
100
Initial
Evaluation
Revised
Program
12-Month
Follow-up
0 = Number of Assaults
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Intervals Containing
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Figure 2. Conventional plot of Joan's assaults that indudes both raw frequency of incidents, and number of 30minute intervals containing an incident. A total of 182 intervals per week were recorded.
347
SCATTER PLOT
[JOAN]
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REVISED PROGRAM
INITIAL EVALUATION
12 MONTH FOLLOW-UP
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SUCCESSIVE DAYS
Figure 3. Scatter plot of Joan's assaults. Filled cirdes indicate 30-minute intervals during which more than one assault
occurred. Open boxes represent intervals with only one assault.
348
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INI Follow-up
Initial
Rever ,sal
Evaluation
Re-reversal
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Figure 4. Scatter plot of Tom's self-hits. Filled cirdes
indicate intervals during which three or more Ihits occurred.
Open squares indicate intervals during which
curred. On the second day of the reversal, Tot m
the house at a physician's appointment betweeen 11:00 and
12:30.
was ocO
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proximations.
CASE ILLUSTRATION 2
In this case a scatter diagram was use d to isolate
a confounded variable that controlled seIf-injurious
responding. Tom was 23 years old and lived with
other autistic adults in a community res;idence. He
had been hospitalized with recurrent sej ?tisemia resuiting from self-inflicted face and hanid wounds.
His irreparable detached retina was thc iught to be
secondary to head hitting. Tom wore a helmet and
face guard to prevent further injury.
Self-abuse was defined as a blow to any part of
the body or striking any part of the b()dy against
a solid object. A small quantity of snac:k food was
given to Tom following each 5-minute interval in
which self-abuse did not occur (DRO 5i') throughout the period covered by the scatter plot. Tom
an
exercycle,
SCATTER PLOT
349
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SUCCESSIVE DAYS
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Figure 5. Scatter plot of Jim's self-hits. Filled cirdes indicate intervals during which five or more hits occurred. Open
indicate intervals during which one to four hits occurred. Jim slapped his face once ritualistically prior to lunch,
and evening snack. These three daily responses account for the long horizontal patterns of open squares. The
responses were recorded but otherwise ignored. They subsequently dropped out, but not as the result of any specific
squares
supper,
manipulation.
Tom was accepted in a well-run sheltered workshop. With mornings and early afternoon spent at
the workshop, the aide associated with low rates
of self-hitting was rescheduled to work with Tom
in the late afternoon and evening.
CASE ILUSTRATION 3
This case demonstrates that uninterpretable
scatter plot data may reflect an unstable environment. Jim was a self-abusive student at a residential school for autistic adolescents. He hit his face
with his -dosed fist and slammed his head into
walls or furniture from 50 to 1,600 times a day.
To prevent injury, he wore a protective helmet and
mask He had a staff person in dose proximity
around the dock and participated in few activities
with his peers. Jim was 15 years old and his estimated MA (PPVT) was 3 years, 2 months. He
was mute, except for a few words uttered only in
a language training context. Jim had been placed
in a residential program at age 9 when his behavior
at home had become unmanageable.
Self-abuse was defined as any blow to his head
with his hand or bringing his head into contact
with a solid object. During the initial data collec-
350
which he preferred next. Each activity was continued for 30 minutes or until Jim would no longer
engage in the current one. He was so difficult to
supervise that staff members rotated responsibility
for his supervision every few hours. In essence, the
only pattern that could appear would indicate that
time of day alone influenced self-abuse.
A new fixed schedule of activities was designed.
Jim's team sorted setting-activity combinations into
five categories. A "5" was something virtually
guaranteed to provoke self-hitting. A " 1" was most
likely to produce acceptable behavior. The new
schedule induded necessary activities such as dressing, eating, toothbrushing, and bathing. All other
times were filled with activity-setting combinations
rated "1," "2," or "3." Figure 5 shows that the
new schedule alone reduced the number of severe
self-hitting intervals.
Residual problem behavior formed a pattern. It
occurred almost exclusively in the evening. Staff
rotated shifts so the frequency of responding was
not tied to people. Jim's self-hitting in the evening
appeared to be related to some aspect of his evening activity schedule. His evening program was
revised to closely resemble his morning program,
which was now virtually problem free. This involved altering the sequence and duration of activities as well as their location. With this second
schedule revision, the first of many abuse-free days
occurred (Fig. 5, Day 42).
DISCUSSION
Stimulus control of behavior is most often addressed as a problem. Desirable behavior taught in
one context often fails to generalize to another
(Marholin & Touchette, 1979; Stokes & Baer,
1977). This phenomenon is so ubiquitous that it
is assumed by widely used multiple baseline research designs (Barlow & Hersen, 1984, p. 210;
Kazdin, 1982, p. 134). Undesirable behavior is
functionally identical to desirable behavior. It too
can be probable under one set of circumstances
and unlikely in others. Patterns of behavior evident
on a scatter plot can suggest stimuli that control
problem behavior. It may then be possible to re-
SCATTER PLOT
351