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[改良抱持疗法。自闭症儿童治疗中的一种基础疗法]

[Modified holding therapy. A basic therapy in the treatment of autistic children].

作者信息

Rohmann U H, Hartmann H

出版信息

Z Kinder Jugendpsychiatr. 1985;13(3):182-98.

PMID:3837566
Abstract

Seven autistic children were selected at random from a group of 14 and treated with modified holding therapy (MHT) for 4 weeks. The remaining 7 children (control group) were not treated during a 4-week waiting period. Four of these children were then treated with MHT. The children's parents assessed positive behavior changes (increases in desirable behavior and decreases in undesirable behavior) and negative changes on a behavior rating scale. Significantly more positive changes in behavior problems were reported for the experimental group than for the control group (untreated group) in each of the four symptom categories assessed (disturbances in perception, in speech and in social interaction and obsessive-compulsive or ritualistic behavior). The 4 children in the control group who were later treated with MHT showed behavior changes that correlated highly with those reported for the experimental group. The results are discussed and interpreted from the viewpoint of the two-system theory of information processing and its meaning for psychoses.

摘要

从14名自闭症儿童中随机挑选出7名,采用改良抱持疗法(MHT)治疗4周。其余7名儿童(对照组)在为期4周的等待期内未接受治疗。之后,其中4名儿童接受了MHT治疗。孩子们的父母通过行为评定量表评估了积极行为变化(期望行为增加,不良行为减少)和消极变化。在评估的四个症状类别(感知障碍、言语障碍、社交互动障碍以及强迫或仪式行为)中,实验组报告的行为问题积极变化显著多于对照组(未治疗组)。对照组中后来接受MHT治疗的4名儿童表现出的行为变化与实验组报告的行为变化高度相关。从信息处理的双系统理论及其对精神病的意义的角度对结果进行了讨论和解释。

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