Practitioner Development

Conversational skills of inpatient conduct-disordered youths. Social validation of component behaviors and implications for skills training.

Hansen et al. (1988) · Behavior modification 1988
★ The Verdict

Conduct-disordered youths miss eye contact, questions, and acknowledgments—teach these three pieces to boost peer acceptance.

✓ Read this if BCBAs running social-skills groups in inpatient or day-treatment units.
✗ Skip if Clinicians serving only adults or non-verbal clients.

01Research in Context

01

What this study did

Researchers watched 30 inpatient boys talk with a same-age peer. All boys had conduct disorder.

They counted tiny parts of talk: eye contact, questions, little sounds like "uh-huh," and how long each turn lasted.

They also asked peers, "Would you like to hang out with this kid?" to see if the boys seemed likable.

02

What they found

The boys with conduct disorder used fewer questions and acknowledgments. They looked away more.

Peers rated them as less friendly. The missing pieces matched the low likability scores.

03

How this fits with other research

Chung et al. (2019) saw the same gap in high-school students with IDD. Those teens also talked to peers only once every four minutes.

Foltin (1997) sketched a full residential program for conduct youth. The plan folds social-skills drills into daily life, just what the 1988 data say is missing.

Cook et al. (2011) warn us to define each skill part before we teach it. Their review backs the 1988 idea of breaking conversation into eye contact, questions, and acknowledgments.

04

Why it matters

You now know three micro-skills to target: eye contact, questions, and short acknowledgments. Write them on your data sheet. Praise each one when it happens. In 10-minute role-play blocks you can raise peer liking and cut future conflict.

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Pick one client, set a 5-minute timer, and give a token each time he asks a question or says "cool," "right," or "okay" during peer chat.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
56
Population
other
Finding
negative
Magnitude
medium

03Original abstract

The conversational skills of 24 inpatient conduct-disordered youths and 32 "normal" youths from the community were assessed and compared. A panel of 12 peer judges provided global ratings of subjects' conversational skill. Moderate to high amounts of the variance in the peer ratings were accounted for by conversational-skill component behaviors, especially for the inpatient conduct disordered youths. Compared to the nonpatient youths, the inpatient youths were significantly deficient in their use of a variety of conversational-skill component behaviors and received significantly lower peer ratings of conversational skill. Implications of the findings for social-skills training and research are discussed.

Behavior modification, 1988 · doi:10.1177/01454455880123007