TOKEN REINFORCEMENT DURING THE INSTATEMENT AND SHAPING OF FLUENCY IN THE TREATMENT OF STUTTERING

The value of token reinforcement in the instatement and shaping of fluency was examined in an intensive treatment program for adult stutterers. Experiment 1 examined the effect of removing the tangible back-up reinforcers for the token system and found that clients' performance in the program was equally good with or without these back-up reinforcers, suggesting that a strict token economy may not be crucial to rapid progress through treatment. Experiment 2 compared contingent and noncontingent token reinforcement, while controlling for some variables that may have confounded the results of earlier research, and found no difference in clients' performance. Experiment 3 examined the effect of the entire removal of token reinforcement. Performance was found to be no worse under a “no tokens” system than under a system of tokens with back-up reinforcers. It is argued that in a highly structured treatment program where many other reinforcers are operating, token reinforcement may be largely redundant. Clinical and theoretical implications of the findings are discussed.     

Non‐generalized and generalized conditioned reinforcers: establishment and validation

Conditioned reinforcers, or tokens, are frequently used in clinical settings; however, little applied research has focused on establishing and validating their effectiveness. Following pairing of a novel token with an edible reinforcer in the present study, preference and reinforcer assessments verified that the tokens functioned as conditioned reinforcers. Results indicated that the tokens were established as conditioned reinforcers that matched the reinforcer value of the primary reinforcers with which they had been paired. The effects of motivating operations (MOs) on the effectiveness of these conditioned reinforcers were then evaluated. Conditioned reinforcer effectiveness decreased during satiation conditions. Subsequently it was found that increasing the number of backup reinforcers with which the token was paired resulted in the effectiveness maintaining during satiation conditions. Copyright © 2008 John Wiley & Sons, Ltd.     

Effects of a token reinforcement system on journal reshelving

A token reinforcement program involving two levels of token value and backup reinforcers to increase journal reshelving behavior in a large university library was experimentally evaluated. Results showed that instructions (in which signs asked users to reshelve journals) had no impact. By contrast, token reinforcement contingent on reshelving behavior led to a marked increase in journals reshelved. A return to instructions-only conditions, when data were corrected for library usage, showed an increase in unreshelved journals over the token reinforcement period, though the increase was not to baseline levels. For the next 11 months, library staff maintained a modified token program. Follow-up data collected after that interval showed that number of unreshelved journals remained markedly lower than levels at baseline and the first instructions-only period, though they were slightly higher than at the token reinforcement period. Token reinforcement of the variety employed in this study constitutes an efficient, economical means of changing the behavior of library users who fail to reshelve books and journals.     

Systematic reinforcement: academic performance of underachieving students

The effect of contingent tangible and social reinforcement on academic performance was investigated in an experimental classroom of 25 selected underachieving students. Measures were taken of both teacher and child behavior during a baseline and two experimental treatment periods. During Treatment I, a point system with tangible backup reinforcers was combined with contingent social reinforcers dispensed by the teaching staff to assess the effects on three measures of academic performance (i.e., per cent of time at work, work output per minute, and accuracy). During Treatment II, the contingencies for the tangible reinforcers were terminated while social reinforcement was continued to see if the positive effects of Treatment I on academic performance would persist. The results show that with combined tangible and social reinforcers, students' work time, rate of output per hour, and accuracy in all activities substantially increased. After termination of the tangible reinforcers, the students maintained their high rates of output per hour and accuracy for the remaining period of the study while the total amount of time at work returned to the baseline level.     

A token reinforcement system for large wards of institutionalized adolescents

Problems associated with the application of token systems to large public institutions for male and female adolescents are discussed. The present experiments demonstrate that two specific behavior problems on an adolescent ward of a state hospital could be controlled through the use of contingent points via a rapid-delivery token procedure and backed up by reinforcers already available in the hospital setting. Sixty male and female patients were maintained by a staff of five aides. Experiment I examined the effects of verbal demands and contingent points on room maintenance behavior. Experiment II examined the effects of verbal demands and contingent points on ward maintenance behavior. Contingent points produced substantial effects on both types of behavior. Several design criteria are elaborated which facilitate working within the limitations of a setting with low priorities on research.     

An appeals system for fines received by adolescents in a token economy

A system is described wherein adolescents participating in a token economy at a state hospital were allowed to appeal fines received from staff. Appeals were heard by a board composed of three residents and a psychology intern. The board met weekly and had full power to rescind or uphold fines. Before initiation of the appeal system, residents complained vigorously about fines received and about the "unfairness" of the staff and the token system, frequently denying responsibility for the infractions involved. Although almost half the fines were upheld, there were practically no more complaints of unfairness, and denials of responsibility declined drastically. The number of residents appealing fines fell from an average of four per week to less than one per week after the system had been in effect for one and one-half months. When asked why the system was not being used more often, residents grudgingly volunteered that most of the fines received were fair. It was not possible to determine whether this was due to changes in residents' attitudes or to actual changes in fining behavior by staff. Results are discussed in terms of effects on residents, acceptance by staff, and implications for further research.     

The use of a token system in project Head Start

The present experiment sought to develop a practical and effective method for teaching the beginning elements of hand-writing in a Head Start program. The method consisted of reinforcing responses to a writing program by giving the children access to a variety of activities normally available in the pre-school classroom. Tokens were presented for correct responses. The children then used the tokens to select reinforcers, such as snacks and access to a variety of play activities. In an experimental evaluation of the token system, it was found that responding was maintained as long as access to the reinforcing activities was contingent upon responding. When reinforcement was no longer contingent upon responding, virtually no responding occurred. Informal observations suggested that the token system had several unanticipated effects: the children's vocabulary and ability to understand instructions improved; a favorable attitude toward school developed; and their ability to play cooperatively with other children increased. It was concluded that the token system is a practical and effective method for teaching beginning writing skills and that it has other desirable, if unanticipated, effects.     

Motivating adolescents to reduce their fines in a token economy

Adolescents on a 16-bed token economy ward of a state hospital were subjected to four interventions in a seven-phase experiment to reduce the number of fines they received each day. Phase I was a four-week baseline period. Phases II and III were four- and five-week periods, respectively, in which residents were awarded tickets for a weekly $10 lottery each day they were at or below a changing criterion of daily fines. In Phase IV, residents received coupons, exchangeable for money, for days with zero fines. Phase V was a return to baseline. Phase VI was a one-week period in which daily lotteries for $1 were held, with the criterion for receiving a ticket being zero fines on the previous day. Phase VII was a one-week return to baseline. No significant differences in average fines per day, number of residents meeting criteria, or mean number of zero-fine days per week were found across phases. Results are discussed in terms of amount and immediacy of reinforcement, other opportunities to gain money, possible rebelliousness of the residents against the increased aversiveness of fines, and implications for further research.     

The systematic use of positive and negative consequences in managing classroom encopresis

An 11-year-old male with a history of chronic encopresis was successfully treated by his teachers. Through the contingent application of a combination of positive (i.e., social reinforcers, token reinforcers, activity reinforcers) and negative consequences (i.e., required to wash himself and denied access to activity reinforcers), the subject's soiling behavior was reduced from an 80% daily occurrence level during Baseline to just two occasions during the final five-month treatment phase. A six-month follow-up conducted during the next school year revealed no incidences of soiling. The investigation utilized and ABACD type behavior modification design.     

Token Economies: Using Basic Experimental Research to Guide Practical Applications

This paper highlights the applicability of patterns seen within basic experimental research in relation to contemporary application of token economies. Token economies are one of the most widely used interventions to promote behavior change, and this procedure has evolved to be effective across many settings, behaviors, and individuals. Due to this widespread use, casual implementation of the token economy might result in inconsistencies in responding and therefore an overall skepticism in the procedure itself. We present multiple barriers that encumber practical application of token economies, including insufficient conditioning and pairing of tokens, determining quality of backup reinforcers, unforeseen effects of motivating operations, teaching the token exchange, effects of higher-order reinforcement schedules, ratio strain, and use of response cost procedures. To assist practitioners in implementing more effective treatments, for each barrier we revisit the often overlooked basic research involving features of conditioned reinforcement and reinforcement schedules. It is important to translate the often complex implications of basic research so that practitioners can use this information to improve their own practice as well as their confidence in disseminating use of this evidence-based treatment. To further guide practitioners in using this knowledge in everyday settings, we also provide recommendations specific to each barrier as well as relevant applied research and practical examples.     

Reinforcer Variation in a Token Economy

We evaluated whether generalized conditioned reinforcers mitigate the effects of satiation with an individual with intellectual disabilities. Previous research indicates that generalized conditioned reinforcers are not sensitive to satiation effects. However, this effect has not been investigated on varying classes of backup reinforcers. First, we established a highly preferred (HP) edible as a reinforcer. Then, we provided presession access to the HP edible, and, in a multi‐element comparison, the participant could either earn tokens for only the HP edible, for edibles that were similar to the HP edible, for edibles that were dissimilar to the HP edible, or earn no tokens. A decreasing trend in responding for the HP edible was observed following presession access. Furthermore, the participant completed the task at a high rate when backup reinforcers were dissimilar to the HP edible. Results suggest that varying the classes of stimuli that are used as backup reinforcers may increase the effectiveness of generalized conditioned reinforcers. Copyright © 2015 John Wiley & Sons, Ltd.     

REPLICATION OF THE ACHIEVEMENT PLACE MODEL IN CALIFORNIA1

Attempting to replicate procedures from Achievement Place, token reinforcement procedures were used to modify savings, conversational interruptions, and table-setting of delinquent boys residing in a home-style, community based, treatment setting. The tokens (points) were redeemable for various privileges and could be earned for specified appropriate behaviors and lost for specified inappropriate behaviors. Contingent point fines reduced the frequency of interruptions. Point rewards improved table-setting, but even large point rewards did not substantially increase savings. Baseline data indicated that lateness to dinner was not a problem, as it was in Achievement Place. Withdrawal of contingent points and back-up rewards did not disrupt the clean-up behavior of two boys.     

THE EFFECT OF TOKEN REWARDS ON “INTRINSIC” MOTIVATION FOR DOING MATH

This study used a multielement baseline design to analyze the effects of token rewards delivered contingent upon completion of math problems by 2 middle-school boys. Time spent on math and number of work pages completed increased (with high accuracy) during reward conditions and were maintained during fading and withdrawal. At follow-up, time spent and work pages completed remained well above baseline for 1 boy and fell below for the other, while accuracy remained high and ratings of liking math were the highest possible for both boys. Overall, the results are inconsistent with warnings about use of token rewards to motivate children.     

INVOLVING INSTITUTIONAL STAFF IN THE DEVELOPMENT AND MAINTENANCE OF SIGN LANGUAGE SKILLS WITH PROFOUNDLY RETARDED PERSONS

A program to involve institutional staff in developing manual sign language skills with profoundly retarded persons was evaluated. In Experiment 1, six direct care staff, with close supervision, taught a small repertoire of signs to six profoundly retarded residents who had not benefited from previous training in vocal language. Training was conducted in a group format using instructions, modeling, manual guidance, contingent reinforcers, and feedback. During training, all residents learned to identify pictures of objects with manual signs. Generalization observations during unstructured times on the residents' living unit indicated that staff used their signing skills with the residents in addition to their vocal interactions but the residents did not increase their signing or vocalizing. In Experiment 2, the residents' skills in signing with real objects on their living unit as opposed to pictures of objects were evaluated and provided with additional training where necessary. Results indicated that all participating residents learned to communicate with signing during structured interactions on their living unit, and the skills maintained during follow-up assessments ranging from 39 to 49 weeks. Results are discussed regarding the variable generalization effects noted as well as the general benefits and disadvantages of teaching manual signing skills to profoundly retarded persons.     

Achievement Place: token reinforcement procedures in a home-style rehabilitation setting for "pre-delinquent" boys

Token reinforcement procedures were designed to modify the behavior of "pre-delinquent" boys residing in a community-based, home-style rehabilitation setting. Points (the tokens) were redeemable for various privileges such as visiting their families, watching TV, and riding bicycles. Points were given by the house-parents contingent upon specified appropriate behavior and taken away for specified inappropriate behavior. The frequencies of aggressive statements and poor grammar decreased while tidiness, punctuality, and amount of homework completed increased. It was concluded that a token reinforcement procedure, entirely dependent upon back-up reinforcers naturally available in a home-style treatment setting, could contribute to an effective and economical rehabilitation program for pre-delinquents.     

ANALYSIS OF FREE-TIME CONTINGENCIES AS POSITIVE VERSUS NEGATIVE REINFORCEMENT

Providing a short break contingent on completed work may increase responding through positive reinforcement (e.g., access to preferred activities) or negative reinforcement (e.g., escape from work). In this investigation, three analyses conducted with a boy with profound mental retardation showed that (a) a 20-s break increased responding more than a positive reinforcer (cola) did, and (b) the reinforcing effects of a 20-s break were affected by the availability of positive reinforcers during the break.     

IMPROVING BEHAVIOR IN A RESIDENTIAL SERVICE FOR YOUTH IN DRUG AND ALCOHOL REHABILITATION

A token reinforcement program, named ‘Thumbs Up’, was introduced in a residential therapeutic community for drug and alcohol rehabilitation. Sixteen young people aged 14–17 years participated for varying durations. Participants were able to negotiate target behaviors and choose backup reinforcers. We evaluated the program within a multiple baseline design across participants, settings, and behaviors. Improvements occurred in positive verbal statements across settings, timely room cleaning, and leadership responsibilities. Inappropriate statements were also measured and did not change. One staff member was trained in the use of Thumbs Up with positive results. Difficulties with implementing behavioral interventions in a non‐behaviorally oriented treatment service were identified. Despite needing refinements, it was concluded that a token reinforcement program can be an effective and acceptable means of improving behavior within a therapeutic community framework. Copyright © 2012 John Wiley & Sons, Ltd.     

Incentivizing physical activity using token reinforcement with preschool children

We combined several single‐subject designs to assess the effects of contingent and noncontingent token reinforcement on moderate‐to‐vigorous physical activity (MVPA) exhibited by 4 preschool‐aged children. Higher overall levels and longer bouts of MVPA reliably occurred when tokens were delivered contingent on MVPA for 3 of the 4 children when compared to baseline (no token) and for 2 of the 4 children when compared to noncontingent‐token conditions. The present study demonstrated that the delivery of tokens contingent on MVPA can increase and maintain MVPA exhibited by preschool‐aged children, resulting in more MVPA than in baseline conditions and conditions in which tokens are awarded without respect to MVPA. These results demonstrate that token economies can be used to increase MVPA and they add to the evidence base supporting the use of token economies to address a range of behavior problems.     

EFFECTS OF SUBJECT- VERSUS EXPERIMENTER-SELECTED REINFORCERS ON THE BEHAVIOR OF INDIVIDUALS WITH PROFOUND DEVELOPMENTAL DISABILITIES

Results from a number of studies have shown that individuals with profound developmental disabilities often show differential approach behavior to stimuli presented in a variety of formats, and that such behavior is a reasonably good predictor of reinforcement effects when these “preferred” stimuli are used subsequently in a contingent arrangement. Recent data suggest that reinforcement effects may be enhanced further by allowing individuals to select, just prior to training sessions, which (of several) preferred stimuli would be used as reinforcers, but whether this method is superior to one based on selection by a teacher or therapist has not been adequately addressed. We compared the effects of these two methods of reinforcer selection on rates of responding on a free-operant task, using stimuli previously identified as potential reinforcers. Results obtained with 4 subjects indicated little or no difference in reinforcement effects when stimuli were selected by subjects rather than experimenters. Implications of these results with respect to choice and its relation to reinforcement are discussed.     

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.