強いこだわりを示す広汎性発達障害児における家庭場面への支援の事例検討--刺激フェイディング法を用いた衣服へのこだわりの軽減  [in Japanese] A case study of the support in home settings for a child with pervasive developmental disabilities who had strong persistent behavior: a discussion on the efficacy of stimulus fading for reduction of persistent behavior  [in Japanese]

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Author(s)

Abstract

本研究は、特定のキャラクター等に対して強いこだわりを示していた広汎性発達障害のある幼児1名に対して、行動療法の技法の一つである刺激フェイディング法と分化強化法を組み合わせて用いることで非嫌悪的な手続きでこだわり行動を軽減することを試みた。その結果、軽減されたこだわりは約6ヶ月後のフォローアップにおいても維持が確認され、刺激フェイディングと分化強化を組み合わせる方法が効果的であったことが示された。また、対象児が好みの服を着ることを強化子として設定することでその機会を保障し、その日を選択することで自立度や多様性に考慮した支援を展開することができた。しかし、他のものへのこだわり行動は引き続き観察されており、対象児の「こだわり」という特性そのものは変容しなかった。これらの行動を一方的に抑制するのではなく、社会的に容認できるものは容認し、本人が納得しながら行動変容を図っていくことが重要であると考えられた。

In this study, we tried to decrease the persistent behavior for a young child with Pervasive Developmental Disabilities, who had strongly persisted in a specific animation character for a long time. He could not put on the clothes or the shoes without printing the character. We used the combination of stimulus fading and differential reinforcement not to be aversive for him. The behaviors which he put on the character-unprinted clothes were targeted, and reinforcers were provided for the occurrence. The days when he could put on the clothes with or without printing the character were established every week. Also, the participant used the monthly calendar to make choice when he would put on the character-printed clothes. As intervention proceeded, the days when he could put on the character-printed clothes were gradually faded out. As a result, the persistent behavior decreased and the result had been maintained after 6 months. This suggests that the combination of stimulus fading procedures and reinforcement was effective in reduction of persistent behavior, and it was important for the child to be willing to choose various things to do. It was also thought that all of the persistent behaviors did not have to be restricted but the behaviors which would be socially accepted had to be accepted.

Journal

  • Japanese journal of disability sciences

    Japanese journal of disability sciences 33, 159-171, 2009

    障害科学学会

Cited by:  1

Codes

  • NII Article ID (NAID)
    110009624505
  • NII NACSIS-CAT ID (NCID)
    AA12215065
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • Journal Type
    大学紀要
  • ISSN
    18815812
  • NDL Article ID
    10309343
  • NDL Source Classification
    ZF1(教育)
  • NDL Call No.
    Z7-1307
  • Data Source
    CJPref  NDL  NII-ELS  NDL-Digital 
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