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由间歇强化维持的反应:对临床环境中针对问题行为使用消退法的启示。

Responding maintained by intermittent reinforcement: implications for the use of extinction with problem behavior in clinical settings.

作者信息

Lerman D C, Iwata B A, Shore B A, Kahng S W

机构信息

Kennedy Krieger Institute, USA.

出版信息

J Appl Behav Anal. 1996 Summer;29(2):153-71. doi: 10.1901/jaba.1996.29-153.

DOI:10.1901/jaba.1996.29-153
PMID:8682734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1279891/
Abstract

Results of basic research have demonstrated that behavior maintained on an intermittent schedule of reinforcement (INT) will be extinguished more slowly than behavior maintained on a continuous schedule (CRF). Although these findings suggest that problem behaviors may be difficult to treat with extinction if they have been maintained on INT rather than on CRF schedules, few applied studies have examined this phenomenon with human behavior in clinical settings. The purpose of this study was to determine whether problem behavior maintained on CRF schedules would be extinguished more rapidly than behavior maintained on INT schedules. Three individuals diagnosed with profound mental retardation participated after results of pretreatment functional analyses had identified the sources of reinforcement that were maintaining their self-injury, aggression, or disruption. Subjects were exposed to extinction following baseline conditions with CRF or INT schedules alternated within reversal or multielement designs. Results suggested that problem behavior may not be more difficult to treat with extinction if they have been maintained on INT rather than CRF schedules. However, switching from an INT to a CRF schedule prior to extinction may lower the baseline response rate as well as the total number of responses exhibited during extinction.

摘要

基础研究结果表明,按照间歇性强化程序(INT)维持的行为,其消退速度比按照连续性程序(CRF)维持的行为更慢。尽管这些发现表明,如果问题行为是按照INT而非CRF程序维持的,那么使用消退法可能难以对其进行治疗,但很少有应用研究在临床环境中针对人类行为检验这一现象。本研究的目的是确定按照CRF程序维持的问题行为,其消退速度是否比按照INT程序维持的行为更快。三名被诊断为重度智力障碍的个体在预处理功能分析结果确定了维持其自我伤害、攻击或破坏行为的强化源后参与了研究。在基线条件后,让受试者接受消退处理,CRF或INT程序在反转或多因素设计中交替进行。结果表明,如果问题行为是按照INT而非CRF程序维持的,那么使用消退法治疗可能并非更难。然而,在消退前从INT程序转换为CRF程序可能会降低基线反应率以及消退期间表现出的反应总数。