The purpose of the study was to compare traditional functional analysis procedures (isolated contingencies) to functional analysis procedures which are modified to include nuanced environmental variables (synthesized contingencies) for children in an outpatient setting in order to determine sensitivity to the isolated or synthesized contingencies. A multi-element design embedded into a multi-treatment design was used to evaluate differentiated rates of challenging behavior across the two analyses for three children exhibiting challenging behaviors. The results supported the utility of the traditional functional analysis (FA) procedures when compared to that of the interview informed synthesized contingency analysis (IISCA) for one of three participants.