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智障同伴作为正念为基础的愤怒和攻击管理治疗师。

Peer with intellectual disabilities as a mindfulness-based anger and aggression management therapist.

机构信息

American Health and Wellness Institute, PO Box 5419, Midlothian, VA, USA.

出版信息

Res Dev Disabil. 2011 Nov-Dec;32(6):2690-6. doi: 10.1016/j.ridd.2011.06.003. Epub 2011 Jul 7.

Abstract

A young man with intellectual disabilities (ID) and mental illness, who had previously been taught to successfully manage his aggressive behavior by using Meditation on the Soles of the Feet, reported that he shared his mindfulness practice with his peers with ID. When requested by his peers, and without any training as a therapist, he began to teach this procedure to his peers for controlling their anger and aggressive behavior. We tracked the anger and aggressive behavior of three of the individuals he taught and the fidelity of his teaching of the procedure. According to self and staff reports, anger and aggressive behavior of the three individuals decreased to very low levels within five months of initiating training and remained at very low levels for the two years during which informal data were collected. The fidelity of his teaching the procedure was high, if one allows for his idiosyncratic teaching methods. These findings suggest that individuals with mild ID, who have mastered an effective mindfulness-based strategy to control their aggressive behavior, may be able to teach their peers the same strategy to successfully control their anger and aggressive behavior to a level that is acceptable for community living.

摘要

一名患有智力障碍和精神疾病的年轻男子,曾通过修习足底冥想成功地管理自己的攻击行为,他报告说,他与患有智力障碍的同龄人分享了他的正念练习。应同龄人的要求,而且他没有接受过任何治疗师的培训,他开始向同龄人教授这种控制愤怒和攻击行为的方法。我们跟踪了他所教授的三个人的愤怒和攻击行为,以及他教授该方法的准确性。根据自我和工作人员的报告,在开始培训的五个月内,这三个人的愤怒和攻击行为减少到非常低的水平,并且在收集非正式数据的两年内一直保持在非常低的水平。如果允许他使用特殊的教学方法,那么他教授该方法的准确性很高。这些发现表明,已经掌握了一种有效基于正念的策略来控制其攻击行为的轻度智力障碍个体,可能能够向其同龄人教授相同的策略,以成功控制其愤怒和攻击行为,使其达到可接受的社区生活水平。

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