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New Developments in Social Skills Training

Published online by Cambridge University Press:  06 October 2014

Kim T. Mueser*
Affiliation:
Dartmouth Medical School
Charles J. Wallace
Affiliation:
Department of Psychiatry, University of California at Los Angeles, West Los Angeles VA Medical Center, and the UCLA-Camarillo Neuropsychiatric Research Center
Robert P. Liberman
Affiliation:
Department of Psychiatry, University of California at Los Angeles, West Los Angeles VA Medical Center, and the UCLA-Camarillo Neuropsychiatric Research Center
*
New Hampshire-Dartmouth Psychiatric Research Center, 105 Pleasant St, Main Building, Concord NH 03301, USA
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Abstract

Social skills training (SST) has emerged as one of the most widely practiced methods of psychiatric rehabilitation. The purposes of this article are to review the research about its effects, propose guidelines for its practice, and discuss several related methodological and clinical issues such as promoting generalisation, predicting the degree of benefit, and integrating training with other rehabilitation services. The research suggests that SST, when conducted using appropriate curricula and teaching techniques, helps individuals with schizophrenia acquire relevant interpersonal and instrumental skills. Generalisation of these skills can be promoted by simultaneously linking training to the opportunities, prompts, and consequences needed to perform the skills in the extra-training environments. Long-term SST appears to be necessary in order to produce significant improvements in community functioning. The article concludes with suggestions for future clinical research.

Type
Research Article
Copyright
Copyright © The Author(s) 1995

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References

REFERENCES

Adams, H., Malatesta, V., & Brantley, P. (1981). Modification of schizophrenic processes: A case study. Journal of Consulting and Clinical Psychology, 49, 460464.CrossRefGoogle ScholarPubMed
Backer, T.E., Liberman, R.P., & Kuehnel, T.G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting and Clinical Psychology, 54, 111118.CrossRefGoogle ScholarPubMed
Becker, R.E., Heimberg, R.G., & Bellack, A.S. (1987). Social skills treatment for depression. New York: Pergamon.Google Scholar
Bellack, A.S., & Mueser, K.T. (1986). A comprehensive treatment program for schizophrenia and chronic mental illness. Community Mental Health Journal, 22, 175189.CrossRefGoogle ScholarPubMed
Bellack, A.S., & Mueser, K.T. (1992). Social skills training for schizophrenia? Archives of General Psychiatry, 49, 76.Google Scholar
Bellack, A.S., & Mueser, K.T. (1993). Psychosocial treatment for schizophrenia. Schizophrenia Bulletin, 19, 317336.CrossRefGoogle ScholarPubMed
Bellack, A.S., Mueser, K.T., Morrison, R.L., Tierney, A., & Podell, K. (1990). Remediation of cognitive deficits in schizophrenia. American Journal of Psychiatry, 147, 16501655.Google Scholar
Bellack, A.S., Turner, S.M., Hersen, M., & Luber, R.F. (1984). An examination of the efficacy of social skills training for chronic schizophrenic patients. Hospital and Community Psychiatry, 35, 10231028.Google ScholarPubMed
Bentall, R.P., Higson, P.J., & Lowe, C.F. (1987). Teaching self-instructions to chronic schizophrenic patients: Efficacy and generalization. Behavioral Psychotherapy, 15, 5876.Google Scholar
Benton, M.K., Schroeder, H.E. (1990). Social skills training with schizophrenics: A meta-analytic evaluation. Journal of Consulting and Clinical Psychology, 58, 741747.Google Scholar
Bowen, L., Wallace, C.J., Glynn, S.M., Nuechterlein, K.H., Lutzker, J.R., & Kuehnel, T.G. (1994). Cognitive dysfunctions, social performance, and skills training in schizophrenia. Journal of Psychiatric Research, 28, 289301.CrossRefGoogle Scholar
Corrigan, P.W. (1991). Social skills training in adult psychiatric populations: A meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 22, 203210.CrossRefGoogle ScholarPubMed
Corrigan, P.W., Wallace, C.J., & Green, M.F. (1992). Deficits in social schemata in schizophrenia. Schizophrenia Research, 8, 129135.CrossRefGoogle ScholarPubMed
Corrigan, P.W., Wallace, C.J., Schade, M.L., & Green, M.F. (1994). Learning medication self-management skills in schizophrenia: Relationships with cognitive deficits and psychiatric symptoms. Behavior Therapy, 25, 515.CrossRefGoogle Scholar
Derogatis, L.R. (1983). The SCL-90-R: Administration, scoring, and procedures manual – II. Baltimore: Clinical Psychometric Research.Google Scholar
Dobson, D.J.G., McDougall, G., Busheikin, J., & Aldous, J. (1995). Social skills training and symptomatology in schizophrenia. Psychiatric Services, 46, 376380.Google Scholar
Donahoe, E.P. Jr., & Driesenga, S.A. (1988). A review of social skills training with chronic mental patients. In Hersen, M., Eisler, R.M., & Miller, P.M. (Eds.), Progress in behavior modification, 23. (pp. 131164). Newbury Park, CA: Sage.Google Scholar
Eckman, T.A., Wirshing, W.C., Marder, S.R., Liberman, R.P.Johnston-Cronk, K., Zimmerman, K., & Mintz, J. (1992). Techniques for training schizophrenic patients in illness self-management: A controlled trial. American Journal of Psychiatry, 149, 15491555.Google ScholarPubMed
Ericsson, K.A., & Chamess, N. (1994). Expert performance: Its structure and acquisition. American Psychologist, 49, 725747.Google Scholar
Glick, I., Clarkin, J., Spencer, J., Haas, G., Lewis, A., Peyser, J., DeMane, N., Good-Ellis, M., Harris, E., & Lestelle, V. (1985). A controlled evaluation of inpatient family intervention: I. Preliminary results of a 6-month follow-up. Archives of General Psychiatry, 42, 882886.CrossRefGoogle Scholar
Glick, I., Spender, J., Clarkin, J., Haas, G., Lewis, A., Peyser, J., DeMane, N., Good-Ellis, M., Harris, E., & Lestelle, V. (1990). A randomized trial of inpatient family intervention: IV. Follow-up results for subjects with schizophrenia. Schizophrenia Research, 3, 187200.Google Scholar
Green, M.F., Ganzell, S., & Satz, P. (1992). The Wisconsin Card Sort Test: Remediation of a stubborn deficit. American Journal of Psychiatry, 149, 6267.Google Scholar
Halford, W.K., & Hayes, R.L. (1991). Psychological rehabilitation of chronic schizophrenic patients: Recent findings on social skills training and family psychoeducation. Clinical Psychology Review, 23, 2344.Google Scholar
Hayes, R.L., Halford, W.K., & Varghese, F.T. (in press). Social skills training with chronic schizophrenic patients: Effects on community functioning. Behavior Therapy.Google Scholar
Hellman, S.H., Green, M.F., & Kern, R.S. (1992). The effects of instruction versus reinforcement on the Wisconsin Card Sort Test. Journal of Clinical and Experimental Neuropsychology, 14, 63.Google Scholar
Hierholzer, R.W., & Liberman, R.P. (1986). Successful living: A social skills and problem-solving group for the chronic mentally ill. Hospital and Community Psychiatry, 37, 913918.Google Scholar
Hogarty, G.E., Anderson, C.M., Reiss, D.J., Kombiith, S.J., Greenwald, D.P., Ulrich, R.F., & Carter, M. (1991). Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry, 48, 340347.Google Scholar
Hope, D.A., & Heimberg, R.G. (1994). Social phobia and social anxiety. In Barlow, D. (Ed.), Clinical handbook of psychological disorders (pp. 99136). New York: Guilford.Google Scholar
Hubmann, W., Mohr, F., & Pior, R. (1989). Specific vs. unspecific effects of cognitive and social skills training programs for schizophrenic disorders. Paper presented at the Annual Congress of the European Association of Behavior Therapy, Vienna, Austria.Google Scholar
Jaeger, J., & Douglas, E. (1992). Neuropsychiatric rehabilitation for persistent mental illness. Psychiatric Quarterly, 65, 7194.Google Scholar
Kavanagh, D.J. (1992). Recent developments in expressed emotion and schizophrenia. British Journal of Psychiatry, 160, 601620.Google Scholar
Kay, S.R., Fiszbein, A., & Opler, L. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261276.Google Scholar
Kern, R.S., Green, M.F., & Goldstein, M.J. (in press). Can we modify an indicator of vulnerability to schizophrenia? Journal of Abnormal Psychology.Google Scholar
Kern, R.S., Green, M.F., & Satz, P. (1992). Neuropsychological preditors for skills training for chronic psychiatric patients. Psychiatry Research, 43, 223230.Google Scholar
Koh, S.D. (1978). Remembering of verbal materials by schizophrenic young adults. In Schwartz, S. (Ed.), Language and Cognition in Schizophrenia. Hillsdale, NJ: Erlbaum.Google Scholar
Koh, S.D., Grinker, R.R., & Marusarz, T.W. (1981). Affective memory and schizophrenic anhedonia. Schizophrenia Bulletin, 7, 292303.Google Scholar
Koh, S.D., Marusarz, T.W., & Rosen, A.J. (1980). Remembering of sentences by schizophrenic young adults. Journal of Abnormal Psychology, 89, 291294.Google Scholar
Kopelowicz, A., & Liberman, R.P. (1994). Self-management approaches for seriously mentally ill persons. Directions in Psychiatry, 14, 17.Google Scholar
Kraemer, S. (1991). Cognitive training and social skills training in relation to basic disturbances in chronic schizophrenic patients. Paper presented at the World Congress of Psychiatry, Amsterdam.Google Scholar
Lange, A.J., & Jakubowski, P. (1976). Responsible assertive behavior. Champaign, IL: Research Press.Google Scholar
Lehman, A.F., & Steinwachs, D.M. (1994). Literature review: Treatment approaches for schizophrenia. Baltimore, MD: Schizophrenia Patient Outcomes Research Team (PORT), University of Maryland.Google Scholar
Liberman, R.P. (Ed.). (1992). Handbook of psychiatric rehabilitation. New York: Macmillan.Google Scholar
Liberman, R.P., DeRisi, W.J., & Mueser, K.T. (1989). Social skills training for psychiatric patients. Needham Heights, MA: Allyn & Bacon.Google Scholar
Liberman, R.P., & Mueser, K.T. (1989). Psychosocial treatment of schizophrenia. In Kaplan, H. & Sadock, B. (Eds.), Comprehensive textbook of psychiatry (5th ed., pp. 792806). Baltimore: Williams & Wilkins.Google Scholar
Liberman, R.P., Wallace, C.J., Blackwell, G.A., Eckman, T.A., Vaccaro, J.V., & Kuehnel, T.G. (1993). Innovations in skills training for the seriously mentally ill: The UCLA Social and Independent Living Skills modules. Innovations and Research, 2, 4360.Google Scholar
Marder, S.R., Liberman, R.P., Wirshing, W.C., Mintz, J., Eckman, T.A., & Johnston-Cronk, K. (in press). Management of risk of relapse in schizophrenia. Archives of General Psychiatry.Google Scholar
Margolis, R.B., & Shemberg, K.M. (1976). Cognitive self instructions in process and reactive schizophrenics: A failure to replicate. Behavior Therapy, 7, 668671.CrossRefGoogle Scholar
Matousek, N., Edwards, J., Jackson, H.J., Rudd, R.P., & McMurray, N.E. (1991). Social skills training and negative symptoms. Behavior Modification, 16, 3963.Google Scholar
Meichenbaum, D., & Cameron, R. (1973). Training schizophrenics to talk to themselves: A means of developing self-controls. Behavior Therapy, 4, 515534.Google Scholar
Mueser, K.T., Bellack, A.S., Douglas, M.S., & Wade, J.H. (1991). Prediction of social skill acquisition in schizophrenic and major affective disorder patients from memory and symptomatology. Psychiatry Research, 37, 281296.Google Scholar
Mueser, K.T., & Glynn, S.M. (1995). Behavioral family therapy for psychiatric disorders. Needham Heights, MA: Allyn & Bacon.Google Scholar
Mueser, K.T., Kosmidis, M.H., & Sayers, M.D. (1992). Symptomatology and the prediction of social skills acquisition in schizophrenia. Schizophrenia Research, 8, 5968.Google Scholar
Mueser, K.T., Levine, S., Bellack, A.S., Douglas, M.S., & Brady, E.U. (1990). Social skills training for acute psychiatric patients. Hospital and Community Psychiatry, 41, 12491251.Google Scholar
Overall, J.E., & Gorham, D.R. (1962). The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.Google Scholar
Psychiatric Rehabilitation Consultants. (1994). Modules in the Social & Independent Living Skills Program. (Available from Dissemination Coordinator, Camarillo-UCLA Research Center, PO Box 6022, Camarillo, CA 93011-6022.)Google Scholar
Spaulding, W. (1989). Spontaneous and induced cognitive changes in rehabilitation of chronic schizophrenia. In Cromwell, R. (Ed.), Schizophrenia: Innovations in theory and treatment. New York: Oxford University Press.Google Scholar
Spitzer, R.L., Williams, J.B.W., Gibbon, M., & First, M.B. (1990). Structured clinical interview for DSM-III-R – Patient Edition. Washington, DC: American Psychiatric Press.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., Baker, A., Yusopoff, L., & Ugerteburu, I. (1993). A controlled trial of two cognitive behavioural methods of treating drug resistant residual symptoms in schizophrenic patients. British Journal of Psychiatry, 162, 524532.Google Scholar