Hansen D J, St Lawrence J S, Christoff K A
Behav Modif. 1989 Jan;13(1):4-31. doi: 10.1177/01454455890131001.
Two groups of inpatient youths (n = 4 and n = 5) received group conversational-skills training. Conversational component behaviors of both groups at baseline were compared to the behaviors of normal youth from the community. For each inpatient group, component behaviors on which they were most discrepant from normal youths were selected for training. Multiple-baseline designs across component behaviors were used and patients were trained to socially-validated criterion levels. Effectiveness of training was demonstrated through (a) behavioral ratings during dyadic, unstructured conversations with other members of their group, (b) behavioral ratings during conversations with unfamiliar nonpsychiatric persons, (c) global ratings of conversational effectiveness by nonpatient peers, (d) generalization to in vivo conversations, and (e) maintenance of improvement at 1- and 3-month follow-up assessments. Results were replicated across both groups and indicated that training effects were socially validated, generalized to conversations with unfamiliar persons and to in vivo conversations, and maintained over time.
两组住院青少年（分别为4人和5人）接受了小组对话技能培训。将两组在基线时的对话组成行为与来自社区的正常青少年的行为进行比较。对于每个住院组，选择他们与正常青少年差异最大的组成行为进行培训。采用了跨组成行为的多基线设计，并将患者训练到社会验证的标准水平。通过以下方式证明了培训的有效性：(a) 在与小组其他成员进行的二元、无结构对话中的行为评分；(b) 在与不熟悉的非精神科人员对话中的行为评分；(c) 非患者同伴对对话有效性的整体评分；(d) 向实际对话的泛化；以及(e) 在1个月和3个月随访评估中对改善情况的维持。两组的结果均得到了重复，表明培训效果在社会上得到了验证，能够泛化到与不熟悉的人的对话以及实际对话中，并且随着时间的推移得以维持。
