Gardner W I, Clees T J, Cole C L
Appl Res Ment Retard. 1983;4(1):41-58. doi: 10.1016/s0270-3092(83)80017-4.
Chronic and high-rate disruptive verbal ruminations of a mentally retarded adult in a vocational training setting were successfully reduced following introduction of a multi-component, self-management intervention program. Self-management skills of self-monitoring, self-evaluation, self-consequation, and self-instruction were trained and then practiced in vivo. In addition to influencing the specific dependent disruptive rumination behaviors targeted for intervention, three collateral behaviors not specifically treated showed positive effects. A combined treatment withdrawal and modified changing criterion design was used to assess changes throughout phases of the study. Follow-up data obtained 6 months and again 12 months after termination of the program revealed durability of intervention effects. The practical, conceptual, and philosophic significance of these findings are noted.
在职业培训环境中，一名智障成年人持续且高频的干扰性言语反复现象，在引入一个多成分自我管理干预项目后成功减少。自我监测、自我评估、自我奖惩和自我指导等自我管理技能得到了训练，然后在实际情境中进行练习。除了对作为干预目标的特定依赖型干扰性反复行为产生影响外，另外三种未专门处理的附带行为也显示出积极效果。采用治疗撤回与修正的变化标准设计相结合的方法来评估研究各阶段的变化。在项目结束6个月后以及再次在12个月后获得的随访数据显示了干预效果的持久性。文中指出了这些发现的实践、概念和哲学意义。
