Burgio L, Brown K, Tice L
J Behav Ther Exp Psychiatry. 1985 Jun;16(2):173-82. doi: 10.1016/0005-7916(85)90054-0.
A 23-year-old female with the dual diagnosis of mild mental retardation and emotional disturbance was referred for treatment because of frequent disruptive outbursts. A brief inpatient behavior analysis suggested that delusional verbalization reliably preceded all other aberrant behaviors. Consequently treatment focused mainly on delusional verbalization; the additional aberrant behaviors were observed for behavioral covariation. The treatment package consisted of verbal instructions, modeling of appropriate eating behaviors, contingent verbal reprimand and a 2-min removal of food, and differential reinforcement of other behaviors. The design was a multiple baseline across settings. Results indicate a marked decrease in delusional verbalization in all settings, and, a correlated decrease for disruption, screaming, and out-of-seat behaviors.
一名患有轻度智力障碍和情绪障碍双重诊断的23岁女性因频繁出现破坏性行为而被转诊接受治疗。一次简短的住院行为分析表明，妄想性言语总是先于所有其他异常行为出现。因此，治疗主要集中在妄想性言语上；观察其他异常行为以了解行为的协变情况。治疗方案包括言语指导、示范适当的进食行为、适时的言语斥责、拿走食物两分钟以及对其他行为进行差别强化。设计采用跨情境多基线设计。结果表明，在所有情境中，妄想性言语显著减少，同时，破坏性行为、尖叫和离座行为也相应减少。
