Marcus Institute.
J Appl Behav Anal. 2009 Fall;42(3):641-58. doi: 10.1901/jaba.2009.42-641.
Functional analyses identified children whose inappropriate mealtime behavior was maintained by escape and adult attention. Function-based extinction procedures were tested individually and in combination. Attention extinction alone did not result in decreases in inappropriate mealtime behavior or a significant increase in acceptance. By contrast, escape extinction alone resulted in a decrease in inappropriate mealtime behavior and an increase in acceptance. However, inappropriate mealtime behavior did not decrease to clinically acceptable levels. A combined extinction technique (i.e., escape and attention extinction) resulted in a decrease in inappropriate mealtime behavior to clinically acceptable levels and high and stable acceptance.
功能分析确定了那些不当进餐行为是由逃避和成人关注维持的儿童。基于功能的消退程序分别和联合进行了测试。单独的注意力消退并没有导致不当进餐行为的减少或接受度的显著增加。相比之下,单独的逃避消退导致了不当进餐行为的减少和接受度的增加。然而,不当进餐行为并没有减少到临床可接受的水平。联合的消退技术(即逃避和注意力消退)导致不当进餐行为减少到临床可接受的水平,同时接受度高且稳定。