The effects of two positive reinforcement procedures were evaluated to increase contact with, proximity to, and acceptance of new foods in a young child with autism. During baseline, two groups of six food items were presented. One group was intervened on. The first condition involved a changing criterion contingency and social attention as a consequence. The second involved a shaping contingency and access to videos as a consequence. The types of contact emitted, the amount of time spent contacting the food, and two affect topographies were measured. The second procedure resulted in increased duration and variety of contact, and increases of both affect topographies. Results are discussed in the context of food selectivity in autism, programming goals, and balancing intervention efficacy and restrictiveness.

Food selectivity exhibited by children with autism creates a myriad of barriers for families and children, ranging from social to nutritional. The typical approach to food selectivity is pathological. The pathological approach attempts to eliminate food selectivity through the use of techniques such as escape extinction. While successful in decreasing aspects of food challenges, such as food refusals, the pathological approach does not necessarily establish desired responses to foods or mealtimes (e.g., favorable affect, approach, generalized sampling, etc.). The purpose of the current study was to explore an alternative, constructional approach to food challenges presented by two children diagnosed with autism. This approach focuses on the development of favorable responses to food through the use of shaping. Furthermore, the shaping process involved a conceptual and procedural widening of the stimulus and response classes selected. The results of a non-concurrent multiple baseline experiment, suggest this approach was successful in expanding the number of food the children tasted and ate while maintaining favorable or neutral affect and child assent.