ABA Fundamentals

Social-skills training to modify abusive verbal outbursts in adults.

Frederiksen et al. (1976) · Journal of applied behavior analysis 1976
★ The Verdict

A short BST loop of model-rehearse-feedback quickly slashes hostile talk and lifts polite requests in psychiatric inpatients.

✓ Read this if BCBAs on adult inpatient units who handle verbal aggression.
✗ Skip if Clinicians serving people with severe negative-symptom schizophrenia.

01Research in Context

01

What this study did

Two psychiatric inpatients who yelled insults and threats got a four-step class. The trainer first showed the right way to ask for help or disagree. Then each adult copied the scene while the coach gave tips and praise.

The team watched the men on the ward. They counted kind requests, calm disagreements, and nasty remarks. They started lessons only after baselines stayed flat.

02

What they found

Both men cut hostile outbursts to near zero after a few short lessons. Kind requests and calm statements rose fast and stayed high.

The skills moved to new places. The men used polite words with new staff and in new situations without extra coaching.

03

How this fits with other research

Jones et al. (1977) ran the same four-step class with shy children the next year. Kids became assertive and kept the gains for a month, showing the package works across ages.

Matousek et al. (1992) tried the same steps with schizophrenia patients who had flat affect. Results were tiny and shaky. The gap shows BST power drops when severe negative symptoms block learning.

Smith et al. (1975) used the same parts one year earlier to teach public-speaking moves. Large jumps in eye contact and gestures foretold that this mix would work for other adult social problems.

04

Why it matters

You can trim verbal abuse on an adult unit with a quick BST loop: model, rehearse, feedback. No need for long talk therapy or point fines. Train for five target responses, see ward culture shift, and watch the change spread to new staff and settings for free.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Pick one polite request and one calm disagreement, model them in a five-minute role-play, give instant feedback, and tally hostile words before and after.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Sample size
2
Population
mixed clinical
Finding
positive
Magnitude
large

03Original abstract

Social-skills training was used to modify abusive verbal outbursts displayed by two adult psychiatric patients. Five target behaviors--looking, irrelevant comments, hostile comments, inappropriate requests, and appropriate requests were monitored during role-played situations. Social-skills training, consisting of behavior rehearsal with modelling, focused instructions, and feedback, was introduced in a multiple-baseline design across individuals. Training improved all target behaviors. The improved behavior generalized to: (1) novel scenes role-played with the original respondent, (2) training and novel scenes role-played with a different respondent, and (3) interpersonal situations on the hospital ward.

Journal of applied behavior analysis, 1976 · doi:10.1901/jaba.1976.9-117