Token economies Flashcards

1
Q

What are token economies?

A

A system for management of behaviour of patients with schizophrenia in psychiatric hospitals

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2
Q

What is the aim of token economies?

A

To improve behaviour and functioning and counter effects of institutionalisation

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3
Q

What are effects of institutionalisation?

A

Lack of personal care, apathy and social behaviour

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4
Q

What is the long-term aims of token economies?

A

To reintegrate the pateints into the community and improve their ability to cope outside hospital

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5
Q

What is the process of token economies?

A

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

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6
Q

What is the basis of token economies?

A

The behaviourist principles of operant conditioning involving positive reinforcement

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7
Q

What is an important difference of token economies?

A

They are system for managing schizophrenia, not treating it

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8
Q

What is the the issue with evidence for token economies?

A

Few trials used random allocation and there is no long-term studies of transition

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