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通过偶然吸入芳香氨抑制重复性自我伤害行为。

Suppression of repetitive self-injurious behavior by contingent inhalation of aromatic ammonia.

作者信息

Baumeister A A, Baumeister A A

出版信息

J Autism Child Schizophr. 1978 Mar;8(1):71-7. doi: 10.1007/BF01550279.

DOI:10.1007/BF01550279
PMID:641002
Abstract

Two institutionalized children who exhibited high rates of severely self-injurious behaviors were punished with aromatic ammonia inhalation on a response-contingent basis. This contingency was applied throughout all aspects of each child's institutional program which focused on teaching of self-help skills. Suppression of the self-injurious responses was both rapid and general. The contingency was maintained for 2 months, although there was no responding after the first 5 days. Follow-up sessions, conducted 4 months after the punishment contingency was removed, revealed that suppression effects were highly durable. Aromatic ammonia inhalation appears to be an effective alternative for decelerating extremely maladaptive behaviors that do not yield to more conventional nonaversive forms of therapy. However, the procedure should be used with great caution, for it may involve risk to the subject.

摘要

两名表现出严重自伤行为高发生率的机构收容儿童,在反应相依的基础上接受了吸入芳香氨的惩罚。这种相依关系应用于每个儿童机构项目的所有方面,该项目侧重于自助技能的教学。自伤反应的抑制既迅速又全面。这种相依关系维持了2个月,尽管在前5天后就没有反应了。在取消惩罚相依关系4个月后进行的随访显示,抑制效果非常持久。吸入芳香氨似乎是一种有效的替代方法,可用于减缓那些对更传统的非厌恶疗法无反应的极端适应不良行为。然而,该程序应极其谨慎地使用,因为它可能对受试者有风险。

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本文引用的文献

1
Punishment of self-injurious behavior using aromatic ammonia as the aversive stimulus.以芳香氨作为厌恶刺激对自伤行为进行惩罚。
J Appl Behav Anal. 1975 Spring;8(1):53-7. doi: 10.1901/jaba.1975.8-53.
J Autism Dev Disord. 1980 Sep;10(3):335-42. doi: 10.1007/BF02408292.
4
Parental ratings of treatments of self-injurious behavior.父母对自我伤害行为治疗的评分。
J Autism Dev Disord. 1985 Sep;15(3):303-14. doi: 10.1007/BF01531500.