严重自伤性和攻击性咬人的治疗。

Treatment of severe self-injurious and aggressive biting.

作者信息

Altmeyer B K, Williams D E, Sams V

出版信息

J Behav Ther Exp Psychiatry. 1985 Jun;16(2):169-72. doi: 10.1016/0005-7916(85)90053-9.

Abstract

The treatment of a 16-year-old severely mentally retarded and blind female client exhibiting severe biting of self and others consisted of the contingent application of an aversive gustatory stimulus (Tabasco Sauce), brief timeout, DRO, and contingent restraint against biting while in time-out. This is the first use of Tabasco as the aversive stimulus against biting. Deceleration of biting was rapid and maintained for 20 months after initiation of treatment.

摘要

对一名16岁的严重智力迟钝且失明的女性患者进行治疗，该患者表现出严重的自残和伤人行为，治疗方法包括适时施加厌恶味觉刺激（塔巴斯科辣椒酱）、短暂隔离、区别性强化其他行为（DRO）以及在隔离期间对咬人行为进行适时约束。这是首次使用塔巴斯科辣椒酱作为针对咬人的厌恶刺激物。治疗开始后，咬人的行为迅速减少，并在20个月内持续得到控制。