Clinical Applications of Applied Behavior Analysis
Case Study: Consider the John Case Study
John is a 26-year-old man who experienced a traumatic brain injury from a car accident. Prior to the accident, John had experienced typical development with no history of psychiatric illness or cognitive impairment. At the time of accident, John was a high school math teacher and coach of the varsity baseball team.
The accident resulted in John being placed in a medically induced coma for 6 weeks in order to manage the swelling on his brain. A CT scan revealed John suffered damage to his frontal and temporal lobes. His main deficits were in the areas of expressive language (aphasia) and writing (agraphia). After coming out of the coma and deemed medically stable, John was transferred for rehabilitative services.
You are a behavioral analyst and a member of the interdisciplinary team. You are the behavior analyst working with John along with a primary care physician, psychologist, social worker, speech and language pathologist, and occupational therapist. Typically, you and the speech and language pathologist work closely on verbal behavior. The speech pathologist asks you to perform a verbal behavior assessment
The results of the assessment indicate John’s areas of strengths are manding for desired items, tacting items, and echoic verbal behavior. The assessment also indicates John’s relative areas of weakness are found within tact extensions, intraverbal, and transcription verbal behavior.
Discuss the process within applied behavior analysis that you would you use to teach John the verbal behavior skills identified by the assessment. Select discrete trial training, incidental teaching, or pivotal response training and explain the training procedures to teach John tact extensions, intraverbal, or transcription verbal behaviors. Discuss any individual, practical, ethical, or social validity concerns that may apply.

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The client and the target verbal behaviors
The client is a young Boy, John, aged 12 years, who was involved in a car accident and due to the impact, he experienced a severe brain injury. Before the accident, John was a brilliant boy who could participate in some sports, including soccer and indoor games, like table tennis. He was jovial and could socialize with other people freely and without any issues. However, following the accident, he was placed in a medically induced coma for two months as an effort to try and remove the blood clot in his brain. After he came out of the coma, a CT scan was administered, which indicated that his primary area of the behavioral deficit was in expressive language or what is known as aphasia. He also showed partial difficulties in writing, as well. As an effort to help him improve his verbal behaviors, John has been put in rehabilitation for a behavioral change procedure to be administered. The paper analyses the elementary verbal behaviors and operants that currently exist in John’s repertoire followed by a description of the behavior change...

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