Baenninger L P, Tang W Z
Psychology Service, Southeast Louisiana Hospital, Mandeville 70448.
Hosp Community Psychiatry. 1990 Apr;41(4):425-9. doi: 10.1176/ps.41.4.425.
For nine months, all psychiatric inpatients who came into a 26-bed coed adult ward in a state hospital were taught the principles and application of differential attention to determine whether it could be a used as a significant therapeutic modality on a ward for chronic patients. In two half-hour classes each week, patients were encouraged to praise each other's desirable behaviors and ignore undesirable ones. Thirteen patients were measured for improvement of 21 behaviors that included self-care, adaptive, and social skills. The target behaviors doubled in frequency as a result of the intervention, and praise improved the performance of target behaviors whether the praise was prompted by staff or not. Men and women improved equally from the intervention. Behaviors that were consistently prompted by patients improved more than self-initiated behaviors. Patients who volunteered to be helped by peer praise appeared to benefit the most.
在九个月的时间里，对进入一家州立医院设有26张床位的男女通用成人病房的所有精神科住院患者，都教授了差别关注的原则及应用，以确定其是否可作为一种对慢性病患者病房有效的治疗方式。每周安排两次半小时的课程，鼓励患者相互表扬对方的良好行为，忽视不良行为。对13名患者的21种行为（包括自我护理、适应能力和社交技能）的改善情况进行了测量。干预后，目标行为的频率翻倍，无论表扬是由工作人员促成的还是患者自发的，表扬都能提高目标行为的表现。男性和女性在干预后改善程度相同。那些持续由患者促成的行为比自发行为改善得更多。自愿接受同伴表扬帮助的患者似乎受益最大。
