Department of Counseling and Applied Behavioral Studies, University of Saint Joseph, West Hartford, CT, USA.
Rutgers Brain Health Institute, Piscataway, NJ, USA.
J Appl Behav Anal. 2023 Apr;56(2):282-301. doi: 10.1002/jaba.971. Epub 2023 Jan 30.
Relapse following the successful treatment of problem behavior can increase the likelihood of injury and the need for more intensive care. Current research offers some predictions of how treatment procedures may contribute to relapse, and conversely, how the risk of relapse can be mitigated. This review describes relapse-mitigation procedures with varying levels of support, the quantitative models that have influenced the research on relapse mitigation, different experimental methods for measuring relapse mitigation, and directions for future research. We propose that by viewing the implementation of relapse-mitigation procedures as a means of producing behavioral inoculation, clinicians are placed in the proactive and intentional role of exposing their client's behavior to an array of reinforcement and stimulus conditions during treatment with the goal of decreasing the detrimental impact of future treatment challenges.
问题行为治疗成功后复发会增加受伤的可能性和对更强化护理的需求。目前的研究对治疗程序如何有助于复发,以及相反地,复发的风险如何可以减轻提供了一些预测。这篇综述描述了具有不同支持水平的复发缓解程序、影响复发缓解研究的定量模型、用于测量复发缓解的不同实验方法以及未来研究的方向。我们提出,通过将复发缓解程序的实施视为产生行为免疫的一种手段,临床医生可以在治疗过程中主动和有意地使患者的行为暴露于一系列强化和刺激条件下,以减少未来治疗挑战的不利影响。