Avaliação e tratamento das falas inapropriadas de um indivíduo com o diagnóstico de esquizofrenia.

Abstract

The current study involved evaluation and treatment of the antecedent and consequent events which were keeping inappropriate speeches (FI) of a person with the diagnosis of schizophrenia. The participant was a male, single, 30 years old. Strategies of the functional evaluation process through indirect observation, direct observation and functional analysis (experimental) were used. The functional analyses involved the manipulation of environmental events in for main conditions: attention, demand escaping, alone and control. The condition attention was subdivided into: (1.1) attention-reprimand, (1.2) attention-inquiry and (1.3) attention-reverse. The results have showed that there was a higher record of FI in the conditions of attention and demand escaping, than in the other conditions: alone and control. It became clear, therefore, that the FI were kept through positive and negative reinforcement sources. For the conduction of intervention, the outline of alternate treatments of the type ABC was used, proceeded by follow-up. For the treatment itself, on phase B, it was applied differential reinforcement of the type alternative differential reinforcement (DRA) of speeches topographically different from the FI combined with its extinction (EXT), procedure that has made possible to reduce the FI and increase the appropriate speeches (FA). On phase C the stimuli analysis (AE) was taught which comprehended in the participant to evaluate the current events in his immediate environment with his physical descriptions. In the follow-up phase, the results point to the maintaining of the issuance of FA in higher frequency than in respect to the FI. The objectives of this study were achieved. Studies such as this one, among others available in literature, show that with behavior analysis tools is possible to increase the frequency of appropriate behaviors in people who have the psychiatric diagnosis of schizophrenia.