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The British Journal of Psychiatry 129: 490-496 (1976)
© 1976 The Royal College of Psychiatrists

Generalization of behaviour therapy with psychotics

RP Liberman, MJ McCann and CJ Wallace

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.


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 Behav ModifHome page
B. Gomes-Schwartz
The Modification of Schizophrenic Behavior
Behav Modif, October 1, 1979; 3(4): 439 - 468.
[Abstract]


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Copyright © 1976 The Royal College of Psychiatrists.