Wanless L K, Jahoda A
Department of Psychological Medicine, University of Glasgow, Glasgow, UK.
J Intellect Disabil Res. 2002 Sep;46(Pt 6):507-16. doi: 10.1046/j.1365-2788.2002.00434.x.
Traditionally, research into interactions between staff and adults with an intellectual disability who engage in challenging behaviour has been carried out within a behavioural paradigm. Recent work has begun to examine cognitive factors. The majority of this research has drawn upon Weiner's attributional model of helping behaviour. Moreover, staff responses have usually been investigated in relation to client vignettes of challenging behaviour.
The present study involved 38 staff who worked with frequently aggressive clients and its aims were twofold: (1) to compare different methods of examining the cognitive and emotional responses of staff to aggression; namely, descriptive vignettes and real incidents of aggression which staff could recall; and (2) to attempt to replicate previous findings supportive of Weiner's model with a new carer group (day centre staff).
When staff responses were compared across the hypothetical and real scenarios, using a series of one-way analyses of variance, it was revealed that staff experienced more negative emotions in response to the real incidents of aggression. The present study produced little evidence in support of Weiner's model. However, it was found that staff perceptions of the aggressive clients were linked to their cognitive and emotional responses to the aggression.
The theoretical and clinical implications of these findings are considered, and the possible role played by interpersonal attributions in mediating staff responses to aggression is discussed.
传统上,针对与有挑战行为的智障成年人之间互动的研究是在行为范式内进行的。最近的研究开始考察认知因素。大部分此类研究借鉴了韦纳的助人行为归因模型。此外,通常是针对具有挑战行为的客户案例来调查工作人员的反应。
本研究涉及38名与频繁具有攻击性的客户打交道的工作人员,其目的有两个:(1)比较考察工作人员对攻击行为的认知和情绪反应的不同方法;即描述性案例和工作人员能够回忆起的真实攻击事件;(2)尝试用一个新的护理人员群体(日间护理中心工作人员)来复制先前支持韦纳模型的研究结果。
当使用一系列单因素方差分析在假设情景和真实情景中比较工作人员的反应时,发现工作人员对真实攻击事件的反应中体验到更多负面情绪。本研究几乎没有证据支持韦纳的模型。然而,发现工作人员对具有攻击性客户的看法与他们对攻击行为的认知和情绪反应有关。
考虑了这些发现的理论和临床意义,并讨论了人际归因在调节工作人员对攻击行为反应中可能发挥的作用。