Ball G G
Dept. of Psychiatry, Columbia University Medical College, New York, NY.
Psychiatr Q. 1993 Winter;64(4):359-69. doi: 10.1007/BF01064928.
Different behavioral techniques are briefly described for treating the violent patient in a hospital setting. Emphasis is placed on doing a careful assessment of the situation and behavior before attempting a behavioral intervention. It is also emphasized that all staff members involved be adequately trained, otherwise the procedures tend to fail. Techniques include strategies for changing the environment, as well as using relaxation procedures, systematic desensitization, differential reinforcement schedules, token economies, response cost, time out, and social skills training. Multi-component programs are also briefly mentioned. The paper emphasizes that violent behavior can be greatly reduced if approached in a systematic way, using procedures based on sound research methodology.
本文简要介绍了在医院环境中治疗暴力患者的不同行为技术。重点是在尝试进行行为干预之前，要对情况和行为进行仔细评估。还强调所有参与的工作人员都要接受充分的培训，否则程序往往会失败。技术包括改变环境的策略，以及使用放松程序、系统脱敏、差别强化程序、代币经济、反应代价、暂停和社交技能训练。还简要提及了多成分项目。本文强调，如果采用基于可靠研究方法的程序，以系统的方式处理暴力行为，暴力行为可以大大减少。
