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过度矫正的普遍性及副作用

Generality and side effects of overcorrection.

作者信息

Epstein L H, Doke L A, Sajwaj T E, Sorrell S, Rimmer B

出版信息

J Appl Behav Anal. 1974 Fall;7(3):385-90. doi: 10.1901/jaba.1974.7-385.

Abstract

The effects and side effects of overcorrection for self-stimulatory behaviors of two children in a specialized day-care program were evaluated. For one child, a "hand" overcorrection procedure involving arm and hand exercises was introduced contingent upon inappropriate hand movements and later contingent upon inappropriate foot movements. After "hand" overcorrection was withdrawn for inappropriate foot movements, a "foot" overcorrection procedure involving foot and leg exercises was introduced contingent upon inappropriate foot movements. For a second child, the "hand" overcorrection procedure was introduced contingent upon inappropriate hand movements during a free-play period, and later contingent upon inappropriate vocalizations at naptime. "Hand" overcorrection was withdrawn and then re-introduced sequentially for both behaviors. Several concurrent behaviors were measured to assess multiple effects of treatment. Results for both children indicated the "hand" overcorrection procedure suppressed inappropriate hand movements and inappropriate behaviors that were topographically dissimilar. In addition, inverse relationships were observed between the second child's inappropriate hand movements and appropriate toy usage during free play and between his inappropriate vocalizations and inappropriate foot movements during naptime. Results suggest that overcorrection procedures that are effective for one behavior can be used to reduce the frequency of topographically different behaviors. This finding is discussed in terms of its practical implications for therapists.

摘要

对一个特殊日间护理项目中两名儿童自我刺激行为过度矫正的效果和副作用进行了评估。对于一名儿童,一种涉及手臂和手部运动的“手部”过度矫正程序在其出现不适当手部动作时实施,之后在出现不适当脚部动作时实施。在针对不适当脚部动作撤回“手部”过度矫正后,引入了一种涉及脚部和腿部运动的“脚部”过度矫正程序,该程序在出现不适当脚部动作时实施。对于第二名儿童,“手部”过度矫正程序在自由玩耍期间其出现不适当手部动作时实施,之后在午睡时间其出现不适当发声时实施。“手部”过度矫正先被撤回,然后针对这两种行为依次重新引入。测量了几种并发行为以评估治疗的多种效果。两名儿童的结果均表明,“手部”过度矫正程序抑制了不适当的手部动作以及在形式上不同的不适当行为。此外,观察到第二名儿童在自由玩耍期间不适当的手部动作与适当使用玩具之间以及在午睡期间其不适当发声与不适当脚部动作之间存在反向关系。结果表明,对一种行为有效的过度矫正程序可用于减少形式上不同的行为的频率。从对治疗师的实际意义方面讨论了这一发现。

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Generality and side effects of overcorrection.过度矫正的普遍性及副作用
J Appl Behav Anal. 1974 Fall;7(3):385-90. doi: 10.1901/jaba.1974.7-385.

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