Pritchard Duncan, Hoerger Marguerite, Mace F Charles
Aran Hall School and Bangor University.
J Appl Behav Anal. 2014 Winter;47(4):814-33. doi: 10.1002/jaba.163. Epub 2014 Oct 7.
The relapse of problem behavior after apparently successful treatment is an enduring problem for the field of applied behavior analysis. Several theoretical accounts of treatment relapse have emerged over the years. However, one account that has received considerable recent attention is based on behavioral momentum theory (BMT). BMT has shown that behavior is more persistent in contexts that are correlated with higher rates of reinforcers after disruption of the response-reinforcer relation. Accordingly, relapse after successful treatment can be viewed as the persistence of behavior when treatment is compromised in some manner. We review basic BMT research, alternative accounts of treatment relapse, and translational research studies derived from BMT research. The implications for applied behavior analysis in practice are discussed along with potential solutions to the problem of treatment relapse.
在表面上成功治疗后问题行为的复发,是应用行为分析领域长期存在的一个问题。多年来出现了几种关于治疗复发的理论解释。然而,最近受到相当多关注的一种解释是基于行为动量理论(BMT)。行为动量理论表明,在反应-强化物关系中断后,行为在与更高强化率相关的情境中更具持续性。因此,成功治疗后的复发可以被视为当治疗以某种方式受到损害时行为的持续存在。我们回顾了行为动量理论的基础研究、治疗复发的其他解释以及源自行为动量理论研究的转化研究。同时讨论了其对应用行为分析实践的启示以及治疗复发问题的潜在解决方案。