Token Reinforcement Procedures for Reduction of Cigarette Smoking in a Psychiatric Outpatient Clinic

1980 ◽  
Vol 47 (3_suppl) ◽  
pp. 1245-1246 ◽  
Author(s):  
Barry C. Barmann ◽  
Gretchen F. Burnett ◽  
Susan R. Malde ◽  
Gary Zinik

A token-economy procedure was effective in significantly reducing the number of cigarettes smoked by a group of 30 psychiatric outpatients attending a day-treatment center at a state hospital. Treatment gains of the group obtained after a 4-wk. intervention were maintained during a 1-yr. follow-up period.

1978 ◽  
Vol 2 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Frank R. Rusch ◽  
Richard T. Connis ◽  
Jo Ann Sowers

The purpose of this investigation was to evaluate a series of program variables used to modify the time a subject spent attending in an experimental restaurant setting. Selective behaviors of a mildly retarded, female young adult were evaluated, based on combinations of three treatment variables (social reinforcement, token reinforcement and response cost) in modifying the time spent attending to task. Further, the addition of an intermittent schedule of cost contingency, delayed token exchange, delayed performance feedback, and a final weekly pay check were evaluated, and resulting levels of response maintenance were investigated. Combinations of social reinforcement, tokens and response cost were found less effective in increasing percent of time spent attending to task than were simultaneous application of all treatment variables. Relationships were established between maintenance of appropriate attending behavior and the selective withdrawal of both token reinforcement and cost contingency. Data collected suggested that an intermittent schedule of response cost, weekly token exchanges, minimal feedback on performance earning and weekly checks, in that order, were effective in maintaining response gains. Follow-up measures indicated that treatment gains were maintained after all contingencies were removed. Limitations of the present investigation and future areas of research were outlined. Descriptors: Response cost, token economy, social reinforcement, response maintenance, mentally retarded, vocational training.


1987 ◽  
Vol 32 (7) ◽  
pp. 575-578
Author(s):  
Brian Greenfield

The author presents the complexities of directing a DTC (Day Treatment Center) in a rural setting. These complexities are explored from the pespective of system's theory. The various systems contained within the DTC are in dynamic equilibrium with each other as well as with various community groups. Changes in any one system have significant impact on the groups the system impinges on. As an example, the DTC had not functioned well for a period of time prior to the author's arrival. During that period the staff communicated poorly among themselves, resulting in conflicts between the teaching and non-teaching staff. When these conflicts were resolved the well-established incompatibilities and stresses within the system of the non-teaching staff surfaced. In the process of this conflict resolution the DTC was reorganized. New groups were established to access children at primary and secondary levels of medical prevention. Rapport with other systems in the community improved. Consequently, with better communication between groups of staff and with the community, the treatment of the children could be more effective.


2006 ◽  
pp. 32-50 ◽  
Author(s):  
Julian Meltzoff ◽  
Richard L. Blumenthal

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