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Effective Behavioral Intervention for Adults on the Autism Spectrum: Best Practices in Functional Assessment and Treatment Development. 成人自闭症谱系的有效行为干预:功能评估和治疗发展的最佳实践。
Pub Date : 2010-01-01 DOI: 10.1037/H0100687
Christopher J. Manente, James C. Maraventano, R. LaRue, Lara Delmolino, Donna L. Sloan
As individuals with autism age out of the educational system, families and practitioners are faced with a number of challenges, including placement concerns and limited behavioral support. This change in available resources often affects the quality of behavioral intervention available to adults on the autism spectrum. These concerns are highlighted when considering the prevalence of maladaptive behavior in adult populations. While estimates of the prevalence of problem behavior vary considerably, levels of maladaptive behavior tend to be higher for individuals with autism relative to other disorders, and may include aggression, self-injurious behavior, property destruction, ritualistic behavior, disruption, inappropriate vocalization, and pica (among others). It has been estimated that the prevalence of aggressive behavior ranges from 6.4% to 32.0% of cases, self-injurious behavior ranges from 4.4% to 21.0% of cases, and destructive behavior from 2.3% to 19.0% of cases (Holden & Gitlesen, 2004; Lowe, Allen, Jones, Brophy, Moore, & James, 2007). While procedures for assessment and treatment for these kinds of problem behavior are well-established in the behavioral literature, the adult population presents unique challenges for families and care providers. The purpose of the current paper is to review the status of existing issues in functional assessment and treatment development in adult populations diagnosed with autism. In addition, we will review some potential strategies for improving services to this underserved population. Challenges to Functional Assessment and Treatment Development in Adults While assessment and treatment procedures for problem behavior have been well established in the research literature, the representation of adult populations is generally lacking relative to younger populations (Hanley, Iwata & McCord, 2003). There are a number of factors which contribute to this relative dearth in the literature. Legislation. Perhaps the most salient reason for the lack of services (and subsequently, research) in adult populations is that the legislation mandating the use of functional behavioral assessment and functional-based intervention procedures only extend to individuals to age 21. Upon reaching the age of 21, the adult populations are not provided with the same entitlements as their school-age counterparts with regard to "functional behavioral assessment" and "positive behavioral supports." Cost of Services. Providing services for adults with autism-spectrum disorders represents a substantial economic expense for families and government agencies (Cimera and Cohan, 2009; Ganz, 2006; Jarbrink, McCrone, Fombonne, Zanden, & Knapp, 2007). Adults with autism are among the most costly individuals with disabilities to serve, second only to those individuals with sensory impairments. It has been estimated that it costs approximately $3.2 million dollars to financially support an autistic person over their lifetime (Ganz, 2006). Consi
随着自闭症患者脱离教育系统,家庭和从业者面临着许多挑战,包括安置问题和有限的行为支持。这种可用资源的变化常常影响对自闭症成人可用的行为干预的质量。当考虑到成人群体中普遍存在的适应不良行为时,这些问题就显得尤为突出。虽然对问题行为的普遍程度的估计差异很大,但与其他疾病相比,自闭症患者的适应不良行为水平往往更高,可能包括攻击、自残行为、破坏财产、仪式化行为、破坏、不适当的发声和异食癖(等等)。据估计,攻击性行为的患病率在6.4%到32.0%之间,自残行为的患病率在4.4%到21.0%之间,破坏性行为的患病率在2.3%到19.0%之间(Holden & Gitlesen, 2004;Lowe, Allen, Jones, Brophy, Moore, & James, 2007)。虽然这些问题行为的评估和治疗程序在行为文献中已经确立,但成年人对家庭和护理提供者提出了独特的挑战。本文旨在综述成人自闭症患者功能评估和治疗发展中存在的问题。此外,我们将审查一些可能的战略,以改善对这一服务不足人口的服务。虽然问题行为的评估和治疗程序在研究文献中已经很好地建立起来,但相对于年轻人群,成年人群体的代表性普遍不足(Hanley, Iwata & McCord, 2003)。有许多因素导致了文献中的这种相对缺乏。立法。成年人缺乏服务(以及随后的研究)的最显著原因可能是,强制使用功能行为评估和基于功能的干预程序的立法只适用于21岁以下的个人。成年人口在达到21岁时,在“功能行为评估”和“积极行为支持”方面没有获得与学龄人口相同的权利。服务成本。为患有自闭症谱系障碍的成年人提供服务对家庭和政府机构来说是一笔巨大的经济支出(Cimera和Cohan, 2009;甘兹,2006;Jarbrink, McCrone, formbonne, Zanden, & Knapp, 2007)。成年自闭症患者是服务成本最高的残疾人之一,仅次于那些有感觉障碍的人。据估计,在经济上支持一个自闭症患者的一生大约需要320万美元(Ganz, 2006)。考虑到自闭症患者活到60多岁并不罕见(Shavelle和Strauss, 1998),很明显,成年期的护理成本相当大。由于可用资金有限,评估和治疗实践更有可能使用不太彻底的评估和治疗模式,这需要较少的时间、金钱和其他资源。缺乏合格的员工。对成年人使用现有的最佳评估和治疗做法的另一个重大挑战是缺乏合格的工作人员进行评估。实施全面的护理计划通常是直接护理人员的责任,尽管许多工作人员几乎没有受过培训和/或直接护理经验(Sigafoos, Roberts, Couzens, & Caycho, 1992;Wood, Luiselli, & Harchik, 2007)。挑战,如缺乏培训/支持和害怕受伤,可能会阻止其他合格的工作人员与这些人群一起工作。...
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引用次数: 23
Practical Issues in Effective Behavioral Intervention Development 有效行为干预发展中的实际问题
Pub Date : 2010-01-01 DOI: 10.1037/H0100689
Amy P. Hansford, I. Zilber, R. LaRue, M. Weiss
There is a consensus in the behavioral literature that treatments based on the results of a functional assessment are more effective than treatments that are selected arbitrarily (e.g., Carr & Durand, 1985; Paclawskyj, Kurtz, & O'Connor, 2004). By identifying the functional reinforcers that maintain problem behavior, practitioners can design interventions that are more efficient (i.e., it narrows the list of potential interventions to choose from) and more effective. Linking treatments to functional assessment results has become standard clinical practice and has found its way into the language of federal and state legislation. This has been a positive and robust change in the behavioral intervention process. While the concept of linking treatment to function has logical appeal, practical issues arise when implementing these strategies in applied settings. In many cases, staff and caregivers may not know how to link assessment to treatment or the main components of effective function-based intervention. In other words, some care providers may complete a functional behavioral assessment (as is often required by law), but the assessment not translate into a function-based intervention due to a skill deficit on the part of the practitioner designing the intervention (i.e., they do not know how to select an appropriate treatment based on the results). Furthermore, the implementation of treatment may be affected by the level of training and expertise among direct care staff members and on-site supervisors. In many applied settings, direct care staff often do not receive proper training to effectively implement behavior intervention plans. In some cases, the primary procedure for training a staff member is to provide them with a written description of the procedure (i.e., the behavior plan). These concerns about the adequacy of staff/caregiver can have significant deleterious effects from a clinical standpoint, as improper implementation may result in negative outcomes for, not only the learner, but for staff and caregivers as well. Other practical implementation issues may involve the way treatment effectiveness is evaluated itself in applied settings. A thorough analysis of the maintaining mechanisms of the problem behavior is the cornerstone of the intervention, but uncovering functions alone is not enough to ensure an effective intervention. The real life challenges presented by implementation can be addressed with judicious assessment, sensitive treatment, and systems analysis. In many cases, treatments are evaluated using a "wait and see" approach, where practitioners tell direct care providers to implement an intervention and hope for a positive outcome. Taking a "no news is good news" approach to intervention is not particularly systematic and likely leads to the propagation of ineffective intervention practices. The current manuscript will briefly review information related to the use of functional assessment procedures and common intervention
行为学文献中有一个共识,即基于功能评估结果的治疗比任意选择的治疗更有效(例如,Carr & Durand, 1985;Paclawskyj, Kurtz, & O'Connor, 2004)。通过识别维持问题行为的功能强化因素,从业者可以设计更有效的干预措施(即,它缩小了可供选择的潜在干预措施列表)和更有效的干预措施。将治疗与功能评估结果联系起来已成为标准的临床实践,并已进入联邦和州立法的语言。这在行为干预过程中是一个积极而有力的变化。虽然将治疗与功能联系起来的概念具有逻辑吸引力,但在应用环境中实施这些策略时会出现实际问题。在许多情况下,工作人员和护理人员可能不知道如何将评估与治疗或基于功能的有效干预的主要组成部分联系起来。换句话说,一些护理提供者可能会完成功能行为评估(通常是法律要求的),但由于设计干预的从业者的技能不足(即,他们不知道如何根据结果选择适当的治疗方法),评估不能转化为基于功能的干预。此外,治疗的实施可能受到直接护理人员和现场监督人员的培训水平和专业知识的影响。在许多应用环境中,直接护理人员往往没有接受适当的培训,以有效地实施行为干预计划。在某些情况下,培训工作人员的主要程序是向他们提供程序的书面说明(即行为计划)。从临床角度来看,这些对工作人员/护理人员是否足够的担忧可能会产生重大的有害影响,因为不当的实施可能会导致负面结果,不仅对学习者,而且对工作人员和护理人员也是如此。其他实际实施问题可能涉及在应用环境中评估治疗效果的方式。深入分析问题行为的维持机制是干预的基础,但仅发现功能不足以确保有效的干预。实现所带来的现实挑战可以通过明智的评估、敏感的处理和系统分析来解决。在许多情况下,治疗评估采用“观望”的方法,从业人员告诉直接护理提供者实施干预,并希望取得积极的结果。采取“没有消息就是好消息”的方法进行干预并不是特别系统,而且可能导致无效干预做法的传播。目前的手稿将简要回顾有关使用功能评估程序和常见的干预策略对不同功能的问题行为的信息。然后,我们将讨论有效治疗实施的一些障碍,特别是与员工/家长培训和系统问题相关的问题,因为它们与评估治疗的有效性有关。功能评估功能评估的目的是确定挑战性行为的原因或功能。有三种主要类型的功能评估:间接模型(例如,访谈,评级量表),描述性分析(例如,ABC数据)和功能分析(例如,环境操纵)。这些程序用于确定触发适应不良行为的前因和维持该行为的强化随因。操作性行为可分为社会强化和自动强化两种。社会中介问题行为可分为社会正强化和社会负强化。...
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引用次数: 8
A Quantitative Synthesis of Developmental Disability Research: The Impact of Functional Assessment Methodology on Treatment Effectiveness. 发育障碍研究的定量综合:功能评估方法对治疗效果的影响。
Pub Date : 2010-01-01 DOI: 10.1037/H0100685
Caitlin H. Delfs, Jonathan M. Campbell
Although not essential for a diagnosis, Autism Spectrum Disorders (ASD) and Intellectual Disability (ID) are commonly associated with a broad range of maladaptive behaviors including self-injurious behavior (SIB), property destruction, aggression towards others, severe disruptions, and stereotypic behaviors (e.g., body rocking). Maladaptive behaviors can lead to poor social relationships; poor academic success, destruction of property, and serious medical problems, such as tissue damage. For these reasons, the assessment and treatment of such behaviors in individuals with ASD and ID is an important component of any comprehensive approach to rehabilitation. A behavioral approach to intervening with maladaptive behaviors has been consistently documented as the most efficacious approach for treating aberrant behaviors (Gresham et al., 2004; Campbell, Herzinger, & James, 2007). The key to effective treatment is the identification of the function, or purpose, of the behavior. The most current taxonomy of behavioral function focuses on three types of reinforcement as the major mechanisms maintaining behavior: (a) positive reinforcement, (b) negative reinforcement, and (c) automatic reinforcement. In the last 25 years, there has been a trend toward developing treatments for maladaptive behaviors following determination of the hypothesized functions of the behaviors through Functional Behavior Assessments (FBA). Based on the ascribed function of the target behavior, an appropriate treatment package can be selected. Researchers assessing maladaptive behaviors agree that identifying the function of the target behavior is integral in the treatment selection process; thus FBAs are a core feature in the development of interventions designed to ameliorate aberrant behaviors (Yarborough & Carr, 2000) and required by federal education law (e.g., Individuals with Disabilities Education Act [IDEA], P.L. 105-117, 1997). Although required by law in some cases, the term FBA is still somewhat vague. Generally, FBA refers to any methodology used to identify the purpose of behavior and encompasses indirect assessments, (e.g., interviews, rating scales), descriptive assessments (e.g., A-B-C sheets, direct observation with no variable or environment manipulation); and functional analyses (FA; e.g., analogue conditions in which antecedent or consequent variables are systematically manipulated within an experimental design). For the purposes of this paper, we are using the term FA to describe all experimental analyses. The term Behavioral Assessment (BA) refers to those assessments which are non-experimental in nature and includes both indirect and descriptive assessments. Several researchers have made comparisons across FBA methodologies and, in general, the findings support the FA as the "gold standard" for ascribing function and consequently developing function-based treatments. Paclawskyj et al. (2001) and Durand and Crimmins (1988) both reported positive correlations w
自闭症谱系障碍(ASD)和智力残疾(ID)虽然不是诊断的必要条件,但通常与一系列适应不良行为有关,包括自残行为(SIB)、破坏财产、攻击他人、严重干扰和刻板行为(如身体摇晃)。适应不良的行为会导致不良的社会关系;学业成绩差,破坏财产,严重的医疗问题,如组织损伤。由于这些原因,评估和治疗ASD和ID患者的这些行为是任何综合康复方法的重要组成部分。干预适应不良行为的行为方法一直被认为是治疗异常行为最有效的方法(Gresham et al., 2004;Campbell, Herzinger和James, 2007)。有效治疗的关键是识别行为的功能或目的。行为功能的最新分类集中在三种类型的强化作为维持行为的主要机制:(a)正强化,(b)负强化和(c)自动强化。在过去的25年里,通过功能行为评估(FBA)来确定行为的假设功能,发展适应不良行为的治疗方法已经成为一种趋势。根据目标行为的归属功能,选择合适的治疗方案。评估适应不良行为的研究人员一致认为,识别目标行为的功能是治疗选择过程中不可或缺的一部分;因此,fba是旨在改善异常行为的干预措施发展的核心特征(Yarborough & Carr, 2000),也是联邦教育法(例如,《残疾人教育法》[IDEA], P.L. 105-117, 1997)所要求的。尽管法律在某些情况下有要求,但FBA这个术语仍然有些模糊。一般来说,FBA指的是用于识别行为目的的任何方法,包括间接评估(例如,访谈,评分量表),描述性评估(例如,A-B-C表,无变量或环境操纵的直接观察);功能分析(FA);例如,在实验设计中系统地操纵前因变量或后因变量的模拟条件。为了本文的目的,我们使用术语FA来描述所有的实验分析。行为评估(BA)一词指的是非实验性质的评估,包括间接评估和描述性评估。几位研究人员对FBA方法进行了比较,总的来说,研究结果支持FA作为归因于功能和因此开发基于功能的治疗的“金标准”。Paclawskyj et al.(2001)和Durand and Crimmins(1988)在比较FA结果与QABF (QABF;Matson & Vollmer, 1995)和动机评估量表(MAS;Durand & Crimmins, 1992)。相比之下,Hall(2005)发现,FBA的描述性和实验性方法只有25%的一致性。在几乎所有发表的比较数据中,FA代表了其他类型评估的有效性测试的金标准。另一些研究则超越了FBA类型之间的功能比较,而是评估了不同方法的干预结果。了解哪种FBA方法与更成功的治疗结果相关是必要的。Didden、Korzilius、van Oorsouw和Sturmey(2006)对描述性和实验性FBAs进行了比较,发现基于实验方法的治疗显著提高了治疗效果评分。Herzinger和Campbell(2007)对自闭症文献进行了一项关于适应不良行为的评估和治疗的荟萃分析。…
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引用次数: 23
Introduction for the special issue on functional assessment and treatment development. 功能评估与治疗进展特刊简介。
Pub Date : 2010-01-01 DOI: 10.1037/H0100691
R. LaRue
The literature on functional assessment and function-based treatments is robust. Since the seminal articles published by Carr (1977) and Iwata Dorsey, Slifer, Bauman & Richard, (1982/1994), the field of functional analysis not only flourished, but it has revolutionized the assessment and treatment process. Functional assessment procedures have been used to guide the treatment process for a wide range of behavioral difficulties, including, aggression, self-injurious behavior, disruption, property destruction, ritualistic behavior, feeding disorders, pica to name a few. This literature has consistently shown that understanding why challenging behavior occurs is far more important than what it looks like to develop effective interventions. Prior to this research, treatments for problem behavior were often selected arbitrarily, without knowledge of the cause, which ultimately led to less effective, non-function based interventions (Carr & Durand, 1985; Durand & Kishi, 1987; Kahng, Iwata & Lewin, 2002; Repp, Felce & Barton, 1988). The importance of this body of literature cannot be underestimated. The literature has had a tremendous impact on clinical practice as we currently know it. Not only have functional assessment and treatment procedures been shown to benefit individuals exhibiting problem behavior (see Hanley, Iwata & McCord, 2003 and Kahng, et al., 2002 for reviews on the topic), but the model of evidence-based practice employed by practitioners using the procedures has influenced federal and state legislation regarding best practice (IDEA, 1997, 2004). While the literature on functional assessment and intervention development has changed the landscape of the educational system, gaps still remain in the translation of research to practice. Although these procedures have widespread support in the behavioral literature, they are often inconsistently applied in clinical settings. Some of these gaps are related to the use of empirically supported functional assessment procedures. Other gaps are related to treatment issues in applied settings. The current issue of Behavior Analyst Today will address some of these gaps in the literature related to the translation from empirical evidence to clinical practice. There remain questions about the practical application of functional assessment procedures. The article by Delfs and Campbell (2010) provides a unique quantitative review of the empirical literature on the topic of functional assessment. The authors discuss the validity of different types of functional behavioral assessment as well as the use of the procedures to determine if behavioral function and treatment effectiveness varies as a function of diagnosis. Sloman (2010) outlines critical issues as they relate to the use of descriptive assessment. While research findings have been mixed regarding the validity, the author reviews the circumstances under which descriptive assessment may be most useful. In addition, Sloman identifies novel uses of
关于功能评估和基于功能的治疗的文献是丰富的。自从Carr(1977)和Iwata Dorsey, Slifer, Bauman & Richard(1982/1994)发表了开创性的文章以来,功能分析领域不仅蓬勃发展,而且彻底改变了评估和治疗过程。功能评估程序已被用于指导各种行为困难的治疗过程,包括攻击、自残行为、破坏、财产破坏、仪式行为、进食障碍、异食癖等。这些文献一直表明,理解为什么会发生具有挑战性的行为比开发有效的干预措施要重要得多。在这项研究之前,对问题行为的治疗通常是随意选择的,不了解原因,最终导致效果较差,非功能干预(Carr & Durand, 1985;Durand & Kishi, 1987;kahnh, Iwata & Lewin, 2002;Repp, Felce & Barton, 1988)。这一文学作品的重要性不容低估。正如我们目前所知,这些文献对临床实践产生了巨大的影响。不仅功能评估和治疗程序被证明有益于表现出问题行为的个人(参见Hanley, Iwata & McCord, 2003和Kahng等人,2002关于该主题的评论),而且从业人员使用这些程序所采用的循证实践模型已经影响了联邦和州关于最佳实践的立法(IDEA, 1997, 2004)。虽然关于功能评估和干预发展的文献已经改变了教育系统的景观,但在将研究转化为实践方面仍然存在差距。尽管这些方法在行为学文献中得到了广泛的支持,但它们在临床应用中往往不一致。其中一些差距与使用经验支持的功能评估程序有关。其他差距与应用环境中的治疗问题有关。本期的《今日行为分析师》将解决与从经验证据到临床实践的翻译相关的文献中的一些空白。关于功能评估程序的实际应用仍然存在一些问题。Delfs和Campbell(2010)的文章对功能评估主题的实证文献进行了独特的定量回顾。作者讨论了不同类型的功能行为评估的有效性,以及确定行为功能和治疗效果是否随诊断而变化的程序的使用。斯洛曼(2010)概述了与使用描述性评估相关的关键问题。虽然研究结果在有效性方面好坏参半,但作者回顾了描述性评估可能最有用的情况。此外,Sloman确定了描述性评估程序的新用途,这可能有助于监测治疗的完整性并提供实施的反馈。在Manente, Maraventano, LaRue Delmolino和Sloan(2010)的论文中,作者回顾了评估和治疗成人自闭症的最佳实践。它们确定了执行功能评估程序的一些独特挑战,并确定了程序上的修改,以促进在实际环境中使用这些程序。Gadaire, Kelley, & DeRosa(2010)解决了目前功能评估和治疗文献中最突出的问题之一。虽然操作性行为的原则适用于跨诊断界限,但大多数行为评估和治疗文献只关注于患有发育性残疾的年轻人群。因此,最佳实践往往只适用于这一人群,而其他人群从我们的科学进步中受益的程度是有限的。...
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引用次数: 3
Research trends in descriptive analysis. 描述性分析的研究趋势。
Pub Date : 2010-01-01 DOI: 10.1037/H0100686
Kimberly N. Sloman
Descriptive analysis involves the direct observation of target behavior in natural (or naturalistic) contexts to gather information on contiguous and potentially relevant environmental events, in the absence of experimental manipulation. That is, descriptive analyses identify events that are correlated with the occurrence of some target response. Descriptive analysis is commonly used as a part of a comprehensive functional assessment of problem behavior, prior to conducting an experimental functional analysis. Several advantages of descriptive analysis have been noted in the literature. First, because descriptive analyses involve direct observation of behavior in the natural environment, they provide a means to gather baseline rates of problem behavior. These rates may be useful to determine treatment efficacy once an intervention is developed and implemented. Second, the direct observation aspect of descriptive analyses may be useful in developing operational definitions of behavior, rather than relying on verbal report of caregivers. Third, descriptive analyses may be helpful in identifying particular antecedents or consequences to incorporate into functional analyses. For example, certain functional analysis conditions may be added or omitted based on the common antecedent and consequent conditions observed in the natural environment. Fourth, it has been argued that descriptive analysis may be used as an assessment procedure when functional analyses are not possible due to the nature of the target behavior (e.g., extremely low rate or dangerous problem behavior). However, the use of descriptive analysis as a sole means of ascribing function to behavior is not recommended. This is because the complexity of the natural environment makes it difficult to determine which events are functionally related to the target behavior. Other potential negative aspects of using descriptive analysis to determine the function of the behavior have also been noted including the amount of time and complex data analysis necessary for a complete assessment, the correlational nature of the data, and poor validity outcomes reported in the literature. The purpose of this paper is to provide a summary of a variety of research areas in descriptive analysis, including suggestions of when descriptive analyses can and should be used. In addition, possible future areas of research using descriptive analysis will be discussed. Descriptive Analysis Techniques Several variations of direct observation techniques have been presented in the literature. The particular technique used affects the data presentation as well as the information that can be gleaned from the data analysis. For this reason, a brief description of the most commonly used techniques will be provided. The first technique is the scatter plot analysis, first described by Touchette, MacDonald and Langer (1985). A scatter plot analysis involves a grid data sheet with time intervals listed vertically (e.g., 30-minut
描述性分析包括在自然(或自然)环境中直接观察目标行为,在没有实验操作的情况下收集有关连续和潜在相关环境事件的信息。也就是说,描述性分析确定与某些目标响应的发生相关的事件。描述性分析通常用作对问题行为进行全面功能评估的一部分,在进行实验性功能分析之前。文献中已经指出了描述性分析的几个优点。首先,由于描述性分析涉及对自然环境中行为的直接观察,因此它们提供了一种收集问题行为基线率的方法。一旦制定和实施干预措施,这些比率可能有助于确定治疗效果。其次,描述性分析的直接观察方面可能有助于制定行为的操作定义,而不是依赖于照顾者的口头报告。第三,描述性分析可能有助于识别特定的前因或结果,以纳入功能分析。例如,可以根据在自然环境中观察到的共同的前因式和后因式条件添加或省略某些功能分析条件。第四,有人认为,当由于目标行为的性质(例如,极低的比率或危险的问题行为)而无法进行功能分析时,描述性分析可以用作评估程序。然而,不推荐使用描述性分析作为将功能归因于行为的唯一手段。这是因为自然环境的复杂性使得很难确定哪些事件在功能上与目标行为相关。使用描述性分析来确定行为功能的其他潜在负面方面也被注意到,包括完整评估所需的时间和复杂的数据分析,数据的相关性,以及文献中报告的低效度结果。本文的目的是对描述性分析中的各种研究领域进行总结,包括何时可以和应该使用描述性分析的建议。此外,还将讨论使用描述性分析的未来可能的研究领域。描述分析技术文献中提出了几种不同的直接观察技术。所使用的特定技术会影响数据表示以及可以从数据分析中收集到的信息。出于这个原因,将提供对最常用技术的简要描述。第一种技术是散点图分析,首先由Touchette, MacDonald和Langer(1985)描述。散点图分析涉及一个网格数据表,垂直列出时间间隔(例如,30分钟间隔),水平列出一周的天数。时间间隔可以根据特定个人的时间表单独确定。护理人员通过适当地标记网格框来记录全天的行为频率。例如,不发生的行为可以通过留空来表示,低率的行为可以通过在框中填充hatch marks来表示,高率的行为可以通过填充框来表示。散点图的数据通常用与目标行为的间隔百分比表示。经过几天或几周的数据收集,可能会观察到与特定活动或一天中的特定时间相关的行为模式。散点图分析的优点可能包括易于收集数据和估计干预前后行为的发生。然而,很少有研究使用散点图分析,即使进行散点图分析,结果也是喜忧参半。...
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引用次数: 29
Behavioral Momentum: Translational Research in Intellectual and Developmental Disabilities. 行为动力:智力和发育障碍的转化研究。
Pub Date : 2009-09-09 DOI: 10.1037/h0100668
William V Dube, William H Ahearn, Karen Lionello-Denolf, William J McIlvane

Behavioral momentum theory (Nevin, 1992, Nevin & Grace, 2000) describes the relation between the characteristic level of reinforcement within a context and behavioral resistance to change within that context. This paper will describe the multiple-schedule-disrupter paradigm for basic behavioral momentum research and illustrate it with two representative examples from the literature with non-human subjects. The remainder of the paper will provide a review of translational research in human populations with intellectual and developmental disabilities (IDD) employing the multiple-schedule-disrupter paradigm and closely related variations. The results of this research show that the reinforcer-rate effects predicted by behavioral momentum theory are widely replicated in IDD populations. The intended audience for this paper is the practitioner interested in learning about the current status of translational research in behavioral momentum as a foundation for considering ways in which behavioral momentum theory may be relevant to clinical issues.

行为动量理论(Nevin, 1992; Nevin & Grace, 2000)描述了情境中强化的特征水平与该情境中对改变的行为抵抗之间的关系。本文将描述基本行为动量研究的多时间表破坏者范式,并从非人类研究对象的文献中举出两个代表性的例子来说明这一范式。本文的其余部分将回顾在智力和发育障碍(IDD)人群中采用多时间表干扰范式和密切相关的变异的转化研究。研究结果表明,行为动量理论预测的强化率效应在缺乏症人群中被广泛复制。本文的目标受众是有兴趣了解行为动量转化研究现状的从业者,作为考虑行为动量理论可能与临床问题相关的方法的基础。
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引用次数: 38
Examining prejudice towards Middle Eastern persons via a transformation of stimulus functions. 通过刺激函数的转换考察对中东人的偏见。
Pub Date : 2009-03-22 DOI: 10.1037/H0100672
M. Dixon, A. Branon, Becky L. Nastally, N. Mui
Since September 11th, 2001, the field of psychology has become increasingly interested in the effects terrorism has had on America. For example, there has been a substantial increase in acts of violence (Bar-Tal & Labin, 2001) and prejudicial ideation (Coryn, Beale, & Myers, 2004) toward Muslims and people of Middle Eastern descent. Mainstream psychological accounts for acts of prejudice have included personality orientation (Crowson, DeBacker, & Thoma, 2005), and beliefs of perceived threats to the U.S., social dominance orientation, and self-categorization (Oswald, 2006). While these accounts attempt to isolate predictive factors for prejudicial ideation, they do not focus on observable behavior that is amenable to change. In fact, Sidman has said the "experimental, theoretical, and applied sciences of Behavior Analysis are untapped resources with respect to the issue of terrorism" (2003). He goes on to assert that "terrorism is a behavioral problem," for which the solution requires a basic understanding of its maintaining variables. In a traditional behavioral account of terrorism, acts of terror and prejudice related to them would be solely governed by the consequences that follow these classes of behavior. For example, a Middle Eastern man who commits an act of terrorism would be reinforced by social contingencies (praise from fellow terrorists), the sight of a perceived enemy's suffering (images of pain following successful terrorist acts), and possibly by the media 's coverage of the act (instant fame and notoriety). In the same way, an American police officer who calls a person of Middle Eastern descent in for questioning based on his racial profile is also reinforced by social contingencies (praise from a like-minded social circle), the sight of a Middle Eastern detainee in custody, and perhaps a promotion (more money for working hard to keep his neighborhood safe from terrorism). Establishing operations (Michael, 1993) or setting events (Kantor & Smith, 1975) such as being deprived of attention for most of one's life or experiencing economic hardship would only serve to make the above consequences more salient. While a traditional behavioral account explains how direct contingencies can shape prejudicial behavior and acts of terrorism, a more comprehensive account is needed. The traditional account does not address the fact that the targets of prejudice related to terrorism, innocent U.S. and Middle Eastern civilians, have never been directly paired with either the U.S. government or terrorist groups responsible for the 9/11 attacks, respectively. Some behavior analytic researchers have answered the call. In a paper published in 2003, Dixon, Dymond, Rehfeldt, Roche, & Zlomke outlined a more complex account of prejudice and terrorism and set an agenda for empirical studies to follow. Specifically, the article explains how the 9/11 attacks themselves, the resulting emotional responses of rage and hate felt by Americans, and the images of
自2001年9月11日以来,心理学领域对恐怖主义对美国的影响越来越感兴趣。例如,针对穆斯林和中东后裔的暴力行为(Bar-Tal & Labin, 2001)和偏见(Coryn, Beale, & Myers, 2004)大幅增加。偏见行为的主流心理学解释包括人格取向(Crowson, DeBacker, & Thoma, 2005),以及对美国感知威胁的信念,社会支配取向和自我分类(Oswald, 2006)。虽然这些描述试图隔离偏见的预测因素,但它们并不关注可观察到的可改变的行为。事实上,Sidman曾说过,“行为分析的实验、理论和应用科学是关于恐怖主义问题尚未开发的资源”(2003)。他接着断言,“恐怖主义是一个行为问题”,要解决这个问题,需要对其维持变量有基本的了解。在对恐怖主义的传统行为解释中,恐怖行为和与之相关的偏见将完全由这些行为所带来的后果来决定。例如,一个中东人实施了恐怖主义行为,社会偶发事件(来自恐怖分子同伴的赞扬)、看到敌人所遭受的痛苦(恐怖主义行为成功后的痛苦画面),以及媒体对该行为的报道(瞬间的名声和恶名),都会强化他的行为。同样,一名美国警察因为种族特征而传唤一名中东裔的人问话,也会因为社会偶发事件(来自志同道合的社交圈的赞扬)、看到一名中东裔被拘留者被拘留,或许还会得到晋升(努力保护他的社区免受恐怖主义侵害而获得更多的钱)而得到强化。建立业务(Michael, 1993)或设置事件(Kantor & Smith, 1975),例如在一生的大部分时间里被剥夺注意力或经历经济困难,只会使上述后果更加突出。虽然传统的行为解释解释了直接的偶然事件如何塑造偏见行为和恐怖主义行为,但需要一个更全面的解释。传统的解释没有解决这样一个事实,即与恐怖主义有关的偏见的目标,无辜的美国和中东平民,从来没有直接与美国政府或恐怖组织分别负责9/11袭击。一些行为分析研究人员响应了这一号召。在2003年发表的一篇论文中,Dixon、Dymond、Rehfeldt、Roche和Zlomke对偏见和恐怖主义进行了更复杂的描述,并为后续的实证研究设定了议程。具体来说,这篇文章解释了9/11袭击本身,由此产生的美国人的愤怒和仇恨的情绪反应,以及媒体展示的恐怖分子的形象如何形成一个协调的框架(它们变得等同)。通过这些关系框架的多个例子,以及对立和差异框架,这一阶级得到了加强,从而产生了美国人所经历的普遍偏见。这篇文章还分析了中东的年轻人是如何怨恨美国,并因此走上了恐怖主义的道路。上述解释源于关系框架理论(RFT)对偏见和恐怖主义的概念化(Hayes, Barnes-Holmes, & Roche, 2001)。RFT表明,语言能力强的人有能力对任意相关的事件进行分类、评估和比较,但他们学习基于相关事件的口头抽象的非任意特征来证明这些关系。例如,如果两个对象是随机选择的(例如一个球和一棵树),并相互比较(例如:“球怎么像树?”...
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引用次数: 8
Introduction to the BAT Special Issue on Bridge Studies 《桥梁研究》特刊简介
Pub Date : 2009-03-22 DOI: 10.1037/H0100667
D. Wacker, J. McComas, J. C. Borrero
A unique aspect of behavior analysis as a discipline is the direct link between elements that are basic (operant mechanisms that underlie a response) and those that are applied (applications of those mechanisms to socially relevant behavior) (Wacker, 2000). This direct link provides opportunities for an almost seamless translation of knowledge gained in basic operant laboratories to significant social problems encountered in the community. For example, Kazdin (1978) noted a direct link in the 1960s between research conducted in laboratory settings and research conducted in behavior therapy. As studies were disseminated from operant laboratories, approaches to behavior therapy changed and, in a reciprocal fashion, studies in behavior therapy influenced studies conducted in operant labs. More recently, however, Vollmer and Hackenberg (2001) have noted that the "bridges" built in behavior analytic research are largely unidirectional. Specifically, what is learned in the nonhuman laboratory frequently informs behavior analytic practice. However, save a few exceptions, what occurs in practice infrequently directs nonhuman laboratory research. This state of affairs, as it seems to be, need not remain. Hake (1982) described studies that promoted reciprocal interactions between basic and applied behavior analysis as constituting bridge studies. Bridge studies provide analyses that increase our understanding of both operant mechanisms and socially meaningful behavior and thus provide the necessary links for viewing behavior analysis on a continuum rather than as separate categories of basic and applied research. The categorization of operant research as either basic or applied is often helpful because it permits consumers to determine which books, journals, and presentations may be of most interest to them. However, such categorization can also lead to the absence of the reciprocal relationship described by Kazdin (1978) and Vollmer and Hackenberg (2001). One outcome of this lack of reciprocity is that as practitioners, we may encounter problem behaviors that are resistant to change or treatment programs, and we have difficulty determining why the behavior is persisting or how to make fundamental changes to enhance the treatment's effectiveness. As applied researchers, we sometimes struggle with how to conduct additional studies to better understand the relation between the target behaviors of interest and the components within the treatment programs being conducted (Borrero, Vollmer, Samaha, Sloman, & Francisco, 2007). A disconnect between basic and applied behavior analysis leads toward descriptions of observed outcomes and away from analyses of why the outcomes occurred. It also leads to definitions of what constitutes a desirable treatment based on the structural components that comprise the treatment and away from functional analyses of the conditions under which any given treatment might be most effective. As an example, the phenomenon of maintenanc
作为一门学科,行为分析的一个独特之处在于基本要素(反应背后的操作机制)和应用要素(将这些机制应用于社会相关行为)之间的直接联系(Wacker, 2000)。这种直接联系提供了几乎无缝地将基础操作实验室获得的知识转化为社区遇到的重大社会问题的机会。例如,Kazdin(1978)指出,在20世纪60年代,在实验室环境中进行的研究与在行为治疗中进行的研究之间存在直接联系。随着研究从操作性实验室传播,行为治疗的方法发生了变化,并且以相互的方式,行为治疗的研究影响了操作性实验室进行的研究。然而,最近,Vollmer和Hackenberg(2001)指出,行为分析研究中建立的“桥梁”在很大程度上是单向的。具体来说,在非人类实验室中所学到的东西经常会影响行为分析实践。然而,除了少数例外,实践中发生的事情很少指导非人类的实验室研究。看来,这种事态不必再持续下去了。Hake(1982)将促进基础行为分析和应用行为分析之间相互作用的研究描述为构成桥梁研究。桥梁研究提供的分析增加了我们对操作机制和社会意义行为的理解,从而为将行为分析视为一个连续体而不是作为基础研究和应用研究的单独类别提供了必要的联系。将操作性研究分为基础研究和应用研究通常是有帮助的,因为它允许消费者确定哪些书籍、期刊和演示文稿可能是他们最感兴趣的。然而,这样的分类也会导致Kazdin(1978)和Vollmer and Hackenberg(2001)所描述的互惠关系的缺失。缺乏互惠的一个结果是,作为从业者,我们可能会遇到抗拒改变或治疗方案的问题行为,我们很难确定为什么这种行为会持续下去,或者如何做出根本的改变来提高治疗的有效性。作为应用研究人员,我们有时会纠结于如何进行额外的研究,以更好地理解感兴趣的目标行为与正在进行的治疗方案中的组成部分之间的关系(Borrero, Vollmer, Samaha, Sloman, & Francisco, 2007)。基本行为分析和应用行为分析之间的脱节导致了对观察结果的描述,而远离了对结果发生的原因的分析。它还导致根据构成治疗的结构成分来定义什么是理想的治疗,而远离对任何给定治疗可能最有效的条件的功能分析。例如,维护现象对所有应用程序都是至关重要的,但即使是对应用文献的粗略回顾也只会显示出很少的维护应用研究,甚至更少的研究试图分析最有可能发生维护的条件或如何产生维护。本期特约关注行为持续性(Dube, Ahearn, Lionello-DeNolf, & McIlvane)、复苏(Lattal & St. Peter-Pipken)和强化偶发(Vollmer, Samaha, & Sloman)的研究提供了与维持有直接和功能关系的分析。我们也有相当多的证据表明,只有在特定的界限内,强化刺激才能被认为是强化物(例如,Meehl, 1950)。从传统的行为经济学公式中衍生出来的知识丰富和不断发展的工作体系提供了一个与行为分析一致的概念系统,并可能为应用提供信息。...
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引用次数: 0
Laboratory Evaluations ofReinforcement Contingencies 强化偶然性的实验室评估
Pub Date : 2009-03-22 DOI: 10.1037/H0100670
T. Vollmer, Andrew L. Samaha, Kimberly N. Sloman
In a previous issue of this journal, we discussed the logic of conducting basic research on problems related to application (Borrero, Vollmer, Samaha, Sloman, & Francisco, 2007). For example, it is common in some fields of basic science (e.g., genetics) to take a real world problem (e.g., cancer) and conduct laboratory research to better understand the causes of real world problems (e.g., genetic predispositions) and potential solutions to those problems. Although the field of behavior analysis has a long history of translating basic research into application, it is less common in our field to take questions about the human situation and make efforts to address them via laboratory research and then, in turn, use the findings to promote better application of behavior analysis. Such an approach has been the focus of a decade-long effort to conduct research in an operant (rat) laboratory for the purposes of addressing questions pertinent to the behavioral assessment and treatment of behavior disorders. We have empirical papers in various stages of preparation and thought it might be useful to provide an update on some findings from two specific lines of research. The first line of research is a series of studies constituting the dissertation experiments by the second author, which involved evaluations of reinforcement contingencies as a comparison of two conditional probabilities (a probability of a reinforcer given the occurrence of behavior and a probability of a reinforcer given the nonoccurrence of behavior). The second line of research is a series of studies constituting the dissertation experiments by the third author, which involved testing a variation of differential reinforcement of other behavior (DRO) known as "momentary" DRO (mDRO). On the notion of contingency Reynolds (1975) distinguished between contingency and dependency. Dependencies are relationships that describe essentially if-then statements. For example, flipping a light switch causes a light to turn on because of the circuit and the light will come on if and only if the switch is flipped. If a computer is programmed to deliver reinforcers on a fixed ratio schedule, pressing a lever in an operant chamber causes a pellet to be dispensed if and only if the lever is pressed. Of course, a dependency does not require that the consequent event occur every time the response occurs; for example, lean ratio schedules and intermittent interval schedules are still examples of dependency schedules because the reinforcer is delivered if and only if behavior occurs. Although dependencies are certainly a type of contingency, a contingency can more broadly include relations that are obtained from (a) dependencies, (b) accidental relations (Reynolds, 1975), or (c) blends of events including when there is some probability of an event given behavior and some probability of the event given no behavior (Catania, 1998). As an example of the first type (dependencies) relating to behavior disorders, c
在本刊上一期中,我们讨论了对应用相关问题进行基础研究的逻辑(Borrero, Vollmer, Samaha, Sloman, & Francisco, 2007)。例如,在一些基础科学领域(如遗传学)中,采用现实世界的问题(如癌症)并进行实验室研究以更好地了解现实世界问题(如遗传倾向)的原因以及这些问题的潜在解决方案是很常见的。虽然行为分析领域在将基础研究转化为应用方面有着悠久的历史,但在我们的领域中,对人类处境提出问题并通过实验室研究努力解决这些问题,然后反过来利用这些发现来促进行为分析的更好应用,这种情况并不常见。这种方法一直是一个长达十年的努力的焦点,在一个操作(老鼠)实验室进行研究,目的是解决与行为评估和治疗行为障碍有关的问题。我们有一些处于不同准备阶段的实证论文,并认为提供一些来自两个特定研究领域的最新发现可能会有所帮助。第一行研究是第二作者的论文实验的一系列研究,其中包括作为两个条件概率(在行为发生的情况下强化者的概率和在行为不发生的情况下强化者的概率)的比较的强化偶然性的评估。研究的第二条线是由第三作者的论文实验组成的一系列研究,其中包括测试其他行为的差异强化(DRO)的变化,称为“瞬时”DRO (mDRO)。关于偶然性的概念,雷诺兹(1975)区分了偶然性和依赖性。依赖关系本质上是描述if-then语句的关系。例如,拨动电灯开关,由于电路的作用,电灯就会亮,当且仅当拨动电灯开关时,电灯才会亮。如果计算机被编程为按固定比率时间表提供强化剂,则当且仅当按下操作室中的杠杆时,就会导致颗粒被分配。当然,依赖关系并不要求每次响应发生时都发生相应的事件;例如,精益比率计划和间歇间隔计划仍然是依赖计划的例子,因为当且仅当行为发生时才交付强化器。虽然依赖关系当然是一种偶然性,但偶然性可以更广泛地包括以下关系:(a)依赖关系,(b)偶然关系(Reynolds, 1975),或(c)事件混合,包括给定行为的事件的某些概率和不给定行为的事件的某些概率(Catania, 1998)。作为与行为障碍有关的第一种类型(依赖)的一个例子,考虑一个坐在轮椅上的严重残疾学生无法说话的可能性。他唯一一次得到老师的注意是当他开始用头撞轮椅的时候。简而言之,当且仅当自残行为(SIB)发生时,他才会得到老师的注意(正强化)。这种类型的偶变通常用于在功能分析中测试对强化的敏感性(例如,Iwata, Dorsey, Slifer, Bauman, & Richman, 1982/1994),其中测试条件涉及反应-刺激依赖,只要假定的强化事件发生当且仅当目标行为发生。作为第二种偶然性(偶然关系)的例子,假设老师被告知在休息期间每5分钟给学生一些杂志(或其他喜欢的东西)。进一步假设学生在送杂志之前立即对老师产生了攻击性。...
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引用次数: 1
Resurgence of Previously Reinforced Responding: Research and Application 先前强化反应的复苏:研究与应用
Pub Date : 2009-03-22 DOI: 10.1037/H0100669
K. Lattal, C. S. P. Pipkin
Previously learned responses recur under a variety of conditions. Whether such recurrence is good news or bad news depends on the circumstances of the recurrence. Recurrence of a previously eliminated problem behavior is bad news, but the recurrence of a previously established strategy that facilitates constructive problem solving receives a warmer reception. One label attached to some recurrent responding is resurgence. The term is used to describe a procedure, to describe the behavioral effect of the procedure, and to describe a behavioral process (cf. Mazur, 2006). These three uses of the term often are concurrent. Laboratory studies with nonhuman and human animals have isolated some of the variables that contribute to resurgence. In this review, we consider these variables and their implications for facilitating or reducing the likelihood of past behavior recurring in applied research and practice (hereafter, application). Resurgence is said to occur when a previously learned response recurs following a hiatus from that response, during which time some other response first is reinforced and thereafter extinguished. It is during the final condition that the previously learned response resurges. The process of resurgence thus involves three phases. In the first, or reinforcement, phase, a response, A, is reinforced. In the second, or alternative reinforcement, phase, a second response, B, is reinforced while Response A is extinguished. In the third, or resurgence, phase, Response B is extinguished while extinction remains in effect for Response A. The recurrence of Response A is labeled as resurgence. Resurgence may be distinguished from several other circumstances wherein previously learned responses recur. Spontaneous recovery similarly occurs following extinction of such responses, and after an absence of exposure to the extinction situation. It differs from resurgence in that other responses are not (systematically) reinforced during extinction of the response that later spontaneously recovers (but see Cleland, Guerin, Foster, and Temple [2001] for a discussion of circumstances in which resurgence may be considered an instance of spontaneous recovery). Reinstatement occurs when a previously learned response recurs during a period of response-independent delivery of the reinforcer previously used to maintain the response, but after that response first is extinguished. In reinstatement, the response recurs as a result of the evocative, discriminative stimulus effects of the now response-independent presentations of the previously established reinforcer (cf. Franks & Lattal, 1976). Response induction or response generalization may be considered instances of response recurrence in which topographies develop that are similar to the reinforced one. The distinguishing features of these phenomena are important for application because they may result in the re-emergence of responding under different conditions or in different forms. Although all fou
以前学到的反应会在各种情况下重复出现。这种复发是好消息还是坏消息取决于复发的情况。以前消除的问题行为再次出现是坏消息,但是以前建立的有助于建设性解决问题的策略再次出现则会受到更热烈的欢迎。一些复发性反应的一个标签是死灰复燃。这个术语用来描述一个过程,描述过程的行为效果,描述一个行为过程(cf. Mazur, 2006)。这三种用法通常是同时使用的。对非人类动物和人类动物进行的实验室研究已经分离出一些导致疾病复发的变量。在这篇综述中,我们考虑了这些变量及其在应用研究和实践中促进或减少过去行为重复发生的可能性的含义。据说,当先前学习的反应在反应中断后再次出现时,就会发生死灰复燃,在此期间,其他一些反应首先得到加强,然后消失。正是在最后一种情况下,先前习得的反应重新出现。因此,复苏的过程包括三个阶段。在第一个或强化阶段,反应a被强化。在第二或替代强化阶段,第二反应B被强化,而反应a被熄灭。在第三阶段,即复苏阶段,反应B被熄灭,而反应A的消失仍然有效。反应A的复发被标记为复苏。死灰复燃可以区别于其他几种情况,在这些情况下,以前学过的反应会复发。自发恢复同样发生在这种反应消失之后,以及在没有暴露于灭绝情况之后。它与复苏的不同之处在于,在随后自发恢复的反应消失期间,其他反应不会(系统地)加强(但参见Cleland, Guerin, Foster和Temple[2001]关于复苏可能被视为自发恢复实例的情况的讨论)。当先前学习的反应在先前用于维持反应的强化物的反应独立传递期间重复出现时,就会发生恢复,但在该反应首先消失之后。在恢复过程中,由于先前建立的强化物现在的反应独立呈现的唤起性、辨别性刺激效应,反应再次出现(参见Franks & latal, 1976)。反应归纳或反应泛化可以被认为是反应重现的实例,其中地形发展与强化的地形相似。这些现象的显著特征对应用很重要,因为它们可能导致在不同条件下或以不同形式重新出现反应。虽然所有四种类型的反应复发都有应用意义,但目前的分析仅限于复发。关于复苏的第一个系统的实验分析似乎是Carey (1951;[参见Carey, 1953])。两组大鼠接受杠杆按压训练。在一组中,连续两次杠杆按压反应在0.25秒内发生,这被称为“双重”,首先得到加强。在另一组中,只有单一的反应得到强化。随后,两组的条件被逆转,即“双打”组在单次反应后接受强化物,“单打”组在双次反应后接受强化物。在最后阶段,两组都停止按压杠杆。在消失过程中,随着最后一次增强的反应序列(单次或双次)的实例数量减少,另一次增强的模式的频率增加。…
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引用次数: 101
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The behavior analyst today
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