Cataldo M F, Varni J W, Russo D C, Estes S A
Arch Dermatol. 1980 Aug;116(8):919-22.
We report here a case study in which behavior therapy techniques were used to treat the persistent and severe scratching of a patient with long-standing exfoliative dermatitis. A multiple-baseline clinical design across different body areas was used to evaluate the behavioral treatment program. This program consisted of (1) training the patient to monitor his scratching behavior and to use an incompatible response and distraction procedure contingent on the occurrence of scratching, and (2) differential attention by the therapist, so that the therapist's attention was contingent on intervals of nonscratching, and the therapist ignored the patient when he did scratch. The results indicated that the program was effective in almost completely eliminating scratching when a variety of therapists were and were not present. This suggests that the procedures used might easily be taught to the nursing staff.
我们在此报告一项病例研究，其中运用行为疗法技术治疗一名患有长期剥脱性皮炎的患者持续且严重的搔抓行为。采用跨不同身体部位的多基线临床设计来评估行为治疗方案。该方案包括：（1）训练患者监测自己的搔抓行为，并在搔抓发生时采用不相容反应和分散注意力的程序；（2）治疗师给予差别性关注，即治疗师的关注取决于无搔抓的时间段，而当患者搔抓时治疗师不予理会。结果表明，无论是否有多名治疗师在场，该方案在几乎完全消除搔抓行为方面均有效。这表明所采用的程序或许很容易传授给护理人员。
