Repp A C, Karsh K G, Deitz D E, Singh N N
Educational Research & Services Center, Dekalb, IL 60115.
J Intellect Disabil Res. 1992 Feb;36 ( Pt 1):61-75. doi: 10.1111/j.1365-2788.1992.tb00471.x.
Stereotypy is one of the most common behaviours demonstrated by persons with mental handicaps. As such, it has generated a number of theories concerning its origin or maintenance. One of these theories, the homeostatic one, suggests that some persons engage in stereotypies and other motor behaviours in order to maintain a relatively constant level of responding. If this was indeed true, the fact would have important implications for treatment, i.e. those persons who varied rates of both stereotypy and other movements but retained an overall level of motoric responding would seem to be those for whom procedures like the differential reinforcement of incompatible behaviour would be highly appropriate. The purpose of this paper was to determine whether some people do engage in constant levels of responding, and it did so by collecting data on stereotypy and other motor movements of 12 persons with retardation. Collected throughout the school day for 5 consecutive days on micro-computers, the data showed (1) that the stereotypic responding of four subjects was extraordinarily consistent, with the most deviant day's total being only 15 or 16% from the mean of the 5 days, (2) that other motor movements were inconsistent for all but one subject, but (3) that total movement (i.e. stereotypy plus other motor movements) was very high and was consistent for most subjects. The data were discussed in terms of assessing baselines for subjects for whom reinforcing adaptive motor movements would seem an appropriate means for reducing stereotypic responding.
刻板行为是智力障碍者表现出的最常见行为之一。因此,关于其起源或维持产生了许多理论。其中一种理论,即稳态理论,认为一些人进行刻板行为和其他运动行为是为了维持相对恒定的反应水平。如果这确实是真的,那么这一事实将对治疗产生重要影响,也就是说,那些刻板行为和其他运动的速率有所变化但保持总体运动反应水平的人,似乎是那些采用不相容行为差别强化等程序会非常合适的人。本文的目的是确定是否有些人确实保持恒定的反应水平,为此收集了12名智障者的刻板行为和其他运动的数据。这些数据在整个上学日连续5天通过微型计算机收集,结果显示:(1)4名受试者的刻板反应异常一致,偏差最大的一天的总数与5天平均值的差异仅为15%或16%;(2)除一名受试者外,其他所有受试者的运动都是不一致的;(3)但总运动量(即刻板行为加其他运动)非常高,且大多数受试者的总运动量是一致的。从评估那些强化适应性运动似乎是减少刻板反应的合适手段的受试者的基线角度,对这些数据进行了讨论。