The British Journal of Psychiatry 150: 864-867 (1987)
© 1987 The Royal College of Psychiatrists
The role of food substitutes in a token economy system
DW Scott and RL Wood
Department of Clinical Psychology, St Andrew's Hospital, Northampton.
Data from five behaviour management (token economy) units were analysed for
periods of 10-20 weeks before and after the use of a food substitute
(Complan), provided when insufficient tokens had been earned to buy a full-
or part-meal. The efficacy of this form of negative punishment to control
disturbed and aggressive behaviour was examined. No evidence was found to
suggest that the contingent use of a food substitute made any contribution
to the therapeutic process.