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对长期住院精神科患者社会行为的行为学视角研究。

An ethological perspective on social behavior in long stay hospitalized psychiatric patients.

作者信息

Polsky R H, Chance M R

出版信息

J Nerv Ment Dis. 1979 Nov;167(11):658-68. doi: 10.1097/00005053-197911000-00002.

Abstract

Ethological methods were employed to gather normative data on social behavior in long stay male inpatients in the ward environment. Most were diagnosed schizophrenic. Social bheavior was categorized into four main types: altruistic, assertive, cigarette, and verbal. Patients (N = 24) were divided into three groups on the basis of the amount of social interaction (top, middle, and bottom thirds of the interactional scale). With the use of these divisions, results indicated: a) marked variability between thirds in the amount of social behavior exhibited; b) differences in the kinds of social behavior utlized by each third--the top was predominantly verbal whereas the middle and bottom were predominantly nonverbal; c) differences in the modes of interaction between thirds--verbal behavior characterized interactions between the top and top, and top and bottom, whereas assertive behavior characterized interactions between the top and middle, middle and middle, middle and bottom, and bottom and bottom; and d) correlative relationships between various social and nonsocial parameters, the most noteworthy including the positive relationship between head up, eyes open, and high rate of social interaction, and the positive relationships between altruistic, cigarette, and verbal behavior. Discussion focused on issues of variability between patients, stability of behaviors over time, behaviors indicative of bonding and social attentiveness, profiles of behavior characteristic of each third of the interactional scale, and the ethological constructs of dominance and attention structure.

摘要

采用行为学方法收集长期住院男性患者在病房环境中的社会行为规范数据。大多数患者被诊断为精神分裂症。社会行为分为四种主要类型:利他行为、 assertive行为、吸烟行为和言语行为。患者(N = 24)根据社会互动量分为三组(互动量表的上三分之一、中三分之一和下三分之一)。利用这些分组,结果表明:a)各三分之一组在表现出的社会行为量上存在显著差异;b)每组使用的社会行为种类不同——上三分之一组主要是言语行为,而中三分之一组和下三分之一组主要是非言语行为;c)各三分之一组之间的互动模式存在差异——言语行为是上三分之一组与上三分之一组、上三分之一组与下三分之一组之间互动的特征,而 assertive行为是上三分之一组与中三分之一组、中三分之一组与中三分之一组、中三分之一组与下三分之一组以及下三分之一组与下三分之一组之间互动的特征;d)各种社会和非社会参数之间的相关关系,最值得注意的包括抬头、睁眼与高社会互动率之间的正相关,以及利他行为、吸烟行为和言语行为之间的正相关。讨论集中在患者之间的差异问题、行为随时间的稳定性、表明联系和社会关注度的行为、互动量表各三分之一组特有的行为特征以及支配和注意力结构的行为学构建。

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