Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-06-13T08:41:12.061Z Has data issue: false hasContentIssue false
  • English
  • Français

Social Skills Training for Schizophrenic Patients

Published online by Cambridge University Press:  06 October 2014

Janine E. Watson  and
Nirbhay N. Singh
Janine E. Watson*
Affiliation:
University of Canterbury, New Zealand
Nirbhay N. Singh
Affiliation:
University of Canterbury, New Zealand
*
Department of Psychology, University of Canterbury, Christchurch, New Zealand
Get access

Abstract

Deficiencies in social skills are a major problem in the rehabilitation of schizophrenic patients. To adapt to community life, schizophrenic patients must meet certain minimum levels of socially acceptable behaviour. Over the last two decades, social skills training procedures have been used to systematically teach these behaviours. Procedures typically used in social skills training include instructions/coaching, modelling, behavioural rehearsal and role play, feedback and reinforcement, and homework assignments. These and other procedures are discussed in this review. In addition, the outcome of social skills training for the schizophrenic patient is discussed with reference to short- and long-term changes in social behaviour.

Type
Articles
Information
Behaviour Change , Volume 2 , Issue 2 , June 1985 , pp. 94 - 101
Copyright
Copyright © The Author(s) 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Argyle, M., Bryant, B., & Trower, P. (1974). Social skills training and psychotherapy: A comparative study. Psychological Medicine, 4, 435–443.CrossRefGoogle ScholarPubMed
Barlow, D.H., Hayes, S.C., & Nelson, R.A. (1984). The scientist-practitioner. New York: Pergamon Press.Google Scholar
Beard, J.H., Malamud, T.J., & Rossman, E. (1978). Psychiatric rehabilitation and long-term rehospitalization rates: The findings of two research studies. Schizophrenia Bulletin, 4, 622–635.CrossRefGoogle ScholarPubMed
Bellack, A.S., Hersen, M., & Turner, S.M. (1976). Generalization effects of social skills training with chronic schizophrenics: An experimental analysis. Behaviour Research and Therapy, 14, 391–398.CrossRefGoogle ScholarPubMed
Brady, J.P. (1984). Social skills training with psychiatric patients, II: Clinical outcome studies. American Journal of Psychiatry, 141, 491–498.Google ScholarPubMed
Brown, M. (1982). Maintenance and generalization issues in skills training with chronic schizophrenics. In Curran, J.P. & Monti, P.M. (Eds.), Social skills training: A practical handbook for assessment and treatment, (pp. 90–116), New York: Guilford Press.Google Scholar
Curran, J.P., Monti, P.M., & Corriveau, D.P. (1982). Treatment of schizophrenia. In Bellack, A.S., Hersen, M. & Kazdin, A.E. (Eds.), International handbook of behavior modification and therapy, (pp. 433–466), New York: Plenum Press.CrossRefGoogle Scholar
Doty, D.W. (1975). Role playing and incentives in the modification of the social interaction of chronic psychiatric patients. Journal of Consulting and Clinical Psychology, 43, 676–682.CrossRefGoogle ScholarPubMed
Friedman, P.H. (1971). The effects of modeling and role playing on assertive behavior. In Rubin, R.D., Fensterheim, H., Lazarus, A.A., & Franks, C.M. (Eds.), Advances in behavior therapy, (pp. 149–169). New York: Academic Press.Google Scholar
Goldsmith, J.B., & McFall, R. (1975). Development and evaluation of an interpersonal skill-training program for psychiatric inpatients. Journal of Abnormal Psychology, 84, 51–58.CrossRefGoogle ScholarPubMed
Goldstein, A.P., Spratkin, R.P., & Gershaw, N.J. (1976). Skill training for community living: Applying structured learning therapy. New York: Pergamon Press.Google Scholar
Hersen, M. (1979). Modification of skill deficits in psychiatric patients. In Bellack, A.S. & Hersen, M. (Eds.), Research and practice in social skills training, (pp. 189–236). New York: Plenum Press.CrossRefGoogle Scholar
Hersen, M., & Bellack, A.S. (1976a). Social skills training for chronic psychiatric patients: Rationale, research findings, and future directions. Comprehensive Psychiatry, 17, 559–580.CrossRefGoogle ScholarPubMed
Hersen, M., & Bellack, A.S. (1976b). A multiple baseline analysis of social skills training in chronic schizophrenics. Journal of Applied Behavior Analysis, 9, 239–245.CrossRefGoogle ScholarPubMed
Hersen, M., & Bellack, A.S. (1977). Assessment of social skills. In Ciminero, A.R., Calhoun, K.S., & Adams, H.E. (Eds.), Handbook of behavioral assessment, (pp. 509–554). New York: Wiley.Google Scholar
Hersen, M., Eisler, R.M., & Miller, P.M. (1974). An experimental analysis of generalization of assertive training. Behaviour Research and Therapy, 12, 295–310.CrossRefGoogle ScholarPubMed
Hogarty, G.E., Goldberg, S.C., & Schooler, N.R. (1974). Drug and sociotherapy in the aftercare of schizophrenic patients: II. Two-year relapse rates. Archives of General Psychiatry, 31, 67–72.Google ScholarPubMed
Kazdin, A.E. (1975). Covert modeling, imagery assessment, and assertive behavior. Journal of Consulting and Clinical Psychology, 43, 716–724.CrossRefGoogle ScholarPubMed
Kazdin, A.E. (1977). The token economy: A review and evaluation. New York: Plenum Press.CrossRefGoogle Scholar
Lehrer, P., & Lanoil, J. (1977). Natural reinforcement in a psychiatric rehabilitation program. Schizophrenia Bulletin, 3, 297–303.CrossRefGoogle Scholar
Liberman, R.P. (1982). Assessment of social skills. Schizophrenia Bulletin, 8, 62–84.CrossRefGoogle ScholarPubMed
Liberman, R.P., Nuechterlein, K.H., & Wallace, C.J. (1982). Social skills training and the nature of schizophrenia. In Curran, J.P. & Monti, P.M. (Eds.), Social skills training: A practical handbook for assessment and treatment, (pp. 5–56). New York: Guilford Press.Google Scholar
Libet, J.M., & Lewinsohn, P.M. (1973). The concept of social skills with special reference to the behavior of depressed persons. Journal of Consulting and Clinical Psychology, 40, 304–312.CrossRefGoogle Scholar
McFall, R.M., & Marston, A.R. (1970). An experimental investigation of behavior rehearsal in assertive training. Journal of Abnormal Psychology, 76, 295–303.CrossRefGoogle ScholarPubMed
McFall, R.M., & Twentyman, C.T. (1973). Four experiments on the relative contributions of rehearsal, modeling and coaching to assertion training. Journal of Abnormal Psychology, 81, 199–218.CrossRefGoogle ScholarPubMed
Meichenbaum, D.H., & Goodman, J. (1971). Training impulsive children to talk to themselves: A means of developing self-control. Journal of Abnormal Psychology, 77, 115–126.CrossRefGoogle ScholarPubMed
Mendel, W., Houle, J., & Ossman, S. (1980). Mainstreaming: An approach to the treatment of chronically and severely mentally ill patients in the community. Hillside Journal of Clinical Psychiatry, 2, 97–118.Google Scholar
Monti, P.M., Curran, J.P., Corriveau, D.P., DeLancey, A.L., & Hagerman, S. (1980). The effects of social skills training groups and social skills bibliotherapy with psychiatric patients. Journal of Consulting and Clinical Psychology, 48, 241–248.CrossRefGoogle Scholar
Monti, P.M., Fink, E., Norman, W., Curran, J.P., Hayes, S., & Caldwell, H. (1979). Effects of social skills training groups and social skill bibliotherapy with psychiatric patients. Journal of Consulting and Clinical Psychology, 47, 189–191.CrossRefGoogle ScholarPubMed
Nietzel, M.T., Martorano, R.D., & Meluick, J. (1977). The effects of covert modeling with and without reply training on the development and generalization of assertive responses. Behavior Therapy, 8, 183–192.CrossRefGoogle Scholar
Paul, G.L., & Lentz, R.J. (1977). Psychosocial treatment of chronic mental patients: Milieu vs social-learning programs. Cambridge, Mass: Harvard University Press.Google Scholar
Stokes, T.F., & Baer, D.M. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10, 349–367.CrossRefGoogle ScholarPubMed
Trower, P., Bryant, B., & Argyle, M. (1978). Social skills and mental health. Pittsburgh: University of Pittsburgh Press.Google Scholar
Twentyman, C.T., & Zimering, R.T. (1979). Behavioral training of social skills: A critical review. In Hersen, M., Eisler, R.M., & Miller, P.M., (Eds.), Progress in behavior modification (Vol. 7) (pp. 319–400). New York: Academic Press.Google Scholar
Van Putten, T. (1974). Why do schizophrenic patients refuse to take their drugs? Archives of General Psychiatry, 31, 67–72.CrossRefGoogle ScholarPubMed
Wallace, C.J., Nelson, C.J., Liberman, R.P., Aitchison, R.A., Lukoff, D., Elder, J.P., & Ferris, C. (1980). A review and critique of social skills training with schizophrenic patients. Schizophrenia Bulletin, 6, 42–63.CrossRefGoogle ScholarPubMed
Winkler, R.C. (1985). Twenty years of token economies in psychiatric institutions: Some basic issues. Behaviour Change, 2, 111–118.CrossRefGoogle Scholar
Zigler, E., & Phillips, L. (1961). Social competence and outcome in psychiatric disorder. Journal of Abnormal and Social Psychology, 63, 264–271.CrossRefGoogle Scholar