Willems Arno, Embregts Petri, Wijnants Maarten, Hendriks Lex, Bosman Anna
Tilburg University, the Netherlands.
Radboud University, the Netherlands.
Nonlinear Dynamics Psychol Life Sci. 2018 Oct;22(4):535-562.
In relationships between staff members and clients with intellectual disabilities (ID) and challenging behavior (CB) it is important to study their bidirectional dynamic interactions. In the present study three staff members were recorded on video during a daily bathing session with the same client with ID and CB. The video codings were analyzed using Cross Recurrence Quantification Analysis (CRQA) and based on the categories of Leary and Banjamin's interpersonal models. CRQA analyses demonstrated different synchronization levels of the three dyads with respect to affiliation and control. The dyads also differed in who (staff or client) was leading or following regarding affiliation and control. Furthermore, the nature of the staff-client interaction on a short time scale looked different from that on a longer time scale. We recommend that when coaching staff members regarding dynamic interactions with a client, the emphasis should be on the balance between staff interpersonal active and reactive behavior, applying principles of similarity and complementarity, and changing the amount and timing of taking the lead or following during interactions.
在工作人员与患有智力障碍（ID）和具有挑战行为（CB）的客户之间的关系中，研究他们的双向动态互动非常重要。在本研究中，三名工作人员在与同一名患有ID和CB的客户进行日常沐浴时被录像。使用交叉递归量化分析（CRQA）并基于Leary和Banjamin的人际模型类别对视频编码进行了分析。CRQA分析表明，三个二元组在归属和控制方面具有不同的同步水平。这些二元组在归属和控制方面谁（工作人员或客户）处于主导或跟随地位也有所不同。此外，工作人员与客户在短时间尺度上的互动性质与长时间尺度上的不同。我们建议，在指导工作人员与客户进行动态互动时，重点应放在工作人员人际主动和反应行为之间的平衡上，应用相似性和互补性原则，并在互动过程中改变主导或跟随的程度和时机。
