Behavioral engineering: stuttering as a function of stimulus duration during speech synchronization

Past studies have shown that stuttering is eliminated when speech is synchronized with a metronomic beat, but the speech sounds artificial. The present study investigated the effect of increasing the duration of these individual stimulus beats with the stimulus-off period constant at 1 sec. When subjects were instructed to speak during the stimulus-on period, stuttering was an inverse function of stimulus duration, indicating that the known metronome effect on stuttering is one point on a continuum of effective rhythm procedures. The "naturalness" of speech increased as the stimulus duration increased up to durations of about 2 sec, and then decreased. At optimal values, stuttering was greatly reduced and naturalness and rapidity of speech were retained. These optimal values effectively controlled stuttering in a field test that used two types of specially designed portable instruments, one of which produced a tactual stimulus and the other an auditory stimulus.     

Punishment as a discriminative stimulus and conditioned reinforcer with humans

Mental hospital patients were reinforced for responding in a two-response operant situation. When a noise was used to punish one of the responses, all subjects shifted to the unpunished one. When the noise was then paired with positive reinforcement, the subjects responded to produce the noise. Also, a novel response was reinforced by noise in the absence of other reinforcers. This study with humans extends the findings of previous studies with animals in revealing how a punishing stimulus can acquire discriminative or conditioned reinforcing properties.     

Comparative evaluation of the Job Club program with welfare recipients

About 1000 WIN welfare clients were selected in five cities: Harlem, New Brunswick, Milwaukee, Wichita, and Tacoma, and half were randomly assigned to the Job Club program. Of the continuing clients, 87% of the Job Club sample obtained jobs vs 59% of the Control sample at the 12-month follow-up and 80 vs 48% at 6 months. The Job Club was more effective in each of the five cities, for men and women, for high school graduates or dropouts, for blacks, whites, and Spanish, for handicapped or nonhandicapped, veterans or nonveterans, the young and the older, and for those required to participate as well as those who volunteered. The jobs obtained by the Job Club clients were comparable to the Control clients' jobs in terms of mean salary, full-time status, and type of job, and were more likely to be enduring, nonsubsidized, and obtained by the job-seeker's own efforts. Job Club members obtained employment in a median of six sessions (mean of 11); 90% obtained jobs within 23 sessions. Follow-up questionnaire data indicated comparable job retention in the two samples but slightly greater advancement and job satisfaction for the Job Club clients. The method appears to assure employment to virtually all participating welfare clients.     

Habit reversal vs. negative practice treatment of nailbiting

A previous study of the habit reversal treatment of nailbiting was extended by using more subjects (97) and a comparison with an alternative method (negative practice). Negative practice reduced nailbiting episodes by about 60% whereas habit reversal reduced nailbiting episodes by about 99% throughout the 5-month follow-up.     

Follow-up on welfare benefits received by Job Club clients

A follow-up was made of the welfare payments received by AFDC clients who had received job-finding counseling. At the 6th-month follow-up, welfare payments had been reduced by about one-half for the Job Club clients vs 15% for the control group.     

Dry-bed training: rapid elimination of childhood enuresis

Enuresis has been treated with moderate effectiveness by the urine-alarm method which requires many weeks of training. The present procedure used a urine-alarm apparatus but added such features as training in inhibiting urination, positive reinforcement for correct urinations, training in rapid awakening, increased fluid intake, increased social motivation to be nonenuretic, self-correction of accidents, and practice in toileting. After one all-night training session, the 24 enuretic children averaged only two bedwettings before achieving fourteen consecutive dry nights and had no major relapses. Little or no reduction in bedwetting occurred within the first two weeks for matched-control enuretics who were given the standard urine-alarm training. The results of a control-procedure showed that the new procedure did not involve Pavlovian conditioning. The new method appears to be a more rapid, effective and different type of treatment for enuresis.     

A rapid method of eliminating stuttering by a regulated breathing approach

The Habit Reversal Procedure for eliminating nervous habits was applied to the problem of stuttering. In the new procedure the speaker interrupted his speech at moments of actual or anticipated stuttering and at natural pause points, and resumed speaking immediately after breathing deeply during the pause. In addition to this regularized pausing and breathing, the program included other factors such as formulation of one's thoughts prior to speaking, identification of stutter-prone situations, identification of mannerisms associated with stuttering, speaking for short durations when tense or nervous, daily breathing exercises, relaxation procedures for anxiety, immediate display of improved speaking, and enlisting family support for progress. Fourteen stutterers were given training in the program during a single counseling session of about two hours duration. The next day, the average number of stuttering episodes decreased by 94 per cent, by 97 per cent at the end of one month, and by 99 per cent during the extended follow-up. Each of the clients was improved by at least 93 per cent. The new procedure appears to be more rapid and effective than alternative procedures.     

Job-finding club: A group-assisted program for obtaining employment

Although joblessness is a major problem, no method of job-counseling has been demonstrated to be superior to usual job-finding practices. The present study describes a new type of program, which has now been evaluated experimentally in a matched-control design. The new program was conducted in a group and stressed such distinctive techniques as mutual-assistance among job-seekers, a ‘buddy’ system, family support, and sharing of job leads. In addition, the program arranged special ways of using such common practices as searching want-ads, role-playing, telephoning, motivating the job-seeker, constructing a resume and contacting friends. Within 2 months 90 per cent of the counseled job-seekers had obtained employment vs. 55 per cent of the non-counseled job-seekers. All clients who attended the program regularly obtained employment. After 3 months, 40 per cent of the non-counseled job-seekers were still unemployed. The average starting salary was about a third higher for the counseled job-seekers. The present procedure appears to be an effective method of assisting a greater proportion of the unemployed to obtain jobs and more quickly, and at a higher salary than they could obtain when they used the usual job finding procedures.     

The effects of shock as a punisher for cigarette smoking

An attempt was made to reduce the cigarette smoking of three subjects by means of a special cigarette case that delivered aversive shock when opened. The number of cigarettes smoked was recorded by a counter in the cigarette case. The validity of the counter readings as a measure of smoking was obtained by a specially designed participant-observer technique. It was found that the rate of smoking decreased as a function of the intensity of the shock. Also, the smoking returned to its previously unpunished level after the shock punisher was discontinued. Both of these findings confirm the results of laboratory studies of punishment of simpler responses and extends them to more complex responses in a naturalistic situation. Surprisingly, the duration for which the apparatus was worn also decreased as a function of the intensity of the shock. This finding reveals that this aversive shock technique produced avoidance behavior that prevents the technique from having extensive applicability for eliminating smoking. The same limitation may apply to the use of aversive shock for eliminating other undesirable behaviors.     

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.