RBT Exam Study Guide: Behavior Reduction
Overview
Behavior reduction is a core competency for Registered Behavior Technicians (RBTs), encompassing a range of ethical, evidence-based strategies to decrease problem behaviors. Effective behavior reduction requires identifying the function of a behavior, selecting the least restrictive appropriate intervention, and implementing procedures consistently under BCBA supervision. This guide covers extinction, punishment procedures, antecedent interventions, differential reinforcement, crisis procedures, and foundational concepts.
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Table of Contents
1. [Foundational Concepts](#foundational-concepts)
2. [Extinction](#extinction)
3. [Antecedent Interventions](#antecedent-interventions)
4. [Differential Reinforcement](#differential-reinforcement)
5. [Punishment Procedures](#punishment-procedures)
6. [Crisis & Safety Procedures](#crisis--safety-procedures)
7. [Quick Review Checklist](#quick-review-checklist)
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Foundational Concepts
Understanding Behavioral Function
Before any behavior reduction strategy is selected, the function of the behavior must be identified. Function refers to why a behavior occurs — the reinforcing consequence that maintains it.
The Four Functions of Behavior (SEAT):
> Why it matters: Interventions must be matched to the function. A function-mismatched intervention (e.g., giving attention to escape-maintained behavior) can inadvertently reinforce the problem behavior and make it worse.
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The Behavior Intervention Plan (BIP)
A Behavior Intervention Plan (BIP) is a written document developed by a BCBA that guides the RBT's work with problem behaviors.
A BIP typically includes:
> RBT's Role: Implement the BIP as written. Do not modify procedures independently. If a new dangerous behavior emerges that isn't addressed, ensure safety, document accurately, and report to the supervising BCBA immediately.
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The Least Restrictive Intervention Principle
Behavior reduction procedures must follow a hierarchy from least to most restrictive:
```
1. Antecedent modifications (prevent the behavior)
2. Differential reinforcement (reinforce alternatives)
3. Extinction (withhold the maintaining reinforcer)
4. Punishment procedures (only after above have failed)
```
Key Terms:
> Watch Out For: Punishment procedures are not a first resort. The exam will test whether you know that reinforcement-based strategies must be tried and documented as ineffective before punishment is implemented.
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Extinction
What Is Extinction?
Extinction is the discontinuation of the reinforcer that previously maintained a behavior, resulting in a gradual decrease in that behavior over time.
Extinction by Function:
| Function | Extinction Procedure | What Is Withheld |
|---|---|---|
| Attention | Planned ignoring | Attention |
| Escape/Avoidance | Escape extinction | Removal of the demand |
| Tangibles | Withhold item/activity | Access to the tangible |
| Automatic/Sensory | Sensory extinction | Sensory input (harder to implement) |
> Example: If a child tantrums to escape demands → use escape extinction (continue presenting the demand, do not allow escape as a result of the tantrum).
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Extinction Burst
An extinction burst is a temporary increase in the frequency, intensity, or duration of a behavior when reinforcement is first withheld.
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Spontaneous Recovery
Spontaneous recovery is the reappearance of a previously extinguished behavior after a period of time has passed without the behavior occurring.
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Consistency in Extinction
Inconsistent extinction creates an intermittent reinforcement schedule, which:
Key Terms:
> Watch Out For:
> - Don't confuse an extinction burst with the procedure failing — it's expected.
> - Don't confuse extinction with punishment — extinction removes the reinforcer; punishment adds or removes a stimulus to decrease behavior.
> - Spontaneous recovery ≠ the behavior is "back for good" — keep implementing extinction.
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Antecedent Interventions
Overview
Antecedent interventions prevent problem behavior by modifying conditions before the behavior occurs. They are among the least restrictive and most ethical first-line strategies.
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Motivating Operations (MOs)
A Motivating Operation (MO) is an environmental variable that temporarily:
1. Alters the value of a reinforcer or punisher
2. Alters the frequency of behaviors associated with that reinforcer
Two Types:
> In behavior reduction: If you can identify and modify the MO, you can reduce the problem behavior before it starts. For example, ensuring a child has had enough attention before a task can reduce attention-seeking behavior during the task.
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Non-Contingent Reinforcement (NCR)
NCR delivers reinforcement on a fixed-time (FT) or variable-time (VT) schedule, independent of the individual's behavior.
> Example: If a child seeks attention by hitting, deliver attention every 3 minutes regardless of behavior → the motivation to hit for attention decreases.
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High-Probability Request Sequence (High-p Sequence)
The high-p sequence involves presenting several easy, high-compliance requests before presenting a low-probability (challenging) request.
> Example: Before asking a child to complete a difficult math worksheet (low-p), ask them to "give me five," "stand up," and "touch your nose" (high-p requests they reliably comply with).
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Stimulus Control Transfer
Stimulus control transfer involves changing the antecedent stimuli that occasion problem behavior so that appropriate behaviors are evoked instead.
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Stimulus Satiation
Stimulus satiation involves providing free and continuous access to a reinforcer until it loses its reinforcing value.
> Example: Providing unlimited access to a preferred toy before a session → the child is less motivated to engage in problem behavior to obtain that toy.
Key Terms:
> Watch Out For:
> - NCR is not the same as ignoring (extinction) — NCR delivers reinforcement; extinction withholds it.
> - The high-p sequence works by building behavioral momentum, not by tricking the client.
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Differential Reinforcement
Overview
Differential Reinforcement (DR) procedures reinforce a desired behavior while withholding reinforcement for the problem behavior. They are positive, function-based, and among the most recommended behavior reduction strategies.
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DRO — Differential Reinforcement of Other Behavior
DRO delivers reinforcement when the target problem behavior has not occurred during a specified time interval.
> Example: Deliver a token every 5 minutes that the child does not engage in self-injurious behavior.
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DRI — Differential Reinforcement of Incompatible Behavior
DRI reinforces a behavior that is physically incompatible with the problem behavior.
> Example: Reinforce "hands in lap" (incompatible with hitting) to reduce hitting. The child cannot have hands in lap AND be hitting at the same time.
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DRA — Differential Reinforcement of Alternative Behavior
DRA reinforces a specific alternative behavior that replaces the problem behavior while withholding reinforcement for the problem behavior.
> Example: Reinforce raising a hand to get attention (alternative behavior) rather than calling out (problem behavior).
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FCT — Functional Communication Training
FCT is a specialized form of DRA in which the individual is taught to communicate their needs using an appropriate response (verbal request, sign, AAC device) that replaces the problem behavior.
> Example: Teach a child who throws items to access a break to instead hand a "break card" to the teacher → same function (escape), appropriate topography.
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DRL — Differential Reinforcement of Low Rates
DRL delivers reinforcement when a behavior occurs at or below a predetermined low-rate criterion.
> Example: Reinforce a student for raising their hand 3 or fewer times during a 30-minute class period (reduces excessive hand-raising without eliminating participation).
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Comparing DR Procedures
| Procedure | What Is Reinforced | Goal | Notes |
|---|---|---|---|
| DRO | Absence of problem behavior | Eliminate | Interval-based |
| DRI | Incompatible behavior | Eliminate | Behaviors cannot co-occur |
| DRA | Specific alternative behavior | Eliminate/Replace | FCT is a type of DRA |
| DRL | Behavior at/below low rate | Reduce (not eliminate) | Behavior is OK at low levels |
| FCT | Functional communication | Eliminate/Replace | Specific form of DRA |
Key Terms:
> Watch Out For:
> - DRI vs. DRA: In DRI, the behaviors are physically incompatible. In DRA, they are functionally alternative but can physically co-occur.
> - FCT is a type of DRA — know this distinction.
> - DRL does not eliminate behavior — it allows it at low rates. Use when zero rates are not the goal.
> - For DRO, if the problem behavior occurs during the interval, the interval resets or reinforcement is withheld for that interval.
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Punishment Procedures
Critical Ethical Note
Punishment procedures are only used when:
1. Reinforcement-based and antecedent strategies have been tried and found ineffective
2. The procedure has been approved by the supervising BCBA and treatment team
3. Appropriate consent has been obtained
4. The least restrictive punishment option is used
> The RBT does not design punishment procedures — they are developed by the BCBA. The RBT's role is to implement them as written in the BIP.
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Positive Punishment
Positive punishment = Addition of a stimulus following a behavior → Decreases future probability of that behavior.
> Example: Contingent exercise (requiring push-ups after problem behavior), verbal reprimands.
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Negative Punishment
Negative punishment = Removal of a stimulus following a behavior → Decreases future probability of that behavior.
Two Common Forms of Negative Punishment:
#### Response Cost
Response cost = Removal of a specified amount of a reinforcer contingent on a target behavior.
> Example: A student loses 2 tokens from their token economy for each instance of calling out in class.
#### Time-Out from Positive Reinforcement
Time-out = Removal of access to reinforcement for a brief, defined period contingent on problem behavior.
> Example: A child who throws toys is moved to a chair away from the play area for 3 minutes.
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Positive vs. Negative Punishment Summary
| | Positive Punishment | Negative Punishment |
|---|---|---|
| Operation | ADD a stimulus | REMOVE a stimulus |
| Effect | Decrease in behavior | Decrease in behavior |
| Examples | Reprimands, contingent exercise | Response cost, time-out |
Key Terms:
> Watch Out For:
> - "Positive" and "negative" refer to adding or removing a stimulus — NOT whether the procedure is good or bad.
> - Punishment ≠ extinction. Punishment involves