Burgio L, Tice L, Brown K
J Behav Ther Exp Psychiatry. 1985 Mar;16(1):71-5. doi: 10.1016/0005-7916(85)90034-5.
A 22-year-old mildly retarded male, diagnosed as epileptic and paranoid schizophrenic, was admitted to an inpatient behavior unit for a medication assessment and possible behavioral treatment of uncontrolled seizure-like behavior. Since the patient had rarely been allowed out of his living unit in the past year, treatment consisted of a half-hour walk with a preferred staff member made contingent upon a 24-hr period of time free of any occurrence of seizure-like behaviors. An ABAB reversal design was used to assess experimental control. Data indicated that seizures decreased from a mean of 0.70 per day during the initial baseline phase to 0.36 per day during the final treatment phase. Additionally, the duration of seizures decreased from a mean of 50 min per seizure during the initial baseline phase to 17 min per seizure during the final treatment phase, although the contingency was applied irrespective of duration of seizure-like activity. The patient was discharged to a transitional setting until a community placement could be located.
一名22岁的轻度智障男性，被诊断患有癫痫和偏执型精神分裂症，因药物评估及对无法控制的癫痫样行为进行可能的行为治疗而入住住院行为治疗单元。由于该患者在过去一年里很少被允许离开其居住单元，治疗方式为与一名首选工作人员进行半小时的散步，条件是在24小时内无任何癫痫样行为发生。采用ABAB反转设计来评估实验控制情况。数据表明，癫痫发作次数从初始基线期的平均每天0.70次降至最终治疗期的每天0.36次。此外，癫痫发作的持续时间从初始基线期的每次发作平均50分钟降至最终治疗期的每次发作17分钟，尽管该条件的应用与癫痫样活动的持续时间无关。患者被转至过渡性环境，直至找到社区安置场所。
