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对患有自闭症儿童的出走行为进行不设限制的治疗。

Treatment of Elopement Without Blocking With a Child With Autism.

作者信息

Boyle Megan A, Keenan Ginny, Forck Kara L, Curtis Kaitlin S

机构信息

1 Missouri State University, Springfield, MO, USA.

出版信息

Behav Modif. 2019 Jan;43(1):132-145. doi: 10.1177/0145445517740871. Epub 2017 Nov 24.

DOI:10.1177/0145445517740871
PMID:29169253
Abstract

Elopement is a dangerous behavior common in children with autism spectrum disorder (ASD). Relative to other forms of problematic behavior, elopement has received little attention in both assessment and treatment. The current study entailed a functional analysis of elopement of one child with ASD, results of which suggested a partially automatic function. We then evaluated a differential reinforcement procedure, along with a rule, which successfully decreased elopement without the use of blocking. A changing-criterion design embedded within a withdrawal design was used to gradually increase the criterion for maintaining a close proximity to a therapist prior to being allowed to run.

摘要

离家出走是自闭症谱系障碍(ASD)儿童中常见的危险行为。相对于其他形式的问题行为,离家出走在评估和治疗方面很少受到关注。当前的研究对一名患有ASD的儿童的离家出走行为进行了功能分析,结果表明其具有部分自动功能。然后,我们评估了一种差别强化程序以及一条规则,该程序和规则在不使用阻拦措施的情况下成功减少了离家出走行为。采用了一种嵌入撤防设计的变化标准设计,以便在允许孩子奔跑之前逐步提高与治疗师保持近距离的标准。

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