L11 - Token Economy

Question 1

How does token economy work?

Answer 1

Giving patients rewards for not displaying unusual behaviour or showing desirable ones immediately after they do it

Question 2

What is token economy?

Answer 2

Reducing maladaptive learning through reconditioning and operant conditioning

Question 3

It’s often used with

Answer 3

Drug therapy

Question 4

Token economy is not effective where?

Answer 4

At home

Only in institutions

Question 5

It aims to?

Answer 5

Manage schizophrenic behaviour

Question 6

Examples of behaviours which earn tokens?

Answer 6

Making their bed

Question 7

Normal behaviour is…

Answer 7

Positively reinforced

Question 8

What is done with the tokens?

Answer 8

Exchanged for reward like outings

Question 9

Advantage related to implementation

Answer 9

Easy to do, cheap, don’t need specialist training or complicated equipment so is cost effective

Question 10

Disadvantage related to symptom management?

Answer 10

Manages behavioural not cognitive
Won’t work for those who have cognitive more
Partially effective

Question 11

Disadvantage related to ethics?

Answer 11

Rewards are basic things like food and outings
Manipulation of patients to manage behaviour
May be disturbed so can’t give informed consent

Question 12

Token economy research details?

Answer 12

45 female patients
Rewarded with plastic tokens when showing desirable behavioural
Exchanged for rewards

Question 13

Results from research

Answer 13

Daily chores increased from 5-40

Desirable behaviours increased; undesirable decreased

Question 14

Evaluation for the study?

Answer 14

+ Didn’t use drug therapy, so is effective, no side effects so doesn’t have to stop unlike APs
+ 11/13 studies found beneficial, effective outcomes of TE increasing adaptive behaviour esp w/ psychological therapy
- Only females - beta bias