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DB Post Prompt: Assess a case study of your choice. Describe why you have given the client the diagnosis you did and how this
DB Post Prompt: Assess a case study of your choice. Describe why you have given the client the diagnosis you did and how this diagnosis most closely matches the symptoms. Using the same case example, identify the factors that would specifically affect treatment in the case (familial, environmental, and so on). Case Study: Potato Chips: Bet You Can't Have Just One. A hypothetical female client with schizophrenia in a day treatment program engages in property destruction to get another bag of potato chips. Such behavior is functional in that subsequent to the programmed time-out for this behavior, she is sometimes given another bag of chips. Although such behavior does not result in a second bag of chips every time, it is more successful in getting "seconds" than simply asking staff. Obviously, engaging in property- destructive behaviors needs to be seriously weakened in her ability to get potato chips. However, simply programming extinction for such behaviors may make the client engage in other more inappropriate behaviors that access this reinforce. If left to chance, behaviors that may naturally develop may be as bad (or worse) than property destruction, such as self-abuse and aggression to others. Selecting an acceptable replacement function and training the staff to reinforce this behavior with extra chips is essential. This case poses a significant problem. Her desire for more potato chips is after she has already had a bag. One could just reinforce her request for an additional bag of chips. However, such a contingency may lead to increased unacceptable levels of eating potato chips. She may satiate at six bags per mealtime! Simply reinforcing requesting behavior is often not a practical plan with food items.
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