Dave received a referral for behavioral treatment of an individual's self-injurious behavior. The individual has profound mental disabilities and is nonverbal. The staff who works with the client stated that the behavior emerged rather suddenly about a month ago, and has been getting increasingly worse. The staff haven't attempted any systematic intervention for the behavior yet because they've

been taken by such surprise by it. What should Dave do?

a. Proceed directly to behavioral intervention without obtaining consent because the behavior is self-injurious.
b. Investigate whether the problem might have a medical cause by determining if a medical evaluation has been done recently.
c. Refer the individual to another therapist for talk therapy, since it is wise to attempt solving the problem through other disciplines first.
d. Implement a punishment procedure to immediately suppress the self-injurious behavior. It is unlikely that reinforcement-based interventions will be successful.


B

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