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The Constructional Approach to “Problem Behaviour” in an Institutionalized Setting

Published online by Cambridge University Press:  16 June 2009

Ian Fleming
Affiliation:
Department of Clinical Psychology, Swinton Hospital, Manchester

Extract

This paper describes the successful application of a behavioural intervention to the inappropriate behaviour of a severely mentally handicapped hospital resident. The intervention was based on the Constructional approach and at sixth week follow-up the effects had been maintained. Furthermore, there was evidence that these had generalised to other behaviours. Significant changes were noted in the attitudes of direct care staff and it is suggested that these may have been attributable to the nature of the approach used. The Constructional approach was considered ethically and practically superior to alternatives which would have concentrated alone on reducing or removing behaviour in the client's limited repertoire.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1984

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References

Cullen, C., Hattersley, J. and Tennant, L. (1981). Establishing behaviour; the constructional approach. In Applications of Conditioning Theory, Davey, G. (Ed.), London: Methuen.Google Scholar
Cullen, C., Burton, M., Thomas, M. and Watts, S. (1983). Residents Development Project. Final Report to Dept. of Health and Social Security. Manchester: HARC.Google Scholar
Fleming, I. R., Barrowclough, C. and Whitmore, R. J. (1983). The Constructional approach to meeting the needs of elderly people. Nursing Mirror, 8 06, 2123.Google Scholar
Goldiamond, I. (1974). Towards a constructional approach to social problems. Ethical and constitutional issues raised by applied behavioural analysis. Behaviorism 2, 184.Google Scholar
Goldiamond, I. (1975). Alternative sets as a framework for behavioral formulations and research. Behaviorism 3, 4986.Google Scholar
Goldiamond, I. (1976). Coping and adaptive behaviors of the disabled. In Socialisation in the Disability Process, Albrecht, G. L. (Ed.), University of Pittsburgh Press.Google Scholar
Hattersley, J., Brewster, L., Cullen, C. and Tennant, L. (1979). A constructional approach to social problems. Social Work Today 10, 1012.Google Scholar
Kanfer, F. H. and Saslow, G. (1965). Behavioural analysis. An alternative to diagnostic classification. Archives of General Psychiatry 12, 529538.CrossRefGoogle ScholarPubMed
Lowrie, C., Banner, S. and Cullen, C. (1974). Non-malicious absconding in a mentally handicapped woman: short term success but long-term problems. Apex, 7, 6162.Google Scholar
Moores, B. and Grant, G. W. B. (1977). Optimists and pessimists: attitudes of nursing staff towards the development potential of mentally handicapped patients in their charge. International Journal of Nursing Studies 14, 1318.CrossRefGoogle ScholarPubMed
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