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惩罚会造成伤害吗?厌恶刺激对临床医生的影响。

Does punishment hurt? The impact of aversives on the clinician.

作者信息

Harris S L, Handleman J S, Gill M J, Fong P L

机构信息

Rutgers, State University of New Jersey.

出版信息

Res Dev Disabil. 1991;12(1):17-24. doi: 10.1016/0891-4222(91)90020-s.

DOI:10.1016/0891-4222(91)90020-s
PMID:2017584
Abstract

This paper explored the extent to which the use of mild versus strong aversives in programs for clients with autism affected the degree of job stress reported by direct care staff on the Maslach Burnout Inventory. The subjects included 56 staff from programs using only mild aversives and 60 staff from programs using strong aversives. Subjects anonymously completed the inventory and mailed it directly back to the researchers. The most significant finding was that direct care staff in facilities which permitted the use of strong aversives reported more intense feelings of personal accomplishment on the inventory than did subjects whose programs were limited to the use of mild aversives. Furthermore, there was a significant relationship among the personal use of strong aversives, number of years in the field, and the intensity of Personal Accomplishment. These findings suggest that allowing staff to use a wide range of interventions including strong aversives may diminish job stress and enhance one's sense of personal efficacy.

摘要

本文探讨了在针对自闭症患者的项目中使用温和厌恶疗法与强烈厌恶疗法对直接护理人员在马氏职业倦怠量表上报告的工作压力程度的影响。研究对象包括来自仅使用温和厌恶疗法项目的56名工作人员和来自使用强烈厌恶疗法项目的60名工作人员。研究对象匿名填写量表并直接寄回给研究人员。最显著的发现是,允许使用强烈厌恶疗法的机构中的直接护理人员在量表上报告的个人成就感比其项目仅限于使用温和厌恶疗法的研究对象更强烈。此外,个人使用强烈厌恶疗法、在该领域的工作年限与个人成就感的强度之间存在显著关系。这些发现表明,允许工作人员使用包括强烈厌恶疗法在内的广泛干预措施可能会减轻工作压力并增强个人效能感。

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