Modification of interactive behaviors in chronic mental patients

Four chronic mental patients, residents of a token economy treatment unit, were randomly assigned to an experimental or control condition and attended 10 thirty-minute treatment sessions. For the two experimental subjects, contingent reinforcement was received for interacting with each other according to instructions in four distinct phases of interpersonal behavior: talking to another person, attending and talking to another person, asking and answering questions in a dyad, and working cooperatively in the dyad to solve problems. The two control subjects were instructed to perform the same behaviors but received non-contingent reinforcement. The results indicated a strong contingent reinforcement effect on the performance of the treatment sessions' target behaviors. Several baseline, treatment, and post-treatment response measures indicated that the treatment effects had generalized to other areas of social behavior away from the treatment setting.     

Modification of verbal behavior in speech deficient children

Operant conditioning techniques were applied to the verbal behavior of three speech deficient children. Subjects A and B having no intelligible speech and Subject C having very little. Using candy and a puppet with a 13-yr-old boy (A), it was possible to condition vocalization rate. Using social reinforcement with a 6-yr-old boy (B), it was possible to extinguish animal-like sounds, to condition vocalization rate, and to shape a small vocabulary of syllables, but not to gain discriminative control over word emission. Using varied reinforcers, e.g., candy, praise, repetitions other own responses, and hand clapping with a 13-yr-old girl (C), it was possible to condition rate of verbalization, to establish appropriate mimicking, and to establish naming of five pictures. The results were consistent with the findings of Salzinger et al. (1965) and with those of Kerr et al. (1965).     

The impact of verbal instructions on goal-directed behaviour

It is common to use verbal instructions when performing complex tasks. To evaluate how such instructions contribute to cognitive control, mixing costs (as a measure of sustained concentration on task) were evaluated in two task-switching experiments combining the list and alternating runs paradigms. Participants responded to bivalent stimuli according to a characteristic explicitly defined by a visually presented instructional cue. The processing of the cue was conducted under four conditions across the two experiments: Silent Reading, Reading Aloud, Articulatory Suppression, and dual mode (visual and audio) presentation. The type of cue processing produced a substantial impact on the mixing costs, where its magnitude was greatest with articulatory suppression and minimal with reading aloud and dual mode presentations. Interestingly, silently reading the cue only provided medium levels of mixing cost. The experiments demonstrate that relevant verbal instructions boost sustained concentration on task goals when maintaining multiple tasks.     

Modification of verbal behavior through variable interval reinforcement in a quasi-therapy situation

Principles from the operant conditioning laboratory were applied to the verbal behavior of female college students. An experimental setting was designed to replicate a psychotherapist's office, and subjects were seen daily in a study using a functional research design. Variable interval reinforcement was employed to modify the rate of emission of positive self-reference statements. Results demonstrated that the verbal, scheduled reinforcement exerted a definite, marked effect on the verbal behavior of the subjects. All subjects conditioned to the schedules. Sequence of scheduling did not appear to be a significant variable. The feasibility of employing such techniques in actual psychotherapy is discussed.     

Interference between verbal concept formation and spatial mental rotation in female subjects

In this study the relation between spatial cognition and verbal intelligence abilities was examined in case of 52 women. Interference between mental rotation performance and verbal intelligence scores was found. Women with good verbal abilities have lower scores in mental rotation tasks than subjects with poorer verbal abilities. This finding is in accordance with some basic models of a dual-coding system. The spatial functions represented in mental rotation interfered with verbal-based concept formation and lexical knowledge in college women.     

Some aspects of verbal conditioning in psychiatric patients

Using a modification of a verbal conditioning technique reported by Tafiel (1955) it was found that only schizophrenics and normals showed evidence of conditioning, neurotics and depressives showing changes not differing from chance. There was greater evidence of conditioning among Ss aware of the contingency between response and reinforcement, and some tentative evidence for relationships of anxiety and extraversion with verbal conditioning.     

Implications of mental image processing in the deficits of verbal information coding during normal aging]

Our study specifies the contributions of image generation and image maintenance processes occurring at the time of imaginal coding of verbal information in memory during normal aging. The memory capacities of 19 young adults (average age of 24 years) and 19 older adults (average age of 75 years) were assessed using recall tasks according to the imagery value of the stimuli to learn. The mental visual imagery capacities are assessed using tasks of image generation and temporary storage of mental imagery. The variance analysis indicates a more important decrease with age of the concretness effect. The major contribution of our study rests on the fact that the decline with age of dual coding of verbal information in memory would result primarily from the decline of image maintenance capacities and from a slowdown in image generation.     

Some analyses of the verbal encoding deficit of alcoholic Korsakoff patients

Two experiments were designed to assess Korsakoff patients' ability to encode verbal information on the basis of its physical, nominal and semantic properties. The first investigation employed Wickens' release from proactive interference (PI) technique; a procedure that allows an assessment of a subject's ability to encode verbal information on the basis of its semantic properties. It was discovered that on tasks involving only a rudimentary verbal analysis, such as the ability to discriminate letters from numbers, the Korsakoff patients demonstrated a normal release from PI. However, on tasks that required a more sophisticated level of semantic encoding, such as those based on taxonomic class inclusion, the patients failed to show release from PI. The second investigation employed Posner's reaction time technique which assesses a subject's ability to encode the physical and nominal properties of simple verbal materials (letters). The results of this study showed that Korsakoff patients are impaired on even these rudimentary encoding tasks, which led to the proposal that Korsakoff patients' semantic encoding deficit might stem from an initial impairment in the speed at which physical and nominal properties of verbal information are analyzed.     

The elimination of visible behaviour from social interactions: Effects on verbal,nonverbal and interpersonal variables

The study intended to test a number of implications of the alleged communicative functions of nonverbal behaviours. Four sets of specific hypotheses were defined under the general expectation of important effects of the suppression of visible behaviours from a channel of communication. Pairs of subjects were requested to interact either face-to-face or through a wooden screen depriving them of reciprocal visibility. Dependent variables comprised nonverbal behaviours, indices of paralinguistic, syntactic, grammatical and content aspects of the speech, and ratings of the partner and of the interpersonal situation. In spite of the number and variety of measurements, differences in line with the predictions were extremely rare. It is concluded that, better than the communicative ones, other functions such as assistance to the speech encoding processes, probably account for the abundance of nonverbal behaviours among speaking subjects.     

Characteristic patterns of verbal memory function in patients with Huntington's disease

Various aspects of verbal memory in patients with Huntington's disease (HD) were studied using the California Verbal Learning Test (CVLT). We tested if the level and interplay between 5 parameters of different memory mechanisms and processes were sufficiently specific to allow acceptable discrimination between patients with HD, patients with Parkinson's disease (PD), and patients without known CNS disease or injury. The HD-patients were characterized by a deficit in acquisition, elevated rates of recall errors and increased use of a passive learning strategy. Preserved aspects were shown in retention over time, interference effects and recognition relative to recall. Employing multivariate classification and validation techniques, the 5 CVLT-features demonstrated good separability between the HD-patients and the control patients. Qualitative similarities between subgroups were suggested, but more disease-specific data seemed necessary in further studies. A number of findings suggested a defect in the active organization of items to be encoded and recalled in HD. Similar findings in the PD-group might indicate that this trait is common in several types of 'subcortical dementia'.     

Observations on the behaviour of patients in a state mental hospital and a general hospital psychiatric unit: A comparative study

The study sought to compare the naturally occurring behaviour of psychiatric patients within a traditional mental hospital ward and a general hospital psychiatric unit. Direct behavioural observations were undertaken to determine the pattern of behaviour exhibited by patients, the amount of time spent in interaction, with whom interaction took place and the content of that interaction. Data were reliably collected by trained observers, using a 10 category behaviour scale. Within each setting 10 psychotic patients, matched for age, sex and diagnosis, were the subjects and 30 min of behaviour was recorded for each subject. Observations revealed that patients in the mental hospital exhibited more disturbed behaviour, and spent less time in interaction, than did those in the general hospital unit. However, the amount of time patients spent interacting with staff was comparable in the two settings, despite marked differences in staffing levels. Analysis of the content of interaction that did occur indicated that the manner in which staff responded to patients' behaviour was not consistent with the application of a behavioural engineering approach to the modification of abnormal behaviour. While staff in both settings were indiscriminate in the way in which they responded to appropriate and inappropriate patient behaviour, a rather more punitive style of interaction was observed in the mental hospital environment. It is concluded that, from a behavioural perspective, neither setting achieved an optimum therapeutic environment.     

Effects of verbal imitation and comprehension training on verbal production

This study sought to determine whether some combination of imitation training and comprehension training was necessary to achieve verbal production or whether comprehension training alone was sufficient to result in verbal production. Fifty-one first- and second-grade subjects were trained to imitate eight words (Spanish nouns) for which there were no referents. An additional set of eight words was trained in a comprehension task where overt verbal rehearsal was prohibited. Once criterion of two successive sessions of 100% performance was reached in training for both imitation and comprehension, training modes were reversed so that items initially trained in imitation were then trained in comprehension andvice versa. Results showed that initial comprehension training did result in some verbal production, whereas initial imitation training, as expected, did not. A marked improvement in verbal production performance was observed when initial comprehension training was followed by imitation training. When initial imitation training was followed by comprehension training, verbal production also resulted but not to the degree or with the consistency of performance which marked the comprehension-then-imitation sequence. Furthermore, comprehension training required more trials to reach a similar level of proficiency when it followed imitation training than when it preceded imitation. These data indicate that initial imitation training interferes with acquisition of subsequent comprehension and production responses and that the preferred training sequence is one which initially focuses on comprehension and follows this with verbal imitation.This study was supported by Grant HD 00870 from the National Institute of Child Health and Human Development and Grant NS 10468 from the National Institute of Neurological Diseases and Stroke awarded to the Bureau of Child Research, University of Kansas, Lawrence, Kansas.     

Reinforcement and instructions with mental patients

An attempt was made to modify a socially desirable response of mental patients. It was found that instructions to the patients had no enduring effect unless accompanied by reinforcement. Also, it was found that reinforcement was not effective unless the reinforcement procedure was accompanied by instructions that specified the basis for the reinforcement. Maximum change in behavior was obtained when the reinforcement procedure took advantage of the existing verbal repertoire of the patients. A significant methodological finding was that substantial modification of the behavior of psychotics could be achieved by briefly delaying, rather than withholding, food reinforcement.