Wenar C, Ruttenberg R A
J Autism Child Schizophr. 1976 Jun;6(2):175-91. doi: 10.1007/BF01538061.
Forty-six children in eight different psychotherapeutic settings were evaluated at the beginning and at the end of a 12-month period by means of the Behavior Rating Instrument for Autistic Children (BRIAC). The younger children (3 to 6 years of age) were initially more severely disturbed and improved significantly more than the older children (7 to 9 years of age). The large, bleak, custodial residential center produced significantly less improvement in the children than did the other settings. However, among good programs--i.e., those which were sensitive to the behaviors and needs of the children and which were skillfully implemented by a dedicated and attentive staff--there was little evidence of differences in therapeutic effectiveness regardless of whether the therapy was behavior modification, education, psychoanalytically oriented relationship therapy, or activity therapy.
在八个不同的心理治疗环境中，46名儿童在12个月期间开始和结束时，通过自闭症儿童行为评定量表（BRIAC）进行了评估。年龄较小的儿童（3至6岁）最初受到的困扰更严重，改善程度也明显超过年龄较大的儿童（7至9岁）。规模大、环境单调、提供监护的寄宿中心的儿童改善程度明显低于其他环境。然而，在优质项目中，即那些对儿童行为和需求敏感且由敬业细心的工作人员巧妙实施的项目中，几乎没有证据表明无论治疗是行为矫正、教育、精神分析导向的关系治疗还是活动治疗，治疗效果存在差异。
