Treating food and liquid refusal in an adolescent with aspergergs disorder

Michael P. Roth, Keith E. Williams, Candace M. Paul

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Food refusal is a complicated condition that has both medical and social implications. In this study, a 16-year-old boy with Aspergergs disorder, dependent on gastrostromy tube feedings for 9 years, is treated with a behavioral intervention. The intervention consists of several components, including stimulus fading for both solids and liquids, a token economy for solids, and an escape prevention component for liquids. Before treatment, the participant consumes three different foods and water. After treatment, the participant is consuming 78 foods and 13 beverages. At the end of 14 days of treatment, all of the participantgs intakes are received orally, tube feedings are eliminated, and the patient has gained more than 1 pound on oral feedings. The intervention is generalized to both home and school settings, and maintenance of treatment gains is reported by parents 3 months after the end of treatment.

Original languageEnglish (US)
Pages (from-to)260-272
Number of pages13
JournalClinical Case Studies
Issue number4
StatePublished - Aug 2010

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health


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