TREATMENT OF SELF-INJURIOUS BEHAVIOUR WITH OVERCORRECTION*
| Autor: | R. M. Stephens, Clarissa Smith, Johnny L. Matson |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Punishment (psychology) Rehabilitation Behavior change Poison control Human factors and ergonomics Middle Aged Suicide prevention Psychiatry and Mental health Neurology Arts and Humanities (miscellaneous) Behavior Therapy Practice Psychological Intellectual Disability Injury prevention Toileting Pica Self Mutilation medicine Humans Psychiatric hospital Female Neurology (clinical) Psychology Psychiatry |
| Zdroj: | Journal of Intellectual Disability Research. 22:175-178 |
| ISSN: | 0964-2633 |
| DOI: | 10.1111/j.1365-2788.1978.tb00974.x |
| Popis: | INTRODUCTION Self-injurious behaviours are frequently observed in facilities for psychiatric and mentally retarded patients. Baumeister and Rollings (in press), in a review of treatment procedures for self-injurious behaviour, concluded that contingent aversive stimulation, such as electric shock, is the most effective means of suppressing these behaviours, but because of recent court decisions and negative press it is seldom used. Nevertheless, such distressing and destructive behaviour cannot ethically be ignored. A procedure which has shown promise for this problem is overcorrection, a mild punishment procedure which is desirable because, not only does it result in reduction of target responses, but it teaches appropriate alternative behaviour through required practice (Foxx and Azrin, 1973). The present study investigated two new variations of overcorrection in the treatment of self-injuriom behaviours of a single subject. METHOD Subject Dawn was a long-term resident of the lowest functioning women's unit in a large psychiatric hospital (i.e. these residents generally lacked self-help skills such as dressing and toileting). She was fifty-seven years old, had been diagnosed as profoundly retarded, and had resided in the hospital for thirty-eight years. Dawn was able to communicate by pointing and by using limited vocabulary (approximately twenty words). However, she rarely took opportunities to interact with other residents and/or staff and would frequently ignore others if spoken to. On occasion Dawn was hostile and combative, generally when asked to comply with requests by staff (i.e. do not pull out your hair). These behaviours had been treated without success by chemotherapy and shock therapy several years before. Typically Dawn paced the halls and dayroom of the ward or sat in a corner by herself. She would engage in self-injurious behaviour during a large percentage of this time. |
| Databáze: | OpenAIRE |
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