Understanding and Reacting to Relapse: Considerations for Practitioners.

IF 1.7 Q2 PSYCHOLOGY, CLINICAL

Behavior Analysis in Practice Pub Date : 2024-10-15 eCollection Date: 2025-03-01 DOI:10.1007/s40617-024-00997-z

Jennifer A Neely, Clare J Liddon, Ryan T Kimball, Ashley M Fuhrman, Amber L Valentino

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引用次数: 0

Abstract

Severe challenging behaviors, such as aggression and self-injurious behavior, have a high comorbidity with autism spectrum disorder (ASD; Hill et al., 2014; Soke et al., 2016). Although we have effective assessment and treatment procedures for severe challenging behavior, the relapse of severe challenging behavior following effective treatment is highly prevalent (Briggs et al., 2018; Falligant et al., 2022; Haney et al., 2022; Muething et al., 2021). Effective in 2025, the Board Certified Behavior Analyst (BACB) Test Content Outline (TCO; 6th ed.) includes a task-item requirement for Board Certified Behavior Analysts to plan for and attempt to mitigate possible relapse (BACB, 2022). Thus, it is important for practitioners to understand the variables that impact relapse of severe challenging behavior, and it is critical that they have access to tools to help them in preparing for and reacting to relapse in practice. The purpose of the current paper is to provide (a) a consumable framework on relapse for practitioners and (b) considerations for practitioners on managing relapse when it occurs.

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理解和应对复发：从业者的考虑。

严重的挑战行为，如攻击和自残行为，与自闭症谱系障碍（ASD）有很高的合并症；Hill et al., 2014；Soke et al., 2016)。尽管我们对严重挑战行为有有效的评估和治疗程序，但严重挑战行为在有效治疗后复发的情况非常普遍(Briggs等人，2018；Falligant等人，2022；Haney等人，2022；Muething et al., 2021)。委员会认证行为分析师（BACB）考试内容大纲(TCO；第6版)包括对委员会认证行为分析师的任务项要求，以计划并试图减轻可能的复发（BACB, 2022）。因此，对于从业者来说，了解影响严重挑战性行为复发的变量是很重要的，并且他们有机会获得工具来帮助他们在实践中准备和应对复发是至关重要的。本文件的目的是提供(a)为从业人员提供一个可使用的复发框架，以及(b)从业人员在复发时管理复发的考虑。

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来源期刊

Behavior Analysis in Practice PSYCHOLOGY, CLINICAL-

自引率

18.20%

发文量

期刊介绍： Behavior Analysis in Practice, an official journal of the Association for Behavior Analysis International, is a peer-reviewed translational publication designed to provide science-based, best-practice information relevant to service delivery in behavior analysis. The target audience includes front-line service workers and their supervisors, scientist-practitioners, and school personnel. The mission of Behavior Analysis in Practice is to promote empirically validated best practices in an accessible format that describes not only what works, but also the challenges of implementation in practical settings. Types of articles and topics published include empirical reports describing the application and evaluation of behavior-analytic procedures and programs; discussion papers on professional and practice issues; technical articles on methods, data analysis, or instrumentation in the practice of behavior analysis; tutorials on terms, procedures, and theories relevant to best practices in behavior analysis; and critical reviews of books and products that are aimed at practitioners or consumers of behavior analysis.