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Journal of Autism and Developmental Disorders, Vol. 32, No.

6, December 2002 (© 2002)

Decreasing Disruptive Behaviors of Children


with Autism Using Social Stories

Dorothy Scattone,1,5 Susan M. Wilczynski,2 Ron P. Edwards,3


and Brian Rabian4

Few studies have been conducted in the area of social stories, and the limitations of these stud-
ies (i.e., improper story construction and methodological confounds) raise questions about ef-
fectiveness of social story interventions. This study examined the effectiveness of properly
constructed social stories that have been introduced into the natural environment to target the
disruptive behavior of three children with autism. A multiple baseline design across participants
was employed, and a decrease in disruptive behavior was evidenced when the intervention was
implemented for all participants. Based on the results of the present research, future areas of
investigation outlining the limitations and potential benefits of social stories were discussed.

KEY WORDS: Autism; social stories; disruptive behavior.

INTRODUCTION used to address a range of social excesses or deficits.


A social story is a short story that is written in a child-
Disruptive behavior can interfere with the educa- specific format describing a social situation, person,
tion of both the child creating the disruption and other skill, event, or concept in terms of relevant cues and
children who share the class. In addition, it may also appropriate social responses (Gray, 1998). Each social
interfere with the social interactions of the child dis- story is designed to teach children with autism how to
rupting the class because this child is often identified manage their own behavior during a given social sit-
as “troublesome” or “different” (Harris, Milich, Cor- uation by describing where the activity will take place,
bitt, & Hoover, 1992). Although disruptive behavior when it will occur, what will happen, who is partici-
should be targeted for intervention with any child pating, and why the child should behave in a given
whose behavior interferes with classroom functioning, manner (Gray, 1998). Gray outlined specific guide-
it seems particularly critical to intervene when children lines for the development of social stories in her book
with autism are disruptive, given the educational and addressing the intervention (see Table I).
social impairments most bring to these settings. Unlike many other interventions for children with
Social stories represent a relatively new inter- autism, social stories may draw on a unique quality
vention designed for children with autism that can be these children may have. Specifically, because children
with autism often rigidly adhere to routines, the social
story may serve to establish a routine or a rule that the
1
University of Mississippi Medical Center. child may then apply to the social situation. In addition
2
University of Nebraska Medical Center. to drawing on this strength, the format of the social
3
The University of Southern Mississippi. story may be less intrusive than alternative treatments
4
Pennsylvania State University. for addressing social skill deficits in children with
5
Correspondence should be addressed to: Department of Pediatrics,
Division of Child Development and Behavioral Medicine, The Uni-
autism. By presenting the instructions in a written for-
versity of Mississippi Medical Center, 2500 North State Street, mat (as opposed to interaction verbally to present the
Jackson, MS 39216-4505; e-mail: dscattone@ped.umsmed.edu instructions), the social aspect of instruction delivery
535
0162-3257/02/1200-0535/0 © 2002 Plenum Publishing Corporation
536 Scattone, Wilczynski, Edwards, and Rabian

Table I. Gray’s (1998) Social Story Guidelines to social stories, other interventions (i.e., verbal prompts
and a token economy) were in place. An ABAB design
1. Write social stories from the perspective of the individual with
was employed with each social story beginning simul-
autism.
2. Use a combination of descriptive, perspective, and directive taneously. Although a reduction in pretantrum behav-
sentences. iors was noted, the social stories were again combined
● Descriptive sentences describe what people do in a given so- with other interventions, making it difficult to deter-
cial situation, why they are doing it, when and where the mine if the social story alone was effective or if the com-
event will take place, and who will be involved.
bination of the social story with the verbal prompts and
● Perspective sentences describe the thoughts and feelings of
other individuals. These sentences may be related to conse- the token economy produced the behavior change.
quences because they describe how another individual may Social stories have also been used in an effort to
react when the individual with autism engages in the behavior. improve the social interactions during lunch-time of an
● Directive sentences state the goals of the story by listing the 8-year-old girl with autism (Norris & Dattilo, 1999). Tar-
responses the student is expected to provide during a given
get behaviors were increasing appropriate social inter-
situation.
3. Employ the social story ratio: one directive sentence for every actions and decreasing inappropriate verbalizations.
two to five descriptive and/or perspective sentences. This study differed from the others in that three dif-
ferent social stories were developed to target the same
situation and the pages of each social story included
color picture symbols. An AB design was employed to
is minimized and may reduce the aversiveness of re- evaluate the effectiveness of the social stories. Unfor-
ceiving instruction. Thus a social story may allow a tunately, inappropriate vocalizations and appropriate
child with autism to receive rules governing social be- social interactions decreased. Again, limitations to the
havior in a manner that will maximize the likelihood research design and the unusual construction of the in-
the child will benefit from instruction. tervention impedes direct interpretation of the results.
Although Gray and Garand (1993) have reportedly It is unclear if (a) social stories used in isolation are in-
used this approach with hundreds of children with effective in improving the social interactions of chil-
autism, there is a dearth of empirical studies with strong dren with autism; (b) using more than one social story
internal validity that support their use. The first pub- to target one social situation is confusing, thus reduc-
lished study on social stories conducted by Swaggert ing the effectiveness of the intervention; or (c) if so-
et al. (1995) involved combining social stories with a cial stories are more effective in reducing behavioral
behavioral social skills training model and, for one par- excesses than in increasing behavioral deficits.
ticipant, a response-cost system. Reinforcers were in- A recent investigation presented social stories to
corporated into the social skills training strategy to participants in a computer-based format (Hagiwara &
encourage the desired responses. Child-specific social Myles, 1999). Three boys with autism between the ages
stories that included drawings and photographs were of 7 and 10 years served as participants. The target be-
created for three children with autism. The participants haviors were handwashing (participants 1 and 2) and
included an 11-year-old girl who greeted strangers in- on-task behavior (participant 3). The social stories were
appropriately and two 7-year-old boys whose inappro- evaluated using a multiple baseline design across set-
priate behaviors consisted of aggression, inappropriate tings. Handwashing did not systematically improve
play, and grabbing toys. The social stories were eval- upon introduction in each setting for participant 1.
uated using an AB design, and the behavior of all three Although improvements in handwashing occurred for
children improved subsequent to intervention imple- participant 2, low rates of independent handwashing
mentation. However, given the limitations of an AB de- occurred. For the third participant, a stable pattern of
sign and the fact that the social stories were combined remaining on-task behavior never occurred, and, un-
with other interventions, the source of improvement fortunately, data could not be collected in all settings.
could not be isolated to social stories. Because the social story did not follow Gray’s (1998)
Kuttler, Myles, and Carlson (1998) extended this guidelines, it is uncertain whether these results are due
area of research by using social stories across two dif- to a failure of the technique itself or to insufficient con-
ferent settings in an effort to reduce the pretantrum be- struction of the social story.
haviors of a 12-year-old boy with autism. Target Social stories may effectively help address the
behaviors included screaming, cursing, and dropping to social/behavioral needs of individuals with autism;
the floor. Two separate social stories were created (i.e., however, limitations in existing research have made
one for lunch-time and one for work-time). In addition interpretation of current research findings difficult.
Social Stories 537

Therefore the present study was designed to investi- rupted the lesson and sometimes led to other students
gate the use of social stories constructed within the shouting as well. Howard was not yet able to read in-
parameters of Gray’s (1998) guidelines. Specifically, dependently; therefore, the teacher read the social story
the extent to which social stories effectively reduce to him. His Mental Processing Composite as measured
the disruptive behaviors of children with autism when by the K-ABC (Kaufman & Kaufman, 1983) was 67.
no planned behavior management systems are in place Howard also received a diagnosis of autistic disorder
was examined. from the school working in conjunction with the sec-
ond author prior to this study.
METHOD
Materials
Participants
Social Stories
Three children with an existing diagnosis of autis-
Three child-specific social stories were developed
tic disorder were selected from an elementary school
to target each participant’s respective disruptive be-
and a high school in the southern region of the United
havior (see Appendix). The social stories consisted of
States to participate in this study. Parental consent was
a written script of the targeted situation and included
obtained for each participant. Participants were be-
the responses the participant was expected to make. The
tween the ages of 7 and 15 years, were capable of com-
social stories were constructed according to the guide-
municating using speech, and were members of
lines proposed by Gray (1998). The social stories for
self-contained special education classrooms.
Kenny, John, and Howard were nine, eight, and eight
Participant 1 was Kenny, a 7-year-old male, whose
pages in length, respectively. The stories were printed
target behavior was tipping his chair backward or side-
on white paper with a 16-point font, mounted on black
ways, which sometimes resulted in his falling on the
construction paper, and laminated to keep them intact
floor. Kenny spoke in complete sentences, was capa-
throughout the study.
ble of reading, and read his social story to the teacher
every morning. Kenny obtained standard scores in the
40s on IQ and communication instruments (44 IQ Com- Design
posite on the Stanford Binet Intelligence Scale: Fourth
A multiple baseline design across participants was
Edition, Thorndike, Hagen, & Sattler, 1986; 40 on the
used to evaluate the effectiveness of the social stories on
Peabody Picture Vocabulary Test: Third Edition, Dunn
reducing disruptive behaviors (Kazdin, 1982). This de-
& Dunn, 1997; 40 on the Expressive Vocabulary Test;
sign requires the intervention to be implemented in a
Williams, 1997). He received a diagnosis of autistic
staggered fashion across three different series so that
disorder before the study through collaboration of an
each participant serves as a control for the other partic-
area school and the second author.
ipants. This design was selected to strengthen the inter-
Participant 2 was John, a 15-year-old male whose
nal validity of the simple phase change (AB design) by
disruptive behavior consisted of staring inappropriately
reducing alternative explanations for a change in the sec-
at females during recess. This behavior often disrupted
ond condition (Hayes, Barlow, & Nelson-Gray, 1999).
the activities of other students who were nearby and
disrupted the teacher who attended to the behavior. In
addition, staring often preceded masturbatory behav- Procedure
ior. He was also capable of reading, and read his so-
Baseline and Intervention
cial story to the teacher’s aide in the classroom.
Before and throughout this study, John participated Undergraduate and graduate students collected
in another study designed to increase on-task behavior. baseline data after receiving training in data collection
His Mental Processing Composite as measured by the procedures and research ethics. During baseline and in-
Kaufman Assessment Battery for Children (K-ABC; tervention data collection, the teacher was instructed to
Kaufman & Kaufman, 1983) was 82. John received a respond to each participant’s disruptive behavior as she
diagnosis of autistic disorder from an outside agency had been before the start of the study.
and was referred to the second author for treatment. During the intervention phase, the teacher (or
Participant 3 was Howard, a 7-year-old male who teacher’s aide) introduced the social story to each par-
was a member of the same classroom as Kenny and ticipant on an individual basis. The teacher read the so-
who shouted during math class. Shouting often dis- cial story and assessed comprehension by asking the
538 Scattone, Wilczynski, Edwards, and Rabian

participant a predetermined set of questions related to by dividing the number of days the participant read/was
the story the first time the intervention was introduced. read the social story by the number of total days in the
All participants answered the comprehension questions intervention phase and multiplying by 100.
with 100% accuracy.
Thereafter, Kenny read the social story aloud to
Intervention Acceptability
the teacher once each morning before class began. John
read the social story to the teacher’s aide approximately Teacher acceptability of the social story interven-
1 hr before his target situation (i.e., recess) was to tion was assessed after the final phase of the study by
occur. The time selected for John reading his social having the participant’s teacher complete the Inter-
story differed from the other participants because of his vention Rating Profile (IRP-15; Martens, Witt, Elliott,
late arrival to school as per school-home determination. & Darveaux, 1985). The IRP-15 is a 15-item scale that
Howard was not yet capable of reading independently; was developed to evaluate the acceptability of a given
therefore the teacher read the social story to him each treatment. Reliability of the instrument is .98 (Martens
morning before class began. Social stories for all par- et al., 1985). Scores on the IRP-15 can range from 15
ticipants were accessible throughout the day. For ex- to 90, with higher scores indicating a greater accep-
ample, for Kenny and Howard they were propped up tance level. Scores above 52.50 are acceptable (Von
on the blackboard and for John the story was kept on Brock & Elliott, 1987).
top of the teacher’s desk throughout the day. However,
teacher report indicated that none of the students ac-
Data Analysis
cessed their stories independently.
Dependent Variables
Data Collection and Interobserver Agreement The effect of each social story was assessed by
measuring the percentage of intervals of disruptive be-
Graduate and undergraduate students recorded the
havior during 20-min observations. Disruptive behav-
occurrence of disruptive behaviors using a 10-s cued
ior was defined for each participant based on information
partial interval recording system during 20-min obser-
obtained during a meeting between the participant’s
vations for each participant approximately 3 times per
teacher and the principal investigator. For Kenny, chair
week. For Kenny, data were collected mid-morning
tipping was defined as occurring when one chair leg
during large group activity; for John, data were col-
broke contact with the floor. For John, staring was
lected outdoors during recess in the early afternoon;
defined as looking at a female for 3 consecutive s or
and for Howard, data were collected in the early after-
more. For Howard, shouting was defined as raising his
noon during math.
voice above the typical level.
Interobserver agreement was calculated by divid-
ing the number of agreements by the total number of
Analysis
agreements plus disagreements and multiplying by 100.
Interobserver agreement was defined as occasions when Disruptive behavior was graphed as a percent-
both observers agreed that a behavior either occurred age of intervals per session for each participant. Data
or did not occur. Disagreement was defined as occa- points collected during baseline and intervention were
sions when one observer indicated the occurrence of a inspected visually for changes in level, variability,
behavior but the second observer did not verify this oc- and trend (Hayes, Barlow, & Nelson-Gray, 1999;
currence. Interobserver agreement was measured dur- Kazdin, 1982).
ing 30% of the observations.
RESULTS
Treatment Integrity
Interobserver Agreement
A daily checklist was used to assess treatment in-
tegrity. On the checklist, the teacher indicated whether Interobserver agreement data were collected nine
or not the participant read or was read the social story times during the study per student (i.e., once per week
that day at the specified time. For 25% of the inter- for 9 weeks), representing 30% of the observations. For
vention sessions, a researcher was present to record on Kenny and Howard, interobserver agreement was
a checklist whether or not the social story was read that 100%. For John, interobserver agreement was 93%
day. Treatment integrity was computed as a percentage (range ⫽ 89–100%).
Social Stories 539

Treatment Integrity and Treatment Acceptability staring averaged 66.9% of intervals (range 50–85%)
during baseline and was reduced to an average of 18.3%
For Kenny and Howard, treatment integrity was
of intervals (range 0–58%). For Howard, shouting dur-
100%. For John, treatment integrity was 91%. Because
ing baseline averaged 16.0% of intervals (range 0–
of a less than 100% level of treatment integrity for John,
40%). However, during the intervention phase shout-
the teacher was reminded daily to have the participant
ing was more stable and occurred at a low rate and av-
read the social story.
eraged 5.1% of intervals (range 2–10%).
Scores on the IRP-15 were well within the ac-
Anecdotally, after the intervention had been in
ceptable range for all participants. Specifically, the
place for 1 week, Kenny was observed reciting his so-
score for Kenny was 78, the score for John was 68, and
cial story to another student in the classroom who was
the score for Howard was 70.
tipping his chair. In fact, when Howard’s social story
was read at the designated time each morning, Kenny
Disruptive Behavior was often observed nearby watching and listening.
Also, Kenny sometimes read the social story created
All three participants demonstrated a reduction in
for Howard out loud. Thus, although Howard did not
their respective disruptive behaviors (Fig. 1) after the
independently read the social story more often than was
social story was introduced, although the level of im-
intended, he was exposed to the story more than one
provement varied for all three participants. For Kenny,
time per day on more than one occasion. Therefore it
chair tipping ranged from 48 to 60% of intervals dur-
is unknown how effective this intervention would have
ing baseline (mean 50%). However, the first time the
been had the social story been read only once per day.
intervention was introduced, chair tipping decreased
Gray’s (1998) guidelines do not prohibit the number of
dramatically to a mean of 17% of intervals. Through-
readings of the social story per day, but the effect of a
out the intervention phase of the study, chair tipping
single reading could not be assessed. With respect to
averaged 4.6% of intervals (range 0–17%). For John,
social validity, Kenny’s teacher was pleased with the
results and expressed an interest in creating social sto-
ries for other disruptive problem behaviors that Kenny
demonstrated.
Social stories are often described as an interven-
tion that can be enjoyable for children with autism.
However, the effectiveness of the social stories may
not always have been associated with fondness for the
story in the present study. Although some participants
may have enjoyed the intervention (e.g., Kenny who
like to read), this did not appear to be the case with all
participants. John often resisted reading the social story.
Specifically, he often sat with the story placed in front
of him for approximately 5 min before opening it and
he repeatedly asked the teacher if he could “skip read-
ing it.” In addition, he requested changing the title from
“It’s OK to Look at Girls” to “It’s OK to Look at Lots
of Girls.” However, his resistance to task demands was
not restricted to reading social stories; he resisted com-
pleting many of his class assignments as well. Despite
his resistance to reading the story aloud, the interven-
tion appeared effective, and John tried multiple strate-
gies for complying with the rules stated in the story.
For example, he pulled his sweatshirt over his head dur-
ing a portion of the last four observations. During ses-
sion 17 he sat with his sweatshirt over his head for the
duration of the observation. Thus, although staring was
Fig. 1. Percentages of disruptive behavior for Kenny, John, effectively decreased, an appropriate response to the
and Howard. presence of females was not always evidenced.
540 Scattone, Wilczynski, Edwards, and Rabian

The goal of the social story intervention was to cations for long-term behavior changes. To date, no
improve appropriate attending to females in the envi- study has examined the longevity of successful out-
ronment by having John look at girls for shorter peri- comes associated with social stories. John also could
ods of time rather than by having him cover his face not read the story on sessions 14 and 15 because he did
and/or head. Modifications to social stories may be nec- not attend school on those days, and data were not col-
essary to address idiosyncratic responding to the sto- lected for these sessions for John. No increases in star-
ries as they are initially written. For example, instead ing were evidenced when he John returned to school.
of simply stating that John should “look at something However, it is noteworthy that he read the story again
else,” alternative objects of visual focus could have upon his return to school and had been recently exposed
been offered (e.g., his feet, another person, school to the story. Brief exposure to the story may be suffi-
work, etc.). Also, appropriate initiating skills could cient to alter behavior in some cases or a high degree
have been added to the story used in the current study. of integrity may be critical for initial behavior change
The extent to which John’s staring was reduced (e.g., session 10), but may be less critical once the inter-
outside of the data collection period is unknown. In- vention has been in place for some time.
formal reports made by the teacher indicated that John
sometimes stared when observers were not present,
although staring was reported to occur for shorter pe- DISCUSSION
riods of time than before the intervention was imple-
mented. It was difficult to determine if the presence of Overall, the participants demonstrated a reduction
the observers influenced John’s staring. Observers were in their respective disruptive behaviors. The greatest
present in the schoolyard three times per week for sev- reduction of disruptive behavior occurred for Kenny,
eral weeks before the intervention was implemented whose chair tipping decreased from a mean of 50% of
and John openly stared at females in the presence of intervals during baseline to a mean of 4.6% of inter-
the observers at that time. Perhaps the covering of his vals during intervention, and John, who decreased star-
face and/or head was in response to the social story ing from a mean of 66.9% of intervals during baseline
interacting with an awareness of being observed. This to a mean of 18.25% of intervals during intervention.
may be corrected in future studies if the individuals Howard demonstrated the smallest reduction of dis-
collecting data in the natural environment do not ex- ruptive behavior, decreasing shouting from a mean of
clusively serve the role of data collectors. For exam- 18.15% of intervals during baseline to a mean of 5.1%
ple, a different data collection procedure (e.g., of intervals during intervention. It should be noted,
momentary time sampling) could be used throughout however, that shouting occurred at a somewhat lower
the day by a teacher and/or teacher’s aide who were rate before intervention implementation.
willing to collect data. The positive outcomes of this study are especially
Overall the intervention was effective despite the important because social stories are convenient, are un-
fact John did not read the story every day during the obtrusive, and may draw on a strength many children
course of the study. Interestingly, elevated levels of with autism demonstrate (i.e., adherence to rules/rou-
staring were associated with lower treatment integrity tines). Ethically, the least intrusive intervention that ef-
for John. After reading the social story for the first time fectively changes behavior is the best choice. When
on session 9, John stared for 42% of the intervals, compared to alternate forms of treatment designed to
which represented a reduction from his lowest baseline improve social behavior (e.g., discrete trial instruction,
data point. However, John did not read the social story pivotal response training, functional equivalence train-
on session 10, and staring increased to near baseline ing, etc.), social stories clearly are less time and labor
levels (58%). When integrity improved (i.e., he read intensive as well. However, even though the results
the social story) before session 11, staring significantly of the present study are very promising and previous
decreased (26%) and began to stabilize. Thus, although studies have suggested social stories may be effective
no systematic effort was made to consider the issue of under some conditions, there are many unexplored vari-
integrity and outcome in the present study, these data ables that may aid or limit the effectiveness of this
suggest social stories may be effective even when not intervention for some children or for some behaviors.
implemented with 100% integrity. This possibility has Like previous research, the limitations of the pre-
yet to be examined empirically. sent study suggest additional research is necessary be-
The consistency with which social stories must be fore the effectiveness of social stories can be better
read to sustain beneficial results may also have impli- established and the conditions under which they are
Social Stories 541

effective are fully delineated. In addition, there were touch the floor.” During the next observation, no in-
several issues that arose in this study that have impli- stances of chair tipping occurred. It is impossibly to
cations for future investigations. know if the verbal prompt influenced Kenny’s behavior
A low and stable pattern of shouting was evi- or if Kenny’s chair tipping would have been reduced
denced for Howard once the social story was imple- without the prompt.
mented, and 71% of data points were nonoverlapping. In addition, John’s teacher was observed on one
Yet this reduction of disruptive behavior was not as occasion to verbally prompt him by saying, “Remem-
dramatic as was the case for Kenny and John. This may ber 2 seconds.” This occurred on session 12, where star-
be because his baseline level of shouting was lower and ing occurred for 3% of the intervals. However, staring
more variable than the baseline levels of disruptive be- increased to 16% of the intervals on the next data point,
haviors for Kenny and John. It may also be related to again making it unclear if the verbal prompts played a
his not reading the story independently. The importance role in reducing behavior on at least one occasion.
of independently reading a social story on the effec- Given the observers were in the classroom only
tiveness of the intervention has not been explored em- during data collection periods, the extent to which the
pirically. Independently reading the story may or may teachers and /or teacher’s aide used verbal prompts can-
not be a critical component of the intervention. not be known. Therefore, even though there was no
One limitation of the current study that should be planned intervention beyond daily readings of the so-
noted was that Kenny and Howard were both 7-year- cial story, some level of prompting occurred, limiting
old males and were students in the same classroom. the confidence that can be placed in using social sto-
Thus it is unknown whether the social stories would ries in isolation. Fortunately, the unplanned prompts
have had the same effect if these two students were in provided by the teachers in the present study were di-
different classrooms or had different teachers. Howard rectly related to the intervention (i.e., the social story)
had the opportunity to hear Kenny read his social story and were not a associated with some other systematic
every morning. In addition, data for Howard were less behavioral intervention unrelated to the story (i.e.,
impressive than data for the other participants; there- token economy).
fore it is possible that simply hearing the social story Overcoming the issue of teachers providing prompts
for Kenny every morning produced some impact on that are not a part of a research protocol may prove some-
Howard’s target behavior. However, the social story what difficult in future studies examining social stories
created for Kenny targeted a completely different be- in the natural environment. Teachers may be accustomed
havior (i.e., chair tipping), making it unlikely that to providing different levels of prompts to aid skill ac-
Kenny’s social story reduced Howard’s disruptive be- quisition or maintenance. Therefore, future investigators
havior (i.e., shouting). may need to have more control over the experimental
A second possible threat to the internal validity of environment by providing the intervention in an ana-
the study was that another intervention was already in logue environment; however, this would reduce the eco-
place for one of the participants. John was engaged in logical validity of such a study. Conversely, teachers
an academic intervention that focused on improving on- may be better able to monitor the prompts they provide
task behavior. However, this intervention was imple- by systematically introducing and excluding prompts in
mented well before the social story intervention was different phase changes. In this way, the additive effec-
administered and was in place throughout the study. No tive of social stories with prompts may be assessed.
changes in the academic intervention occurred in rela- This study establishes the effectiveness of social
tion to the phase change for John. Thus, although in- stories when they have been constructed within the
creasing on-task behavior may have proved helpful for guidelines established by Gray (1998). Gray developed
the current study because John avoided reading the so- these guidelines based on reason and experience, and
cial story for only brief periods of time (e.g., 5 min), they have not been submitted to experimental investi-
it seems unlikely this intervention significantly or sys- gation. Establishing the effectiveness of social story in-
tematically influenced his staring at females. terventions using the guidelines is the first step in
Although verbal prompts were not planned as a assessing the utility of this technique. However, future
component of this study, teachers were observed on oc- research may need to systematically evaluate each
casion to refer to the social story in part or in its en- guideline Gray has forwarded because certain “rules”
tirety. For example, Kenny’s teacher held up the book for developing the stories may be critical and others
during session five and verbally prompted him not to may be irrelevant. Identification of the features of a so-
tip his chair by saying, “Remember all four legs should cial story that are associated with the most positive out-
542 Scattone, Wilczynski, Edwards, and Rabian

come could help mental health and educational pro- thing else until I slowly count to ten. After I slowly count
fessionals as well as parents develop stories that will to ten, I can look at the girl again if I want to.
produce the best outcomes. Comprehension Questions:
In conclusion, the present study replicated and ex-
(1) Is it OK to look at girls?
tended the literature by demonstrating that properly
(2) How long should look at a girl for?
constructed social stories may decrease the disruptive
(3) When I look away, what should I count to?
behaviors of some children with autism and that social
stories may be used without planned systematic be-
havioral interventions such as token economies. How-
ever, future research is necessary to further validate the Howard: Why I Should Not Holler
effectiveness of this intervention with and without When Miss Anne helps us with math, the children
planned prompts using rigorous experimental designs. usually do not holler. When children need Miss Anne’s
In addition, the specific guidelines that are associated help, they usually ask for help in a quiet voice. When
with positive outcomes should also be examined to aid children ask Miss Anne for help, they usually say
in social story development in practice. Finally, the im- “Help please” or “I need help” in a quiet voice. When
portance of treatment integrity and the length of inter- Miss Anne helps us with math, I will try not to holler.
vention implementation on long-term behavior change When I want Miss Anne’s help, I will say “Help
must be examined. please” or “I need help.” Miss Anne will usually help
me if I ask for help. Miss Anne will be happy if I do
not holler.
APPENDIX: SOCIAL STORIES FOR KENNY, Comprehension Questions:
JOHN, AND HOWARD (1) What do the children do when they need Miss
Anne’s help?
Kenny: Keeping Safe in My Seat (2) What should I do when I need Miss Anne’s
When I sit in a chair, all four leg of the chair should help?
touch the floor. If only one or two legs touch the floor, (3) Will Miss Anne be happy if I ask for help?
my chair can tip over. Tipping my chair can make me
fall. If I fall, I can get hurt. Tipping my chair can make
my teachers sad or mad. I do not like it when my teach- ACKNOWLEDGMENTS
ers are sad or mad. I will try not to tip my chair. I will
try to sit in my chair with all four legs touching the floor. Warmest thanks to Katie Nichols, Melanie DuBard,
My teachers will be happy if I sit in my chair with all and Dannell Speights for their assistance with data
four legs touching the floor. Then I will be safe. collection and to the teachers, parents, and children who
Comprehension Questions: participated in this project for their assistance and
(1) When I sit in the chair, should I keep all four support.
legs of the chair on the floor?
(2) Where should all four legs of the chair be?
(3) If only one or two legs of the chair touch the REFERENCES
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