Koles M R, Jenson W R
J Behav Ther Exp Psychiatry. 1985 Mar;16(1):81-5. doi: 10.1016/0005-7916(85)90036-9.
A comprehensive, multidimensional treatment strategy was designed for a severely behaviorally disordered 10-year-old boy with a 7-year history of setting fires. The study replicates a previous study designed to suppress fire setting, teach appropriate substitute behavior and increase awareness of the consequences of fire setting. Three additional components were added to the original treatment program: relaxation training, a response cost for fire setting, and a visit to a hospital burn unit (overt sensitization). Follow-up data 1 year later indicate that treatment was successful in extinguishing all fire-setting behaviors. The additional treatment components presented in this paper may add to the efficacy and sustained durability of treatment gains in difficult, low frequency fire setting behavior.
为一名患有纵火行为7年的严重行为障碍10岁男孩设计了一种全面的多维治疗策略。该研究重复了之前一项旨在抑制纵火行为、教授适当替代行为并提高对纵火后果认识的研究。在原治疗方案中增加了三个额外的组成部分:放松训练、对纵火行为的反应代价以及参观医院烧伤科(公开致敏)。1年后的随访数据表明,治疗成功消除了所有纵火行为。本文介绍的额外治疗组成部分可能会增加对困难的低频纵火行为治疗效果的有效性和持续持久性。