The effects of token reinforcement and feedback on the delusional verbal behavior of chronic paranoid schizophrenics.
The effects of token reinforcement and feedback on the delusional verbal behavior of chronic paranoid schizophrenics.
复制标题
象征强化和反馈对慢性偏执型精神分裂症妄想性言语行为的影响。
DOI：
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发表时间：
1972
影响因子：
2.9
通讯作者：
W. Agras
中科院分区：
文献类型：
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作者：
J. Wincze;H. Leitenberg;W. Agras
先前在精神科人群中强化标记的研究主要针对工作适应，而不是主要的症状行为。本研究的目的是探讨反馈和表征强化对慢性精神病患者妄想性言语行为矫正的影响。6名男性和4名女性偏执型精神分裂症患者参与了这项研究。结果表明，反馈的效果在减少妄想性谈话的百分比方面大约有一半的时间有效，但至少有三个案例产生了不良反应。然而，令牌强化显示出更多的一致性，并降低了9名受试者中7名受试者的妄想言语行为的比例。反馈和令牌强化的效果都因其应用的环境而异，对其他情况几乎没有表现出一般性。看来，使用令牌强化可以减少慢性偏执型精神分裂症患者妄想言语的比例。
Prior research with token reinforcement in the psychiatric population has been directed at work adjustment, more than at major symptomatic behaviors. The purpose of the present research, on the other hand, was to investigate the effects of feedback and token reinforcement on the modification of delusional verbal behavior in chronic psychotics. Six male and four female paranoid schizophrenic patients participated in the study. The results indicated that the effects of feedback were effective about half the time in reducing percentage delusional talk, but in at least three cases produced adverse reactions. Token reinforcement, however, showed more consistency and reduced the percentage of delusional verbal behavior in seven of the nine subjects exposed to this procedure. The effects of both feedback and token reinforcement were quite specific to the environment in which they were applied and showed little generalization to other situations. It would appear that using token reinforcement can reduce the percentage delusional speech of chronic paranoid schizophrenics.