Direct and collateral effects of restraints and restraint fading.

Direct and collateral effects of restraints and restraint fading.
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约束和约束褪色的直接和间接影响。

DOI:
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发表时间:
1997
影响因子:
2.9
通讯作者:
J. D. Adelinis
J. D. Adelinis
中科院分区:
心理学2区
文献类型:
--
作者:
W. Fisher;C. C. Piazza;L. G. Bowman;G. P. Hanley;J. D. Adelinis

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机械约束通常用于降低与严重自伤行为(SIB)相关的风险,但可能导致运动限制和不良副作用(例如,骨脱矿作用)。约束衰落可以提供用于减少SIB同时增加移动并减少这些副作用的方法。在目前的调查中,刚性臂袖和约束褪色(逐渐减少袖子的刚度)与3个客户谁从事手到头SIB。限制和衰落降低了所有客户端的手对头SIB。然而,对于1个客户来说,添加细水雾程序进一步将SIB降低到接近零的水平。对于第二个客户,开发了另一种形式的SIB,其不受刚性套管的阻止。对于第三个客户,当引入约束和褪色时,未被刚性套管物理阻止的SIB的形貌也减少了。
Mechanical restraints are commonly used to reduce the risks associated with severe self-injurious behavior (SIB), but may result in movement restriction and adverse side effects (e.g., bone demineralization). Restraint fading may provide a method for decreasing SIB while increasing movement and reducing these side effects. In the current investigation, rigid arm sleeves and restraint fading (gradually reducing the rigidity of the sleeves) were used with 3 clients who engaged in hand-to-head SIB. Restraints and fading reduced the hand-to-head SIB of all clients. However, for 1 client, the addition of a water mist procedure further reduced SIB to near-zero levels. For a 2nd client, another form of SIB developed that was not prevented by the rigid sleeves. For a 3rd client, a topography of SIB that was not physically prevented by the rigid sleeves was also reduced when restraints and fading were introduced.
治疗自我克制和自伤行为时的刺激消退和转移。
DOI: 10.1901/jaba.1986.19-381
发表时间: 1986
影响因子: 2.9
作者:
Pace,GM;Iwata,BA;Edwards,GL;McCosh,KC
通讯作者: McCosh,KC