Last U, Ginor M, Lowental U, Klein H
Ment Health Soc. 1979;5(3-4):200-14.
A token economy (TE) aimed at enhancing self care, work habits, and social participation was initiated in conjunction with the restructuring of a chronic ward into a therapeutic community. Recorded data over a year revealed a differential impact of the TE on various patients. An attempt is made to characterize differential response modes to the TE and to delineate their correlates. Both participants in the program and therapeutic agents were interviewed as to their attitudes towards the TE. Beneficial effects were demonstrated mainly in patients with a relatively late onset of psychiatric illness, but a favorable attitude towards the TE was displayed by both patients and staff members. Implications for psychosocial readaptation are discussed taking into account humanistic and psychodynamic points of view. The reconsideration of possible merging of different therapeutic techniques seems to be desirable.
一种旨在增强自我护理、工作习惯和社会参与度的代币经济（TE）与将慢性病病房改组为治疗社区的工作同步启动。一年来记录的数据显示，TE对不同患者产生了不同的影响。本文试图描述对TE的不同反应模式，并阐明其相关因素。研究人员就项目参与者和治疗人员对TE的态度进行了访谈。有益效果主要体现在精神疾病发病相对较晚的患者身上，但患者和工作人员对TE都表现出了积极的态度。本文从人文和心理动力学的角度讨论了对心理社会重新适应的影响。重新考虑不同治疗技术可能的融合似乎是可取的。
