Management - Token Economies Flashcards

1
Q

Token economy is a way of

A

MANAGING BEHAVIOUR

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2
Q

Treating =

A

Illeviating symptoms

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3
Q

Managing

A

Changing behaviour

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4
Q

Token economies based on principles of

A

Operant conditioning and focus on negative symptoms

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5
Q

First token economy research conducted by

A

Ayllon and Azrin

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6
Q

What did ayllon and azrin do

A
  • worked on a ward of female patients
  • were given a token for activities like making their bed
  • tokens could then be exchanged for privileges
  • leading to increased frequency of desireable behaviour
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7
Q

Where are token economies used

A

Psychiatric hospitals, where patients have become institutionalised

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8
Q

Reasons token economies are used: to stop…

A
  • not getting dressed
  • poor hygiene
  • social withdrawal
  • independence
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9
Q

Long term aims of token economy

A
  • increased likelihood of living outside of hospital setting
  • improve quality of life
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10
Q

Expamples of desireable behaviours

A
  • getting dressed
  • making bed
  • false teeth in
  • showering
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11
Q

Examples of tangible rewards

A

Sweets, magazines, walk outside, more pleasant accommodation

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12
Q

Step 1

A

Individual assessment - desireable behaviour for the individual patient is identified and targeted for reinforcement

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13
Q

Stage 2

A

Patient receives token for carrying out desireable behaviour

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14
Q

Stage 3

A

Desireable behaviour is reinforced immediately to prevent ‘delay discountinf’

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15
Q

Def delay discounting

A

A reduced effect of reinforcement bevause of a time of day

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16
Q

Stage 4

A

Tokens have no monetary value but can be exchanged for more tangible rewards

17
Q

Stage 5

A

Tokens seen as secondary reinforcers because they only have value when patients learns that they can be used to obtain rewards

18
Q

3 evaluation points

A

Strength - evidence to support effectiveness
Weakness - ethical concerns
Weakness - lack of usefulness

19
Q

Elaboration strength - evidence to support effectiveness

A

Dickerson reviewed studies using token economy and found majority reported beneficial effects

  • support for effectiveness increasing adaptive behaviours meaning treatment can be beneficial
  • though few trails have been conducted so lack of support in real world
  • therefore leaves unanswered questions
20
Q

Elaboration weakness - ethical concerns

A
  • ethical concerns regarding method in psychiatric settings
  • in order to make some aspects effective eg reinforcement, clinicians need to access necessities eg food
  • basic human right and not allowed for patients to exchange tokens for them
  • regardless of benefits, system is limited due to raising ethical questions
21
Q

Elaboration weakness - lack of usefulness

A
  • not useful for patients who live in community
  • only shows to reduce neg symptoms in hospital setting
  • Corrigon argues there are problems because method can only be used minimally
  • application in real world doesn’t produce same effects