Hanley Gregory P, Piazza Cathleen C, Fisher Wayne W, Maglieri Kristen A
Department of Applied Behavioral Science, University of Kansas, 1000 Sunnyside Ave., Lawrence, Kansas 66045, USA.
J Appl Behav Anal. 2005 Spring;38(1):51-65. doi: 10.1901/jaba.2005.6-04.
The current study describes an assessment sequence that may be used to identify individualized, effective, and preferred interventions for severe problem behavior in lieu of relying on a restricted set of treatment options that are assumed to be in the best interest of consumers. The relative effectiveness of functional communication training (FCT) with and without a punishment component was evaluated with 2 children for whom functional analyses demonstrated behavioral maintenance via social positive reinforcement. The results showed that FCT plus punishment was more effective than FCT in reducing problem behavior. Subsequently, participants' relative preference for each treatment was evaluated in a concurrent-chains arrangement, and both participants demonstrated a dear preference for FCT with punishment. These findings suggest that the treatment-selection process may be guided by person-centered and evidence-based values.
当前的研究描述了一种评估程序，该程序可用于确定针对严重问题行为的个性化、有效且首选的干预措施，而不是依赖于一套有限的、被认为符合消费者最佳利益的治疗选择。对2名儿童评估了有惩罚成分和无惩罚成分的功能性沟通训练（FCT）的相对有效性，功能性分析表明这2名儿童的行为通过社会正强化得以维持。结果显示，FCT加惩罚在减少问题行为方面比FCT更有效。随后，在并发链安排中评估了参与者对每种治疗的相对偏好，两名参与者都明确表现出对有惩罚的FCT的偏好。这些发现表明，治疗选择过程可以以个人为中心和基于证据的价值观为指导。
