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Generalization of behaviour therapy with psychotics

R P Liberman, M J McCann, C J Wallace

    The British Journal of Psychiatry : the Journal of Mental Science
    |November 1, 1976
    PubMed
    Summary
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    Planned generalization of behavioral treatment gains is crucial for long-term recovery in psychotic patients. Strategies like consistent reinforcement and caregiver training aid this transfer from hospital to community settings.

    Area of Science:

    • Psychology
    • Psychiatry
    • Behavioral Science

    Background:

    • Generalizing treatment improvements for psychotic patients requires careful planning for after-care and long-term durability.
    • Clinical gains are not automatically transferred in severely and chronically impaired mental patients.

    Observation:

    • A case study illustrates treatment strategies facilitating generalization from hospital to community settings using empirical data.
    • Coordinated, systematic treatment programs between inpatient and community-based day hospitals were implemented.

    Findings:

    • Setting stepwise, limited goals is key to successful outcomes.
    • Methods promoting generalization include consistent reinforcement, using natural reinforcers, targeting functional behaviors, over-learning, and training caregivers.

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    Implications:

    • These findings highlight the importance of structured interventions for sustained recovery in patients with severe mental illness.
    • The study provides practical strategies for enhancing treatment efficacy in real-world, community-based after-care settings.