Behavior Modification

 

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First published on February 29, 2008, doi:10.1177/0145445507313271

Behavior Modification 2008;32:556.

A more recent version of this article appeared on July 1, 2008

Article

Evaluation of Extinction as a Functional Treatment for Binge Eating

Amanda Bosch1, Raymond G. Miltenberger, PhD2*, Amy Gross3, Peter Knudson4, and Carrie Brower Breitwieser5

1 University of Florida
2 University of South Florida
3 Western Michigan University
4 FMHI-University of South Florida
5 North Dakota State University

* To whom correspondence should be addressed. E-mail: rmiltenberger{at}fmhi.usf.edu.


  Abstract
Binge eating is a serious behavior problem exhibited by individuals diagnosed with binge eating disorder and bulimia nervosa. Binge eating is thought to be maintained by automatic negative reinforcement in the form of relief from negative emotional responding. Current treatments produce only moderate abstinence, perhaps because they do not attempt to alter the functional consequences of the behavior. Although extinction has been thought impossible with behaviors maintained by automatic negative reinforcement, this study evaluated the application of extinction with binge eating. Four women who reported engaging in binge eating at least twice per week participated. Participants listened to an audio tape recording of the covert verbal behavior associated with their negative emotional responding during the binge to prevent alleviation of the negative emotional responding, thus eliminating the reinforcer in an attempt to reduce the behavior. The procedure effectively reduced frequency of the binges when correctly implemented. Implications and suggestions for future research are discussed.


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