Fisher W, Piazza C, Cataldo M, Harrell R, Jefferson G, Conner R
Neurobehavioral Unit, Kennedy Institute, Baltimore, Maryland 21205.
J Appl Behav Anal. 1993 Spring;26(1):23-36. doi: 10.1901/jaba.1993.26-23.
Functional communication training has been reported to be a promising treatment for severe behavior problems. In this study, functional communication training alone and combined with extinction and/or punishment was evaluated for 4 clients with severe retardation, behavior problems, and communication deficits. The participants were inpatients on a hospital unit for treatment of severe behavior disorders. They received individualized interventions based on functional assessment that included reinforcement of a communication response with the same function as their destructive behavior. Results showed that for some patients, functional communication training was not sufficient to produce clinically significant reductions in destructive behavior, and the combination of training plus punishment produced the largest and most consistent reductions.
据报道，功能性沟通训练是治疗严重行为问题的一种很有前景的方法。在本研究中，对4名患有严重智力障碍、行为问题和沟通缺陷的患者，评估了单独的功能性沟通训练以及与消退和/或惩罚相结合的训练效果。这些参与者是住院治疗严重行为障碍的患者。他们接受了基于功能评估的个性化干预，其中包括强化与破坏性行为具有相同功能的沟通反应。结果表明，对一些患者来说，功能性沟通训练不足以使破坏性行为在临床上显著减少，而训练加惩罚的组合能产生最大且最稳定的减少效果。
