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提供独立的娱乐活动以减少慢性精神分裂症患者的刻板发声。

Providing independent recreational activities to reduce stereotypic vocalizations in chronic schizophrenics.

作者信息

Wong S E, Terranova M D, Bowen L, Zarate R, Massel H K, Liberman R P

出版信息

J Appl Behav Anal. 1987 Spring;20(1):77-81. doi: 10.1901/jaba.1987.20-77.

DOI:10.1901/jaba.1987.20-77
PMID:3583965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285953/
Abstract

We evaluated the effects of minimally supervised, independent recreational activities on stereotypic vocal behavior in two chronic schizophrenic patients. In baseline sessions, subjects were observed during unstructured free time in the psychiatric ward. In treatment sessions, therapists presented preferred recreational materials (magazines, models, and art projects), verbally prompted on-task behavior every 20 min, and, in one condition, administered contingent tokens. Independent recreational activities reduced medium-rate self-talk in one subject and high-rate mumbling in a second subject by 60%-70%. Results were the same with or without contingent tokens. Apparent self-maintaining characteristics of these vocal responses are discussed.

摘要

我们评估了最低限度监督的独立娱乐活动对两名慢性精神分裂症患者刻板言语行为的影响。在基线阶段,在精神科病房的非结构化自由时间观察受试者。在治疗阶段,治疗师提供了受试者喜欢的娱乐材料(杂志、模型和艺术项目),每20分钟口头提示一次任务行为,并且在一种情况下给予应急代币。独立娱乐活动使一名受试者的中等频率自言自语和另一名受试者的高频率咕噜声减少了60%-70%。有无应急代币的结果相同。讨论了这些言语反应明显的自我维持特征。

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本文引用的文献

1
Increasing external stimuli to ameliorate hallucinations.增加外部刺激以改善幻觉。
Am J Psychiatry. 1983 Feb;140(2):269-70.
2
Behavioral observations before, during, and after brief isolation (time-out).短暂隔离(暂停)前、期间及之后的行为观察。
J Nerv Ment Dis. 1976 Dec;l63(6):408-13. doi: 10.1097/00005053-197612000-00004.