Modification of extreme social isolation by contingent social reinforcement

Two socially isolated patients were placed on a program where social reinforcement from staff members was made dependent on social interaction with other patients or staff members. This procedure was imposed in a setting where only limited control was possible. The level of social interaction and a concomitant alternate behavior in each patient was increased when the contingency for social reinforcement was imposed. The study provides another example of the efficacy of social reinforcement where there is little control over other reinforcers. Implications for use of similar procedures to increase generalization in the community are discussed.