Token Ecnomies Managment If Sz Flashcards
Token economies Ao1
Behaviourist approach to manage behaviour of patients with sz
Uses with patients who have spent a long time in hospital and developed maladaptive behaviour e.g bad hygiene or lack of communication
Aim of Token economies
Change patients behaviour so they’re easier to manage
Have better quality of life
Enabling them to live outside of a hospital setting
How Token economies works
Uses skinners operant conditioning
Positive reinforcement
Patient receives reninforcmemt (rewards) in the form of tokens
Immediately after producing desired behaviour e.g self care
Tokens are exchanged for good privileges e.g Tv or a walk
Token economies Ao3 limitation
Limited evidence to support effectiveness
Review of 3 studies found limited impact as only 1 of the 3 studies showed any improvement in symptoms and no significant positive change in maladaptive behaviours
Shows using operant conditioning may not be the most effective method
Putting doubt on effectiveness
Lowering validity of token economies as management technique for sz
Token economies Ao3 limitation
Raise ethical issues
Privileges more available to patients with mild symptoms
Less available to those with more severe symptoms
Token economies suggest symptoms of sz can easily be bypassed if they seek reward
However , leads to severely ill patients experiencing discrimination as severity of symptoms prevents them from accessing behaviour management technique
Reduced use of TE to manage sz as may not be appropriate for all patient’s
Token economies Ao3 limitation
Does not get to root cause of sz
Aim is to make sz more manageable
Helps by making patients behaviour more socially acceptable
Whilst important therapy does not treat sz
Furthermore it’s mainly effective in an institutionalised setting when sent back home they lose structure they had to help manage the behaviour
Questions appropriateness and effectiveness of TE as long term management for sz
As high chance of relapse when patients are given independence
