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A fundamental problem in behavior modification with institutionalized mental retardates.

J J Goldman

    The Psychiatric Quarterly
    |January 1, 1983
    PubMed
    Summary

    Behavior modification programs often fail for institutionalized individuals due to external factors. However, severe neurological impairment in clients is the fundamental cause limiting treatment success.

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    Area of Science:

    • Behavioral Psychology
    • Neuroscience
    • Clinical Psychology

    Background:

    • Behavior modification programs are frequently used for institutionalized individuals with low functioning.
    • Previous critiques have focused on external factors as reasons for program failures.

    Purpose of the Study:

    • To identify the fundamental cause of failure in behavior modification programs for low-functioning institutionalized persons.
    • To highlight the role of inherent client variables in treatment outcomes.

    Main Methods:

    • This study is a critical review of existing literature and case studies.
    • Analysis of factors contributing to the success or failure of behavior modification interventions.

    Main Results:

    • External factors are often cited, but are not the primary cause of failure.
    • Severe neurological impairment and its associated behavioral sequelae are the inherent client variables limiting treatment success.

    Conclusions:

    • Organic deficits due to neurological impairment are a significant limiting factor in behavior modification.
    • Treatment planning must acknowledge and address the specific nature of these deficits for individual clients.

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