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Social Skills Training with Chronic Schizophrenic Patients Living in Community Settings

Published online by Cambridge University Press:  16 June 2009

P. V. Payne  and
W. K. Halford
P. V. Payne
Affiliation:
Community Psychiatry Service, Department of Health, Queensland
W. K. Halford
Affiliation:
Department of Psychiatry, University of Queensland
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Abstract

Six patients meeting DSM III criteria for schizophrenia, residual phase who lived in community hostels underwent social skills training. The training programme utilized was “Stacking the Deck” developed by Foxx et al. which involves a structured board game incorporating modelling, behaviour and feedback. A multiple baseline across subject design was used to assess acquisition of targeted social behaviours in the training settings. Generalization of skills to a community setting was assessed by a structured interaction in the patients' homes at pre-treatment, post-treatment and follow-up. All subjects improved their social skills in the training setting, the improvement showed partial but weak generalization to the community setting, with some gains maintained to a three-month follow-up. Pre-treatment, post-treatment and follow-up measures of general social skills and psychiatric status indicated improvements for some of the subjects. The results suggest this approach has promise for achieving clinically significant change with chronic schizophrenic patients, but that strategies to enhance generalization of training effects are needed.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 18 , Issue 1 , January 1990 , pp. 49 - 64
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd Ed.). Washington D.C.: American Psychiatric Association.Google Scholar
Andreason, N. C. (1982). Negative symptoms in schizophrenia: Definition and reliability Archives of General Psychiatry 39, 784–788.CrossRefGoogle Scholar
Anthony, W. A. and Liberman, R. P. (1986). The practice of psychiatric rehabilitation: Historical, conceptual and research base. Schizophrenia Bulletin 12, 542–559.Google ScholarPubMed
Backer, T. E., Liberman, R. P. and Keuhnel, T. G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting and Clinical Psychology 54, 111–118.CrossRefGoogle ScholarPubMed
Bellack, A. S., Turner, S. M., Hersen, M. and Luber, R. F. (1984). An examination of the efficacy of social skills training for chronic schizophrenic patients. Hospital and Community Psychiatry 35, 1023–1028.Google ScholarPubMed
Brady, J. D. (1984 a). Social skills training for psychiatric patients I: Concepts, methods and clinical results. American Journal of Psychiatry 141, 330–340.Google ScholarPubMed
Brady, J. P. (1984 b). Social skills training for psychiatric patients II: Clinical outcome studies. American Journal of Psychiatry 141, 491–497.Google ScholarPubMed
Christensen, L. and Mendoza, J. I. (1986). A method of assessing change in a single subject: An alteration of the index. Behavior Therapy 17, 305–308.CrossRefGoogle Scholar
Curran, J. P. (1982). A procedure for the assessment of social skills: The simulated social interaction test. In: Curran, J. P., Monti, P. M. (Eds) Social Skills Training (pp. 348–373) New York: Guilford.Google Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L. and Cohen, J. (1976). The global assessment scale Archives of General Psychiatry 33, 766–771.CrossRefGoogle ScholarPubMed
Foxx, R. M. and McMorrow, R. J. (1984). Teaching social/sexual skills to mentally retarded adults. American Journal of Mental Deficiency 89, 9–15.Google ScholarPubMed
Foxx, R. M., McMorrow, R. J., Bittle, R. G., and Fenlon, J. (1985). Teaching social skills to psychiatric inpatients. Behavior Research and Therapy 23, 531–537.CrossRefGoogle ScholarPubMed
Foxx, R. M.McMorrow, M. J., Bittle, R. G. and Ness, J. (1986). An analysis of social skills generalization in two natural settings. Journal of Applied Behaviour Analysis 19, 299–305.CrossRefGoogle ScholarPubMed
Foxx, R. M., McMorrow, H. J. and Mennemeier, M. (1984). Teaching social/vocational skills to retarded adults with a modified table game: An analysis of generalization Journal of Applied Behavior Analysis 17, 343–352.CrossRefGoogle ScholarPubMed
Foxx, R. M.McMorrow, R. J. and Schloss, C. N. (1983). Stacking the Deck: Teaching social skills to retarded adults with a modified table game. Journal of Applied Behavior Analysis 16, 157–170.CrossRefGoogle ScholarPubMed
Hersen, M. and Bellack, A. S. (1976). Social skills training for chronic psychiatric patients: Rationale, research findings and future directions. Comprehensive Psychiatry 17, 559–580.CrossRefGoogle ScholarPubMed
Hogarty, G. E., Anderson, C. M., Reiss, D. J., Kornblith, S. J., Greenwald, D. P., Javna, C. D. and Madonia, M. J. (1986). Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry 43, 633–642.CrossRefGoogle ScholarPubMed
Jacobson, N. S., Follette, W. C. and Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. Behavior Therapy 15, 336–352.CrossRefGoogle Scholar
Liberman, R. P., Massel, H. K., Mosk, M. D. and Wong, S. E. (1985). Social skills training for chronic mental patients. Hospital and Community Psychiatry 34, 396–403.Google Scholar
Liberman, R. P., Mueser, K. T. and Wallace, C. J. (1986). Social skills training for schizophrenic individuals at risk for relapse. American Journal of Psychiatry 143, 523–526.Google ScholarPubMed
Liberman, R. P., Neuchterlein, K. H. and Wallace, C. J. (1982). Social skills training and the nature of schizophrenia. In. Curran, J. P. and Monti, P. M. (Eds) Social Skills Training: A Practical Handbook, (pp. 5–56) New York: Guildford.Google Scholar
Lowe, M. R. (1985). Psychometric evaluation of the social performance survey schedule. Behavior Modification 9, 194–210.CrossRefGoogle Scholar
Lowe, M. R. and Cautela, J. R. (1978). A self-report measure of social skill. Behavior Therapy 9, 534–544.CrossRefGoogle Scholar
McCormick, I. A. (1984). A simplified version of the Rathus Assertiveness Schedule. Behavioral Assessment 7, 95–99.Google Scholar
Overall, J. E. and Gorham, D. R. (1962). The brief psychiatric rating scale. Psychological Reports 10, 799–812.CrossRefGoogle Scholar
Rathus, S. A. (1973). A 30-item schedule for assessing assertive behavior. Behavior Therapy 4, 398–406.CrossRefGoogle Scholar
Wallace, C. J. and Liberman, R. P. (1985). Social skills training for patients with schizophrenia: A controlled clinical trial. Psychiatry Research 14, 1–14.Google Scholar
Wallace, C. J., Nelson, C., Liberman, R. F., Aitchison, R. A., Lukoff, D., Elder, J. P. and Ferris, C. (1980). A review and critique of social skills training with chronic schizophrenics. Schizophrenia Bulletin 6, 42–64.CrossRefGoogle Scholar
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