This study examined the effects of sequentially introducing treatment across multiple topographies of food refusal. Treatment with nonremoval of the spoon produced an increase in food acceptance and a decrease in disruption, but expulsion of food increased. When expulsion was treated, packing of food increased. Finally, when packing was treated, all refusal behaviors remained low, and acceptance continued to occur at high and stable levels.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1284361PMC
http://dx.doi.org/10.1901/jaba.2002.35-65DOI Listing

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