Department of Special Education, Vanderbilt University, Nashville, TN, USA.
J Appl Res Intellect Disabil. 2014 May;27(3):187-99. doi: 10.1111/jar.12089. Epub 2014 Jan 25.
Challenging behaviour is frequently associated with the presence of intellectual disability. If not effectively treated, chronic challenging behaviour can negatively impact a variety of quality of life outcomes for individuals with intellectual disability.
We review the current status of research relating to the assessment and treatment of challenging behaviour for people with intellectual disability. We briefly review the history of interventions for challenging behaviour that led to the development of function-based approaches widely in use today. We then discuss the various operant functions of challenging behaviour, functional behaviour assessment technologies and reinforcement-based interventions.
We conclude with a discussion of future directions that include models of prevention, ecological validity of assessment procedures and the widespread use of comprehensive behavioural support programmes.
具有挑战性的行为通常与智力障碍的存在有关。如果得不到有效治疗，慢性具有挑战性的行为会对智力障碍患者的各种生活质量产生负面影响。
我们回顾了与智力障碍患者具有挑战性的行为评估和治疗相关的研究现状。我们简要回顾了导致当今广泛使用基于功能的方法的干预措施的历史。然后，我们讨论了具有挑战性的行为的各种操作性功能、功能行为评估技术和基于强化的干预措施。
我们以对未来方向的讨论结束，包括预防模型、评估程序的生态有效性以及广泛使用综合行为支持计划。
