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行为技能训练增加青少年男性在住院治疗中的适当反应。

Behavioral Skills Training to Increase Appropriate Reactions of Adolescent Males in Residential Treatment.

机构信息

Department of Psychology, Auburn University, Auburn, AL, USA.

出版信息

Behav Modif. 2021 Jul;45(4):535-559. doi: 10.1177/0145445519880837. Epub 2019 Oct 8.

DOI:10.1177/0145445519880837
PMID:31591896
Abstract

Adolescents in secured residential facilities may engage in excess behavior immediately following verbal directives or corrective statements from staff. Excess behavior may include verbal aggression, indices of disrespect (e.g., eye rolling, grunting, and obscene gestures), or even physical aggression. These excess behaviors may evoke further directives or corrective statements from staff that, in turn, escalate the adolescent's excess behavior and can produce undesirable effects for both the adolescent (e.g., loss of privileges) and staff members (e.g., increased burn out). Teaching detained adolescents to respond appropriately to staff directives and corrective statements may produce large collateral changes in the way staff interact with adolescents in detention facilities. These changes could be conceptualized as a behavioral cusp. We used behavioral skills training to teach 11 adolescent males to respond appropriately to staff directives. All 11 students showed low percentages of trials with appropriate reactions in baseline and high percentages of trials with appropriate reactions during treatment and generalization sessions. Further, two students showed maintenance of the skill 1 month and 5 months following treatment.

摘要

被监禁的青少年在接到工作人员的口头指示或纠正性陈述后,可能会表现出过度行为。过度行为可能包括言语攻击、不尊重的行为指标(例如,翻白眼、哼声和淫秽手势),甚至是身体攻击。这些过度行为可能会引发工作人员进一步的指示或纠正性陈述,从而反过来加剧青少年的过度行为,并对青少年(例如,失去特权)和工作人员(例如,增加倦怠)产生不良影响。教导被监禁的青少年对工作人员的指示和纠正性陈述做出适当反应,可以在工作人员与被监禁的青少年互动方式上产生重大的附带变化。这些变化可以被概念化为行为转折点。我们使用行为技能训练来教导 11 名男青少年对工作人员的指示做出适当反应。所有 11 名学生在基线期表现出适当反应的试验比例较低,而在治疗和推广期间表现出适当反应的试验比例较高。此外,有两名学生在治疗后 1 个月和 5 个月显示出技能的维持。

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