Preference Objects as Treatment for Hand Mouthing in a Child with Mental Retardation

以喜愛的東西來處理智能障礙學童的含手行為

10.7044/JNHCTC.200412.0045

唐榮昌(Jung-Chang Tang)

喜愛的東西 ； 含手行為 ； 功能分析 ； 感官增強 ； preference object ； hand-mouthing ； functional analysis ； sensory reinforcement

新竹師院學報

19期（2004 / 12 / 01）

45 - 60

英文

本研究共有三個子研究，採功能分析的方法，試圖找出影響一位智能障礙學童含手行為(hand mouthing)的原因，再進行適當的介入處理。研究一、以類似功能分析 (analogue functional analysis)從操弄四種情境，來分析該學童含手的功能。結果顯示：只有在獨處情境下，有高頻率的含手行為產生。研究二、以功能分析操弄四種遮蔽情境，來分析造成此含手行為的感官功能。結果顯示：只有在觸覺遮蔽的情境下，含手行為發生的頻率較低。研究三、分別以該學童最喜歡與最不喜歡的感官刺激物來進行介入。研究顯示：不管最喜歡或最不喜歡的刺激物都能有效地替代含手行為，並減少此行為。

The current study employed single subject methodologies and included three experiments that functionally analyzed one student's hand-mouthing behavior. An analogue functional analysis was used in Experiment 1 to detect the function of the student's hand-mouthing which might serve to escape from task demands, obtain attention from others, or produce sensory self-stimulation. An analysis of sensory modalities was conducted in Experiment 2 to further analyze the possible sensory consequences causing the student's hand-mouthing. After preference object assessment, the most favorite object and the least favorite object were used in Experiment 3 to compete with specific sensory consequences maintaining the student's hand-mouthing. Results of the present study demonstrated sensory reinforcement was a determinant of stereotypic hand-mouthing in this student. The specific function of this student's hand-in-mouth behavior might be maintained by tactile stimulation. Either the most favorite object or the least favorite object may reduce this student's hand-mouthing behavior.

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