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The Role of Self-Injury in Behavioral Flexibility and Resilience

机译:自我伤害在行为灵活性和韧性中的作用

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摘要

Severe and persistent self-injurious behavior (SIB) is notoriously difficult to understand and to treat. The current study used self-organization theory to investigate the possible relationship between SIB and changing levels of behavioral flexibility. Data consisted of categorical time-series of sequential behaviors from individuals with developmental disabilities and severe SIB. Orbital Decomposition was used to analyze each series for measures of structure and entropy. Overall, results showed evidence for self-organization in behavior patterns. Second, series including SIB were on average more flexible than those without SIB; while, higher numbers of SIB events (perseveration) were associated with higher behavioral rigidity and structural disintegration. Finally, there was evidence that behavioral flexibility almost always shifts reliably after a discrete bout of SIB, either increasing or decreasing in complexity. Altogether, these results may provide a deeper and more theoretically grounded understanding of the function of SIB beyond the traditional behavioral paradigm involving simple stimulus-response or response-consequence relations. Instead, some behaviors, such as SIB, may serve a resilience-making function as more global regulators of behavioral flexibility and coherence.
机译:众所周知,严重和持续的自残行为(SIB)难以理解和治疗。当前的研究使用自组织理论来研究SIB和行为灵活性水平之间的可能关系。数据由发育障碍和严重SIB患者的先后行为的分类时间序列组成。轨道分解用于分析每个系列的结构和熵。总体而言,结果显示了行为模式自我组织的证据。第二,包括SIB在内的系列比没有SIB的系列更灵活;而更多的SIB事件(持续性)与更高的行为刚度和结构分解相关。最后,有证据表明,在离散性的SIB争吵之后,行为灵活性几乎总是可靠地转移,复杂性增加或减少。总的来说,这些结果可以提供对SIB功能的更深入,更理论化的理解,超越了涉及简单刺激-反应或反应-后果关系的传统行为范式。取而代之的是,某些行为(例如SIB)可能会充当恢复力的功能,成为行为灵活性和连贯性的全球性监管者。

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