Token economies Flashcards
What are token economies?
A system for management of behaviour of patients with schizophrenia in psychiatric hospitals
What is the aim of token economies?
To improve behaviour and functioning and counter effects of institutionalisation
What are effects of institutionalisation?
Lack of personal care, apathy and social behaviour
What is the long-term aims of token economies?
To reintegrate the pateints into the community and improve their ability to cope outside hospital
What is the process of token economies?
Patients are given secondary reinforcers as tokens for ideal behaviour such as hygiene, and these can be exchanged for primary reinforcers, rewards, such as outside visits
What is the basis of token economies?
The behaviourist principles of operant conditioning involving positive reinforcement
What is an important difference of token economies?
They are system for managing schizophrenia, not treating it
What is the the issue with evidence for token economies?
Few trials used random allocation and there is no long-term studies of transition