Elbing U, Rohmann U H
Prax Kinderpsychol Kinderpsychiatr. 1993 Sep;42(7):248-60.
The development of severely disturbed and socially accepted behavior in mentally handicapped persons with autistic or psychotic symptoms is documented before, during and after an intensive therapy program conducted in a residential institution for mentally handicapped persons. Seven single case studies were made as long term observation with a duration between 18 and 33 weeks, mostly with a multiple baseline design. One or two follow ups with at least four weeks length were conducted in six out of seven cases up to four years after the end of the intensive therapy. The main results show (1) the decrease of disturbed behavior and the increase of socially accepted behavior during the therapy program, and (2) the significant reduction of the disturbed behavior patterns taking place during the baseline phase before the beginning of the therapy in all cases but one. The results are discussed under the aspects of a possible explanation for the findings and their impact on the discussion about psychotherapy research.
在一所智障人士寄宿机构开展的强化治疗项目之前、期间及之后，记录了患有自闭症或精神病症状的智障人士中严重紊乱且被社会接受的行为发展情况。进行了七项单病例研究作为长期观察，时长在18至33周之间，大多采用多重基线设计。七例中有六例在强化治疗结束后长达四年的时间里进行了一至两次至少为期四周的随访。主要结果显示：（1）在治疗项目期间，紊乱行为减少，社会可接受行为增加；（2）除一例之外，所有病例在治疗开始前的基线阶段出现的紊乱行为模式都有显著减少。从对研究结果可能的解释及其对心理治疗研究讨论的影响等方面对结果进行了讨论。
