Increased communications of chronic mental patients by reinforcement and by response priming

Abstract

An attempt was made to increase the frequency with which chronic schizophrenic patients suggested feasible improvements in their treatment. A response priming procedure was devised that was comparable to a previously developed reinforcer exposure procedure. The patients were required to attend a structured meeting during which they were prompted to make suggestions. This priming procedure was compared with the more usual procedure of "welcoming" attendance and suggestions. It was found that more suggestions were made when attendance was required, rather than optional. This increase occurred during a group as well as a private meeting. An attempt was then made to analyze the probable reinforcer for the suggestions by experimentally varying the percentage of suggestions followed. Different staff members served as the discriminative stimuli within a multiple schedule. It was found that the number of suggestions was a direct function of the percentage followed. These results demonstrate the effectiveness of the priming procedure as an adjunct to reinforcement procedures for increasing desired behaviors of mental patients. Few suggestions were made when reinforcement or priming were used alone.