Behavior Modification Procedures for Training Chronically Institutionalized Schizophrenics

Matson, Johnny L.

doi:10.1016/b978-0-12-535609-1.50010-6

Cited by 5 publications

(3 citation statements)

References 80 publications

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“…Despite the convincing evidence of their poor overall so cial functioning, there exist surprisingly few data on the precise nature or the basis of their difficulties [2], In one of our former studies a complex pattern of social and situational vari ables (i.e. unremunerative occupation, un married state, lack of social contacts, higher age, pessimistic expectations but relative sat isfaction with the present situation) appeared to be much more characteristic of such pa tients than any diagnostic or psychopathologi cal variable [3], Similar psychosocial deficits in adapting to life in the community have also been described in subsequent reviews by Matson [4], Anthony and Jansen [5] or Wing [6], Traditional explanatory models, based on core psychological deficits [7], vulnerabilitystress models [8,9] or the distinction between negative and positive symptoms [10,11] may not be sufficient to understand the phenome non of chronicity. More recently, the hypoth esis has been formulated that certain behav iors usually related to chronicity, such as emo tional withdrawal and reduction of initiative and interpersonal social involvement, could be understood as secondary coping strategies [12,13], The suggestion of Rothbaum, et al [14], that such a passive and withdrawn be havior may afford patients a certain sense of control (secondary control), might open ways for more convincing explanations of the spe cific behavior of these patients.…”

Section: Individually Centered Approachesmentioning

confidence: 86%

Chronic Psychoses and Rehabilitation: An Ecological Perspective

Dauwalder

Hoffmann²

1992

Psychopathology

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Traditional explanatory models, based on core psychological deficits, vulnerability-stress models or distinctions between negative and positive symptoms, may not be sufficient to understand the phenomenon of chronicity. This linear thinking, looking for monocausal explanations, should be replaced by exploring multicausal and circular processes over time, including the individual ecological context of a given patient. Thus, chronicity appears to result much more from endless loops and irreversible bifurcations in its dynamics over time than to be a stable state. Furthermore, the current views on psychopathology and prognosis need to be fundamentally reexamined in the light of this new way of thinking. For understanding and treatment of chronic psychoses, this ecological perspective implies programs which do not focus only on the patient, but look for ‘ecological niches’ and interventions favoring synergetics and self-organization within the social networks and at the worksite of a given patient. A recently implemented five-step program for vocational rehabilitation and the corresponding research plan will be presented and discussed.

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Section: Individually Centered Approachesmentioning

confidence: 86%

Chronic Psychoses and Rehabilitation: An Ecological Perspective

Dauwalder

Hoffmann²

1992

Psychopathology

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“…Operant techniques, including overcorrection, positive reinforcement and aver si ve procedures, have been used to modify bizarre, aggressive and non-compliant behaviours. Infrequently, operant and cognitive approaches have also been used with patients experiencing hallucinations and delusions who have not responded to drug treatment (see Matson, 1980).…”

Section: Psychological Treatmentsmentioning

confidence: 99%

Schizophrenia: An Overview

Minas¹,

Jackson²,

Doherty³

et al. 1985

Behav. change

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An overview of schizophrenia is presented. The epidemiology and clinical features of this common but serious psychiatric disorder are outlined. Four case vignettes illustrate different presentations and, to some extent, the varying course of the disorder. Diagnostic issues are discussed and the heterogeneity of the disorder highlighted. The major aetiological hypotheses are outlined, including evidence for genetic and biochemical involvement, the role of family, social and personality factors, psychological mechanisms and life events. A diathesis-stress view is presented, in which biological vulnerability and psychological and environmental factors are necessary for the development of the clinical disorder. Somatic and psychosocial treatments are briefly discussed as are the course, possible outcomes and factors affecting prognosis. Finally some future research directions in both the biological and psychosocial areas are considered.

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“…Salzinger (1981) suggests individualized behaviour therapy that focusses on behaviours central to each person's disorder. Finally Matson (1980) has reviewed behaviour modification procedures for training chronic institutionalized schizophrenics over the last quarter of a century, and Brown (1985) has stressed that feedback be performance contingent.…”

Section: Introductionmentioning

confidence: 99%

Effects of Psychosocial Interventions On Motor Speed and Accuracy of Chronic Positive, Negative, and Mixed Symptom Schizophrenics

Sovani¹,

Thatte²

1998

Int J Soc Psychiatry

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Clinical data suggests that schizophrenic patients have an impaired ability to carry our purposeful activities which were previously self-regulative. Schizophrenic psychomotor performance is consequently slow and deliberate, and readily interfered with. This impairment often leads to frustration and despair in the patient as well as in caregivers, and interferes with the rehabilitation process. Psychological interventions in the form of performance contingent verbal feedback and planned interpersonal interaction in small groups were introduced, and were found to ameliorate motor deficits to a significant extent. Implications for patient motivation, well being and rehabilitation are discussed.

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Behavior Modification Procedures for Training Chronically Institutionalized Schizophrenics

Cited by 5 publications

References 80 publications

Chronic Psychoses and Rehabilitation: An Ecological Perspective

Chronic Psychoses and Rehabilitation: An Ecological Perspective

Schizophrenia: An Overview

Effects of Psychosocial Interventions On Motor Speed and Accuracy of Chronic Positive, Negative, and Mixed Symptom Schizophrenics

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