Whaley A L, Stanford C B, Pollack I W, Lehrer P M
J Behav Ther Exp Psychiatry. 1986 Jun;17(2):111-5. doi: 10.1016/0005-7916(86)90047-9.
An A-B-BC-C single-subject design was used to evaluate the effects of behavior modification (i.e. a token economy program) and lithium therapy on the behavioral symptoms associated with frontal lobe damage in a 21-year-old woman. The design consisted of a baseline, token economy, token economy plus lithium, lithium alone and a 4 month follow-up. There was a significant decrease in inappropriate behaviors after treatment with the token economy program, but no additional change was noted in subsequent phases involving lithium therapy. There was evidence of generalization and maintenance in the home environment, even after lithium therapy was discontinued. The results do not support the use of a combined treatment approach.
采用A - B - BC - C单受试者设计，评估行为矫正（即代币经济计划）和锂盐治疗对一名21岁额叶损伤女性相关行为症状的影响。该设计包括基线期、代币经济期、代币经济加锂盐期、单纯锂盐期和4个月随访期。代币经济计划治疗后不适当行为显著减少，但在随后涉及锂盐治疗的阶段未观察到额外变化。即使在停用锂盐治疗后，家庭环境中仍有泛化和维持的证据。结果不支持联合治疗方法的使用。
