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操作性消退疗法在严重适应不良行为治疗中的应用:将研究转化为实践

Operant extinction in the treatment of severe maladaptive behavior: adapting research to practice.

作者信息

Van Houten R

出版信息

Behav Modif. 1994 Apr;18(2):139-70. doi: 10.1177/01454455940182001.

DOI:10.1177/01454455940182001
PMID:7516150
Abstract

Operant extinction involves termination of reinforcement for a previously reinforced response. As a clinical intervention for severe maladaptive behavior operant extinction is often repudiated because of intensity of side effects, length of treatment time required, and implementation difficulties. This article discusses both theoretical and practical aspects of extinction, including components of the extinction process and the importance of functional assessment to its effective use. Potential strategies for increasing the effectiveness of extinction while diminishing intrusiveness are recommended. Based on recent research innovations, a technology is emerging for effective use of operant extinction in the treatment of severe maladaptive behavior.

摘要

操作性消退涉及对先前得到强化的反应停止强化。作为一种针对严重适应不良行为的临床干预措施,操作性消退常常因副作用的强度、所需治疗时间的长度以及实施困难而遭到摒弃。本文讨论了消退的理论和实践方面,包括消退过程的组成部分以及功能评估对其有效应用的重要性。文中还推荐了在减少侵扰性的同时提高消退有效性的潜在策略。基于近期的研究创新,一种有效运用操作性消退来治疗严重适应不良行为的技术正在兴起。

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