Pica Case Study

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Definition and Description Pica is the ingestion of nonnutritive items for an amount of time longer than a month, which is out of place for the person 's developmental age, not culturally practiced to consume that item, and involves clinical attention (Hagopian, Rooker, and Rolider, 2011). Because of the definition, pica is known as a feeding problem, nutritional deficiency, and/or an obsessive-compulsive disorder (OCD) (Bryant-Waugh, Markham, Kreipe, and Walsh, 2010). Pica is a self-injurious behavior that can cause high-risk medical issues, including parasites, led poisoning, intestinal blockage, and surgery from a blockage (Ferreri, 2006). Sturmey & Didden (2014) define the term "self-injurious behavior" as intentional harm to one 's body that is severe enough to damage tissue without the help from another person. There are less dangerous health risks that can be associated with pica that include nutritional deficiencies, oral and/or dental problems, irritable bowels, enlarged colon and constipation (Call, Simmions, Mevers, and Alvarez, 2015). This eating behavior continues to occur because of automatic reinforcement (Sturmey & Didden, 2014). Cosgrave (2016) defines automatic reinforcement as the reinforcement that occurs from the direct person completing the action without the involvement of another …show more content…

(2015), diagnoses of Pica can "occur across gender, age, race, socioeconomic status, and geographic region." The difficulty with finding the prevalence of pica occurs because, in most cases, pica is explained when there has been a serious medical consequence (Delaney, Eddy, Hartmann, Becker, Murray, and Thomas, 2015). Approximately 25-45% of typically developing children and up to 80% of children who have a developmental delay report to have a feeding problem (Bryant-Waugh et al. 2010). Kahn and Tisman (2010) found that people with pica are often secretive with their habits due to the shaming brought on society for the

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