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对慢性精神病患者现行反应代价系统负面副作用的矫正。

Remediation of negative side effects of an on-going response-cost system with chronic mental patients.

作者信息

Doty D W, McInnis T, Paul G L

出版信息

J Appl Behav Anal. 1974 Summer;7(2):191-8. doi: 10.1901/jaba.1974.7-191.

Abstract

Response-cost procedures within a token economy with extremely regressed residents excluded many residents from access to positive reinforcement. Procedures allowing residents to "purchase eligibility" to obtain backup reinforcers through contingent payment on standing fines, combined with proportional fine payoff schedules contingent upon time without new fines, increased payment on fines, reduced incidence of new fines, and increased utilization of backup reinforcers. These modifications removed adverse side effects while retaining the benefits associated with response costs. Failures or adverse effects of elements of token systems should not occasion abandonment of token economies, but rather encourage their continual evaluation and modification.

摘要

在代币经济体系中,针对极其退缩的住院患者实施反应代价程序,导致许多患者无法获得正性强化。允许住院患者通过支付未付罚金来“购买资格”以获取强化物的程序,结合根据无新罚金时间而定的比例罚金支付计划,增加了罚金支付、减少了新罚金的发生率,并提高了强化物的利用率。这些调整消除了不良副作用,同时保留了与反应代价相关的益处。代币系统各要素的失败或不良影响不应导致放弃代币经济,而应促使对其进行持续评估和调整。

相似文献

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A token economy project with chronic schizophrenic patients.
Br J Psychiatry. 1974 Apr;124(0):367-84. doi: 10.1192/bjp.124.4.367.

本文引用的文献

7
Nonresponsiveness of patients to token economies.
Behav Res Ther. 1972 Nov;10(4):417-8. doi: 10.1016/0005-7967(72)90067-8.

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