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针对儿童偏差行为的替代治疗方法的可接受性。

Acceptability of alternative treatments for deviant child behavior.

作者信息

Kazdin A E

出版信息

J Appl Behav Anal. 1980 Summer;13(2):259-73. doi: 10.1901/jaba.1980.13-259.

Abstract

The acceptability of alternative treatments for deviant child behavior was evaluated in two experiments. In each experiment, clinical cases were described to undergraduate students along with four different treatments in a Replicated Latin Square Design. The treatments included reinforcement of incomparible behavior, time out from reinforcement, drug therapy, and electric shock and the treatments were described as they were appliedto children with problem behaviors. Experiment 1 developed an assessment device to evaluate treatment acceptability and examined whether treatments were rated as differentially acceptable. Experiment 2 replicated the first experiment and examined whether the severity of the presenting clinical problem influenced ratings of acceptability. The results indicated that treatments were sharply distinguished in overall acceptability. Reinforcement of incompatible behavior was more acceptable than other treatments which followed, in order, time out from reinforcement, drug therapy, and electric shock. Case severity influenced acceptability of alternative treatments with all treatments being rated as more acceptable with more severe cases. However, the strength of case severity was relatively small in relation to the different treatment conditions themselves which accounted for large portions of variance.

摘要

在两项实验中评估了针对儿童偏差行为的替代治疗方法的可接受性。在每项实验中,采用重复拉丁方设计,向本科生描述临床病例以及四种不同的治疗方法。这些治疗方法包括强化不相容行为、暂停强化、药物治疗和电击,并且描述了这些治疗方法应用于有问题行为儿童的情况。实验1开发了一种评估工具来评估治疗的可接受性,并检验各种治疗方法的可接受性评分是否存在差异。实验2重复了第一个实验,并检验了所呈现临床问题的严重程度是否会影响可接受性评分。结果表明,各种治疗方法在总体可接受性上有明显差异。强化不相容行为比其他治疗方法更可接受,其他治疗方法依次为暂停强化、药物治疗和电击。病例严重程度影响替代治疗方法的可接受性,所有治疗方法在病例越严重时被评为越可接受。然而,与不同治疗条件本身相比,病例严重程度的影响相对较小,不同治疗条件本身占方差的很大部分。

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