Abstract
The purpose of this study is to provide a short report concerning token economy system application in psychiatry units and connect this approach with physical activity programming, as an effective way to promote psychological benefits, skills and exercise behavior of patients with schizophrenia. Conclusions: Token economy combined with physical activity can be a useful non-pharmaceutical approach that helps patients with schizophrenia to improve psychological aspects and quality of life.
 
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Highlights
Behaviouristic treatments use the principles of conventional therapy for the treatment of mental disorders
A type of behavioral therapy using a kind of exchange that is given as a reward at a specified moment during the program in the occasion of positive behaviors portrayed by the patient is called “token economy system” (Comaty, et al, 2001; Kahng, et al, 2003)
The success of a token economy depends on the appeal of the primary reinforcers which are the meaningful objects, privileges or activities that individuals receive in exchange for their tokens
Summary
Behaviouristic treatments use the principles of conventional therapy for the treatment of mental disorders. A type of behavioral therapy using a kind of exchange (token) that is given as a reward at a specified moment during the program in the occasion of positive behaviors portrayed by the patient is called “token economy system” (Comaty, et al, 2001; Kahng, et al, 2003). With this direct connection between "cause and effect", behavior changes for the better by skillful manipulation of the environment responsible for this positive change. Researches using a token economy system approach in multiple settings other than exercise validated its effectiveness as a behavioural treatment in both acute and more intermediate psychiatric care (McGinnis, Friman, & Carlyon, 1999) through application of rewards for clearly defined target behaviors (Dixon, Dickerson, Bellack et al, 2010)
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