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Generalization of Behaviour Therapy with Psychotics

Published online by Cambridge University Press:  29 January 2018

Robert Paul Liberman ,
Michael J. McCann  and
Charles J. Wallace
Robert Paul Liberman
Affiliation:
Program in Clinical Research, Camarillo-Neuropsychiatric Institute (UCLA) Research Center, Camarillo, Ca. 93010: and Oxnard Community Mental Health Center, Ventura County Mental Health Services, Oxnard, Ca. 93030
Michael J. McCann
Affiliation:
Program in Clinical Research, Camarillo-Neuropsychiatric Institute (UCLA) Research Center, Camarillo, Ca. 93010
Charles J. Wallace
Affiliation:
Clinical Research Unit, Camarillo State Hospital and Program in Clinical Research, Camarillo, Ca. 93010
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Summary

Generalization of improvement in the behavioural treatment of psychotic patients must be planned in after-care settings, and for durability over time. The transfer of clinical gains is not an automatic by-product of treatment with severely and chronically impaired mental patients. Treatment strategies that facilitate generalization from hospital to community are illustrated in a case study using empirical data. Systematic and specific treatment programmes were co-ordinated between a state hospital ward and a community-based day hospital. Setting step-wise and limited goals is a feature of successful outcomes. Maintaining consistency in reinforcement contingencies from hospital to community settings, using natural reinforcers, pinpointing functional behaviours as therapeutic goals, over-learning, and training natural caregivers are methods that promote generalization.

Type
Papers
Information
The British Journal of Psychiatry , Volume 129 , Issue 5 , November 1976 , pp. 490 - 496
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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