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A Review and Programmatic Model of Group Social Skills Training for Psychiatric Patients

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Handbook of Behavioral Group Therapy

Part of the book series: Applied Clinical Psychology ((NSSB))

Abstract

The literature on social skills training is so extensive as to preclude a comprehensive review in any one source. Although the field is quite new, its initially optimistic results have generated considerable analog and clinical research investigations. This chapter will provide a review of social skills training as well as a description of the programmatic model developed in our clinic. The chapter is divided into two sections reflecting each of these topics. The present discussion will focus on the historical development of the skills training model and its therapeutic application with both individuals and groups. The objective of this section is to describe the following content areas: (a) early work on the role of social competence and psychopathology; (b) paradigmatic operant research demonstrating the modifiability of social behavior; (c) an overview of clinical research applications emphasizing group training programs with various patient populations; and (d) a critique of research. In the second section, the content and characteristics of a group training program that has been employed at the Providence Veterans Administration (VA) Medical Center will be described.

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References

  • Argyle, M., Trower, P., & Bryant B. Explorations in the treatment of personality disorders and neuroses by social skills training. British Journal of Medical Psychology, 1974, 47, 63–72.

    Article  PubMed  Google Scholar 

  • Ayllon, T., & Azrin, N. H. The token economy: A motivational system for therapy and rehabilitation. New York: Appleton-Century-Crofts, 1968.

    Google Scholar 

  • Ayllon, T., & Haughton, E. The control of behaviour of schizophrenic patients by food. Journal of the Experimental Analysis of Behavior, 1962, 5, 343–352.

    Article  PubMed  Google Scholar 

  • Azrin, N., & Lindsley, O. The reinforcement of cooperation between children. Journal of Abnormal and Social Psychology, 1956, 52, 100–102.

    Article  Google Scholar 

  • Barlow, D. H., Abel, G. G., Blanchard, E. B., Bristow, A. R., & Young, L. D. A heterosocial skills behavior checklist for males. Behavior Therapy, 1977, 8, 229–239.

    Article  Google Scholar 

  • Bellack, A. S. Recurrent problems in the behavioral assessment of social skills. Behaviour Research and Therapy, 1983, 21, 29–41.

    Article  Google Scholar 

  • Bellack, A. S., & Hersen, M. (Eds.). Research and practice in social skills training. New York: Plenum Press, 1979.

    Google Scholar 

  • Bellack, A. S., Hersen, M., & Turner, S. M. Generalization effects of social skills training in chronic schizophrenics: An experimental analysis. Behaviour Research and Therapy, 1976, 14, 391–398.

    Article  PubMed  Google Scholar 

  • Bloomfield, H. H. Assertive training in an outpatient group of chronic schizophrenics: A preliminary report. Behavior Therapy, 1973, 4, 277–281.

    Article  Google Scholar 

  • Booraem, C. D., & Flowers, J. V. Reduction of anxiety and personal space as a function of assertion training with severely disturbed neuro-psychiatric inpatients. Psychological Reports, 1972, 30, 923–929.

    Article  Google Scholar 

  • Bornstein, P. H., Winegardner, J., Rychatrik, R. G., Paul, W. P., Nafeh, S. J., Sweeney, T. M., & Justman, A. Interpersonal skills training: Evaluation of a program with adult male offenders. Criminal Justice and Behavior, 1979, 6, 119–132.

    Article  Google Scholar 

  • Chaney, E., O’Leary, M., & Marlatt, G. A. Skill training with alcoholics. Journal of Consulting and Clinical Psychology, 1978, 46, 1092–1104.

    Article  PubMed  Google Scholar 

  • Clark, K. W. Evaluation of a group social skills training program with psychiatric patients: Training Viet Nam era veterans in assertion, heterosexual, and job interview skills. (Doctoral Dissertation, University of Wisconsin-Madison, 1974). Dissertation Abstracts International, 1975,35,4642B. (University Microfilms No. 74–28, 795)

    Google Scholar 

  • Combs, M. L., & Slaby, D. A. Social-skills training with children. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child pychology (Vol. 1). New York: Plenum Press, 1977.

    Google Scholar 

  • Curran, J. P. Social skills: Methodological issues and future directions. In A. S. Bellack & M. Hersen (Eds.), Research and practice in social skills training. New York: Plenum Press, 1979.

    Google Scholar 

  • Curran, J. P. A procedure for the assessment of social skills: The Simulated Social Interaction Test. In J. P. Curran & P. M. Monti (Eds.), Social skills training: A practical handbook for assessment and treatment. New York: Guilford Press, 1982.

    Google Scholar 

  • Curran, J. P. & Monti, P. M. (Eds.), Social skills training: A practical handbook for assessment and treatment. New York: Guilford Press, 1982.

    Google Scholar 

  • De Lancey, A. The effects of covert reinforcement and social skill training with psychiatric patients. Unpublished doctoral dissertation, Boston College, 1979.

    Google Scholar 

  • Doty, D. W. Role playing and incentives in the modification of the social interaction of chronic psychiatric patients. Journal of Consulting and Clinical Psychology, 1975, 43, 676–682.

    Article  PubMed  Google Scholar 

  • Dunn, M., Van Horn, E., & Herman, S. H. Social skills and spinal cord injury: A comparison of three training procedures. Behavior Therapy, 1980. 12, 153–164.

    Article  Google Scholar 

  • Edelstein, B. A., & Eisler, R. M. Effects of modeling and modeling with instructions and feedback on the behavioral components of social skills. Behavior Therapy, 1976, 7, 382–389.

    Article  Google Scholar 

  • Eisler, R. M. The behavioral assessment of social skills. In M. Hersen & A. S. Bellack (Eds.). Behavioral assessment: A practical handbook. New York: Pergamon Press, 1976.

    Google Scholar 

  • Eisler, R. M., & Frederiksen, L. W. Perfecting social skills: A guide to interpersonal behavior development. New York: Plenum Press, 1980.

    Google Scholar 

  • Eisler, R. M., Hersen, M., & Miller, P. M. Effects of modeling on components of assertive behavior. Journal of Behavior Therapy and Experimental Psychiatry, 1973, 4, 1–6.

    Article  Google Scholar 

  • Eisler, R. M., Miller, P. M., & Hersen, M. Components of assertive behavior. Journal of Clinical Psychology, 1973, 29, 295–299.

    Article  PubMed  Google Scholar 

  • Eisler, R. M., Hersen, M., & Miller, P. M. Shaping components of assertiveness with instructions and feedback. American Journal of Psychiatry, 1974, 131, 1344–1347.

    PubMed  Google Scholar 

  • Eisler, R. M., Blanchard, E. B., Fitts, H., & Williams, J. G. Social skill training with and without modeling on schizophrenic and non-psychotic hospitalized psychiatric patients. Behavior Modification, 1978, 2, 147–172.

    Article  Google Scholar 

  • Falloon, I. R. H., Lindley, P., McDonald, R., & Marks, I. M. Social skills training of out-patient groups: A controlled study of rehearsal and homework. British Journal of Psychiatry, 1977, 131, 599–609.

    Article  PubMed  Google Scholar 

  • Field, G. D., & Test, M. A. Group assertive training for severely disturbed patients. Journal of Behavior Therapy and Experimental Psychiatry, 1975, 6, 129–134.

    Article  Google Scholar 

  • Finch, B. E., & Wallace, C. J. Successful interpersonal skills training with schizophrenic inpatients. Journal of Consulting and Clinical Psychology, 1977, 45, 885–890.

    Article  PubMed  Google Scholar 

  • Firth, E. A., Schneider, P. A., Conger, J. C., & Higbee, G. H. An exploration of naturalistic interactions for the assessment of heterosocial skills. Paper presented at the Annual Meeting of the Association for Advancement of Behavior Therapy, Toronto, 1981.

    Google Scholar 

  • Frank, J. D. Therapeutic components of psychotherapy: A 25-year progress report of research. Journal of Nervous and Mental Disease, 1974, 159, 325–342.

    Article  PubMed  Google Scholar 

  • Freedman, B. J., Rosenthal, L., Donahoe, C. P., Schlundt, D. G. & McFall, R. M. A social behavioral analysis of skill deficits in delinquent and nondeliquent adolescent boys. Journal of Consulting and Clinical Psychology, 1978, 46, 1448–1462.

    Article  PubMed  Google Scholar 

  • Gladwin, T. Social competence and clinical practice. Psychiatry, 1974, 30, 30–43.

    Google Scholar 

  • Goldfried, M. R., & D’Zurilla, T. J. A behavioral-analytic model for assessing competence. In C. D. Spielberger (Ed.), Current topics in clinical psychology (Vol. 1). New York: Academic Press, 1969.

    Google Scholar 

  • Goldsmith, J. B., & McFall, R. M. Development and evaluation of an interpersonal skill-training program for psychiatric inpatients. Journal of Abnormal Psychology, 1975, 84, 51–58.

    Article  PubMed  Google Scholar 

  • Goldstein, A. P. Structured learning therapy. New York: Academic Press, 1973.

    Google Scholar 

  • Goldstein, A., Martens, J., Hubben, J., van Belle, H., Schaaf, W., Wiersma, H., & Goedhart, A. The use of modeling to increase independent behavior. Behaviour Research and Therapy, 1973, 11, 31–42.

    Article  PubMed  Google Scholar 

  • Gutride, M. E., Goldstein, A. P., & Hunter, G. F. The use of modeling and role playing to increase social interaction among asocial psychiatric patients. Journal of Consulting and Clinical Psychology, 1973, 40, 408–415.

    Article  PubMed  Google Scholar 

  • Gutride, A., Goldstein, A., Hunter, G., Carroll, S., Clark, L., Furia, R., & Lower, W. Structured Learning Therapy with transfer training for chronic inpatients. Journal of Clinical Psychology, 1974, 30, 277–279.

    Article  Google Scholar 

  • Heimberg, R. G., Montgomery, D., Madsen, C. H., & Heinberg, J. S. Assertion training: A review of the literature. Behavior Therapy, 1977, 8, 953–971.

    Article  Google Scholar 

  • Hersen, M. Modification of skill deficits in psychiatric patients. In A. S. Bellack & M. Hersen (Eds.), Research and practice in social skills training. New York: Plenum Press, 1979.

    Google Scholar 

  • Hersen, M., & Bellack, A. S. Social skills training for chronic psychiatric patients: Rationale, research findings, and future directions. Comprehensive Psychiatry, 1976, 17, 559–580.

    Article  PubMed  Google Scholar 

  • Hersen, M., & Bellack, A. S. Assessment of social skills. In A. R. Ciminero, K. S. Calhoun, & H. E. Adams (Eds.), Handbook for behavioral assessment. New York: Wiley, 1977.

    Google Scholar 

  • Hersen, M., Eisler, R. M., & Miller, P. M. Development of assertive responses: Clinical, measurement and research considerations. Behaviour Research and Therapy, 1973, 11, 505–521.

    Article  PubMed  Google Scholar 

  • Hersen, M., Eisler, R. M., Miller, P. M., Johnson, M. B., & Pinkston, S. G. Effects of practice, instructions, and modeling on components of assertive behavior. Behaviour Research and Therapy, 1973, 11, 443–451.

    Article  PubMed  Google Scholar 

  • Hersen, M., Eisler, R. M., & Miller, P. M. An experimental analysis of generalization in assertive training. Behaviour Research and Therapy, 1974, 12, 295–310.

    Article  PubMed  Google Scholar 

  • Hersen, M., Bellack, A. S., & Himmelhoch, J. M. Treatment of unipolar depression with social skills training. Behavior Modification, 1980, 4, 547–556.

    Article  Google Scholar 

  • Hersen, M., Turner, S. M., Edelstein, A. B., & Pinkston, S. G. Effects of phenothiazines and social skills training in a withdrawn schizophrenic. Journal of Clinical Psychology, 1975, 31, 588–594.

    Article  PubMed  Google Scholar 

  • Hingtgen, J. N., & Trost, F. C. Shaping cooperative responses in early childhood schizophrenics: II. Reinforcement of mutual physical contact and vocal responses. In R. Ulrich, T. Strachnik, & J. Mabry (Eds.), Control of human behavior. Chicago: Scott, Foresman, 1966.

    Google Scholar 

  • Isaacs, W., Thomas, J., & Goldiamond, I. Application of operant conditioning to reinstate verbal behavior in psychotic patients. Journal of Speech and Hearing Disorders, 1960, 25, 8–12.

    PubMed  Google Scholar 

  • Jaffe, P. G., & Carlson, P. M. Relative efficacy of modeling and instructions in eliciting social behavior from chronic psychiatric patients. Journal of Consulting and Clinical Psychology, 1976, 44, 200–207.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E. Assessing the clinical or applied importance of behavior change through social validation. Behavior Modification, 1977, 4, 427–452.

    Article  Google Scholar 

  • Kelly, J. A. Social-skills training. New York: Springer, 1981.

    Google Scholar 

  • Kelly, J. A. Group training of social skills: Clinical applications and procedures. In D. Upper & S. M. Ross (Eds.), Behavioral group therapy: An annual review. Champaign, Ill.: Research Press, 1981.

    Google Scholar 

  • Kolko, D. J., Dorsett, P. G., & Milan, M. A. A total-assessment approach to the evaluation of social skills training: The effectiveness of an anger control program for adolescent psychiatric patients. Behavioral Assessment, 1981, 3, 383–402.

    Google Scholar 

  • Lazarus, A. A. Behavior therapy in groups. In G. Gazda (Ed.), Basic approaches to group psychotherapy and group counseling. Springfield, Ill.: Charles C. Thomas, 1968.

    Google Scholar 

  • Lomont, J. R., Gilner, F. H., Spector, N. J., & Skinner, K. K. Group assertion training and group insight therapies. Psychological Reports, 1969, 25, 463–470.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Stephens, R. M. Increasing appropriate behavior of explosive chronic psychiatric patients with a social-skills training package. Behavior Modification, 1978, 2, 61–76.

    Article  Google Scholar 

  • Matson, J. L., & Zeiss, R. A. The buddy system: A method for generalized reduction of inappropriate interpersonal behavior of retarded psychiatric patients. British Journal of Social and Clinical Psychology, 1979, 18, 401–405.

    Article  PubMed  Google Scholar 

  • McAlister, A., Perry, C., Killen, C., Slinkard, L. A., & Maccoby, N. Pilot study of smoking, alcohol and drug abuse prevention. American Journal of Public Health, 1980, 70, 719–721.

    Article  PubMed  Google Scholar 

  • Monti, P. M. The social skills intake interview: Reliability and convergent validity assessment. Journal of Behavior Therapy and Experimental Psychiatry, 1983, 14, 305–310.

    Article  PubMed  Google Scholar 

  • Monti, P. M., Fink, E., Norman, W., Curran, J. P., Hayes, S., & Caldwell, A. The effect of social skills training groups and social skills bibliotherapy with psychiatric patients. Journal of Consulting and Clinical Psychology, 1979, 47, 189–191.

    Article  PubMed  Google Scholar 

  • Monti, P. M., Curran, J. P., Corriveau, D. P., De Lancey, A., & Hagerman, S. M. Effects of social skills training groups and sensitivity training groups with psychiatric patients. Journal of Consulting and Clinical Psychology, 1980, 48, 241–248.

    Article  PubMed  Google Scholar 

  • Monti, P. M., Corriveau, D., & Curran, J. P. Social skills training for psychiatric patients: Treatment and outcome. In J. P. Curran & P. M. Monti (Eds.), Social skills training: A practical handbook for assessment and treatment. New York: Guilford Press, 1982.

    Google Scholar 

  • Monti, P. M., Wallander, J. L., Ahern, D. K., Abrams, D. B., & Munroe, S. M. Mutli-modal measurement of anxiety and social skills in a behavioral role-play test: Generalizability and discriminant validity. Behavioral Assessment, 1983, 6, 15–26.

    Google Scholar 

  • Paul, G. L. Behavior modification research: Design and tactics. In C. M. Franks (Ed.), Behavior therapy: Appraisal and status. New York: McGraw-Hill, 1969.

    Google Scholar 

  • Paul, G. L., & Shannon, D. T. Treatment of anxiety through systematic desensitization in therapy groups. Journal of Abnormal Psychology, 1966, 71, 124–135.

    Article  PubMed  Google Scholar 

  • Percell, L. P., Berwick, P. T., & Beigel, A. The effects of assertive training on self-concept and anxiety. Archives of General Psychiatry, 1974, 31, 502–504.

    Article  PubMed  Google Scholar 

  • Perry, C., Killen, J., Telch, M., Slinkard, L. A., & Danaher, B. G. Modifying smoking behavior of teenagers: A school-based intervention. American Journal of Public Health, 1980, 70, 722–725.

    Article  PubMed  Google Scholar 

  • Phillips, E. L. The social skills basis of psychopathology. New York: Grune & Stratton, 1978.

    Google Scholar 

  • Phillips, L., & Zigler, E. Social competence: The action-thought parameter and vicariousness in normal and pathological behaviors. Journal of Abnormal and Social Psychology, 1961, 63, 137–146.

    Article  PubMed  Google Scholar 

  • Phillips, L., & Zigler, E. Role orientation, the action-thought dimension and outcome in psychiatric disorder. Journal of Abnormal and Social Psychology, 1964, 68, 381–389.

    Article  Google Scholar 

  • Rathus, S. A. An experimental investigation of assertive training in a group setting. Journal of Behavior Therapy and Experimental Psychiatry, 1972, 3, 81–86.

    Article  Google Scholar 

  • Rathus, S. A. Instigation of assertive behavior through videotape mediated assertive models and directed practice. Behaviour Research and Therapy, 1973, 11, 57–65.

    Article  PubMed  Google Scholar 

  • Rice, M. E., & Chaplin, T. C. Social skills training for hospitalized male arsonists. Journal of Behavior Therapy and Experimental Psychiatry, 1979, 10, 105–108.

    Article  Google Scholar 

  • Rimm, D. C. Treatment of antisocial aggression. In G. G. Harris (Ed.), The group treatment of human problems. New York: Grune & Stratton, 1977.

    Google Scholar 

  • Serber, M. Teaching the nonverbal components of assertive training. Journal of Behavior Therapy and Experimental Psychiatry, 1972, 3, 179–183.

    Article  Google Scholar 

  • Serber, M., & Nelson, P. The ineffectiveness of systematic desensitization and assertive training in hospitalized schizophrenics. Journal of Behavior Therapy and Experimental Psychiatry, 1971, 2,107–109.

    Article  Google Scholar 

  • Scott, R. R., Himadi, W., & Keane, T. M. A review of generalization in social skills training: Suggestions for future research. In M. Hersen, R. Eisler, & P. Miller (Eds.), Progress in behavior modification. San Diego: Academic Press, 1984.

    Google Scholar 

  • Sherman, J. A. Reinstatement of verbal behavior in a psychotic by reinforcement methods. Journal of Speech and Hearing Disorders, 1963, 25, 8–12.

    Google Scholar 

  • Sherman, J. A. Use of reinforcement and imitation to reinstate verbal behavior in mute psychotics. Journal of Abnormal and Social Psychology, 1965, 70, 155–164.

    Article  Google Scholar 

  • Strauss, J., & Carpenter, W. The prediction of outcome in schizophrenia: I. Characteristics of outcome. Archives of General Psychiatry, 1972, 27, 739–746.

    Article  PubMed  Google Scholar 

  • Trower, P., Yardley, K., Bryant, B. M., & Shaw, P. The treatment of social failure: A comparison of anxiety-reduction and skills-acquisition procedures on two social problems. Behavior Modification, 1978, 2, 41–60.

    Article  Google Scholar 

  • Twentyman, C. T., & Zimering, R., Behavioral training of social skills: A critical review. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 7). New York: Academic Press, 1979.

    Google Scholar 

  • Upper, D., & Ross, S. M. Behavioral group therapy. In M. Hersen, R. M., Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 5). New York: Academic Press, 1977.

    Google Scholar 

  • Weinman, B., Gelbart, P., Wallace, M., & Post, M. Inducing assertive behavior in chronic schizophrenics: A comparison of socioenvironmental, desensitization, and relaxation therapies. Journal of Consulting and Clinical Psychology, 1972, 39, 246–253.

    Article  PubMed  Google Scholar 

  • Williams, M. T., Turner, S. M., Watts, J. G., Bellack, A. S., & Hersen, M. Group social skills training for chronic psychiatric patients. European Journal of Behavioural Analysis and Modification, 1977,1, 223–229.

    Google Scholar 

  • Wilson, F. S., & Walters, R. H. Modification of speech output of near mute schizophrenics through social learning procedures. Behaviour Research and Therapy, 1966, 4, 59–67.

    Article  PubMed  Google Scholar 

  • Wolpe, J. The practice of behavior therapy (2d ed.). New York: Pergamon Press, 1973.

    Google Scholar 

  • Zigler, E., & Phillips, L. Social effectiveness and symptomatic behaviors. Journal of Abnormal and Social Psychology, 1960, 61, 231–238.

    Article  PubMed  Google Scholar 

  • Zigler, E., & Phillips, L. Social competence and outcome in psychiatric disorder. Journal of Abnormal and Social Psychology, 1961, 63, 264–271.

    Article  Google Scholar 

  • Zigler, E., & Phillips, L. Social competence and the process-reactive distinction in psychopathology. Journal of Abnormal and Social Psychology, 1962, 65, 215–222.

    Article  PubMed  Google Scholar 

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Monti, P.M., Kolko, D.J. (1985). A Review and Programmatic Model of Group Social Skills Training for Psychiatric Patients. In: Upper, D., Ross, S.M. (eds) Handbook of Behavioral Group Therapy. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4958-7_2

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