Behavior Modification

Legal Restrictions on Token Economies
  • David B. Wexler
Part of the Perspectives in Law & Psychology book series (PILP, volume 4)


Commentators and authorities have recently directed attention not only to important procedural problems in the administration of therapeutic justice1 but also to the legal issues presented by various methods of institutional therapy. Legal restrictions on a hospital’s right to subject unwilling patients to electroconvulsive therapy2 and psychosurgery3 are developing rapidly, and close scrutiny is also now being given to “aversive” techniques of behavior modification and control4—such as procedures for suppressing transvestism by administering painful electric shocks to the patient while he is dressed in women’s clothing, and procedures for controlling alcoholism or narcotics addiction by arranging medically for severe nausea or even temporary paralysis (including respiratory arrest) to follow ingestion of the habituating substance.5 It is likely that certain treatments may be deemed so offensive, frightening, or risky that the law may eventually preclude them altogether,6 or at least restrict them by requiring the patient’s informed consent.7


Behavior Modification Minimum Wage Supra Note State Hospital Target Behavior 


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  1. 4.
    Note, Aversion Therapy: Punishment as Treatment and Treatment as Cruel and Unusual Punishment, 49 So. Calif. L. Rev. 880 (1976).Google Scholar
  2. 14.
    Fuller, Operant Conditioning of a Vegetative Human Organism, 62 Am. J. Psychology 587 (1949).CrossRefGoogle Scholar
  3. 16.
    Ayllon & Azrin, The Measurement and Reinforcement of Behavior of Psychotics, 8 J. Exp. Anal. Behav. 357 (1965).CrossRefGoogle Scholar
  4. Ayllon & Michael, The Psychiatric Nurse as a Behavioral Engineer, 2 J. Exp. Anal. Behav. 323 (1959).CrossRefGoogle Scholar
  5. 17.
    Mishara, Geriatric Patients Who Improve in Token Economy and General Milieu Treatment Programs: A Multivariate Analysis, 46 J. Counseling & Clinical Psychology 1340 (1978).CrossRefGoogle Scholar
  6. Kazdin & Bootzin, The Token Economy: An Evaluative Review, 5 J. App. Behav. Anal. 343 (1972).CrossRefGoogle Scholar
  7. 19.
    Shuman and Hawkins, The Use of Alternatives to Institutionalization of the Mentally Ill, 33 Sw. L. J. 1181 (1980).Google Scholar
  8. 25.
    Premack, Toward Empirical Behavioral Laws: I. Positive Reinforcement, 66 Psychological Rev. 219 (1959).CrossRefGoogle Scholar
  9. 39.
    Lloyd & Abel, Performance on a Token Economy Psychiatric Ward: A Two Year Summary, 8 Behav. Res. & Therapy 1, 6 (1970).CrossRefGoogle Scholar
  10. 40.
    Narrol, Experimental Application of Reinforcement Principles to the Analysis and Treatment of Hospitalized Alcoholics, 28 Q. J. Stud. Alcohol 105, 108 (1967).Google Scholar
  11. 41.
    Gripp & Magaro, A Token Economy Program Evaluation with Untreated Control Ward Comparisons, 9 Behav. Res. & Therapy 137, 141 (1971).CrossRefGoogle Scholar
  12. 43.
    Glicksman, Ottomanelli, & Cutler, The Earn-Your-Way Credit System: Use of a Token Economy in Narcotic Rehabilitation, 6 Int’l. J. Of The Addictions 525 (1971).Google Scholar
  13. 57.
    Note, Beyond the Ken of Courts: A Critique of the Judicial Refusal to Review the Complaints of Convicts, 72 Yale L. J. 506 (1963).CrossRefGoogle Scholar
  14. 85.
    Wexler, Of Rights and Reinforcers, 11 San Diego L. Rev. 957, 962-63 n.8 (1974).Google Scholar
  15. 109.
    Winkler, The Relevance of Economic Theory and Technology to Token Reinforcement Systems, 9 Behav. Res. & Therapy 81 (1971).CrossRefGoogle Scholar
  16. Kagel & Winkler, Behavioral Economics: Areas of Cooperative Research between Economics and Applied Behavioral Analysis, 5 J. App. Behav. Anal. 335 (1972).CrossRefGoogle Scholar
  17. McQueen, The Token Economy and a Target Behavior, 32 Psychol. Rep. 599, 601 (1973).CrossRefGoogle Scholar
  18. 117.
    Schaefer & Martin, Behavioral Therapy for “Apathy” of Hospitalized Schizophrenics, 19 Psychol. Rep. 1147 (1966).CrossRefGoogle Scholar
  19. 131.
    Parish, Relationship between Moral Development Test Scores of Juvenile Delinquents and Their Inclusion in a Moral Dilemma Discussion Group, 39 Psych. Rep. 1075 (1976).CrossRefGoogle Scholar
  20. Rekev & Meissner, Life Skills in a Canadian Federal Penitentiary: An Experimental Evaluation, 19 Canadian J. Criminology 292 (1977).Google Scholar
  21. 150.
    Wolf, Phillips, Fixsen, et al, Achievement Place: The Teaching-Family Model, 5 Child Care Quarterly 92 (1976).CrossRefGoogle Scholar
  22. Wexler, Reflections on the Legal Regulation of Behavior Modification in Institutional Settings, 17 Ariz. L. Rev. 132, 138-40 (1975).Google Scholar

Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • David B. Wexler
    • 1
  1. 1.University of ArizonaTucsonUSA

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