Greene Ross W, Ablon J Stuart, Hassuk Bruce, Regan Kathleen M, Martin Andrés
Massachusetts General Hospital and with Harvard Medical School, MA 02458, USA.
Psychiatr Serv. 2006 May;57(5):610-2. doi: 10.1176/ps.2006.57.5.610.
The authors describe "collaborative problem solving," a cognitive-behavioral approach for working with aggressive children and adolescents. The model conceptualizes aggressive behavior as the byproduct of lagging cognitive skills in the domains of flexibility, frustration tolerance, and problem solving. The goal is to train staff to assess specific cognitive skills that may be contributing to challenging behavior and to teach children new skills through collaborative problem solving. The authors present results from an inpatient unit that dramatically reduced rates of seclusion and restraint.
作者描述了“协作式问题解决”，这是一种用于应对攻击性儿童和青少年的认知行为方法。该模型将攻击性行为概念化为灵活性、挫折耐受力和问题解决等领域认知技能滞后的副产品。目标是培训工作人员评估可能导致具有挑战性的行为的特定认知技能，并通过协作式问题解决教给孩子们新技能。作者展示了一个住院部的结果，该结果显著降低了隔离和约束的发生率。
