Brier N M, Demb H B
J Dev Behav Pediatr. 1980 Mar;1(1):19-23.
Methods of psychotherapeutic intervention with developmentally disabled adolescents are described. The need to consider the cognitive deficits of these individuals is noted. Therapeutic techniques, utilizing primarily a direct teaching approach and involving a great deal of behavioral rehearsal and repetition, are described. Clinical material is presented to illustrate the use of these procedures when problematic behavior stems from a negative self-image, faulty judgement, poor impulse control, or a failure to attain emotional independence. It is suggested that the therapists must focus on the specific problematic aspects of the adolescent's life that are in need of change and should take a position as to the nature and direction of such change.
本文描述了针对发育障碍青少年的心理治疗干预方法。文中指出需要考虑这些个体的认知缺陷。主要采用直接教学法并涉及大量行为演练和重复的治疗技术也被描述。文中呈现了临床案例,以说明当问题行为源于负面自我形象、错误判断、冲动控制不佳或未能实现情感独立时这些程序的应用。建议治疗师必须关注青少年生活中需要改变的具体问题方面,并应对这种改变的性质和方向表明立场。