Temple University , Philadelphia, PA, USA.
Queens College , Queens, NY, USA.
Dev Neurorehabil. 2020 Oct;23(7):478-481. doi: 10.1080/17518423.2020.1770352. Epub 2020 Jun 7.
As individuals with autism spectrum disorder (ASD) transition to adulthood, problem behavior may present restrictions to an independent lifestyle. In addition, problem behavior may interfere with performance of daily routines necessary for independent living. We developed a successful treatment for automatically reinforced toilet lid destruction of an adolescent with ASD during routine bathroom visits. The treatment was informed by a competing stimulus assessment (CSA) that identifies a preferred stimulus, the presentation of which is intended to compete with automatic reinforcement of problem behavior. Results indicated that access to the competing stimulus reduced the participant's toilet lid destruction while in the bathroom, and these treatment gains maintained during long term follow-up visits.
随着自闭症谱系障碍（ASD）患者步入成年，问题行为可能会限制他们的独立生活。此外，问题行为可能会干扰独立生活所需的日常活动。我们针对一名 ASD 青少年在日常浴室访问期间自动强化马桶盖破坏行为，成功开发了一种治疗方法。该治疗方法是通过竞争刺激评估（CSA）得出的，该评估确定了一个首选刺激物，其呈现旨在与问题行为的自动强化竞争。结果表明，在浴室中，获得竞争刺激物会减少参与者对马桶盖的破坏，并且这些治疗效果在长期随访中得以维持。
