Social learning for chronic mental inpatients.
Social learning for chronic mental inpatients.
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慢性精神病住院患者的社会学习。
DOI：
10.1093/schbul/12.4.648
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发表时间：
1986
影响因子：
6.6
通讯作者：
Mueser,KT
中科院分区：
文献类型：
--
作者：
Glynn,S;Mueser,KT
对于长期住院的精神病患者，强化的社会学习计划导致适应功能的更大增加，奇怪行为的减少，处方药的减少，超过98%的患者成功出院进入社区。社会学习计划比监护医院护理更具成本效益，非专业人员能够以高度的能力应用治疗。社会学习计划中特别有效的元素包括：（1）强调获得患者技能和减少怪异、不当行为的综合程序;（2）象征性经济结构;（3）一致的步调和概括训练。该领域最近的研究试图确定社会学习计划的补救方面，指定与代币经济改善相关的患者变量，并为患者提供更专业的干预措施（例如，社会技能培训）与标准代币经济相结合。随着社会学习程序的有效性和可操作性，慢性精神病患者的康复变得更加可行。
With chronic institutionalized psychiatric patients, an intensive social learning program resulted in greater increases in adaptive functioning, reductions in bizarre behavior, less prescribed medication, and over 98 percent of patients being successfully discharged into the community. The social-learning program was more cost-effective than custodial hospital care, and nonprofessional staff were able to apply the treatment with a high degree of competence. Especially effective elements of the social-learning program included (1) integrated procedures emphasizing the acquisition of patient skills and the reduction of bizarre, inappropriate behavior; (2) a token economy structure; and (3) consistent pacing and generalization training. More recent research in the area has sought to identify the remediative aspects of social-learning programs, to specify patient variables that are related to improvement in a token economy, and to offer patients more specialized interventions (e.g., social skills training) in conjunction with a standard token economy. With the demonstrated and operationalized efficacy of social-learning procedures, the rehabilitation of chronic psychiatric patients has become more feasible.