Warzak W J, Page T J
University of Nebraska Medical Center, Meyer Children's Rehabilitation Center, Omaha 68131.
J Behav Ther Exp Psychiatry. 1990 Jun;21(2):133-9. doi: 10.1016/0005-7916(90)90018-g.
Refusal skills training was extended to sexually active handicapped female adolescents who lacked an effective refusal strategy. Role-plays for assessment and training were developed using the who, what, when and where of situations which resulted in unwanted intercourse. Refusal skills were trained following the format of rationale, modeling, rehearsal, feedback, and reinforcement. Baseline rates of most target behaviors were quite low. High frequencies of target behaviors were observed as each behavior became the focus of training. Generalization across staff and time was also observed. The skillfulness and effectiveness of the subjects' refusal skills were judged to be improved as a function of training. One-year follow-up showed decreased sexual activity for each girl.
拒绝技巧培训扩展到了缺乏有效拒绝策略的性活跃残疾女性青少年。利用导致非意愿性交的情境中的何人、何事、何时及何地来设计评估和培训的角色扮演。拒绝技巧按照原理、示范、演练、反馈和强化的形式进行培训。大多数目标行为的基线发生率相当低。随着每种行为成为培训重点，观察到目标行为的高频率出现。还观察到了跨工作人员和时间的泛化。作为培训的一项功能，受试者拒绝技巧的熟练程度和有效性被判定有所提高。一年的随访显示每个女孩的性活动都有所减少。
