Ducharme Joseph M, Harris Kimberly, Milligan Karen, Pontes Edite
Department of Human Development and Applied Psychology, University of Toronto, 252 Bloor Street, Toronto, Ontario M5S 1V6, Canada.
J Autism Dev Disord. 2003 Oct;33(5):519-26. doi: 10.1023/a:1025831528809.
Errorless compliance training is a recently developed approach that has been demonstrated to be effective in treating severe oppositional behavior in children. In conjunction with several ancillary techniques, the approach comprises two fundamental components: reinforcement for child compliance and delivery of requests in a four-level hierarchy, from requests that yield high levels of compliance to those that yield low levels. To determine the relative contribution of each component, four children with developmental disabilities and severe oppositional behavior were observationally assessed in baseline and then treated using reinforcement following each instance of compliance to parental requests. Following this first treatment phase, we used the graduated request hierarchy in conjunction with reinforced compliance. Results indicated that use of reinforcement for compliance in isolation was ineffective in bringing about clinically significant improvements in child compliance. The addition of the graduated request hierarchy appeared to be associated with substantial changes in child compliance that maintained in follow-up assessments.
无错误依从性训练是一种最近开发的方法，已被证明在治疗儿童严重对立行为方面有效。该方法与几种辅助技术相结合，包括两个基本组成部分：对儿童依从性的强化以及按照从高依从性请求到低依从性请求的四级层次结构发出请求。为了确定每个组成部分的相对贡献，对四名患有发育障碍和严重对立行为的儿童进行了基线观察评估，然后在每次依从父母请求后使用强化措施进行治疗。在第一个治疗阶段之后，我们将分级请求层次结构与强化依从性结合使用。结果表明，单独使用依从性强化措施在使儿童依从性取得临床上显著改善方面无效。分级请求层次结构的添加似乎与儿童依从性的实质性变化相关，这些变化在后续评估中得以维持。
