PubMed · 1049901
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J Clark. 1976-09-30. Behavior modification.. https://pubmed.ncbi.nlm.nih.gov/1049901/
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Child Management Training (CMT) involves compliance training with a focus on consistent use of antecedents and consequences. Planned Activities Training (PAT) focuses on teaching parents to plan for and engage in activities with their children. A multiple probe design counterbalancing PAT and CMT showed that PAT and CMT were about equally effective in improving mother-child interactions in four families with children with developmental disabilities. Responses to a social validation questionnaire indicated that parents were satisfied with the services received, and that PAT was the slightly preferred treatment. Prior research demonstrated that PAT enhanced the results of CMT. The practical advantages of PAT over CMT are discussed.
Adherence to medical or psychological prescriptions is analyzed as a type of rule and self-rule following behavior. Variables that increase the likelihood of compliance are: (1) the specific motivational condition, usually aversive when treatment or preventive prescription is sought, (2) the medium of contact and context used when receiving the prescription, (3) attentive responses under the control of the prescription, (4) understanding the complexity of the prescription, (5) the specific content of the prescription, (6) verbalization on the willingness to follow the prescription, (7) appropriate abilities for producing the behaviors described in the prescription, (8) physical facilities and appropriate biological conditions for producing the behaviors, (9) verbalization describing the relationship between the adherence response and the immediate and long-term consequences, functioning as a discriminative stimulus and as a reinforcing event, (10) compatibility between daily activities and the behaviors described in the prescription: response cost and self-control behavior when several behaviors are possible and probable. Strategies which facilitate self-control as well as incompatible behavior are suggested.
The case of E, a 9-year-old, male, with a newspaper phobia, is presented. The phobia developed over a 4-year period and gradually spread until it included many significant areas of E's life. Treatment took place over a 4-month period. It involved use of a token economy administered by E's parents. Cognitively, the treatment involved the concepts of the acquisition of perceived self-control as a consequence of the token economy agreement. This included volition, attention, and self-control by E as well as parental reinforcement.