Nigl A J, Jackson B
J Am Geriatr Soc. 1981 Feb;29(2):92-5. doi: 10.1111/j.1532-5415.1981.tb01236.x.
Although increased numbers of psychogeriatric patients have been placed in proprietary nursing homes in recent years, many facilities have not been able to accommodate the behavioral problems involved. This study summarizes the results of a behavior management program for improving the social functioning and social behaviors of 6 psychogeriatric patients in a nursing home. The use of reinforcement by tokens substantially improved social behavior over a 10-day period; during a 10-day withdrawal of reinforcement, the level dropped precipitantly; but during the subsequent 10-day reinforcement period, substantial improvement in social functioning again was observed. Four of the 6 patients improved significantly, and after one year could be placed in a higher-level unit of the nursing home. The findings suggest that behavior management programs can be used successfully to improve the social functioning of psychogeriatric patients.
尽管近年来有越来越多的老年精神病患者被安置在私立疗养院，但许多机构仍无法应对由此产生的行为问题。本研究总结了一项行为管理计划的结果，该计划旨在改善一家疗养院中6名老年精神病患者的社交功能和社交行为。通过代币进行强化在10天内显著改善了社交行为；在为期10天的强化撤销期，水平急剧下降；但在随后的10天强化期，社交功能再次得到显著改善。6名患者中有4名有显著改善，一年后可被安置在疗养院的更高等级病房。研究结果表明，行为管理计划可成功用于改善老年精神病患者的社交功能。
