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归因理论能否解释照顾者帮助有智力障碍且表现出不当性行为的男性的倾向?

Can attribution theory explain carers' propensity to help men with intellectual disabilities who display inappropriate sexual behaviour?

作者信息

Willner P, Smith M

机构信息

Learning Disabilities Directorate, Bro Morgannwg NHS Trust, Bridgend, UK.

出版信息

J Intellect Disabil Res. 2008 Jan;52(Pt 1):79-88. doi: 10.1111/j.1365-2788.2007.00989.x.

Abstract

AIM

This study examined the responses of care managers and direct care staff to vignettes of inappropriate sexual behaviour by a man with an intellectual disability. The aim was to test the theory that helping behaviour is determined by emotional responses (positive and negative emotional reactions, and optimism), which in turn are determined by causal attributions (respectively: controllability and stability of the incident depicted in the vignette).

METHOD

The vignettes varied in response topography and the age of the victim. Regression analysis was used to examine the relationships between causal attributions, emotional responses, and willingness to invest extra time and effort in the service user's care.

RESULTS

No support was found for the pathway: low controllability --> increased sympathy and/or decreased negative emotions --> increased helping. However, strong support was found for the pathway: low stability --> high optimism --> increased helping, particularly in direct care staff. High levels of sympathy were also associated with increased helping, the effect again being mediated by feelings of optimism.

CONCLUSIONS

The data provide support for one (but not the other) strand of attribution theory as applied to inappropriate sexual behaviour. The discussion considers the discrepancy between the present data and the far less encouraging literature on attribution theory as applied to challenging behaviour.

摘要

目的

本研究考察了护理经理和直接护理人员对智障男性不适当性行为案例的反应。目的是检验一种理论,即帮助行为由情绪反应(积极和消极情绪反应以及乐观情绪)决定,而情绪反应又由因果归因决定(分别为:案例中所描述事件的可控性和稳定性)。

方法

案例在反应形态和受害者年龄方面有所不同。采用回归分析来检验因果归因、情绪反应以及为服务对象的护理投入额外时间和精力的意愿之间的关系。

结果

未发现对以下路径的支持:低可控性→同情心增加和/或负面情绪减少→帮助行为增加。然而,发现了对以下路径的有力支持:低稳定性→高度乐观→帮助行为增加,这在直接护理人员中尤为明显。高度的同情心也与帮助行为增加相关,这种影响同样由乐观情绪介导。

结论

数据为归因理论应用于不适当性行为的一个(而非另一个)方面提供了支持。讨论考虑了当前数据与关于归因理论应用于具有挑战性行为的文献中远不那么令人鼓舞的情况之间的差异。

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