This is the first time I've seen in the literature the suggestion to write notes on larger sheets and then fold them up. This is largely only recommended here because of the standardization of the paper sizes in such a way that folding an A4 makes an A5 and folding an A5 gives an A6 and so on...

This is silly and wrong. B5 paper is slightly smaller than A4 or American letter size paper. If a personal printer can print those common sizes, it should be able to print A5, too. A printer with A4 or letter paper would probably print the B5 page either centered or upper-left aligned on the paper. If the printer will not print the B5 page, that is the fault of the software, like the application, printer driver, or even the operating system. Updating or replacing those should enable the printer to print B5. If that doesn't work or isn't possible, then printing the B5 page to a new document, like a PDF, set up for A4 or letter paper should help. Printing that new document should work.

Keller and Schoenfeld (1950) presented extinction as something that is emitted or reached in a time interval either 5 or 10 minutes in which a response is not observed. Yang (2003) used this same notion in order to diminish self inflicted injuries brought on by scratching various surfaces of the body. Restraints were removed, during the extinction the physical blocking and verbal instructions stopped. In this study the extinction was successful and the scratching subsided without any major incidents. When working with children that have mild to severe disabilities, these behaviors can range in severity. As a trained professional when is it appropriate to intervene or subside extinction treatment if the behaviors continue? How many trials are enough? What restraints if any are appropriate? How do we keep it from getting out of hand and triggering a melt down or severe episode?

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