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A systematic review of the use of Discoverer, Noticer, Advisor-Value (DNA-V) model for children and young people with mental health difficulties 对有精神健康困难的儿童和青少年使用发现者、注意者、顾问价值(DNA-V)模型的系统回顾
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.jcbs.2025.100973
Gary Byrne , Clara Sherlock
Previous reviews have found that Acceptance and Commitment Therapy (ACT) may be an effective intervention for children and young people (CYP) presenting with mental health difficulties. However the heterogeneity in treatment protocols and interventions limits interpretations. This systematic review aimed to evaluate the effectiveness of an approach developed specifically for CYP; the Discoverer, Noticer, Advisor and Value (DNA-V) model. Databases were searched for studies using the DNA-V model across a number of treatment settings for a range of common mental health and academic difficulties faced by CYP. Fourteen studies met inclusion criteria. These were also assessed for quality and synthesized using a narrative summary. Outcomes on mental health findings were decidedly mixed. Results favoured DNA-V in addressing anxiety issues but limited evidence for its effectiveness in targeting low mood was reported. Tentative evidence suggests that the model may be of help for students facing academic related stressors. Limited evidence was found that DNA-V targeted specific psychological flexibility processes or changed psychological inflexibility. Despite the increased scope and potential use of DNA-V across many differing settings, findings from the current review are mixed in terms of the effectiveness of the approach for common mental health difficulties among CYP. Possible reasons for this, in addition to future suggestions are discussed.
以往的研究发现,接受和承诺治疗(ACT)可能是一种有效的干预儿童和青少年(CYP)呈现心理健康困难。然而,治疗方案和干预措施的异质性限制了解释。本系统综述旨在评估专为CYP开发的方法的有效性;发现者、通知者、建议者和价值(DNA-V)模型。数据库中检索了使用DNA-V模型的研究,这些研究跨越了许多治疗环境,针对CYP面临的一系列常见心理健康和学业困难。14项研究符合纳入标准。还对这些内容的质量进行了评估,并使用叙述摘要进行了综合。心理健康方面的研究结果显然好坏参半。结果支持DNA-V在解决焦虑问题,但有限的证据表明其在治疗情绪低落的有效性。初步证据表明,该模型可能对面临学业相关压力的学生有所帮助。有限的证据发现DNA-V针对特定的心理灵活性过程或改变的心理不灵活性。尽管DNA-V在许多不同情况下的应用范围和潜在用途有所增加,但就该方法对CYP中常见精神健康问题的有效性而言,目前的审查结果是混合的。可能的原因,除了未来的建议进行了讨论。
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引用次数: 0
From experiential attachment to nonattachment: A theory-informed review of harmful and healthy pursuits of comfort, approval, competence, status, and control 从经验依恋到无依恋:对舒适、认可、能力、地位和控制的有害和健康追求的理论回顾
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.jcbs.2025.100971
Joseph Ciarrochi , Steven C. Hayes , Domonkos File , Kirk Warren Brown , Keong Yap , Madeleine I. Fraser , Cristobal Hernandez , Diana Hill , Louise Hayes , Clarissa W. Ong , Baljinder Sahdra
Nonattachment has long been regarded as crucial for inner peace and spiritual growth, with traditions in Buddhism, Taoism, Christianity, Sikhism, and Islam emphasizing the release from ego-driven striving and excessive pursuit of pleasurable states. We propose a functional definition of nonattachment as a behavioral repertoire that involves noticing the pull of socially and culturally created rewards (e.g., praise, control, status, self-image) without automatically acting on them, and re-orienting attention to present circumstances and values-based action. Central to this stance is reducing the dominance of symbolic control, in which the pursuit of positive symbolic experiences disproportionately guides behavior and overrides sensitivity to other contingencies. In this review, we apply Relational Frame Theory and the Extended Evolutionary Meta-Model to organize and interpret the diverse findings related to nonattachment and its functions. Evidence links nonattachment to well-being, pain tolerance, openness, and prosociality, and points to intervention targets across biological, psychological, interpersonal, and cultural levels.
长期以来,无执一直被认为是内心平静和精神成长的关键,佛教、道教、基督教、锡克教和伊斯兰教的传统都强调从自我驱动的奋斗和对快乐状态的过度追求中解脱出来。我们提出了一个非依恋的功能定义,作为一种行为曲目,包括注意到社会和文化创造的奖励(例如,表扬,控制,地位,自我形象)的吸引力,而不自动对它们采取行动,并将注意力重新定向到当前环境和基于价值观的行动上。这一立场的核心是减少象征控制的主导地位,在这种控制中,对积极的象征体验的追求不成比例地指导行为,并压倒对其他偶然事件的敏感性。在本文中,我们运用关系框架理论和扩展进化元模型来组织和解释与非依恋及其功能有关的各种研究结果。有证据表明,不依恋与幸福感、疼痛耐受性、开放性和亲社会有关,并指出了生物、心理、人际和文化层面的干预目标。
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引用次数: 0
Psychological flexibility and rigidity among Ukrainian military personnel with post-traumatic stress disorder and adjustment disorder 乌克兰创伤后应激障碍和适应障碍军人的心理灵活性和刚性
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-17 DOI: 10.1016/j.jcbs.2025.100972
Dmytro I. Boiko, Anastasiia D. Shkodina
This observational cross-sectional study examined psychological flexibility and rigidity in Ukrainian military personnel participating in the Russian-Ukrainian war. A total of 129 male combatants were divided into three groups: those with posttraumatic stress disorder (PTSD, n = 63), those with adjustment disorder (n = 36), and a control group without mental disorders (n = 30). Psychological flexibility and rigidity were assessed using the Multidimensional Psychological Flexibility Inventory (MPFI). Results demonstrated that combatants with PTSD exhibited the lowest psychological flexibility and highest psychological rigidity compared to the control group. Participants with adjustment disorder showed intermediate levels of psychological flexibility between the PTSD and control groups, while maintaining elevated psychological rigidity comparable to the PTSD group. Significant differences were observed across all components of psychological flexibility and rigidity except for acceptance and experiential avoidance, which were similar across all groups. Notably, combatants with PTSD showed significantly higher levels of cognitive fusion and inaction compared to those with adjustment disorder. These findings highlight psychological flexibility as a potential therapeutic target for military personnel with stress-associated mental disorders and suggest that targeted interventions enhancing specific psychological flexibility components may constitute an efficacious approach to addressing combat stress sequelae.
本观察性横断面研究考察了参与俄乌战争的乌克兰军事人员的心理灵活性和刚性。129名男性战斗人员被分为三组:创伤后应激障碍组(PTSD, n = 63)、适应障碍组(n = 36)和无精神障碍的对照组(n = 30)。采用多维心理灵活性量表(MPFI)评估心理灵活性和刚性。结果表明,与对照组相比,创伤后应激障碍战斗员表现出最低的心理灵活性和最高的心理刚性。适应障碍的参与者表现出介于PTSD组和对照组之间的中等水平的心理灵活性,同时保持与PTSD组相当的较高的心理刚性。除了接纳和经验回避外,心理灵活性和刚性的所有组成部分都存在显著差异,这两个组成部分在所有组中相似。值得注意的是,与那些有适应障碍的人相比,患有创伤后应激障碍的战斗人员表现出更高水平的认知融合和不作为。这些发现强调了心理灵活性作为压力相关精神障碍军人的潜在治疗目标,并表明有针对性的干预措施可以增强特定的心理灵活性成分,这可能是解决战斗压力后遗症的有效方法。
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引用次数: 0
Psychological flexibility, parental competence, and prosociality in caregivers of children with special health care needs: A network analysis of family functioning and child outcomes 心理灵活性、父母能力和亲社会在照顾有特殊卫生保健需求的儿童:家庭功能和儿童结局的网络分析
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-12 DOI: 10.1016/j.jcbs.2025.100970
Pui Tik Yau , Andrew T. Gloster , Wai Tong Chien , Yuen Yu Chong
Parents of children with special health care needs (CSHCN) experience considerable caregiving stressors that can be related to parental psychological well-being, child behavioral adjustment, and family functioning. This cross-sectional study examined the interrelationships among parenting competence, parental psychological flexibility, and parental prosociality using network analysis to explore their mechanisms in relation to caregiving outcomes. Baseline data from 242 parents enrolled in a randomized clinical trial evaluating the Prosocial-oriented Acceptance and Commitment Therapy (PACT) program were analyzed. Stepwise hierarchical regression analyses indicated that psychological flexibility (β = .32; P < .001), parenting competence (β = .32; P < .001), and parental prosociality (β = .17; P = .002) collectively explained 41.4 % of the variance in parental well-being. Parenting competence (β = −.36; P < .001) and parental prosociality (β = −.18; P = .003) accounted for 33.7 % of the variance in child internalizing and externalizing problems, while parental prosociality (β = .22; P < .001) and psychological flexibility (β = .21; P = .002) explained 23.7 % of the variance in child prosocial behavior. The network indicated that psychological flexibility processes, particularly the values and committed action, as the most central and influential nodes, serving as a pathway linking the relationships among all variables. These findings underscore the relevance of parenting competence and potentially trainable processes such as psychological flexibility and prosociality in relation to caregiving outcomes. Integrating these processes into therapeutic interventions may offer a promising approach; however, the findings are correlational and cross-sectional. Longitudinal and experimental research is needed to clarify temporal ordering and potential causal pathways and to refine intervention strategies.
有特殊卫生保健需要儿童的父母会经历相当大的照顾压力源,这些压力源可能与父母的心理健康、儿童的行为调整和家庭功能有关。本研究采用网络分析的方法,考察了父母教养能力、父母心理弹性和父母亲社会行为三者之间的相互关系,探讨了三者对照料结果的影响机制。本研究分析了242名参加亲社会取向接受和承诺治疗(PACT)项目随机临床试验的家长的基线数据。逐步层次回归分析表明,心理灵活性(β = 0.32; P < .001)、父母能力(β = 0.32; P < .001)和父母亲社会性(β = 0.17; P = .002)共同解释了父母幸福感方差的41.4%。父母能力(β = - 0.36; P < .001)和父母亲社会性(β = - 0.18; P = 0.003)解释了儿童内化和外化问题方差的33.7%,父母亲社会性(β = 0.22; P < .001)和心理灵活性(β = 0.21; P = 0.002)解释了儿童亲社会行为方差的23.7%。该网络表明,心理灵活性过程,特别是价值观和承诺的行动,是最核心和最具影响力的节点,是连接所有变量之间关系的途径。这些发现强调了养育能力和潜在的可训练过程(如心理灵活性和亲社会性)与照料结果的相关性。将这些过程整合到治疗干预中可能是一种有希望的方法;然而,研究结果是相关的和横向的。需要纵向和实验研究来澄清时间顺序和潜在的因果途径,并完善干预策略。
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引用次数: 0
Longitudinal associations between perceived coparenting and Chinese adolescents’ wisdom: The role of peer attachment and psychological flexibility 感知父母教养与中国青少年智慧的纵向关联:同伴依恋和心理弹性的作用
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-19 DOI: 10.1016/j.jcbs.2025.100960
Hongyi Lin , Qian Li , Fengyan Wang
Wisdom refers to a global psychological quality acquired through experience and practice, grounded in intelligence and knowledge, that integrates virtue (manifesting prosocial in virtuous motivation, means, and results toward the common good) and wit (synthesizing practical knowledge, intelligence, and strategic thinking for effective problem-solving). Despite the proliferation of approaches to foster human wisdom, a range of family-related measures (e.g., coparenting, which refers to the collaborative activities of all adults responsible for raising children) are still lacking. Drawing on family systems theory and the theory of wisdom that integrates virtue and wit, this study examined the longitudinal relationships between perceived coparenting and adolescent wisdom, as well as the serial mediating roles of peer attachment and psychological flexibility, across four waves (N = 510, 51.8 % boys; 3-month intervals). As expected, we found that both paternal and maternal coparenting behaviors were significantly directly related to adolescent wisdom 9 months later. Additionally, perceived coparenting was related to adolescent wisdom through the mediating effects of peer attachment and psychological flexibility and the sequential mediating effects of peer attachment and psychological flexibility. These findings expand our understanding of the theoretical mechanism underlying the relationship between perceived coparenting and adolescent wisdom. Moreover, future wisdom education or psychological counseling should consider the importance of peer factors and psychological flexibility.
智慧是指通过经验和实践获得的一种全面的心理素质,以智力和知识为基础,将美德(表现为有利于共同利益的良性动机、手段和结果)和机智(综合实践知识、智力和有效解决问题的战略思维)结合起来。尽管培养人类智慧的方法越来越多,但仍然缺乏一系列与家庭有关的措施(例如,共同养育,指所有负责抚养儿童的成年人的合作活动)。利用家庭系统理论和智慧理论,本研究通过四个波(N = 510, 51.8%男孩,间隔3个月)检验了感知父母教养与青少年智慧之间的纵向关系,以及同伴依恋和心理灵活性的系列中介作用。正如预期的那样,我们发现父亲和母亲的养育行为都与9个月后的青少年智慧有显著的直接关系。此外,感知父母教养方式通过同伴依恋和心理灵活性的中介效应以及同伴依恋和心理灵活性的序贯中介效应影响青少年智慧。这些发现扩大了我们对感知父母教养与青少年智慧之间关系的理论机制的理解。此外,未来的智慧教育或心理咨询应考虑同伴因素和心理灵活性的重要性。
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引用次数: 0
A longitudinal pilot evaluation of valued living: An acceptance and commitment therapy-based digital mental health intervention for autistic adults 有价值生活的纵向试点评估:基于接受和承诺治疗的自闭症成人数字心理健康干预
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-19 DOI: 10.1016/j.jcbs.2025.100961
Ty B. Aller , Heather H. Kelley , Korena S. Klimczak , Benjamin P. Covington , Michael E. Levin
Digital mental health interventions (DMHIs) are scalable, accessible, and easily contextualized to the needs of autistic adults, making them a promising resource to help address common barriers to high quality mental health supports. The current preregistered study employs an open trial design and a mixed methods approach to assess the preliminary efficacy of a DMHI among N = 56 autistic adults. The co-created DMHI contains six sessions based in Acceptance and Commitment Therapy (ACT), in a skills-training context, aiming to improve subjective wellbeing and quality of life. We found that changes in subjective wellbeing were observed at post-test (4-weeks following baseline), but these changes were not maintained at follow-up (10-weeks following baseline). However, changes in quality of life were observed at post-test and maintained at follow-up. Changes were also observed in our secondary outcomes, including psychological distress and psychological flexibility, most of which were maintained at follow-up. The current study provides preliminary support for the efficacy of an ACT-based DMHI to improve subjective wellbeing and quality of life among autistic adults.
数字心理健康干预(DMHIs)具有可扩展性、可获得性,并且很容易根据自闭症成年人的需求进行情境化,这使其成为一种有希望的资源,有助于解决获得高质量心理健康支持的常见障碍。目前的预注册研究采用开放试验设计和混合方法来评估DMHI对N = 56名自闭症成年人的初步疗效。共同创建的DMHI包含六个基于接受和承诺疗法(ACT)的课程,在技能培训的背景下,旨在提高主观幸福感和生活质量。我们发现在测试后(基线后4周)观察到主观幸福感的变化,但这些变化在随访(基线后10周)中没有保持。然而,在测试后观察到生活质量的变化,并在随访中保持不变。我们的次要结局也发生了变化,包括心理困扰和心理灵活性,其中大部分在随访中保持不变。目前的研究为基于act的DMHI改善自闭症成年人主观幸福感和生活质量的有效性提供了初步支持。
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引用次数: 0
Exploring the fundamental processes underlying interventions designed to promote athletes’ performance and well-being: A contextual behavioral science perspective 探索旨在促进运动员表现和健康的干预措施的基本过程:情境行为科学视角
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-11 DOI: 10.1016/j.jcbs.2025.100959
Tomer Gutman , Matthieu Villatte , Chun-Qing Zhang
Interventions in sport psychology are designed to support athletes’ performance and well-being. These interventions are grounded in various theoretical approaches, differ in terminology, and may be delivered at the individual, interpersonal, or organizational level. However, many remain centered on midlevel terms and higher order theoretical constructs and do not sufficiently engage with the underlying linguistic and behavioral processes that shape intervention outcomes. This paper aims to explore these foundational processes through the lens of Contextual Behavioral Science (CBS) and Relational Frame Theory (RFT). CBS views behavior as influenced by the context in which it occurs, whereas RFT examines the underlying mechanisms involved in the development and structure of language. Together with the pragmatic functional contextualism philosophy, these frameworks offer an integrated process-based perspective that may enhance the effectiveness of both intervention research and applied practice in sport psychology. Two case studies, one focusing on the Mindfulness-Acceptance-Commitment protocol and another on the cultivation of adaptive thinking, along with three widely used frameworks—goal setting, mastery-oriented motivational climate, and mental health awareness—are explored to demonstrate how CBS-RFT principles are embedded within them. By grounding intervention exploration in fundamental processes, this perspective aims to bridge CBS-RFT principles and applied sport psychology.
运动心理学的干预措施旨在支持运动员的表现和健康。这些干预基于不同的理论方法,在术语上有所不同,可以在个人、人际或组织层面进行。然而,许多仍然集中在中级术语和高阶理论结构上,没有充分参与影响干预结果的潜在语言和行为过程。本文旨在通过情境行为科学(CBS)和关系框架理论(RFT)的视角来探讨这些基本过程。CBS认为行为受其发生的环境的影响,而RFT则研究涉及语言发展和结构的潜在机制。与语用功能语境主义哲学一起,这些框架提供了一个基于过程的综合视角,可以提高运动心理学干预研究和应用实践的有效性。两个案例研究,一个专注于正念-接受-承诺协议,另一个专注于适应性思维的培养,以及三个广泛使用的框架-目标设定,掌握导向的动机气候和心理健康意识-探讨了CBS-RFT原则是如何嵌入其中的。通过对基本过程的干预探索,这一视角旨在将CBS-RFT原理与应用运动心理学联系起来。
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引用次数: 0
Executive functioning and relational framing in verbal adults 言语成人的执行功能与关系框架
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 DOI: 10.1016/j.jcbs.2025.100957
Xiaoyuan Liu , Maithri Sivaraman , Elle Kirsten
Relational Frame Theory (RFT) sees the operant acquisition of various patterns of derived relational responding as being key to language and cognition. Executive function (EF) is a concept widely used in cognitive psychology and is said to be critical for problem-solving, self-regulation, and overall success and wellbeing. The current study was a preliminary attempt to study the relationship between a measure of EF and fluency in derived relational responding. Forty-two verbal adults (25 males) participated in the study. All of them undertook a standardized EF test, the Wisconsin Card Sort Test (WCST) and an experimenter-designed arbitrary relational responding assessment. The WCST required participants to match compound stimuli based on unspecified, frequently changing rules. The relational assessment evaluated rate of correct derived relational responding across seven relational frames. The results showed strong negative correlations between perseverative errors on the WCST and the overall rate of correct responses on the relational assessment, but no such correlations between correct responses on the WCST and those on the relational assessment.
关系框架理论(RFT)认为,各种衍生关系反应模式的操作性习得是语言和认知的关键。执行功能(EF)是认知心理学中广泛使用的一个概念,被认为对解决问题、自我调节、整体成功和幸福至关重要。目前的研究是初步尝试研究EF的测量和衍生关系反应的流畅性之间的关系。42名会说话的成年人(25名男性)参与了这项研究。所有被试均进行了标准化EF测验、威斯康辛卡片分类测验(WCST)和实验者设计的任意关系反应评估。WCST要求参与者根据不明确的、经常变化的规则来匹配复合刺激。关系评估评估了七个关系框架中推导出的正确关系反应率。结果显示,持续性错误与相关评价的总体正确率呈显著负相关,而与相关评价的正确率无显著负相关。
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引用次数: 0
Psychological flexibility and psychological distress among students: A temporal network approach 学生心理弹性与心理困扰:时间网络研究
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 DOI: 10.1016/j.jcbs.2025.100953
Quentin Facon-Barillot , Lucia Romo , Luca Gallego De Dios , Yannick Morvan
In recent years, the growing scientific interest in student mental health has highlighted a deterioration of their psychological state. Among promising interventions, Acceptance and Commitment Therapy (ACT), which focuses on psychological flexibility (PF), has drawn particular interest. However, the specific temporal dynamics linking PF dimensions to psychological distress (PD) remain underexplored. This study employs a temporal network approach applied to ecological momentary assessment (EMA) data to examine these interactions among French university students. Results reveal that the mindfulness dimension of PF plays a central role in the contemporary network, closely connecting PF and PD. At the temporal level, we observe that engaging in actions aligned with one's values leads to greater awareness of those values, hence promoting enhanced well-being. However, these findings are only partially replicated in the existing literature, suggesting that the observed links between PF and PD may vary depending on context, studied populations, and the measurement temporality. This study underscores the importance of using multilevel protocols to better understand the specific PF processes involved in PD. The study's limitations and methodological avenues for future research are also discussed.
近年来,科学对学生心理健康的兴趣日益浓厚,凸显了学生心理状态的恶化。在有希望的干预措施中,关注心理灵活性(PF)的接受和承诺疗法(ACT)引起了特别的兴趣。然而,PF维度与心理困扰(PD)之间的具体时间动态关系仍未得到充分探讨。本研究采用应用于生态瞬时评估(EMA)数据的时间网络方法来检查法国大学生之间的这些相互作用。结果表明,PF的正念维度在当代网络中起着核心作用,密切连接着PF和PD。在时间层面上,我们观察到,参与与个人价值观一致的行动会导致对这些价值观的更大认识,从而促进幸福感的增强。然而,这些发现在现有文献中只是部分重复,这表明观察到的PF和PD之间的联系可能因环境、研究人群和测量时间而异。这项研究强调了使用多层协议来更好地理解PD中涉及的特定PF过程的重要性。本文还讨论了本研究的局限性和未来研究的方法途径。
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引用次数: 0
Over and undergeneralization of behavior analytic terminology and their influence on the trouble with terms 行为分析术语的过度和欠概括及其对术语问题的影响
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 DOI: 10.1016/j.jcbs.2025.100958
Jennifer L. Posey , Fina M. Robertson , Emma I. Moon , Craig A. Marrer , Mark R. Dixon
Behavior analysts rely upon the use of technical terms to communicate with one another succinctly. At times, however, they are also called to translate terminology into lay terms, which may lead toward drift if there is insufficient understanding of the technology. To explore this issue, 139 participants, comprised of 102 board certified behavior analysts (BCBAs) and 37 that were not, evaluated 24 definitions across four terminological categories, including Applied Behavior Analytic (ABA), pseudo-ABA, Acceptance and Commitment Therapy (ACT), and mainstream psychological term definitions. Results showed that behavior analysts ranked ABA term definitions as most closely aligned with behavior analytic principles, with pseudo-ABA term definitions ranking as the second most, and ACT and psychological definitions ranking third and fourth, respectively. Statistical analyses supplemented visual inspection of the data and resulted in significance at the p < .001 level. Concerns about over and under-generalization of behavior analytic principles are discussed.
行为分析师依靠使用技术术语来简洁地相互沟通。然而,有时,他们也被要求将术语翻译成外行术语,如果对技术的理解不足,这可能会导致漂移。为了探讨这个问题,139名参与者,包括102名董事会认证的行为分析师(bcba)和37名未认证的行为分析师,评估了四个术语类别的24个定义,包括应用行为分析(ABA)、伪ABA、接受和承诺治疗(ACT)和主流心理学术语定义。结果显示,行为分析师认为ABA术语定义最符合行为分析原则,伪ABA术语定义排名第二,ACT和心理定义分别排名第三和第四。统计分析补充了数据的目视检查,结果在p <; 001水平上具有显著性。讨论了行为分析原理的过度泛化和欠泛化问题。
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引用次数: 0
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Journal of Contextual Behavioral Science
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