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Replacing a chronic schizophrenic man's delusional speech with stimulus appropriate responses.
R M Foxx1, M J McMorrow, L A Davis
1Department of Treatment Development, Anna Mental Health and Developmental Center, IL 62906.
Journal of Behavior Therapy and Experimental Psychiatry
|March 1, 1988
Summary
Cues, Pause, Point language training effectively replaced delusional speech with appropriate responses in a chronic schizophrenic patient. These positive effects generalized across settings and were maintained long-term.
Area of Science:
- Behavioral Psychology
- Clinical Psychology
- Psychiatric Rehabilitation
Background:
- The Cues, Pause, Point (CPP) procedure is a language training method initially developed for individuals with intellectual disabilities.
- Its applicability to treating speech disorders in psychiatric populations, specifically delusional speech in schizophrenia, was unexplored.
Observation:
- A multiple baseline design was employed to assess the CPP procedure's impact on delusional and socially appropriate responding in an institutionalized, chronic schizophrenic male.
- The intervention involved training the subject to pause and respond based on environmental cues (word cards) rather than engaging in delusional speech.
Findings:
- The CPP procedures rapidly and effectively replaced delusional speech with appropriate verbal responses across trained stimuli.
- Generalization of these improvements was observed across different people and settings immediately after training.
- The positive outcomes were sustained for a 15-month follow-up period.
Implications:
- The Cues, Pause, Point procedure shows promise as a viable intervention for reducing delusional speech in chronic schizophrenia.
- This method may facilitate the replacement of maladaptive speech patterns with socially appropriate communication.
- Further research into CPP procedures could enhance therapeutic strategies for individuals with chronic schizophrenia.