Dungy C I, Cooper L, Wacker D
Division of General Pediatrics, University of Iowa, Iowa City.
J Dev Behav Pediatr. 1993 Oct;14(5):336-9.
Despite the frequency of multiple births, little information is available to assist parents and health professionals in the identification and management of behavior problems in multiple-birth siblings. Three case reports are presented that describe quarreling, aggression, and feeding problems among twins. To develop intervention strategies most appropriate for the problem behavior, it is important to determine whether (1) parents are able to effectively implement the intervention strategy, (2) behavior is isolated to one sibling, and (3) different reasons are responsible for similar behavior in siblings. Structured observations were used to determine whether the undesired behavior occurred to escape nonpreferred activities, gain access to preferred activities, or obtain parental attention. The cases provide a framework to facilitate the identification and management of common behavior problems occurring among multiple-birth siblings.
尽管多胞胎生育很常见，但关于如何帮助父母和健康专业人员识别和处理多胞胎兄弟姐妹行为问题的信息却很少。本文呈现了三个案例报告，描述了双胞胎之间的争吵、攻击行为和喂养问题。为制定最适合问题行为的干预策略，确定以下几点很重要：（1）父母是否能够有效实施干预策略；（2）行为是否仅局限于一个兄弟姐妹；（3）兄弟姐妹中类似行为的原因是否不同。采用结构化观察来确定不良行为是否是为了逃避不喜欢的活动、获得喜欢的活动或得到父母关注。这些案例提供了一个框架，有助于识别和处理多胞胎兄弟姐妹中常见的行为问题。
