Hawkins N E
Psychology Department, Oregon Rehabilitation Center, Sacred Heart General Hospital, Eugene 97401.
Arch Phys Med Rehabil. 1991 Aug;72(9):697-700.
A behavioral modeling and reinforcement procedure for "bravery training" is presented for assisting young children to cope with fears encountered in a hospital setting. Its successful application is described with two young language-impaired children on an inpatient rehabilitation unit. One child was a seven-year-old boy with giant cell astrocytoma whose fearfulness of radiation treatment necessitated sedating him during the procedure; the other was a five-year-old boy with seizure disorder whose fearfulness of feedings through a stomach tube necessitated restraining him during feedings. Parent training is provided in the model as a way to assist children to generalize the coping skills to other relevant situations. The puppet bravery training model is offered as a positive supportive procedure that can help prepare even language-impaired children to cope with fears in the hospital while enabling health care providers to proceed with necessary therapies.
本文介绍了一种用于“勇敢训练”的行为建模与强化程序，旨在帮助幼儿应对在医院环境中遇到的恐惧。文中描述了该程序在住院康复科的两名语言障碍幼儿身上的成功应用。一名儿童是患有巨细胞星形细胞瘤的七岁男孩，他对放射治疗的恐惧使得在治疗过程中需要对他进行镇静；另一名是患有癫痫症的五岁男孩，他对通过胃管喂食的恐惧使得在喂食过程中需要对他进行约束。该模型提供家长培训，作为帮助儿童将应对技巧推广到其他相关情境的一种方式。木偶勇敢训练模型是一种积极的支持程序，它可以帮助即使是语言障碍儿童做好应对医院恐惧的准备，同时使医护人员能够进行必要的治疗。
