Sanavio E
J Behav Ther Exp Psychiatry. 1982 Mar;13(1):69-72. doi: 10.1016/0005-7916(82)90038-6.
A theoretical model of writer's cramp is presented. In addition to the original emotional arousal and subsequent conditioned stimuli inherent in a classical conditioning paradigm, this model stresses the role of operant behaviors in the maintenance of the disorder. The immediate consequences of the actual cramp and subsequent escape behaviors are emphasized. An extinction procedure consisting of response-cost and response-prevention measures is tested using an A-B-A-B design. Two patients totally unable to write, were able to increase cramp latency and were gradually retrained to write. Follow-up assessments at 6, 9 and 12 months confirmed the treatment gains.
本文提出了一种书写痉挛的理论模型。除了经典条件反射范式中固有的原始情绪唤起和随后的条件刺激外，该模型还强调了操作性行为在维持该疾病中的作用。强调了实际痉挛的直接后果和随后的逃避行为。使用A-B-A-B设计测试了一种由反应代价和反应预防措施组成的消退程序。两名完全无法书写的患者能够延长痉挛潜伏期，并逐渐重新学会书写。在6个月、9个月和12个月时的随访评估证实了治疗效果。
