Parrish J M, Iwata B A, Dorsey M F, Bunck T J, Slifer K J
J Behav Ther Exp Psychiatry. 1985 Jun;16(2):159-67. doi: 10.1016/0005-7916(85)90052-7.
This case study illustrates an empirical approach to the diagnosis, treatment, and controlled follow-up of self-injurious clients. Following an assessment period, during which environmental factors associated with a severely retarded adolescent's self-injury were identified, the contingent application of protective equipment was combined with a differential reinforcement procedure (DRO) and implemented in a multiple baseline design across two hospital settings. Results showed a marked decrease in the rate of self-injury. Upon discharge from the hospital, the program was successfully replicated at the adolescent's residential center, again using a multiple baseline design across settings.
本案例研究阐述了一种针对自我伤害患者进行诊断、治疗及控制性随访的实证方法。在一个评估期内，确定了与一名重度智障青少年自我伤害相关的环境因素，之后将保护性设备的应急应用与区别性强化程序（消退法）相结合，并在两家医院环境中采用多基线设计实施。结果显示自我伤害发生率显著下降。该青少年出院后，该方案在其居住中心成功复制，同样采用跨环境的多基线设计。
