Torres-Viso Mariana, Strohmeier Craig W, Zarcone Jennifer R
Kennedy Krieger Institute and the Johns Hopkins University School of Medicine.
J Appl Behav Anal. 2018 Jan;51(1):158-165. doi: 10.1002/jaba.437. Epub 2018 Jan 10.
This study is a systematic replication of a functional analysis (FA) of the relation between mands and problem behavior. We extended treatment approaches for this problem behavior function, and describe the treatment of problem behavior related to mands for rearrangement demonstrated by a 12-year-old girl with autism spectrum disorder and Smith-Magenis syndrome. The mands consisted of requests for others to change their body positioning or proximity, or rearrange items back to their original position. An FA confirmed the relation between problem behavior and mand compliance, and functional communication training with extinction decreased problem behavior and increased functional communication responses. Problem behavior remained low as gradually longer nonreinforcement periods were introduced using a multiple schedule.
本研究是对指令与问题行为之间关系的功能分析进行的系统复制。我们扩展了针对这种问题行为功能的治疗方法，并描述了对一名患有自闭症谱系障碍和史密斯-马吉尼斯综合征的12岁女孩所表现出的与要求重新布置相关的问题行为的治疗。指令包括要求他人改变身体姿势或距离，或将物品重新摆放回原位。功能分析证实了问题行为与指令依从性之间的关系，采用消退法的功能性沟通训练减少了问题行为，并增加了功能性沟通反应。通过使用多重计划表逐渐引入更长的无强化期，问题行为保持在较低水平。
