Modification of severe disruptive and aggressive behavior using brief timeout and reinforcement procedures

Brief timeout for disruptive and aggressive behaviors and reinforcement for appropriate behaviors were used with two retarded patients in a state hospital ward setting. The procedures reduced loud vocal behavior in one patient and aggressive behavior in another to near-zero levels when first applied. The behaviors returned to previous levels when the procedures were removed and were again greatly reduced when timeout and reinforcement were reapplied. The results were significant because the behavior problems were severe and long-standing and the procedures were instituted without greatly disturbing normal ward routine.     

Disruption of a temporal discrimination under response-independent shock

The responding of rats was reinforced on one key after a 1-sec auditory stimulus and on a second key after a 5-sec stimulus. With errors punished by a short timeout, all subjects achieved a high level of accuracy. A chain of responses during the stimuli mediated the performance so that when the auditory signals were omitted accuracy decreased only slightly. Response-independent aversive stimulation superimposed upon this procedure both suppressed the total amount of behavior and reduced the accuracy of the discriminative performance, the intensity of the stimulus determining the error rate. The increase in errors under these conditions may have depended in part upon differential suppression of members of the response chain, but such suppression was not necessary, since error rate increased even in its absence. Furthermore, the locus of response disruption within the chain was not consistent from day to day either for any individual animal or across animals.     

A new challenge to ethical codes: Heart transplants

Summary We have entered into a new era of medical achievement with the development of successful transplantation of human organs. The transplantation of the heart has aroused the greatest scientific interest and at the same time created serious new problems of an ethical and legal nature. It has been necessary to develop new criteria to determine the moment of death of the donor in order to ensure continued life for the recipient. The decision of the moment of death should be made by a small team of skilled physicians interested in furthering this important development, but not as emotionally involved as are the surgeons awaiting the chance to prolong their patient's life with a new heart. Available and suitable hearts will probably always be in very short supply, and the selection of recipients will therefore become critical if the procedure proves to be widely acceptable.New laws will be essential before this process can be adopted in many states and countries. The cost in terms of total resources is so large that careful evaluation of the long-term results must be undertaken after a reasonable number of patients have been operated on and observed, perhaps at the end of the second year following the first procedure. Since the cost of each operation of this type approximates that of the education of several young physicians who could care for thousands of patients during their life span, a good hard look at the potential benefits and ultimate values is in order. At this point in time it is extremely important that this type of surgery be encouraged but limited to those prepared to undertake it with maximum skill and minimal risk. At present it must be recognized as a great experiment rather than a therapeutic triumph for general application.