RESUMEN
This article is a transcription of Murray Sidman's presentation at the annual meeting of the Society for the Quantitative Analysis of Behavior in May 1998. It describes the development (from 1965 to 1975) of behavior-change programs implemented outside the animal laboratory to benefit humans before such application was established formally as an entity derived from the experimental analysis of behavior. The presentation illustrates the use of an inductive method in practice, where working with a fluid behavior stream entails making intervention decisions on the spot. Examples include fading and backward-chaining procedures in the establishment and stimulus control of novel actions. Sidman also discusses the certification of practitioners and the interaction between client and therapist and between basic and applied endeavors. The latter define what is contemporaneously described as translational intervention. It is noteworthy that Sidman's presentation was at a meeting attended by both practitioners and scientists.
Asunto(s)
Terapia Conductista , Humanos , Terapia Conductista/métodos , Historia del Siglo XX , Análisis Aplicado de la Conducta/métodosRESUMEN
We conducted a systematic review of studies published in the Journal of Applied Behavior Analysis between 2010 and 2020 to identify reports of social validity. A total of 160 studies (17.60%) published during this time included a measure of social validity. For each study, we extracted data on (a) the dimensions of social validity, (b) the methods used for collecting social-validity data, (c) the respondents, and (d) when social-validity data were collected. Most social-validity assessments measured the acceptability of intervention procedures and outcomes, with fewer evaluating goals. The most common method for collecting social validity data was Likert-type rating scales, followed by non-Likert-type questionnaires. In most studies, the direct recipients of the intervention provided feedback on social validity. Social-validity assessment data were often collected at the conclusion of the study. We provide examples of social-validity measurement methods, discuss their strengths and limitations, and provide recommendations for improving the future collection and reporting of social-validity data.
Asunto(s)
Análisis Aplicado de la Conducta , Humanos , Validez Social de la Investigación , Reproducibilidad de los Resultados , Publicaciones Periódicas como AsuntoRESUMEN
Functional analysis methods allow clinicians to determine the variable(s) that maintain destructive behavior. Previous reviews of functional analysis outcomes have included large samples of published and unpublished data sets (i.e., clinical samples). The purpose of this review was to conduct a large retrospective consecutive controlled case series of clinical functional analyses. We sought to identify the prevalence of differentiation, procedural modifications for undifferentiated and differentiated cases, and identified function(s) of destructive behavior. In addition, we extended the existing literature by determining whether functional analysis differentiation and function varied when single or multiple behavior topographies were consequated in the functional analysis. We discuss our findings considering previously published functional analysis reviews, provide avenues for future research, and offer suggestions for clinical practice.
Asunto(s)
Problema de Conducta , Humanos , Estudios Retrospectivos , Problema de Conducta/psicología , Niño , Masculino , Femenino , Preescolar , Análisis Aplicado de la Conducta , Terapia Conductista/métodosRESUMEN
Este estudo avaliou o reconhecimento (imitação, identidade e identificação) e a nomeação de estímulos emocionais de valência negativa (raiva e tristeza) e positiva (alegria e surpresa) em conjunto com a influência dos tipos de estímulos utilizados (social-feminino, social-masculino, familiar e emoji) em crianças e jovens adultos com autismo ou síndrome de Down, por meio de tarefas aplicadas pela família e mediadas por recursos tecnológicos durante a pandemia de covid-19. Participaram cinco crianças e dois jovens adultos com autismo e uma criança e dois jovens adultos com síndrome de Down. Foram implementadas tarefas de identidade, reconhecimento, nomeação e imitação, com estímulos faciais de função avaliativa (sem consequência diferencial) e de ensino (com consequência diferencial, uso de dicas e critério de aprendizagem), visando a emergência da nomeação emocional por meio do ensino das tarefas de reconhecimento. Os resultados da linha de base identificaram que, para os participantes que apresentaram menor tempo de resposta para o mesmo gênero, a diferença de tempo de resposta foi em média 57,28% menor. Em relação à valência emocional, 50% dos participantes apresentaram diferenças nos acertos, a depender da valência positiva e negativa, sendo que 66,66% apresentaram diferenças para o tempo de resposta a depender da valência emocional. Após o procedimento de ensino, os participantes mostraram maior número de acertos nas tarefas, independentemente do gênero de estímulo e valência emocional, criando ocasião para generalização da aprendizagem de reconhecimento e nomeação de emoções, além de consolidar a viabilidade de estratégias de ensino mediadas por recursos tecnológicos e aplicadas por familiares.(AU)
This study evaluated the recognition (imitation, identity, and identification) and naming of negative (anger and sadness) and positive (joy and surprise) emotional stimuli alongside the influence of the types of stimuli (social-female, social-male, family, and emoji) in children and young adults with autism and Down syndrome, via tasks applied by the family and mediated by technological resources, during the COVID-19 pandemic. Five children and two young adults with autism and one child and two young adults with Down syndrome participated. Identity, recognition, naming, and imitation tasks were planned and implemented using facial stimuli with evaluative (without differential consequence) and teaching (with differential consequence, tips, and learning criteria) functions, aiming at the emergence of emotional naming from the recognition teaching tasks. The baseline results showed that, for participants who had a shorter response time for the same gender, the response time difference was on average 57.28% lower. Regarding the emotional valence, 50% of the participants showed differences in the correct answers, depending on the positive and negative valence, and 66.66% showed differences in the response time depending on the emotional valence. After the teaching procedure, the participants showed a greater number of correct answers in the tasks, regardless of the stimulus type and emotional valence, creating an opportunity for generalizing learning of emotion recognition and naming, in addition to consolidating the feasibility of teaching strategies mediated by technological resources and applied by family members.(AU)
Este estudio evaluó el reconocimiento (imitación, identidad e identificación) y la denominación de estímulos emocionales negativos (enfado y tristeza) y positivos (alegría y sorpresa) y la influencia de los tipos de estímulos utilizados (social-femenino, social-masculino, familiar y emoji ) de niños y jóvenes con autismo o síndrome de Down, a través de tareas aplicadas por la familia, mediadas por recursos tecnológicos durante la pandemia de la covid-19. Participaron cinco niños y dos adultos jóvenes con autismo, y un niño y dos adultos jóvenes con síndrome de Down. Se planificaron e implementaron tareas de identidad, reconocimiento, nombramiento e imitación con estímulos faciales con función evaluativa (sin consecuencia diferencial) y enseñanza (con consecuencia diferencial, uso de ayudas y criterios de aprendizaje), buscando la emergencia del nombramiento emocional después de la enseñanza de tareas de reconocimiento. Los resultados de la línea de base identificaron que para los participantes que tenían un tiempo de respuesta más corto para el mismo género, la diferencia en el tiempo de respuesta fue un 57,28% menor. En cuanto a la valencia emocional, el 50% de los participantes mostraron diferencias en las respuestas correctas, en función de la valencia positiva y negativa, y el 66,66% tuvieron diferencias en el tiempo de respuesta, en función de la valencia emocional. Después del procedimiento de enseñanza, los participantes mostraron mayor número de aciertos en las tareas evaluadas, independientemente del tipo de estímulo o valencia emocional, lo que genera una oportunidad para la generalización del aprendizaje de reconocimiento y denominación de emociones, además de consolidar la viabilidad de estrategias de enseñanza mediadas por recursos tecnológicos y aplicadas por la familia.(AU)
Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Niño , Adolescente , Adulto , Adulto Joven , Trastorno Autístico , Familia , Síndrome de Down , Emoción Expresada , Emociones , Ansiedad , Relaciones Padres-Hijo , Padres , Percepción , Distorsión de la Percepción , Personalidad , Juego e Implementos de Juego , Prejuicio , Psiquiatría , Psicología , Psicología Social , Atención , Recursos Audiovisuales , Signos y Síntomas , Deseabilidad Social , Medio Social , Valores Sociales , Socialización , Estereotipo , Análisis y Desempeño de Tareas , Percepción Visual , Mujeres , Conducta , Imagen Corporal , Procesamiento de Imagen Asistido por Computador , Simbolismo , Actividades Cotidianas , Inteligencia Artificial , Adaptación Psicológica , Pesar , Actitud , Terapia Cognitivo-Conductual , Niño , Crianza del Niño , Cromosomas , Ensayo Clínico , Competencia Mental , Cuidadores , Cognición , Detección de Señal Psicológica , Comunicación , Conciencia , Intuición , Observación , Trastorno de Movimiento Estereotipado , Trastornos de los Cromosomas , Autonomía Personal , Hijos Adultos , Confianza , Comprensión , Delegación al Personal , Compresión de Datos , Educación , Educación de las Personas con Discapacidad Intelectual , Educación Especial , Ego , Empatía , Conducta Exploratoria , Cara , Expresión Facial , Competencia Cultural , Adulto Joven , Miedo , Retroalimentación , Inteligencia Emocional , Estigma Social , Pandemias , Habilidades Sociales , Normas Sociales , Ajuste Emocional , Optimismo , Metacognición , Reconocimiento Facial , Trastorno del Espectro Autista , Análisis Aplicado de la Conducta , Automanejo , Respeto , Regulación Emocional , Generalización Psicológica , Genética , Interacción Social , Reconocimiento de Identidad , COVID-19 , Gestos , Entrenamiento Cognitivo , Apoyo Familiar , Velocidad de Procesamiento , Manejo Psicológico , Imaginación , Relaciones Interpersonales , Lenguaje , Acontecimientos que Cambian la Vida , Memoria a Corto Plazo , Hombres , Trastornos Mentales , Procesos Mentales , Discapacidad Intelectual , Enfermedades del Sistema Nervioso , Manifestaciones Neurológicas , Neurología , Pruebas Neuropsicológicas , Comunicación no VerbalRESUMEN
The applied behavior analysis (ABA) model emphasizes observable and measurable behaviors by carrying out decision making using experimental data (behavioral observation assessment strategies). In this framework, information and communication technology (ICT) becomes highly suitable for enhancing the efficiency and effectiveness of the methodology. This paper aims to delve into the potential of ICT in providing innovative solutions to support ABA applications. It focuses on how ICT can contribute to fostering social inclusion with respect to children with neurodevelopmental disorders. ICT offers advanced solutions for continuous and context-aware monitoring, as well as automatic real-time behavior assessments. Wireless sensor systems (wearable perceptual, biomedical, motion, location, and environmental sensors) facilitate real-time behavioral monitoring in various contexts, enabling the collection of behavior-related data that may not be readily evident in traditional observational studies. Moreover, the incorporation of artificial intelligence algorithms that are appropriately trained can further assist therapists throughout the different phases of ABA therapy. These algorithms can provide intervention guidelines and deliver an automatic behavioral analysis that is personalized to the child's unique profile. By leveraging the power of ICT, ABA practitioners can benefit from cutting-edge technological advancements to optimize their therapeutic interventions and outcomes for children with neurodevelopmental disorders, ultimately contributing to their social inclusion and overall wellbeing.
Asunto(s)
Análisis Aplicado de la Conducta , Trastornos del Neurodesarrollo , Humanos , Niño , Inclusión Social , Inteligencia Artificial , Comunicación , Trastornos del Neurodesarrollo/diagnóstico , Trastornos del Neurodesarrollo/terapiaRESUMEN
The analysis of international and collaborative publication trends in prominent behavior-analytic journals has been a topic of interest for behavioral researchers. This paper focuses on publication trends from 1997 through 2020 in three prominent journals: Journal of the Experimental Analysis of Behavior (JEAB), Journal of Applied Behavior Analysis (JABA), and Perspectives on Behavior Science (PBS). The variable of interest was the percentage of articles published per geographical category-Australasia/East Asia, Europe, Latin America, Middle East, North America, and Africa. The results showed that 79, 96, and 87% of the published articles in JEAB, JABA, and PBS, respectively, were conducted by researchers with a North American affiliation. Furthermore, 12, 4, and 4% of the articles in JEAB, JABA, and PBS, respectively, were coauthored by at least two researchers from different geographical categories.
Asunto(s)
Análisis Aplicado de la Conducta , Ciencias de la Conducta , Publicaciones Periódicas como Asunto , Humanos , EdiciónRESUMEN
Duration schedules of reinforcement for continuous behavior abide by several preexisting operant behavioral economic equations for reinforcer cost, otherwise known as price, and consumption. Duration schedules require behaviors to occur for a set duration of time prior to accessing reinforcement, unlike interval schedules that produce reinforcement after the first instance of a behavior after a given period. Despite extensive examples of naturally occurring duration schedules, translational research regarding duration schedules is quite limited. Further, a lack of research investigating the implementation of such reinforcement schedules, combined with concepts such as preference, represents a gap in the applied behavior analysis literature. The current study measured three elementary students' preferences for fixed- and mixed-duration schedules of reinforcement during academic work completion. Results suggest students prefer mixed-duration schedules of reinforcement that provide the opportunity to access reinforcement at a reduced price and that such arrangements could be employed to increase work completion and academic-engaged time.
Asunto(s)
Análisis Aplicado de la Conducta , Conducta de Elección , Humanos , Niño , Refuerzo en Psicología , Esquema de Refuerzo , EstudiantesRESUMEN
Procedural fidelity is the extent to which independent variables are implemented as designed. Despite 40 years of discussion about the importance of procedural fidelity for behavioral research, reporting of fidelity data remains an uncommon practice in behavior-analytic journals. Researchers have speculated about reasons for underreporting, but the perspectives of scholars about when reporting is warranted or necessary have not yet been explored. Thus, the purpose of this study was to evaluate possible reasons for infrequent reporting of fidelity data in behavior-analytic studies. To address this purpose, we conducted focus groups with scholars in applied behavior analysis. Five themes emerged regarding why procedural fidelity data are not typically reported. We provide a discussion about how these themes are interrelated and offer suggestions and recommendations to assist with the collection and reporting of fidelity data.
Asunto(s)
Análisis Aplicado de la Conducta , Humanos , Investigación Conductal , InvestigadoresRESUMEN
LAY ABSTRACT: Autism spectrum disorder is a developmental disability affecting individuals across their entire lifespan. Autistic individuals have differences from nonautistic people (sometimes called allistic or neurotypical people) in social skills, communication, and atypical interests and/or repetitive behaviors. Applied behavior analysis is one of the first and most common interventions recommended for autistic children. However, autistic individuals argue that applied behavior analysis damages their mental health and treats them as though they are a problem to be fixed. This study examined the experiences of seven autistic individuals who received applied behavior analysis interventions as children to understand what autistic adults think about their applied behavior analysis interventions, how they feel about the applied behavior analysis interventions they received, and what recommendations autistic adults have for the future of applied behavior analysis. The findings include: Autistic adults remember traumatic events from applied behavior analysis, do not believe that they should be made to behave like their peers, gained some benefits but suffered significant negative long-term consequences, believe that applied behavior analysis is an unethical intervention, and recommend that applied behavior analysis practitioners listen to autistic people and consider using interventions in place of applied behavior analysis.
Asunto(s)
Análisis Aplicado de la Conducta , Trastorno del Espectro Autista , Trastorno Autístico , Adulto , Niño , Humanos , Percepción Auditiva , ComunicaciónRESUMEN
In an effort to address some of the criticisms of Behavioral Parent Training programs (BPT; high attrition, reliance on caregiver report measures), the current study examined the feasibility, acceptability, and outcome of an intensive behavior treatment program (120-minute sessions for 5 days/week over the course of 2 weeks). Using a changing criterion single case experimental design, 12 children (M child age = 4.9 years) and their primary caregivers completed the 2-week function-based intervention procedure designed to increase children's frustration tolerance via a wait training procedure based on the principles of applied behavior analysis. Using both direct observation and standardized measures, results indicated that the treatment was effective in reducing childhood behavior problems, both within and between appointments (Cohen's ds = 3.2 and 1.37, respectively). Preliminary evidence suggests that a compressed treatment package designed to train caregivers in function-based intervention strategies is feasible and acceptable.
Asunto(s)
Análisis Aplicado de la Conducta , Cuidadores , Niño , Humanos , Preescolar , Estudios de Factibilidad , Terapia Conductista , Conducta Infantil , Padres/educaciónRESUMEN
BACKGROUND: With increasing numbers of individuals diagnosed with autism spectrum disorder (ASD) and with affirmation of applied behavior analysis (ABA) as an evidence-based standard of care for ASD, there has been a proliferation of agencies offering ABA services over the last several decades. Disagreement exists among ABA providers and health plans that reimburse those providers on the optimal number of hours of ABA services that should be reimbursed. This study aims to understand whether children who receive more hours of ABA therapy achieve better outcomes and to evaluate the impact of the COVID-19-induced shift to telehealth clinical supervision on outcomes. METHODS: A retrospective cohort analysis was performed using data from the Vineland 3 Comprehensive Interview Form to assess function throughout ABA treatment. Paired sample t tests, independent sample t tests, Cohen's D, and Pearson correlations were used to determine relationships between Vineland scores and input variables including hours of service and modality of supervision (in-person vs. telehealth). RESULTS: While statistically and clinically significant improvements in function were observed, children appear to have improved outcomes independent of the number of hours of service received. There were also no significant associations between modality of supervision and Vineland standard scores. CONCLUSIONS: These findings challenge prior research that demonstrated a linear dose-response relationship. By tailoring treatment dosage to the individual client's needs, providers may be able to better maximize functional progress of the client, to preserve family time, and to utilize health plan dollars more efficiently.
Asunto(s)
Análisis Aplicado de la Conducta , Trastorno del Espectro Autista , COVID-19 , Telemedicina , Niño , Humanos , Trastorno del Espectro Autista/terapia , Estudios RetrospectivosRESUMEN
Relatively few empirical studies of pediatric chewing interventions have been published in the psychology literature. The purpose of this paper was to systematically review chewing interventions within the applied behavior analysis literature. We identified a small, but growing, behavior analytic literature demonstrating the effectiveness of various multicomponent treatment packages to teach and improve chewing skills. Future researchers should consider a range of participant characteristics, including results of oral motor assessments, explore a more extensive definition of chewing to target the complex nature of chewing as well as component skills, and examine the necessary and sufficient components of chewing interventions along with the potential benefits of multidisciplinary interventions.
Asunto(s)
Análisis Aplicado de la Conducta , Masticación , Niño , HumanosRESUMEN
The field of applied behavior analysis has been directly involved in both research and applications of behavioral principles to improve the lives of captive zoo animals. Thirty years ago, Forthman and Ogden (1992) wrote one of the first papers documenting some of these efforts. Since that time, considerable work has been done using behavioral principles and procedures to guide zoo welfare efforts. The current paper reexamines and updates Forthman and Ogden's original points, with attention to the 5 categories they detailed: (a) promotion of species-typical behavior, (b) reintroduction and repatriation of endangered species, (c) animal handling, (d) pest control, and (e) animal performances. In addition, we outline 3 current and future directions for behavior analytic endeavors: (a) experimental analyses of behavior and the zoo, (b) applied behavior analysis and the zoo, and (c) single-case designs and the zoo. The goal is to provide a framework that can guide future behavioral research in zoos, as well as create applications based on these empirical evaluations.
Asunto(s)
Crianza de Animales Domésticos , Análisis Aplicado de la Conducta , Animales , Humanos , Crianza de Animales Domésticos/métodos , Bienestar del Animal , Conducta Animal , Animales de ZoológicoRESUMEN
We examined articles with experiments published in the Journal of Applied Behavior Analysis and in Behavior Analysis in Practice from 2017 through 2021 to determine how frequently procedural fidelity was assessed. When procedural fidelity was assessed, we determined how often a measure of interobserver agreement for those fidelity data was provided. We also determined how often a measure of interobserver agreement for participants' behavior was provided. Across both journals and all years, 54.7% of relevant articles provided a measure of procedural fidelity. Of them, 17.7% provided a measure of interobserver agreement for procedural fidelity. In marked contrast, 96.4% provided interobserver agreement data for participants' behavior. It is unfortunate that applied behavior analysts frequently fail to provide procedural fidelity data and, when they do, often fail to provide interobserver agreement data for the fidelity data. Reviewers for, and editors of, behavior-analytic journals are encouraged to strongly consider the relative value of procedural fidelity and agreement on procedural fidelity measures when rendering recommendations on the suitability of a given submission.
Asunto(s)
Análisis Aplicado de la Conducta , Humanos , Variaciones Dependientes del ObservadorRESUMEN
Children with autism spectrum disorder (ASD) often experience skill deficits that can negatively affect long-term outcomes. Interventions based on applied behavior analysis (ABA) yield improvements in targeted skills. However, families often have difficulty accessing ABA services. The purpose of this study was to evaluate the efficacy of a caregiver coaching program delivered via telehealth. Thirty children with ASD and their caregivers (e.g., parents, grandparents) participated in all phases of the study. The program consisted of therapists providing coaching in English or Spanish to caregivers of children with ASD via synchronous video call telehealth visits, typically provided one to two times per week. Caregivers received coaching in interventions (e.g., functional communication training, discrete trial teaching, total task chaining, and naturalistic teaching) to address individualized goals. We collected data on caregiver treatment fidelity and child outcomes (i.e., Vineland-3, observation, and analysis of time series data). Caregivers implemented intervention procedures with 95% accuracy on average. The single-case effect sizes calculated based on the time series baseline and intervention data yielded medium, large, or very large improvements for 85% of goals addressed. Results indicated that the children improved on appropriate engagement (measured via observation), but there was no statistically significant improvement for the remaining pre-post measures. These results, along with the results of previous studies, provide preliminary support for the use of telehealth to provide ABA services. However, there is a need for additional research evaluating the efficacy of these types of programs.
Asunto(s)
Análisis Aplicado de la Conducta , Trastorno del Espectro Autista , Telemedicina , Niño , Humanos , Trastorno del Espectro Autista/terapia , Cuidadores , Padres/educaciónRESUMEN
Recent behavior analytic research has demonstrated that the provision of applied behavior analytic services via direct telehealth can be an effective teaching modality for some learners with autism spectrum disorder (ASD). Historically, teaching procedures based on applied behavior analysis (ABA), including discrete trial teaching (DTT), have been provided and evaluated via in-person delivery. This study sought to compare the implementation of DTT via direct telehealth to DTT implemented in-person within and across participants. Specifically, this study evaluated the two delivery modalities in terms of skill acquisition, maintenance, efficiency, and learner responding during teaching sessions. Results of an adapted alternating treatments design nested into a multiple baseline design demonstrated that all three participants diagnosed with ASD met the mastery criteria for the expressive labels taught. Areas of future research, participant prerequisite skills, and clinical implications will be discussed in the context of these results.
Asunto(s)
Análisis Aplicado de la Conducta , Trastorno del Espectro Autista , Telemedicina , Niño , Humanos , Trastorno del Espectro Autista/terapia , Terapia Conductista/métodos , Enseñanza , Telemedicina/métodosRESUMEN
This essay explores the connections between the modern autism intervention Applied Behavioral Analysis (ABA) and medieval personification allegory to show how literature powerfully enables the work of neurodiversity. Invoking the theory of the language game to investigate the clinical history of ABA, the essay puts the fourteenth-century poet William Langland in dialogue with Ludwig Wittgenstein and Stanley Cavell. I argue that the approach to language emerging from this constellation of voices works as a precise tool for diagnosing the ethical liabilities of ABA. By highlighting the shared interest in a set of animated terms across different historical and disciplinary domains, we can see how allegorical writing becomes an essential resource for exposing how ABA travesties human need and emotion. Working against the ethos of this "therapeutic" intervention, Langland, Wittgenstein, and Cavell join with autistic writers in advancing a model of language development based on mutuality, reciprocity, and shared forms of life.
Asunto(s)
Trastorno Autístico , Poesía como Asunto , Humanos , Trastorno Autístico/historia , Historia Medieval , Poesía como Asunto/historia , Análisis Aplicado de la Conducta , Medicina en la Literatura , Literatura Medieval/historiaRESUMEN
Este artigo pretende conhecer como a rede de cuidados em saúde tem se operacionalizado a partir da percepção de familiares de crianças com demanda de cuidado em saúde mental (SM). Foram realizados dois grupos focais, um com familiares da Atenção Básica (AB) e outro com familiares do Centro de Atenção Psicossocial Infantojuvenil (CAPSij), totalizando 15 participantes. Seguiu-se com a análise lexical do tipo classificação hierárquica descendente, com o auxílio do software R Interface, a fim de análises multidimensionais de textos e questionários (IRaMuTeQ), resultando em cinco classes: A Pílula Mágica; Forças e Fraquezas dos serviços; Procurando por ajuda; Aceitando o diagnóstico da criança e Onde procurei ajuda. Os resultados apontam para dificuldades presentes na AB em identificar e manejar situações de Saúde Mental Infantojuvenil (SMIJ), por meio de uma lógica ainda medicalizante. Ressalta-se que a escola é apresentada como lugar de destaque na produção da demanda por cuidado e a família ainda é pouco convocada à construção das ações. Conclui-se, então, que avanços ainda são necessários para operacionalização de um cuidado pautado nas diretrizes da política de SMIJ.(AU)
This article aims to know how the healthcare network has been operationalized from the perception of family members of children with demand for mental health care (MH). Two focus groups were held, one with family members from Primary Care (PC) and the other with family members from the Child Psychosocial Care Center (CAPSij), totaling 15 participants. A lexical analysis of the descending hierarchical classification type was performed with the help of the software R Interface for multidimensional analyzes of texts and questionnaires (IRAMUTEQ), resulting in five classes: The Magic Pill; Strengths and Weaknesses of services; Looking for help; Accepting the child's diagnosis; and Where did I look for help. The results point to difficulties present in PC in identifying and managing situations of mental health in children and adolescents (MHCA), with a medicalization logic. Note that the school is presented as a prominent place in producing the demand for care, and the family is still not very much involved in the actions. It is, thus, concluded that advances are still needed for operationalization of care guided by MHCA policy guidelines.(AU)
Este artículo tuvo por objetivo conocer cómo opera una red asistencial a partir de la percepción de familiares de niños con demanda de atención en salud mental (SM). Se realizaron dos grupos focales, uno con familiares de Atención Primaria (AP) y otro con familiares del Centro de Atención Psicosocial Infantojuvenil (CAPSij), totalizando 15 participantes. Se realizó análisis léxico del tipo clasificación jerárquica descendente con la ayuda del software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ), lo que resultó en cinco clases: "La píldora mágica"; "Fortalezas y debilidades de los servicios"; "En busca de ayuda"; "Aceptar el diagnóstico del niño" y "¿Dónde busqué ayuda?". Los resultados apuntan las dificultades presentes en AP para identificar y manejar situaciones de salud mental infantojuvenil (SMIJ) mediante una lógica aún medicalizante. La escuela tiene un lugar destacado en la producción de la demanda de cuidados y la familia aún no está muy involucrada en la construcción de acciones. Se concluye que se necesitan avances para ofertar una atención guiada por lineamientos de la política del SMIJ.(AU)
Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Niño , Adulto , Persona de Mediana Edad , Adulto Joven , Niño , Adolescente , Colaboración Intersectorial , Atención a la Salud Mental , Política de Salud , Trastornos de Ansiedad , Padres , Servicio de Acompañamiento de Pacientes , Pediatría , Juego e Implementos de Juego , Ludoterapia , Prejuicio , Relaciones Profesional-Familia , Relaciones Profesional-Paciente , Propiocepción , Psicoanálisis , Psicología , Trastornos Psicomotores , Psicoterapia , Trastornos Psicóticos , Derivación y Consulta , Trastorno por Déficit de Atención con Hiperactividad , Autocuidado , Trastorno Autístico , Alienación Social , Medio Social , Aislamiento Social , Apoyo Social , Socialización , Condiciones Patológicas, Signos y Síntomas , Terapéutica , Violencia , Integración Escolar , Timidez , Neurociencias , Adaptación Psicológica , Aceptación de la Atención de Salud , Centros de Salud , Terapia Cognitivo-Conductual , Comorbilidad , Defensa del Niño , Trastornos de la Conducta Infantil , Cuidado del Niño , Desarrollo Infantil , Discapacidades del Desarrollo , Lenguaje Infantil , Terapia Ocupacional , Cognición , Trastornos de la Comunicación , Manifestaciones Neuroconductuales , Trastorno de Movimiento Estereotipado , Disciplinas y Actividades Conductuales , Niños con Discapacidad , Afecto , Llanto , Agresión , Dermatitis por Contacto , Diagnóstico , Trastornos Disociativos , Dislexia , Ecolalia , Educación , Educación de las Personas con Discapacidad Intelectual , Educación Especial , Emociones , Conflicto Familiar , Fonoaudiología , Cumplimiento de la Medicación , Apatía , Terapia de Aceptación y Compromiso , Ajuste Emocional , Alfabetización , Trastornos del Neurodesarrollo , Trastorno del Espectro Autista , Orientación Espacial , Análisis Aplicado de la Conducta , Remediación Cognitiva , Terapia Centrada en la Emoción , Pediatras , Análisis de Datos , Tristeza , Distrés Psicológico , Interacción Social , Accesibilidad a los Servicios de Salud , Derechos Humanos , Hipercinesia , Inteligencia , Relaciones Interpersonales , Ira , Trastornos del Lenguaje , Aprendizaje , Discapacidades para el Aprendizaje , Soledad , Mala Praxis , Trastornos Mentales , Discapacidad Intelectual , Enfermedades del Sistema Nervioso , Trastorno Obsesivo CompulsivoRESUMEN
Neste artigo, após apresentar uma reflexão crítica sobre os efeitos da terapia ABA (Applied Behavior Analysis) - Análise Aplicada do Comportamento (verbal) no atendimento de uma criança com o diagnóstico de autismo, proponho indicar um outro entendimento de linguagem e, portanto, um outro modo de se posicionar diante da fala dessas crianças. Neste sentido, esse artigo tem como objetivo apresentar uma crítica, a partir da Clínica de Linguagem, solo teórico desse trabalho, a metodologia ABA, método amplamente difundido no tratamento dessas crianças
En este artículo, tras presentar una reflexión crítica sobre los efectos de la terapia ABA (sigla en inglés) Análisis Conductual Aplicado (conducta verbal) en la atención a un niño diagnosticado de autismo, me propongo indicar otra forma de entender el lenguaje y, por tanto, otra forma de posicionarse ante el habla de estos niños. En este sentido, este artículo tiene como objetivo presentar una crítica, basada en la Clínica del Lenguaje, base teórica de este trabajo, a la metodología ABA, método ampliamente difundido en el tratamiento de estos niños
In this article, after presenting a critical reflection on the effects of ABA therapy -Applied Behavior Analysis (verbal behavior) in the care of a child diagnosed with autism, I propose to indicate another understanding of language and, therefore, another way to position oneself in front of the speech of these children. In this sense, this article aims to present a critique, based on the Language Clinic, the theoretical basis of this work, the ABA methodology, a widely disseminated method in the treatment of these children
Dans cet article, après avoir présenté une réflexion critique sur les effets de la thérapie ABA -Analyse Comportementale Appliquée (verbale) dans la prise en charge d'un enfant diagnostiqué autiste, je propose d'indiquer une autre compréhension du langage et, par conséquent, une autre façon de se positionner face à la parole de ces enfants. En ce sens, cet article vise à présenter une critique, basée sur la Clinique du Langage, base théorique de ce travail, la méthodologie ABA, une méthode largement diffusée dans le traitement de ces enfants