Lecomte T, Liberman R P, Wallace C J
McGill University, Montreal, Quebec, Canada.
Psychiatr Serv. 2000 Oct;51(10):1312-4. doi: 10.1176/appi.ps.51.10.1312.
Successful engagement of clients with serious and persistent mental illnesses in the planning and implementation of treatment requires the identification of individualized reinforcers through motivational analyses. Reinforcer surveys are interviews or questionnaires that list numerous objects, persons, activities, and settings, and then assess the client's perception of the value of each item. Such surveys help identify the type of reward that might be useful for motivating the client. If properly assessed and delivered, reinforcers can increase clients' skill acquisition, attainment of goals, and feelings of self-efficacy.
要让患有严重且持续性精神疾病的患者成功参与到治疗计划的制定与实施中,需要通过动机分析来确定个性化的强化物。强化物调查是指通过访谈或问卷列出众多物品、人物、活动和场景,然后评估患者对每个项目价值的看法。此类调查有助于确定可能对激励患者有用的奖励类型。如果评估和给予得当,强化物可以提高患者的技能习得、目标达成以及自我效能感。