A token economy program for chronic schizophrenic patients

Abstract.— A token economy program was applied on a ward for 12 chronic schizophrenic patients. An ABABC-design, i.e. a group reversal design with a noncontingent reinforcement phase at the end, was used to evaluate the treatment. The patients' activity-level increased from baseline to the treatment phase. During the reversal period the activity-level decreased but it increased again when the token economy was reintroduced. The non-contingent reinforcement resulted in the predicted decrease for two of the six behaviors recorded. Five of the twelve patients were discharged from the ward during the 8-month program period and none of them had been readmitted at the end of the one year follow-up. Individual treatment programs for two of the patients concerning aggressive acts, deficient eye-contact and lip-biting are described.     

Worker and caller variety in three crisis centers.

Worker and caller behaviors are studied and compared in an available sample of 100 suicidal calls to three crisis intervention centers. Caller-Worker Interaction Program results were compared among the three centers. Worker and caller differences across centers were significant in 32 of 41 categories (p less than .05); using four discriminant functions, 2 of 18 hit percentages exceeded p less than .01. The verbal behaviors of workers and callers at the three centers are substantially different, leading to the conclusion that crisis intervention is dissimilarly practiced between centers but similar within them.     

Valuing the Spiritual

Journal of Religion and Health - Identifying reforms that minimize US healthcare costs is imperative. This commentary explores one intervention with potential cost-saving implications that has...     

The utility of ground rule instructions with younger and older adult witnesses

This study examined the effectiveness of ground rules—simple instructions outlining the communication expectations of an investigative interview—with 73 younger (age 18–40) and 57 older (age 60+) adults. Participants watched a film depicting an implied sexual assault and were interviewed after a brief delay. One third received no ground rules, one third received ground rules as statements, and one third received the statements along with practice examples. The interview contained questions that required participants to apply one of the rules. Those who received ground rules were asked their perceptions of the rules. Results demonstrated that practicing ground rules improved response quality to problematic recognition questions, younger adults showed more variability in responses to different ground rules than older adults, and most participants found ground rule instructions useful in investigative interviews. Results provide support for the use of ground rules in interviews with adult witnesses.     

Motivation in later life: personal projects and well-being

"Personal projects," as defined by B. R. Little (1983), were elicited from 600 community residents aged 70+, representing a broad range of health and illness. Factor analysis revealed 6 types of personal projects: activities of daily living, active recreation, other-oriented activities, intellectual activities, home planning, and spiritual moral activities. Background factors and health were shown to affect the number and type of projects reported. Most indices of personal projects were associated with positive affect and valuation of life. Only 1 was associated with depression. This confirms the differential association of personal projects to positive but not negative affect. Personal projects are seen as part of an open motivational system in which social position, cognitive ability, health, and positive mental health are mutually interacting members.     

Postmodernism Versus Modernism: Rethinking Theoretical Tensions in Social Gerontology

The interconnection of social theory to social aspects of aging has grown in recent years. The theoretical movement entitled structured dependency, couched in social class analysis, has tended to ignore an understanding of aging identity, the body, cultural representations of aging, and positive images of aging, all of which are central features of an emerging postmodern paradigm in gerontological theory. This article argues that the concept of gender can form a useful bridge, a continuity, between structured dependency and postmodernism in theoretical gerontology. Unfortunately, the compartmentalization of these two conceptual approaches has made their links difficult to forge. This article attempts to take a first step in this direction by highlighting the way postmodern ideas can be used to understand a modernist issue—gender in a gerontological context. Also, focusing on the aging body as a primary form of analysis generates some novel insights into the importance of both the theoretical understanding and cultural representations of the body.