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极重度智力障碍者的自我伤害行为:具有临床意义的行为与治疗性控制措施

Self-injury in the profoundly retarded: clinically significant versus therapeutic control.

作者信息

Singh N N, Dawson M J, Gregory P R

出版信息

J Ment Defic Res. 1980 Jun;24(2):87-97. doi: 10.1111/j.1365-2788.1980.tb00061.x.

DOI:10.1111/j.1365-2788.1980.tb00061.x
PMID:7411599
Abstract

Two experiments investigated the effects of behavioural interventions on the self-injurious behaviour of two profoundly retarded girls who had a long history of such behaviour. In the first experiment, response-contingent aromatic ammonia was used as the aversive stimulus to reduce the high frequency of face-slapping and face-hitting in a deaf and blind girl. In the second experiment an overcorrection procedure was used to control jaw-hitting in another girl. In both cases, the treatments resulted in near-zero levels of self-injury. However, complete suppression of self-injury was not achieved. The results are discussed in terms of clinically significant versus therapeutic control of self-injurious behaviour in institutionalised profoundly retarded persons.

摘要

两项实验研究了行为干预对两名有长期自伤行为的重度智障女孩自伤行为的影响。在第一个实验中,对一名失聪失明女孩使用了依反应而定的芳香氨作为厌恶刺激,以减少其高频的打脸和撞脸行为。在第二个实验中,采用过度矫正程序来控制另一名女孩的撞颌行为。在这两个案例中,治疗都使自伤行为水平接近零。然而,并未实现对自伤行为的完全抑制。根据对机构中重度智障者自伤行为的临床显著控制与治疗控制对结果进行了讨论。

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