Brogan Kristen M, Rapp John T, Niedfeld Amanda M, Thompson Kelli R, Burkhart Barry R
Department of Psychology, Auburn University, 226 Thach Hall, Auburn, AL 36849-5214 USA.
Behav Anal Pract. 2020 Feb 5;13(2):348-359. doi: 10.1007/s40617-020-00408-z. eCollection 2020 Jun.
Reyes, Vollmer, and Hall (2011) found that 2 arousal suppression strategies, 1 of which involved counting backward from 100 to 0, decreased sexual arousal for 2 male sex offenders with intellectual disabilities. In the current clinical study, we taught 3 adolescent males who had been adjudicated for illegal sexual behavior to self-report arousal when they were presented with sexually arousing visual stimuli. Based on the procedures in the Reyes et al. (2011) study, we taught participants to count backward from 100 to 0 when they verbally reported a criterion level of sexual arousal in the presence of visual media. Subsequently, we gradually faded therapists' instructions for 2 participants until they independently used the arousal suppression exercise. Results showed that each participant's self-reported sexual arousal decreased upon implementation of treatment relative to baseline. Decreased sexual arousal continued even under conditions of faded therapist instructions for 2 participants. The relative merits of using self-report measures are discussed.
雷耶斯、沃尔默和霍尔（2011年）发现，两种唤醒抑制策略（其中一种是从100倒着数到0）降低了两名患有智力障碍的男性性犯罪者的性唤起。在当前的临床研究中，我们教导了三名因非法性行为而被判定有罪的青少年男性，让他们在面对性唤起视觉刺激时自我报告性唤起情况。基于雷耶斯等人（2011年）研究中的程序，我们教导参与者在面对视觉媒体时，当他们口头报告达到性唤起的标准水平时，从100倒着数到0。随后，我们逐渐减少了对两名参与者的治疗师指导，直到他们独立使用唤醒抑制练习。结果显示，相对于基线，实施治疗后每位参与者自我报告的性唤起都有所下降。即使在对两名参与者减少治疗师指导的情况下，性唤起的降低仍持续存在。本文讨论了使用自我报告测量方法的相对优点。
