The participant is a 61-year-old woman, diagnosed with a generalized anxiety disorder and profound intellectual disability who was referred to a behavior-disorders clinic, to increase cooperation with routine dental procedures. I used a behavioral treatment package consisting of stimulus fading, differential reinforcement, and extinction to establish tolerance of, and cooperation with, routine dental procedures. Results showed that cooperative responding varied throughout the progression of teaching the prerequisite steps (sitting in a chair, sitting in a variety of chairs, then working on sitting in the dental chair). However, by the end of the study, the participant engaged in the behavior of open mouth for 30 s and tolerated/cooperated with the experimenter using a plastic visual inspection tool for 30 s. Further research should evaluate the effectiveness of a similar treatment package to develop a more streamlined and systematic framework to improve compliance and tolerance.

nÃo hà / The purpose of this study is to identify the existence of group effects, known as peer effects, at the demand for dental appointments in collective contracts that are exclusively dental health plans. This paper compares the number of dental appointments of each person with the amount of dental appointments in the group, despising the history appoint of the analyzed individual. In order to test empirically if the group effect is important, a model of traditional counting was used, with the introduction of the variable that indicates of group effect, particularly, the model of binomial negative counting for panel with random effects, embracing both the effect of over-dispersion and the time dependence of the use for the same person. The companies were divided into five groups according to their size, as follows: 2 to 20, 21 to 50, 51 to 100, 101 to 200 and more than 200 beneficiaries. The results showed that the group effects increased successively according to the size of the company, in which companies with more than 200 beneficiaries were the ones most affected. / O objetivo deste estudo à identificar a existÃncia de efeitos de grupo, ou peer effect, na demanda por consultas odontolÃgicas dentro de contratos coletivos de planos saÃde exclusivamente odontolÃgicos. O trabalho compara a quantidade de consultas odontolÃgicas de cada indivÃduo com a quantidade de consultas odontolÃgicas do grupo, desconsiderando o histÃrico de consultas do indivÃduo analisado. Para testar empiricamente se o efeito de grupo à importante, foram utilizados modelos de contagem tradicionais com a introduÃÃo da variÃvel indicadora de efeito de grupo, em particular, o modelo de contagem binomial negativo para painel com efeito aleatÃrio para acomodar tanto o efeito sobre-dispersÃo quanto à dependÃncia temporal do uso para o mesmo indivÃduo. As empresas foram divididas em 5 grupos de acordo com seu porte, sendo: 2 a 20, 21 a 50, 51 a 100, 101 a 200 e mais de 200 beneficiÃrios. Os resultados mostraram que os efeitos de grupo aumentaram sucessivamente de acordo com o aumento do porte da empresa, sendo as empresas com mais de 200 beneficiÃrios aquelas mais afetadas pelos efeitos de grupo.