Real-world inpatient programs: Shedding some light-A critique

This critique is a response to an article by Morisse, Batra, Hess, Silverman, and Corrigan (1996), in which “a token economy for the real world” is promulgated as an alternative to the comprehensive social-learning program and assessment technology presented by Paul and Lentz (1977). The article misrepresents the treatment-and-assessment procedures that have been empirically validated as the most effective and cost-efficient for inpatient programs. The article also inappropriately cites the results of prior reports as support for an oversimplified approach to the development and implementation of inpatient programs. The promoted approach is in direct opposition to the widely recognized need for empirically validated interventions and evaluations in mental health services. Not only are data lacking to support assertions of effectiveness for the resulting program but illustrative examples demonstrate technically unsound procedures as well as an ethically questionable emphasis on staff desires to the exclusion of patient needs. We attempt to correct Morisse et al.'s inaccuracies and misconceptions regarding the work of Paul and colleagues, note the major problems with their perfunctory approach, and provide recommendations for implementation and maintenance of empirically validated procedures for inpatients.     

A comparison of token and tandem schedules of reinforcement on response patterns for adolescents with autism

Token schedules of reinforcement are ubiquitous in clinical settings, yet little research has thoroughly evaluated the effects of token schedules on responding in clinical settings. Basic research has shown token schedules of reinforcement produce lower response rates and larger pre‐ratio pauses compared to tandem schedules. The purpose of the current study was to determine whether the same effects are produced with adolescents with autism or related disorders. We examined response patterns under otherwise identical FR token and FR tandem schedules. Tokens suppressed responding for one participant only under high schedule values and for a second participant under common clinical schedule values; no difference in responding occurred between token and tandem schedules for two participants. These results support the systematic evaluation of token schedules of reinforcement in clinical settings. Additional applied research is needed on token schedules to further our understanding of the underlying mechanisms that contribute to the overall effectiveness of token economies.     

Nature-Driven Economy through Sustainable Communities

Sustainable development will shortly become the core issue of our everyday life. This article argues that only a nature-driven economy and society could give a final answer to sustainability questions.     

The Management of Risk in the Global Service Economy 1

The effects of the transformation to a service economy on the management of vulnerability and uncertainty are discussed. After discussing the notion and role of risks in different kinds of cultural and economic environments, he closes with a plea for closer cooperation between entrepreneurs, engineers and economists: together they can transform the risks and vulnerabilities of the modern service economy into a challenge for progress.     

After Novelty: The Mundane Practices of Ensuring a Safe and Stable Supply of Bone

New medical technologies to a great extent use material from human bodies as therapeutic tools. Social science studies of such ‘tools’ have tended to focus on technologies associated with novelty and drama. This paper, in contrast, concerns an old, well-entrenched and ostensibly undramatic technology, bone transfers, that has only recently gained public attention. The history of bone transplants is intertwined with a desire for a safe and stable supply of bone. This desire has a number of rarely debated social implications of relevance to transplant medicine in general: the gradual industrialization of procurement; the institutional production of the view of the body as a dividable resource; the emergence of a notion of scarcity; of body parts as waste; of death as a productive moment in which body parts acquire potential exchange value; and of tensions between an ethics of respect for donors and an ethics of efficient procurement. Historical analysis combined with a contemporary phenomenological approach suggests that the ‘newness’ typically associated with usage of human biological material is not related to transplant technologies as a medical discipline as such, but rather to changes in its social organization and features of the everyday experience of living with the transplant technologies.     

Check-in/check-out: a systematic evaluation and component analysis

Tier 2 interventions are implemented similarly across students and thus serve as an efficient and cost-effective method of behavior support in school settings. Check-in/check-out is a Tier 2 intervention with documented effectiveness (e.g., Hawken & Horner, 2003; Todd, Campbell, Meyer, & Horner, 2008). Key features of the intervention include brief morning and afternoon meetings with the intervention coordinator, use of a point card on which the teacher monitors student behavior, and teacher feedback at predetermined times. The present study sought to add to the literature by examining the relative contributions of the teacher-feedback components of check-in/check-out via the use of a component analysis. Working with 4 children in a general education setting, we first evaluated the effectiveness of the procedure using reversal designs. Next, we systematically removed teacher-feedback components to assess effects on problem behavior and academic engagement. For 3 of 4 participants, we were able to remove all teacher-feedback sessions and the point card; for the 4th participant, we removed only 2 of 3 teacher-feedback sessions due to time constraints.     

Effects of economy type and nicotine on the essential value of food in rats

The exponential demand equation proposed by Hursh and Silberberg (2008) provides an estimate of the essential value of a good as a function of price. The model predicts that essential value should remain constant across changes in the magnitude of a reinforcer, but may change as a function of motivational operations. In Experiment 1, rats' demand for food across a sequence of fixed-ratio schedules was assessed during open and closed economy conditions and across one- and two-pellet per reinforcer delivery conditions. The exponential equation was fitted to the relation between fixed-ratio size and the logarithm of the absolute number of reinforcers. Estimates of the rate of change in elasticity of food, the proposed measure of essential value, were compared across conditions. Essential value was equivalent across magnitudes during the closed economy, but showed a slight decrease across magnitudes during the open economy. Experiment 2 explored the behavioral mechanisms of nicotine's effects on consumption with the results from Experiment 1 serving as a within-subject frame of reference. The same subjects were administered nicotine via subcutaneously implanted osmotic minipumps at a dose of 3 mg/kg/day and exposed to both the one- and two-pellet conditions under a closed economy. Although nicotine produced large decreases in demand, essential value was not significantly changed. The data from the present experiments provide further evidence for the adequacy of the exponential demand equation as a tool for quantifying the rate of change in elasticity of a good and for assessing behavioral mechanisms of drug action.     

Reply to critics

This discussion responds to important questions raised about my theory of fairness in the global economy by Christian Barry, Charles Beitz, A.J. Julius and Kristi Olson. I further elaborate how moral argument can be ‘internal’ to a social practice, how my proposed principles of fairness depend on international practice, how I can admit several relevant conceptions of ‘harm’ and why my account does not depend on a problematic conception of societal ‘endowments’.     

Operant hoarding: a new paradigm for the study of self-control.

In the first of four experiments, rats were exposed to a modified multiple continuous reinforcement-extinction schedule during 15-min daily sessions. In one condition (saves condition) with the cuelight on, a single lever press produced a food pellet, briefly extinguished the cuelight, and started a clock. Saves (additional lever presses with interresponse times less than 1 s) produced an additional food pellet, briefly extinguished the cuelight, and restarted the interresponse time clock. The cuelight was extinguished 1 s after the last lever press and remained off during a 10-s period of extinction, during which no food pellets were delivered. In the other condition (savings account condition), the contingencies were the same except that the cuelight was extinguished and was not reilluminated after the initial lever press, and the delivery of all food pellets in the reinforcement component was delayed until the onset of extinction. In both conditions, rats made saves, but mean saves (total saves divided by the number of reinforcement components) were slightly reduced in the savings account condition. In Experiment 2, using six equally spaced 15-min sessions per day on alternate days, saves were either followed immediately with food and brief cuelight offset (saves condition) or were not reinforced at all. Mean saves were much greater when saves were reinforced. In Experiment 3, during 5-min daily sessions, saves earned a single pellet (savings account condition) or a number of pellets equal to the ordinal number of the lever press (interest condition). Rats made fewer mean saves, with little change in the food rate, when saves earned interest. In Experiment 4, the rats earned all their food in the operant situation during 24 daily 5-min sessions, these separated by 55-min intersession intervals during which no food was available; otherwise, the conditions were the same as in Experiment 3. In Experiment 4, the shift to interest for saves led to an increase in mean daily mean saves (total daily mean saves divided by the number of daily sessions) as well as to an increase in the number of food pellets delivered in each session. The results are discussed in terms of self-control and behavioral economics.     

Coping with rising food costs in a closed economy: feeding behavior and nocturnal hypothermia in pigeons.

The pigeon's response to increasing fixed-ratio schedules in a 24-hr closed economy is marked by changes in feeding behavior during the daily light phase and by changes in body temperature during the dark phase. The time course of these responses to increasing behavioral cost of obtaining food is very different. Feeding is most affected immediately, within the first day of exposure to moderate fixed ratios. The number of times the pigeons produce the food hopper each day decreases, and the rate at which they eat from the food hopper (grams per minute) when it is available increases, as the fixed ratio is raised. Body temperature is affected later, falling to progressively lower resting levels during the dark phase as body weight drops at the higher fixed ratios when food intake is reduced. The changes in feeding and in body temperature that occur as the fixed-ratio schedule increases seem to reduce daily energy expenditures, within the constraints imposed by the experiment. The ascending and descending limbs of the bitonic function obtained when total daily operant responding is plotted as a function of fixed-ratio schedule in the closed economy is possibly related to the occurrence of thermoregulatory strategies for energy conservation. The energetic analysis of performances in the closed economy requires consideration of a variety of energetic strategies available to the species being studied.