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A Token Economy Project with Chronic Schizophrenic Patients

Published online by Cambridge University Press:  29 January 2018

Roger Baker ,
John N. Hall  and
Keith Hutchinson
Roger Baker
Affiliation:
Department of Psychiatry, University of Leeds
John N. Hall
Affiliation:
Departments of Psychiatry and Psychology, University of Leeds
Keith Hutchinson
Affiliation:
Departments of Psychiatry and Psychology, University of Leeds
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Extract

The token economy is an application of operant conditioning theory which is particularly relevant to the treatment of patients in institutions. The basic idea is to motivate the patient to behave more appropriately and constructively by giving him tokens whenever he behaves in such a way. The tokens have an incentive function, as the patient can cash them in for a number of different things, such as pleasant single room accommodation, cigarettes, magazines, TV viewing, drinks etc., depending upon what is programmed into the token economy. The theory of operant conditioning is that not only does the token motivate the patient to behave in certain ways, but ‘reinforces' his behaviour. Such reinforced behaviour should eventually become an integral part of the ‘way he is', continuing even when the token is removed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 124 , Issue 581 , April 1974 , pp. 367 - 384
Copyright
Copyright © Royal College of Psychiatrists, 1974 

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References

Allen, D. J. and Magaro, P. A. (1971). ‘Measures of change in token-economy programmes.’ Behaviour Research and Therapy, 9, 311–8.Google Scholar
Alumbaugh, R. V. (1971) ‘The management of social behaviour of chronic psychiatric patients: an empirical analysis of small group behaviours.’ Journal of Clinical Psychology, 27, 525–8.3.0.CO;2-7>CrossRefGoogle Scholar
Appleby, L. (1963). ‘Evaluation of treatment methods for chronic schizophrenia.’ Archives of General Psychiatry, 8, 8–21.CrossRefGoogle ScholarPubMed
Ayllon, T., and Azrin, N. H. (1968a). The Token Economy. New York: Appleton-Century-Crofts.Google Scholar
Ayllon, T., and Azrin, N. H. (1968b). ‘Reinforcer sampling: A technique for increasing the behaviour of mental patients.’ Journal of Applied Behavior Analysis, 1, 13–20.CrossRefGoogle ScholarPubMed
Baker, R., Rosenthall, G., Ineson, H., and Andrews, P. (1972). ‘The chronic psychiatric patient; a new hope for treatment?’ Parts 1 and 2. Nursing Times, 68, 1161–3 and 1182–5.Google Scholar
Burdock, E. I., and Hardesty, A. S. (1968). ‘Psychological tests for psychopathology.’ Journal of Abnormal Psychology, 73, 62–9.Google Scholar
Carlson, C. G., Hersen, M., and Eisler, R. M. (1972). ‘Token economy programs in the treatment of hospitalized adult psychiatric patients. Current status and recent trends.’ Journal of Nervous and Mental Disease, 155, 192–204.Google Scholar
Cockburn, K. (1968). ‘Sensory stimulation in the nursing care of chronic schizophrenic patients’, in A.N.A. Regional Clinical Conferences 1967, p. 261–7. New York: Appleton-Century-Crofts.Google Scholar
Cohen, R., Florin, I., Grusche, A., Meyer-Osterkamp, S., and Sell, H. (1972). ‘The introduction of a token economy in a psychiatric ward with extremely withdrawn chronic schizophrenics.’ Behaviour Research and Therapy, 10, 69–74.Google Scholar
Davison, G. C. (1969). ‘Appraisal of behavior modification techniques with adults in institutional settings’, in Behavior Therapy: Appraisal and Status (ed. Franks, C. M.), p. 220–78. New York: McGraw-Hill.Google Scholar
Dovey, J. (1973). Personal communication.Google Scholar
Hall, J. N. (1973). ‘Ward behaviour modification projects in Great Britain.’ Bulletin of the British Psychological Society, 26, 199–201.Google Scholar
Hamilton, M., Smith, A. L. G., Lapidus, H. E., and Cadogan, E. P. (1960). ‘A controlled study of thiopropazate dihydrochloride, chlorpromazine and occupational therapy in chronic schizophrenics.’ Journal of Mental Science, 106, 40–55.CrossRefGoogle Scholar
Heap, R. F., Boblitt, W. E., Moore, C. H., and Hord, J. E. (1970). ‘Behavior-milieu therapy with chronic neuropsychiatric patients.’ Journal of Abnormal Psychology, 76, 349–54.Google Scholar
Henderson, J. D. (1969). ‘The use of dual reinforcement in an intensive treatment system’, in Advances in Behavior Therapy 1968 (eds. Rubin, R. D., and Franks, C. M.). New York: Academic Press.Google Scholar
Henderson, J. D. and Scoles, P. E. (1970). ‘Conditioning techniques in a community-based operant environment for psychotic men.’ Behavior Therapy, 1, 245–51.CrossRefGoogle Scholar
Henderson, J. D., Kelly, K. M., Hibbert, R. F., and Samuels, J. S. (1971). ‘A community-based operant learning environment: I. Overview; II. Systems and procedures; III. Behavior change; IV. Some outcome data’, in Advances in Behavior Therapy 1971 (eds. Rubin, R. D., Festerheim, H., Lazarus, A. A., and Franks, C. M.), p. 233–71. New York: Academic Press.Google Scholar
Hutchinson, K., and Baker, R. ‘The effect of token economy regimes on the symptoms of schizophrenic patients.’ (In preparation).Google Scholar
Johnson, L. C., and Lubin, A. (1972). ‘On planning psychophysiological experiments’, in Handbook of Psychophysiology (eds. Greenfield, and Sternbach, ). New York.Google Scholar
Leiter, (1948). Leiter International Performance Scale. Chicago: Stoelting.Google Scholar
McReynolds, W. T., and Coleman, J. (1972). ‘Token economy: patient and staff changes.’ Behaviour Research and Therapy, 10, 29–34.Google Scholar
Meehl, P. E. (1962). ‘Schizotaxia, schizotypy, and schizophrenia.’ American Psychologist, 17, 827–38.Google Scholar
Meichenbaum, D. H. (1969). ‘The effects of instructions and reinforcement on thinking and language behaviour of schizophrenics.’ Behaviour Research and Therapy, 7, 1, 101–14.Google Scholar
Ogburn, K. D., Fast, D., and Tiffany, D. (1972). ‘The effects of reinforcing working behaviour.’ American Journal of Occupational Therapy, 26, 1, 32–5.Google Scholar
Poulton, E. C., and Freeman, P. R. (1966). ‘Unwanted asymmetrical transfer effects with balanced experimental designs.’ Psychological Bulletin, 66, 1–8.CrossRefGoogle ScholarPubMed
Rosenthal, R. (1966). Experimenter Effects in Behavior Research. New York: Appleton-Century-Crofts.Google Scholar
Barton, Russell (1966). Institutional Neurosis. Bristol: John Wright.Google Scholar
Rutner, I. T., and Bugle, C. (1969). ‘An experimental procedure for the modification of psychotic behavior.’ Journal of Consulting and Clinical Psychology, 33, 651–3.CrossRefGoogle ScholarPubMed
Schaefer, H. M., and Martin, P. L. (1966). ‘Behavioral therapy for “apathy” of hospitalized schizophrenics.’ Psychological Reports, 19, 1147–58.Google Scholar
Schaefer, H. M., and Martin, P. L. (1969) Behavioral Therapy. New York: McGraw-Hill.Google Scholar
Sidman, M. (1960). Tactics of Scientific Research. New York: Basic Books.Google Scholar
Skinner, B. F. (1966). ‘Operant behaviour’, in Operant Behavior: Areas of Research and Application (ed. Honig, ), p. 12–32. New York: Appleton-Century-Crofts.Google Scholar
Suchotliff, L., Greaves, S., Stecker, H., and Berke, R. (1970). ‘Critical variables in the token economy.’ Paper presented at the 78th Annual American Psychological Association Convention.Google Scholar
Topping, G. E., and O'Connor, N. (1960). ‘The response of chronic schizophrenics to incentives.’ British Journal of Medical Psychology, 33, 211–14.Google Scholar
Wincze, J. P., Leitenberg, H., and Agras, W. S. (1972). ‘The effects of token reinforcement and feedback on the delusional verbal behaviour of chronic paranoid schizophrenics.’ Journal of Applied Behavior Analysis, 5, 247–62.CrossRefGoogle ScholarPubMed
Wing, J. K. (1961). ‘A simple and reliable subclassification of chronic schizophrenia.’ Journal of Mental Science, 107, 862–75.Google Scholar
Winkler, R. C. (1971). ‘The relevance of economic theory and technology to token reinforcement systems.’ Behaviour Research and Therapy, 9, 81–8.Google Scholar
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