Linscheid T R, Iwata B A, Ricketts R W, Williams D E, Griffin J C
Ohio State University, Department of Pediatrics, Children's Hospital, Columbus 43205.
J Appl Behav Anal. 1990 Spring;23(1):53-78. doi: 10.1901/jaba.1990.23-53.
Five cases involving the treatment of longstanding, severe, and previously unmanageable self-injurious behavior are presented. In each case, the behavior was forceful contact with the head or face, and treatment consisted of mild and brief contingent electrical stimulation, delivered automatically or by a therapist, via the Self-Injurious Behavior Inhibiting System. Results of reversal and/or multiple baseline designs, in which sessions ranged in duration from 10 min to all day across a variety of settings, showed that the effects of the system were immediate and produced almost complete elimination of the self-injurious behavior. Controlled and anecdotal follow-up data for four of the five cases suggest continuing benefits and the absence of detrimental side effects associated with treatment. Potential applications of the device, as well as extensions and limitations, are discussed.
本文介绍了五例长期存在、严重且先前难以控制的自我伤害行为的治疗案例。在每个案例中，行为表现为用力撞击头部或面部，治疗方法是通过自我伤害行为抑制系统，由治疗师或自动进行轻度且短暂的偶然电刺激。反转和/或多基线设计的结果显示，在各种环境下，治疗时长从10分钟到一整天不等，该系统的效果立竿见影，几乎完全消除了自我伤害行为。五例中的四例的对照和轶事性随访数据表明，治疗持续有效且未出现有害副作用。文中还讨论了该设备的潜在应用以及扩展和局限性。
