增强竞争性刺激评估的复制和扩展
Michelle A Frank-Crawford1,2, Louis P Hagopian1,2, Jonathan D Schmidt1,2
1Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, MD, United States.
Journal of applied behavior analysis
|July 19, 2023
概括
增加竞争刺激评估与参与战术提高了自动维持的自我伤害行为的治疗方法,特别是对抗性亚型. 这些方法为所有参与者确定了有效的刺激,有助于治疗成功.
科学领域:
- 行为心理学 行为心理学
- 应用行为分析应用行为分析.
背景情况:
- 通过自动强化维持的自我伤害行为 (SIB) 提出了治疗挑战.
- 抗治疗性SIB亚型需要创新的评估和干预策略.
研究的目的:
- 为了评估自动维护SIB的增强竞争性刺激评估 (ACSA) 的有效性.
- 扩大对ACSA的研究,包括耐治疗的亚型和嵌入响应促进和破坏策略.
主要方法:
- 进行了ACSA,其中16名参与者展示了自动维护的SIB (共19个申请).
- 参与者被分为治疗反应 (亚型1) 和治疗耐药 (亚型2或3) 的组.
- 嵌入式策略,以增加刺激参与,并破坏评估期间具有挑战性的行为.
主要成果:
- 对于耐治疗亚型,较少的高竞争性刺激被确定.
- 在8个应用程序中的6个应用程序中,当应用和撤回响应促进和干扰策略时,结果有所改善.
- 高竞争性刺激在一组参与者的维护探测器期间仍然有效.
- 对于每个参与者来说,至少确定了一个有效的高竞争刺激.
结论:
- 增强的竞争性刺激评估对自动维护的SIB有效,包括耐治疗病例.
- 嵌入参与和破坏策略可以提高有效的竞争刺激的识别.
- ACSA为患有严重和持续性SIB的个人提供了可行的治疗选择.
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