Treatment of pain in patients with advanced cancer.
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Biomedical subjects
Publications and source records attributed to P Cosyns.
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The paradigm of operant behaviour (Skinner) systematically applied to a group constitutes the theoretical basis of token-economy programs. Such a system consists in relating a certain behaviour to a consequence known to the patient. The efficiency of a token-economy has already been demonstrated for various populations: delinquants, schooolboys, chronic psychiatric patients. This pilot-study reports on our experience in applying in token-economy program in a group of young schizophrenics, most of them being hebefrenics: concepts and difficulties in realisation, hierarchical structure of the system, and results obtained.
The reevaluation of the existence and function of the psychiatric hospital increases the problem presented by chronic patients. This study analyses the outcome of 89 chronic psychiatric patients transfered in rest homes. Is this alternative extramural solution for chronic hospitalization disirable? If yes, under which conditions? The favorable results of our survey have confirmed our basis hypothesis: all these patients do not need care structured on hospitalization.