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Behavior Modification, Vol. 24, No. 3, 348-358 (2000)
DOI: 10.1177/0145445500243003

Cueing, Demand Fading, and Positive Reinforcement to Establish Self-Feeding and Oral Consumption in a Child with Chronic Food Refusal

James K. Luiselli

The May Institute Inc.jluiselli{at}mayinstitute.org.

A3-year-old child with multiple medical disorders and chronic food refusalwas treated successfully using a program that incorporated antecedent control procedures combined with positive reinforcement. The antecedent manipulations included visual cueing of a criterion number of self-feeding responses that were required during meals to receive reinforcement and a gradual increase in the imposed criterion (demand fading) that was based on improved frequency of oral consumption. As evaluated in a changing criterion design, the child learned to feed himself as an outcome of treatment. One year following intervention, hewas consuming a variety of foods and had gained weight. Advantages of antecedent control methods for the treatment of chronic food refusal are discussed.


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