Daan Hulsmans

143 Case study challenging behavior 6 contemporaneous and lag-1 associations between challenging behaviors and the 11 variables that the clinician hypothesized to be explanatory, were nonsignificant (evaluated at p < 0.01 due to multiple testing). Table 1 Summary of what makes different phases salient in terms of self-reported challenging behaviors and frequencies of risk- and protective factors. Phase Aggression Self-injury Salient frequencies of risk- and protective factors Phase 1 Day 1-56 Average (8%) Average (30%) Many positive social interactions and many tensions in family Phase 2 Day 57-91 High (30%) High (87%) Few positive social interactions, high negative affect, many hallucinations, few feeling sick Phase 3 Day 92-146 Low (0%) High (78%) Nothing salient Phase 4 Day 147-233 Average (6%) Average (43%) Low negative affect, few physical pain Phase 5 Day 234-285 High (41%) High (80%) No therapy Phase 6 Day 286-412 Average (11%) Average (50%) Few positive social interactions, few therapy, often reliving trauma Phase 7 Day 413-445 Average (3%) Low (6%) Few positive social interactions, low negative affect, often in pain, few medical care Phase 8 Day 446-466 Average (26%) Average (58%) Often reliving trauma, often receives compliments Phase 9 Day 467-483 Average (6%) Low (13%) Often receives medical care, compliments, and psychological therapy Phase 10 Day 484-499 Average (13%) Average (67%) Many positive social interactions, many tensions in family, many hallucinations, often sick and in pain Phase 11 Day 500-560 Average (13%) Low (21%) Many positive social interactions, often sick Note. Average frequency for each variable per phase were compared to the average for the entire 560 days. Salient interpretations (e.g., low, high, often, few) indicate that the mean of a phase is either > 1 SD or < 1 SD relative to 560-day mean of that variable.

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