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限制性行为与“需要”积极行为支持(PBS):对残疾政策信念的批判性话语分析。

Restrictive Practices and the 'Need' for Positive Behaviour Support (PBS): A Critical Discourse Examination of Disability Policy Beliefs.

机构信息

Melbourne Graduate School of Education, 20153395University of Melbourne, Parkville, VIC, Australia.

School of Education, RinggoldID:%201974The University of Queensland, Saint Lucia, QLD, Australia.

出版信息

J Intellect Disabil. 2023 Mar;27(1):170-189. doi: 10.1177/17446295211062383. Epub 2022 Mar 12.

Abstract

BACKGROUND

Few studies have considered policies which underpin the promotion of positive behaviour support (PBS). The present study examined policy beliefs about PBS and their relationship to restrictive practices.

METHODS

Discourse network analysis (a combination of critical discourse analysis and social network analysis) was used.

RESULTS

A total of 11 policies were examined from which 38 belief statements were coded. One cluster was identified which promoted 13 dominant beliefs. Dominant discourses related to law, safety and the environment were evident. A conceptual representation of the shared PBS beliefs demonstrated contradictions in PBS policy.

CONCLUSIONS

There is evidence that PBS policies have become informal rules for using restrictive practices, not reducing them. They are also acting as surrogates to debate conflicts between political, personal and bureaucratic interests. Three recommendations for improved PBS policy are provided.

摘要

背景

很少有研究考虑过支持积极行为支持(PBS)的政策。本研究考察了有关 PBS 的政策信念及其与限制性行为的关系。

方法

采用话语网络分析(批判话语分析和社会网络分析的结合)。

结果

共检查了 11 项政策,从中编码了 38 个信念陈述。确定了一个集群,该集群促进了 13 个主要信念。明显存在与法律、安全和环境相关的主导话语。PBS 政策共享信念的概念表示表明了 PBS 政策中的矛盾。

结论

有证据表明,PBS 政策已成为使用限制性行为的非正式规则,而不是减少它们。它们还充当政治、个人和官僚利益之间冲突的替代品。为改进 PBS 政策提供了三项建议。

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