Schizophrenia - management Flashcards

1
Q

what are token economies

A

desirable behaviours are encouraged by the use of selective reinforcement

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2
Q

how are token economies developed

A

Ayllon and Azrin
- trialled token economies in a ward of women with SZ
- number of tasks carried out significantly increased

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3
Q

what did Johnny Matson et al find

A
  • three categories of institutionalisation behaviour that are tackled by token economies
  • personal care
  • condition related behaviour
  • social behaviour
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4
Q

what are the benefits of token economies

A
  • improves persons quality of life within the hospital setting
  • normalises behaviour and makes it easier for people who have spent time in a hospital to adapt back to normal life
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5
Q

how is operant conditioning involved

A
  • tokens are secondary reinforcers - only have value once they can be used to obtain rewards
  • rewards are primary reinforces
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6
Q

what are the strengths of token economies

A

Glowacki et al
- studied studies that examined the effectiveness of people with SZ and lived in a hospital setting
- all showed a reduction in negative symptoms

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7
Q

what are the limitations of token economies

A

Ethical issues

Chiang et al
- art therapy may be more effective
- high gain low risk approach

  • hard to continue outside of the hospital setting
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