The four most inactive schizophrenic patients were selected by an observational technique from a ward of severely ill chronic patients. Of the four, two patients repeatedly refused to accept any dispensable rewards. Applying Premack's principle of reinforcement, consistent work behavior was shaped and maintained, using sitting as the reinforcer. The results indicate that the strict application of Premack's principle may have considerable therapeutic potential for those patients who, by refusing all tangible rewards, fail to respond to a reinforcement regime.

Journal Article↗

PubMedDate not supplied

Mothers and their disturbed preschool children: an intervention study.

Children who had attended a unit for disturbed preschool children were followed up and compared to a group of children whose families had turned down the offer of a place at the unit. Measures of home and school behaviour and of social stress factors operating on the family were collected. Although treated and control children were comparable on severity of symptoms on referral, treated children showed a greater reduction in reported problem behaviour at home than did controls by the time of the follow-up interview. Attendance at the unit had a limited effect on behavior at school, however. It is suggested that if a treatment for preschool children is to have broad goals including increased competence at school as well as a reduction in problem behaviour at home, then various treatment strategies should be devised to meet these different goals.

Child Behavior Disorders↗

PubMedDate not supplied

A behavioural programme for the modification of encopresis.

This paper describes a behaviour modification programme for the treatment of encopresis. The programme, which is carried out by the parents over a relatively short period of time in the home setting, aims to make the child aware of internal cues prior to elimination and to rearrange the contingencies for appropriate use of the toilet. To date, seven of eleven children, both continuous and discontinuous encopretics, have been treated successfully and have remained clean for up to 7 months regardless of other problems in the child and his family. From a relatively detailed analysis of those treated it can be concluded that a behavioural approach is effective with chronic encopretic children, many of whom had been previously treated unsuccessfully by both physical and psychotherapeutic procedures. The failures suggest, firstly that careful assessment of each child and the motivation of the parents is required, so that the standard programme can be modified to suit each individual case. Secondly a maintenance programme must follow the intensive treatment procedure to ensure that parents continue to handle the child consistently.

Behavior Therapy↗