University of Pennsylvania.
J Appl Behav Anal. 1973 Fall;6(3):383-90. doi: 10.1901/jaba.1973.6-383.
Different ways of modifying the aide-patient relationship to promote improvement in psychiatric patients were investigated. Psychiatric aides were given information about the behavior of assigned patients, cash awards based on the improvement of assigned patients, and different kinds of supervision by the psychology staff; the effects of these variables on a large number of psychiatrically relevant behaviors were measured. Appropriate behavior of patients increased when the aides were given quantitative information about the improvement of assigned patients. Cash awards for aides, which were not contingent on the behavior of patients had little effect, while cash awards contingent on the behavior of assigned patients were associated with more appropriate behavior. Direct supervision of aide-patient interactions was associated with an increase in appropriate behavior, while required consultation for the aides about assigned patients was not. Behavior of patients deteriorated when the program was terminated.
研究了通过改变医患关系以促进精神病患者康复的不同方法。向精神科助手提供了有关所负责患者行为的信息、基于所负责患者改善情况的现金奖励以及心理学工作人员提供的不同类型的监督;测量了这些变量对大量与精神病相关行为的影响。当助手获得有关所负责患者改善情况的定量信息时,患者的适当行为会增加。与患者行为无关的现金奖励对助手的影响很小,而与所负责患者行为相关的现金奖励则与更适当的行为相关。直接监督助手与患者的互动会增加适当的行为,而要求助手对所负责的患者进行咨询则不会。当该计划终止时,患者的行为会恶化。