Skinner Boxes for Psychotics:
Operant Conditioning at Metropolitan
State Hospital
Alexandra Rutherford
York University
Keywords: history,
behavior analysis, free-operant, human behavior
Manuscript published in: The Behavior Analyst, Volume 26, pp.
267-279, Carol Pilgrim, Editor
Please address correspondence
to:
Alexandra Rutherford
Department of Psychology
York University
4700 Keele St.
Toronto, ON, CA M3J 1P3
Telephone: (416) 736-5115
x33230
Electronic mail: alexr@yorku.ca
Departmental Fax: (416)
736-5814
Abstract
The first systematic replication of
the free-operant paradigm with adult humans was initiated and undertaken by B.
F. Skinner and Ogden Lindsley at the Harvard Medical School Behavior Research
Laboratory at Metropolitan State Hospital in Waltham, Massachusetts between
1953 and 1965. The Behavior Research
Laboratory (hereafter, BRL) played a key role in the history of the extension
of operant principles to human behavior, and, further, provided a pivotal application
of operant methods to the study of psychopathology. Through their methodological and technical
innovations at the BRL, Lindsley and his colleagues made human behavior
accessible to experimental analysis and functional definition for the first time. The work at the BRL was truly an example of
one of the expanding visions of operant psychology in the 1950s.
In this paper, I provide a brief
descriptive history of the BRL, outlining its inception, its research
activities and apparatus, its sources of funding, and its eventual closure in
1965. Throughout, I draw heavily on a
recent published account of the BRL by Ogden Lindsley (Lindsley, 2001),
Skinner’s account in the third volume of his autobiography A Matter of
Consequences (Skinner, 1983), the BRL’s published
research, and published conference proceedings.[i]
Beyond a descriptive history of the
BRL, the important role it played in the relationship between the experimental
analysis of behavior (EAB) and the applied analysis of behavior (ABA) is
examined. Although the term ‘behavior
therapy’ was used by Skinner and Lindsley to describe some of the BRL’s
activities, and although the BRL sometimes portrayed its work as “therapeutic,”
it is reiterated that the actual and intended spirit of the research at the BRL
was experimental, not applied. At its
inception, Skinner and Lindsley intended to use the BRL to study whether the
reinforcement of human operant behavior would follow the same lawful
regularities that had been demonstrated in animals studied in operant
chambers. With this objective clearly
set out, the task of
recording, measuring, and evaluating human behavior became a
primary research (and technical) focus.
Although application was a logical corollary of their work, and the
problems and population studied certainly attracted researchers interested in
applied fields, the BRL itself was foundational, both methodologically and
conceptually, in the extension of EAB to ABA that occurred more distinctly
throughout the 1960s.[ii]
Finally, the activities of the BRL
are contextualized by examining the role that psychopharmacology played in its
research program. Because the BRL was
located in a psychiatric hospital and chronic schizophrenics were its primary
research participants, the pharmacological revolution that beset psychiatry in
the 1950s influenced its research activities (indeed, operant research also
changed the pharmacology field, see Laties, 2003, this volume, for a history of
behavioral pharmacology). To conclude, a
four-stage model of the historical and conceptual development of behavior
analysis is proposed, which situates the BRL (and other human free-operant
laboratories) as the link between the animal operant tradition, and applied
behavior analysis. The foundational
significance of the BRL’s work in the formation of the subfield of the
experimental analysis of human behavior (EAHB), that formally
coalesced during the early 1980s, is acknowledged and discussed.
In A Matter of Consequences,
the last volume of his autobiography, Skinner noted that his interest in psychotic
behavior had begun with his development of the verbal summator (see Skinner,
1936), which resulted in a short collaboration with Saul Rosenzweig at
Worcester State Hospital in the 1930s (Skinner, 1983, p. 52). As I have described elsewhere (Rutherford,
2000), Skinner initially conceptualized the verbal summator, not only as an
experimental device to evoke latent verbal behavior, but also as a possible
auditory projective technique, or, as he put it, a “device for snaring out
complexes” (Skinner, 1979, p. 176). He
arranged to try out the verbal summator on schizophrenic patients at
Worcester. Although his interest in this
particular aspect of the work soon waned,[iii]
by 1952 his interest in investigating psychotic behavior had piqued again. As Ogden Lindsley, then a graduate student of
Skinner’s at Harvard, wrote, “Whenever Fred and I met to discuss my doctoral
dissertation…we always strayed from the topic.
We wondered whether the catatonic schizophrenic standing in a corner all
day was the result of total extinction.
We wondered whether the hebephrenic was reinforced for giggling on a
variable ratio schedule…Fascinated, I promised Fred that if he could get funds,
I would give human free operant research five years of my life” (Lindsley,
2001, p. 138).
Skinner was able to procure funds,
and also found a site for the research.
In 1952, a colleague introduced Skinner to Harry Solomon, head of the
Department of Psychiatry and Director of the Boston Psychopathic Hospital. Solomon, interested in Skinner’s proposal,
spoke with William F. McLaughlin, the superintendent of Metropolitan State
Hospital in Waltham, MA, and persuaded him to give Skinner space for a
laboratory.[iv] Skinner procured funds from the Office of
Naval Research (they had funded the ORCON project), the Rockefeller Foundation,
and the Milton Fund of Harvard University.
With these supports in place, and Lindsley’s offer on the table, the BRL
took up residence in an abandoned hydrotherapy unit at the hospital in June,
1953, with the sum of $7,500 for the year with which to set up an operant
research facility for humans.
In their efforts to develop an
experimental analysis of human behavior, Skinner and Lindsley logically applied
the same technical innovations that Skinner had arrived at in recording rat and
pigeon behavior in operant chambers, to the BRL project. The technical and methodological challenge
was how to record human behavior automatically and continuously to uncover its
potential regularities. Accordingly,
over the course of the next 10 months, two 6’ x 6’ experimental rooms were
equipped with plunger operanda and magazine delivery chutes designed to
administer a variety of reinforcements to human subjects (for a detailed
description of the rooms, subjects, and experimental procedures, see Lindsley,
1956).[v] The plungers were connected through
programming relays and timers to cumulative recorders situated in a hallway
adjacent to the experimental rooms, which Lindsley came to call “Apparatus
Alley.”
In a presentation to the
Massachusetts Society for Research in Psychiatry in April of 1954 (Skinner,
Solomon, & Lindsley, 1954), and subsequently to the American Psychological
Association in September (Lindsley & Skinner, 1954), Skinner and Lindsley
reported that 15 male patients of various psychiatric classifications, average
age of 38 years, and hospitalized an average of 17 years, served as initial
research participants. In the typical
experimental situation, subjects were shown a variety of potential reinforcers
– such as candy, cigarettes, or coins - and were asked to select their
preferred reinforcer. They were then
taken to the experimental room where they were either shown how to operate a
plunger that would deliver the reinforcer, or were allowed to explore the room
freely until plunger-pulling was emitted.
In some cases, they reported, none of the potential reinforcers appeared
to work for the subjects. In these
cases, other options were tried, including projecting “short exposures of
interesting pictures” (Skinner et al., 1954, p. 403) onto a wall in the room
(the “interesting pictures” were photos of pin-up girls). Lindsley and Skinner reported that two
schedules of reinforcement were investigated – 1-minute variable interval, and
a fixed-ratio of 20. They concluded that
the effects of different schedules of reinforcement on the behavior of the
BRL’s subjects were similar to those found in rats, pigeons, and dogs, and
recommended further study, including observing the effects of drug therapy on
operant behavior. So how did behavior therapy
fit into this picture?
So far, I have referred to the
Laboratory as the Harvard Medical School Behavior Research Laboratory. This was not its first name. According to Lindsley (2001), Skinner first named
the project the “Experimental Analysis of the Behavior of Psychotic Patients,”
but the use of the term “experimental analysis” produced negative reactions
among hospital staff, patients, and parents.
Lindsley then drew up a list of 12 alternate names, and chose “Studies
in Behavior Therapy.”[vi] This name, he reported, was more positively
received, and was used to designate the Laboratory until 1955, when its name
was changed from “Studies in Behavior Therapy” to “Behavior Research
Laboratory.” “Studies in Behavior
Therapy,” however, appeared in Lindsley, Skinner, and Solomon’s first three
status reports to the Office of Naval Research, covering the June, 1953 through
December 1954 activities of the Laboratory.
Both Skinner (1983, p. 53) and Lindsley (2001, p. 139) remarked that the
first ONR status report marked the first published use of the term “behavior
therapy” – a claim that has been debated.[vii] Of interest here, however, is not whether
they were the first to use the term, but why they chose it, and whether it
accurately reflected the spirit of their endeavor. Were Skinner and Lindsley doing therapy? If not, what was the goal and significance of
their project?
Interestingly, in presenting their
results from the first year of the Laboratory’s research at scholarly
meetings in April and September of 1954 (as discussed above), both Skinner and
Lindsley used Skinner’s original designation, entitling their presentations, “A
method for the experimental analysis of psychotic patients.” Lindsley, in his presentation, explicitly
referred to the Laboratory, not as “Studies in Behavior Therapy” but as the
“Laboratory for Behavior Research” - at least a year before the official name
change. This implies that there may have
been strategic political reasons for presenting the Laboratory as a therapeutic
setting to hospital staff, patients, and the ONR, but not to the scholarly
research community.[viii]
Skinner remarked in his autobiography that their first status report to the ONR in 1953 included a section outlining “Plans for Future Work,” in which he noted: “Practically every one of these proposals is related to therapy…As our experiments are extended to more and more complex behavior, we should be in a position to undertake in many cases the particular kinds of change in behavior needed to bring about recovery” (Skinner, 1983, pp. 53-54). Clearly, the use of the name “Studies in Behavior Therapy,” and an occasional published nod to the therapeutic implications and potential of their findings, served to somewhat obscure the truly experimental nature of the research. It is likely that Skinner also believed that their research would, in time, lead to more direct therapeutic interventions. The basis for application, however, lay in the precise functional definition of behavior that could only be arrived at through experimental analysis.
In his presentation to the Massachusetts Society for Research in Psychiatry in April of 1954, Skinner made no allusion to the therapeutic implications of the Laboratory’s work, stating simply “The rate at which the [plunger-pulling] machine is operated is studied” (Skinner et al., 1954, p. 403). But the published commentary provided by three discussants – two of whom were psychiatrists – clearly highlighted connections to therapy and the accomplishment of therapeutic aims. For example, one of the psychiatrists noted, “The hypothesis of Dr. Skinner’s study is that direct reinforcement has great motivational value and will lead to behavior change in the direction of recovery” (p. 405). The other psychiatrist objected strongly to the control of the operant behavior of the experimental subjects, comparing it to control brought about by the “extirpation of the brain, bit by bit” or the “brain washing methods of totalitarian states” (pp. 404-405).
It is clear from the abstracts of
Lindsley and Skinner’s 1954 papers that the initial and ongoing objective of
the Laboratory was to test whether an out-and-out replication of the
free-operant paradigm would succeed with humans as it had with nonhumans - in
this case, whether the paradigm would prove an appropriate method for
investigating the functional properties of the behavior of psychotics. No mention was made of trying to modify or
shape the subjects’ behavior towards therapeutic ends. Lindsley noted of their results: “On the
fixed-ratio schedule, clear-cut “fixed ratio breaks” in response rate followed
reinforcement. These breaks are
characteristic of the performance of lower organisms on this schedule.” He concluded by stating: “The behavior of the
psychotic patient can be successfully investigated with operant conditioning
techniques. The behavior generated is
stable and predictable and provides a uniform base line for investigating
pharmacological and physiological variables” (Lindsley & Skinner, 1954, p.
419). Skinner also noted the potential
use of the regularity of operant responding as an evaluative baseline,
remarking that the “records already obtained provide an excellent baseline for
observing the moment-to-moment effects of drugs or the effects of other forms
of therapy” (Skinner et al., 1954, p. 404).
In his retrospective account of the
BRL, Lindsley (2001) wrote, “After two years we were accepted as part of the
hospital staff by patients and families.
Our stationary and business cards were used up. We felt secure enough [italics added]
to change our name to “Harvard Medical School Behavior Research Laboratory” (p.
140). In a 1996 e-mail posting to fellow
behavior analysts, Lindsley likewise remarked, “On 11 January 1955, I felt
secure enough in our hospital setting and with the clinical psychiatrists at
Harvard to change our name to Behavior Research Laboratory – which was what we
were doing all along” (Lindsley, 1996).
Thus, it may have been easier for the Laboratory to gain initial
acceptance and funding if, by implication, the nature of their work was seen as
applied and therapeutic, as opposed to experimental. After all, they were at a hospital, and their
research participants were patients.
Once institutional acceptance had been achieved, however, the use of the
term “behavior therapy” was no longer used.
More importantly, although much activity and published research was
coming out of the Laboratory, very little, if any of it, involved “bringing
about recovery” as Skinner had projected.
In 1956, Lindsley presented and
published a paper at an American Psychiatric Association conference on
“Research Techniques in Schizophrenia” (Lindsley, 1956). In this paper, Lindsley noted “The primary
purpose of our investigations has not been to produce therapy through the
automatic reinforcement of an isolated segment of a patient’s behavior,
although such a development would be more than welcome. Our purpose has been to
develop a basic research tool for the measurement of the simple and complex,
individual and social behavior of psychotic patients” (pp. 135-136). Indeed, what was unfolding at the BRL was a
sensitive, continuous, and reliable method of measuring and recording
behavior. This method could then be used
to assess the effects of pharmacological agents on the behavior of psychotic
patients. What was emerging was not a
new therapy, but a new assessment technique.
Skinner’s direct involvement with the BRL dissipated by the late 1950s, but by this time Ogden Lindsley had officially received his Ph.D. from Harvard (1957) and was working at the BRL full-time. Funding continued from the National Institute of Mental Health, and the titles of the grants awarded to the BRL provide an indication of the direction of some of its research activities. From 1958-1962 Lindsley received funds for a project entitled “Screening potential stimulants on inactive psychotics” (MH-2778), and from 1961-1965 for “Drug-sensitive free-operant measures of psychosis” (MH-5054). The late 1950s and early 1960s were a burgeoning period for operant research on drug effects (see Laties, 2003, this issue). Skinner (1983) remarked:
Thanks mainly to Joe Brady, who was
actively promoting the experimental analysis of behavior in the assessment and
study of drugs, almost all the large ethical pharmaceutical companies had set
up operant laboratories. Advertisements
for new drugs began to show cumulative recorders, and Life magazine ran
a full-page picture in color of an unboxed rat pressing a lever surrounded by
racks of relays and timers. (p. 116)
But rats were soon not the only
experimental subjects. After a meeting
with Karl Beyer of the Research Laboratories of Sharp and Dohme, a large
pharmaceutical company, Skinner suggested that they try some of their more
promising drugs on the psychotic patients at the BRL (Skinner, 1983, p.
101). Evidently, they followed through
on his suggestion. In a 1962 article on
operant conditioning techniques in the measurement of psychopharmacologic
response, Lindsley outlined results from four case studies investigating both
the immediate and chronic effects of benactyzine, methastyridone, and
iproniazid on plunger-pulling behavior reinforced on a one-minute variable
interval schedule.[ix] In each case, the subject served as his own
control. Extensive pre-experimental
baseline records of behavior were available, and the effects of the drug could
be tested over long periods of time. The
effects of the compound were evaluated according to whether it decreased the
rate of vocal hallucinatory behavior and increased the rate of nonsymptomatic
responding (i.e., plunger-pulling).
Lindsley noted, “The technique of direct, continuous, and simultaneous
recording of symptomatic and nonsymptomatic responding is the most sensitive
index we have yet developed for screening psychotherapeutic compounds”
(Lindsley, 1962, p. 378).
In his retrospective account of drug
research at the BRL, Lindsley (2001) reported that over the course of a
seven-hour session, schizophrenics displayed a reliably different pattern of
interactions among vocal hallucinatory, pacing, and operant responding than the
pattern exhibited by other psychiatric patients and normal controls. [x] Specifically, normals obviously had no vocal
hallucinations, typically engaged in little pacing, and demonstrated
uninterrupted operant responding throughout the seven-hour session. Schizophrenics, in contrast, displayed what
Lindsley termed “coextensive reflex emission,” which meant that their vocal
hallucinatory and pacing behavior either overlapped or alternated with periods
of operant responding, and that these patterns were intra-individually
reliable.
The BRL had developed an elaborate technical set-up that allowed for the automatic moment-by-moment recording of all of these behavior classes. In addition to a plunger attached to a magazine for delivering reinforcement, the rooms were eventually equipped with recording devices calibrated to pick up the frequencies of the human voice (not whistling, singing, or moving-about noises), as well as electromechanical contacts in floor mats to record pacing. Cumulative recorders were attached via programming circuitry to the plungers, mats, and microphones to graph the rates of plunger-pulling, vocal hallucinations, and pacing. Lindsley noted, “We had a screening device. We could screen one new drug a week on the normal work, pacing, and hallucinating of chronic and acute psychotic patients,” and, “this screening efficiency appealed to drug companies and to the NIMH” (Lindsley, 2001, p. 149). Lindsley also noted that due to the durability and indestructibility of the rooms and work panels, this setup was appropriate for use with even the most disturbed and violent patients.
In 1963, Lindsley published an
article in which he noted, “Although free-operant methods show promise as
therapeutic devices, we have primarily focused our research on developing new
techniques for automatically evaluating within the behavior laboratory the
types and severity of the psychoses. We
have concentrated on evaluation…because our exploratory attempts at
free-operant therapy with chronic psychotic patients were too time-consuming to
be practical, and did not produce general or dramatic recoveries…[W]e began to
adapt the method to provide objective therapeutic evaluation rather than to
perform therapy” (Lindsley, 1963a, p. 293).
The research at the BRL was influenced by the availability of funds for research on drug effects, but was also uniquely suited to such research. With the rooms and recording devices Lindsley had constructed, continuous measures of responding that were sensitive to a number of classes of behavior were available to record moment-by-moment changes due to drug effects. But in the above quote Lindsley again implies that free-operant therapy had been one of the BRL’s foci. There were only two indications of studies whose aim was to either directly or indirectly change the frequency of patients’ maladaptive behavior. An examination of these two studies reveals that again sensitive programming, recording, and measurement apparatus played a key role in the investigations.
Beatrice Barrett, one of the researchers at the BRL between 1960 and 1962, at the request of Norman Geschwind, a physician in the Department of Neurology at the Boston VA Hospital, performed a study designed to reduce the tics of a 38-year-old veteran using free operant conditioning methods. The influence of the technical apparatus at the BRL on the design of her study is immediately apparent. She and her colleagues approached the problem by designing a chair-mounted operandum that allowed them to pick up and record a variety of bodily tic movements. When these movements occurred, a number of specified response-contingent events could be delivered to the patient, in this case the cessation of pleasurable music, or the presentation of white noise, an aversive stimulus (see Barrett, 1962).
In 1959, Lindsley published a short report on the effects of differential positive reinforcement on the rate of vocal psychotic symptoms (Lindsley, 1959). In keeping with the general research paradigm of the BRL, Lindsley investigated the effects, not of extinguishing vocal hallucinations (which would not have been possible anyway – none of the patients’ vocalizations had ever been reinforced in the room-sized operant chamber), but of reinforcing plunger-pulling behavior and then withdrawing this “nonsymptomatic” reinforcement and substituting reinforcement for the vocal hallucinations. The result of this procedure was to extinguish plunger-pulling, as expected, but paradoxically vocal hallucinations also decreased in rate even though they were being followed by the same consequence that had been maintaining manual operant behavior. When reinforcement was re-instituted for plunger-pulling and withdrawn for vocal hallucinations, the hallucinations again increased. Lindsley concluded, “Vocal psychotic symptoms appear to be under some strong control that resists direct differential positive reinforcement” (Lindsley, 1959, p. 269). It may have been findings like these that directed the BRL’s attention towards “therapeutic evaluation” (or functional analysis) of behavior, rather than towards modification. A rigorous functional analysis of the behavior was required before attempts at changing the behavior could be considered or undertaken.
Fifteen years after the closure of
the BRL, in a 1980 invited dialogue with Hans Eysenck at the American
Psychological Association convention in Montreal, Skinner noted that, despite
the use of the term “behavior therapy” in conjunction with the BRL, its work
was not intended to be therapeutic.
Peter Nathan, one of the post-doctoral researchers at the BRL from
1962-1964, wrote, “The lab was certainly seen by hospital staff as devoted to
research. As I saw it, there was little
relationship between clinical staff at the hospital and research staff at the
lab” (Peter Nathan, personal communication, August 5, 2002). Thus, the true significance of the BRL’s work
may have been historically obscured because of its association with
therapeutic, rather than experimental, aims.
In 1965, Lindsley decided to close
the BRL. Over the course of its eleven
year history, five post-doctoral trainees or researchers had worked there:
Nathan Azrin, Beatrice Barrett, Peter Nathan, Martha Mednick, and Paul Blachly
(Lindsley, 2001). Numerous other
graduate students and visitors had passed through its doors. Among them were many prominent behavior
analysts, such as Sidney Bijou, Donald Baer, Ted Ayllon, Matthew Israel,
Charles Catania, and others. By the
mid-1960s, Azrin and Ayllon had developed a token economy system with
psychiatric inpatients at Anna State Hospital (see Ayllon & Azrin, 1965;
Ayllon & Azrin, 1968). Azrin had
worked as a post-doctoral researcher at the BRL, and Ayllon had been a visitor. Amongst other influences, their exposure to
the BRL probably played a role in this work.
Beatrice Barrett, after collaborating with both Charles Ferster at the
Institute of Psychiatric Research, Indiana University School of Medicine, and
Lindsley at the BRL (between 1960 and 1962), opened her own laboratory to study
operant behavior at the Fernald School.
She quickly observed and exploited the therapeutic potential of a
functional analysis of behavior to help modify the behaviors of children with a
number of developmental and behavioral problems. The question thus becomes, what is the BRL’s
proper place in the history of behavior analysis and in the science of human
behavior?
Lindsley indirectly alluded to the
unique niche occupied by the BRL by remarking: “Application research grew like
wildfire compared to the behavioral laboratory research that had originally
triggered it. The laboratories were
expensive, hard to fund, and ignored by both clinicians and small animal
laboratory researchers. Behavior modification, behavior
therapy, and applied behavior analysis were clearly going to dominate the
field” (Lindsley, 2001, p. 150).
The BRL’s work studying the free operant response rates of human beings
in experimental rooms fell, both conceptually and historically, between the
animal laboratory research tradition and the emerging field of applied behavior
analysis. As applied behavior analysis
established its own (and sometimes dramatic) successes, thus taking center
stage in the behavior analysis field, perhaps the functions served by the human
operant research laboratory appeared to many to be
superfluous.
Additionally, although the heyday of
the pharmacological revolution had provided the BRL with funding and a research
goal for a number of years, the success of a number of neuroleptic drugs had
been established by the 1960s.[xi] The demand for free-operant measures of drug
response in humans had subsided.
Lindsley alluded to several of these factors contributing to the
Laboratory’s closure: “The combination of too few new drugs to try, increased
university overhead charges, increased competition for smaller and smaller
government research grants, lack of interest in our results, and the crisis of
losing frequency and standard self-charting…made continuing our laboratory
research a poor choice” (Lindsley, 2001, pp. 150-151).[xii]
Thus, in 1965, the Behavior Research
Laboratory closed its doors. The scope
of its influence on subsequent behavior analysts, the development of token
economies, and the field in general has yet to be adequately explored. As this work continues, I hope to continue to
talk to former BRL researchers, and to examine some of the unpublished material
that emerged from the BRL (including grant proposals and status reports). Finally, of particular interest would be any
record of the BRL’s activities kept by Metropolitan State Hospital staff or
administrators. This perspective is
notably missing from the published record.
Thus, in 1965, the Behavior Research
Laboratory closed its doors. The scope
of its influence on subsequent behavior analysts, the development of token
economies, and the field in general has just begun to be explored. The history of the BRL, and other
laboratories like it, is significant for a number of reasons. First, a review of the studies and findings
from the Laboratory provides additional evidence to counter claims that
Skinner’s experimental findings on schedules of reinforcement with animals in
operant chambers were never sufficiently replicated with humans. The experimental rooms at the BRL were in
fact operant chambers for human beings, the very first “human Skinner boxes”
(see Baron, Perone, & Galizio, 1991, for the background and controversy
over this term), and much of the research conducted there was intended to
replicate the methods and design of Skinner’s animal research, but with human
subjects. In addition to this basic aim,
the operant chambers were used to research drug effects, and to investigate
more complex forms of human behavior, such as cooperation, competition, and
other social behaviors (see Cohen & Lindsley, 1964; Lindsley, 1963b, 1966).
As Skinner put it, “People were [italics in original] different from
rats or pigeons, but we should never know how different until we had studied
them as we studied other species” (Skinner, 1983, p. 54). Although the success of ABA now speaks for
itself, Lindsley’s work at the BRL predated this field and functioned as a link
between EAB and applied work. The
relationship between experimental work with animals and applied behavior
analysis with humans was thus bridged by the BRL’s experimental work with
humans.[xiii]
The history of the BRL also provides
a window on the relationship between behavior analysis and psychiatry in this
period. During this time, a substantial
amount of behavior analytic research was being carried out by psychologists
affiliated with medical schools or psychiatric institutions. The BRL was affiliated with the Harvard
Medical School and located in a psychiatric hospital; Charlie Ferster’s work on
the functional analysis of the behavior of autistic children (e.g., Ferster,
1961; Ferster & DeMyer, 1962) was carried out at the Indiana University
Medical Center; and Harold Weiner’s work with schizophrenics was carried out at
St. Elizabeth’s Hospital in Washington, DC (see Weiner, 1964a; Weiner,
1964b). Much of the research was
published in psychiatric journals, such as the Journal of Nervous and Mental
Disease, the American Journal of Orthopsychiatry, and Psychiatric Research Reports. Perhaps this fact has served to historically
obscure this period of activity, especially in surveys of the field that draw
on work published in more traditional behavior analytic outlets. Examining the history of the BRL and its
contemporaries can thus serve to further uncover this aspect of the history of
behavior analysis, and reassert the link between EAB and ABA.
To conclude, I would like to propose
a four-stage framework for studying the historical and conceptual development
of behavior analysis. Although these
four stages necessarily overlap, one might argue that stages three and four
rely somewhat on the preceding two. The
outline proceeds from low to high complexity in terms of the class of behavior
investigated (i.e., from lever-pressing in animals to self-management in
humans), and from low to high complexity in terms of the environment in which
the behavior occurs (i.e., from the operant chamber to the natural environment):
Stage 1: The experimental analysis of animal behavior in operant chambers
(e.g., Ferster & Skinner, 1957; Skinner, 1938);
Stage 2: The experimental analysis of human behavior in operant chambers
(e.g., Bijou, 1955, 1957, 1958; Lindsley, 1956, 1960);
Stage 3: Applied behavior analysis with humans in controlled settings, such as
psychiatric wards (e.g., Atthowe & Krasner, 1968; Ayllon & Azrin, 1965,
1968), classrooms (e.g., O’Leary & Becker, 1967; and see O’Leary &
Drabman, 1971), and prisons (e.g., Bassett & Blanchard, 1977; Cohen
& Filipczak, 1971);
Stage 4: Applied behavior analysis with humans in community settings (e.g.,
Glenwick & Jason, 1980; Hayes & Cone, 1977; Martin & Osborne, 1980;
Miller & Miller, 1970), and for behavioral self-management, or self-control
(e.g., Goldiamond, 1965; Goldfried & Merbaum, 1973; Martin & Pear,
1983; Thoresen & Mahoney, 1974; Watson & Tharp, 1972).
The proposed outline offers a schematic
through which to understand and analyze the historical relationships between
the field’s experimental and applied branches, branches whose relationship
today remains complex and, at times, disparate.
It is clear that the transition from experimental work with animals to
experimental work with humans was an explicit topic of discussion in the
1960s. In 1966, for example, a Division
25 symposium entitled “The transition from animals to humans in operant
conditioning” explored whether animal operant methodology and principles could
be effectively applied in such areas as human communication, mental illness,
and education (Schoenfeld, 1966).[xiv]
In the early
1980s, the field of behavior analysis experienced the beginnings of a
renaissance in the area of experimental human operant research (called the
experimental analysis of human behavior, or EAHB, see Davey & Cullen, 1988;
Hyten & Reilly, 1992).[xv] At this time, the assessment of the state of
EAHB echoed Lindsley’s assessment of the field at the closing of the BRL in
1965 when he noted that the operation of human operant laboratories was
becoming increasingly financially untenable, that the work was ignored by both
clinicians and animal researchers, and that applied behavior analysis was
“clearly going to dominate the field” (Lindsley, 2001, p. 150). Almost twenty years later, Hake (1982) wrote
that basic human research was seen by other experimental researchers as too
applied, and applied researchers saw it as too basic: “This has left human
operant research in a relatively weak position which is more often described as
the ‘crack’ between basic and applied instead of the ‘bridge’” (Hake, 1982, p.
23). A historical analysis of the role
of the BRL in the development of the field of behavior analysis can provide a
clearer genealogy for EAHB, and re-establish the area as an important bridge
rather than a crack, between EAB and ABA.
The stages of this model also
reflect, albeit somewhat too linearly, the path that behavior analysis has
traveled from the animal laboratory to the culture at large. The field has come a long way, as Krasner has
noted:
[I]n the 1970s, the self-identified
behaviorists emerged from the laboratory, the clinic, and the mental hospital
to the “natural” social environment.
They were guided by earlier applications of behavioral principles in
schoolrooms and hospitals and were also influenced by national concerns and
debates on the social issues of the 1960s.
A new generation of behaviorists began to take on the total
[italics in original] natural and man-made environment as the focus for
investigation and social change with a purpose – namely a “better environment”
for members of society. (Krasner, 1990, p. 20).
In addition to a burgeoning of
behavioral interventions directed at communities, behavior analytic principles
also came to infuse the self-help literature (see Glasgow & Rosen, 1978,
1979; Rutherford, 2002). Finally, the
public image of operant psychology has changed and fluctuated over time, as the
behavior analysis field has tackled a wider range of problems in an
ever-widening range of settings (for historical analyses of the popular
reception of Skinner’s behaviorism, including behavior analysis, see Dinsmoor,
1992; Rutherford, 2000b, 2003).
Analyzing the popular image of behavior analysis at each of these stages
can elucidate aspects of the broader disciplinary and sociocultural environment
in which behavior analysis is and has been embedded.
Although the BRL closed its doors in
1965, Metropolitan State Hospital continued to operate until 1992, when it too
was closed after being sold to a private corporation that shortly went
bankrupt. The Massachusetts Film Office
then advertised the hospital and its grounds to filmmakers as a fee-free
shooting location.[xvi] Presently, the grounds have been divided
among the three towns of Lexington, Belmont, and Waltham, and plans for the
development of the site are underway (Beam, 2001). For the moment, however, the buildings
themselves still stand. Perhaps
somewhere in the basement, in a 6’ x 6’ foot room, an adept plunger-pulling rat
is enjoying a photo of Betty Page….
Acknowledgments
I thank Don Dewsbury, Vic Laties, Ed
Morris, and Wade Pickren for comments on earlier versions of this
manuscript. I also thank Ogden Lindsley,
Ed Morris, Vic Laties, Peter Nathan, Carol Pilgrim, and Beatrice Barrett for
sharing their experiences, knowledge, and/or archival material with me.
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Endnotes
[i] At this point, my archival investigations and correspondence with participants in the BRL have just begun, so the material presented here will undoubtedly undergo modification as additional first-hand accounts, perspectives, and experiences of the BRL’s participants are collected. At this point, Ogden Lindsley and Peter Nathan, who was a post-doctoral researcher at the BRL between 1962 and 1964, have given me useful information and insights. Also of immense help has been Beatrice Barrett, who worked with Lindsley at the BRL between 1960 and 1962, and who subsequently established a laboratory of her own at the nearby Walter E. Fernald State School. Her considerable knowledge of the human operant laboratory, and her insight into both its immediate and historical significance, influenced the writing of this article in fundamental ways.
[ii] The first issue of the Journal of the Experimental Analysis of Behavior appeared in 1958. The Journal of Applied Behavior Analysis was founded in 1968. The period from the mid-1950s to the late 1960s was a momentous one in the history of behavior analysis, marked by the rapid expansion of both experimental and applied branches.
[iii] Although others remained or became interested (see Ball & Bernardoni, 1953; Bean, 1965; Grings, 1942; Shakow & Rosenzweig, 1940; Stone, 1953).
[iv] Annual reports from Metropolitan State Hospital indicate that starting around 1953, Boston Psychopathic Hospital forged a training affiliation with Metropolitan, which accounts for the connection between Harry Solomon, the director of Boston Psychopathic, and William McLaughlin, who remained superintendent of Metropolitan throughout the tenure of the BRL. The annual reports for the hospital for the years 1931-1969 are held at the Massachusetts State Archives in Boston.
[v] Lindsley’s plunger operandum was sturdy and indestructible, with a square shaft and solid ball of brass on the end. It came to be known among those who used it and imported it to their own laboratories as the “Lindsley manipulandum” (B. H. Barrett, personal communication, February 11, 2003).
[vi] In an e-mail posting to the BEHAVIOR2000 listserv on June 18, 1996, Ogden Lindsley reported that in consulting his laboratory notebook from that time, he also considered the names Behavior Therapy Research, Behavior Reclamation, Reinforcement Therapy, and Behavior Reconditioning, before settling on Behavior Therapy (Lindsley, 1996). My gratitude to Ed Morris for sharing this correspondence with me.
[vii] The debate centers on whether Skinner and Lindsley, or Eysenck, used the term first. Arnold Lazarus has also claimed to have been the first to use the term behavior therapy in a scientific journal (see Lazarus, 2001, p. 156). Evidently, at an invited dialogue between Skinner and Eysenck at the 1980 APA convention in Montreal entitled “Behavior Modification, Behavior Therapy, and Other Matters,” Skinner conceded that Eysenck had invented the term. The session was audiotaped. If anyone has this tape, the author would be most grateful for a copy or a transcript.
[viii] Evidently the NIMH didn’t care about the wording either – Lindsley, Skinner, and Solomon received their first standard research grant from NIMH in 1954 (MH-977), entitled “Experimental analysis of psychotic behavior.”
[ix] The benactyzine and methastyridone were provided by the aforementioned Merck, Sharp, and Dohme Research Laboratories. The iproniazid was supplied by Hoffman-LaRoche, Inc. (Lindsley, 1962).
[x] Seven hour sessions were required to adequately record baseline behavior, drug effect, and return to baseline, for a drug injection that lasted about 5 hours (Lindsley, 2001). Over the course of the BRL’s history, Lindsley’s core group of 50 male psychotics supplied daily sessions of one hour’s duration for over 10 years. It is probable that this kind of extended experimental participation would have been possible only with a captive population, such as back ward psychotics. However, in addition to psychiatric inpatients, over time the BRL tested hospital attendants, adult volunteers, and school children under various experimental setups, and to provide control data against which to compare the results of inpatients. In some cases, sessions with unhospitalized normal adults (hospital attendants) lasted over five hours (see Lindsley, 1960, Figure 5). A one-minute variable interval schedule of reinforcement with five-cent coins was responsible for their extended participation. Lindsley also noted that female patients were not used as subjects to eliminate any behavioral fluctuations that might be correlated with menstrual cycles (Lindsley, 1960).
[xi] The United States Food and Drug Administration licensed chlorpromazine, the first major neuroleptic used to treat schizophrenia, in 1954. Many more compounds, in what historian of medicine Edward Shorter has called the “second biological psychiatry,” were soon to follow (Shorter, 1997).
[xii] The legacy of the technical and methodological innovations at the BRL, which included the recording, measurement, and graphical presentation of continuous rates of responding, influenced Lindsley’s subsequent work on Precision Teaching (Lindsley, 1972). Standard self-charting, for example, is a direct extrapolation of techniques from the free-operant laboratory (see Barrett, 2002).
[xiii] Sidney Bijou’s work replicating operant principles with children in this period (e.g., Bijou 1955, 1957, 1958) provides a similar bridge between experimental work with animals and applied behavior analysis with humans. An historical review of Bijou’s work, however, is beyond the scope of this paper. See Bijou (2001) for a first-hand account.
[xiv] Participants were Israel Goldiamond, Peter Nathan, Charles Ferster, and Ogden Lindsley.
[xv] In October of 1982, the Association of Behavior Analysis chartered a special interest group in the Experimental Analysis of Human Behavior, and in 1983 the group published its first Experimental Analysis of Human Behavior Bulletin (thanks to Carol Pilgrim for these facts; C. Pilgrim, personal communication, January 13, 2003). At this time, Buskist and Miller (1982) published a topical bibliography of research in EAHB from 1958-1981. Because their survey included only studies published in The Journal of the Experimental Analysis of Behavior and The Psychological Record, Lindsley’s research does not appear. Despite this, in an article in 1983, Miller acknowledged Lindsley’s role in the development of EAHB, noting that Skinner’s publication of Science and Human Behavior and Verbal Behavior were key for the field, but also noting that “At about the same time [as these books], Skinner and his collaborators were pursuing applications of EAB in two different directions involving humans. The first dealt with programmed instruction (see, e.g., Skinner, 1968) while the other dealt with the treatment [italics added] of individuals who had been institutionalized as mentally ill (see, e.g., Lindsley, 1959)” (Miller, 1983, p. 552). Again, however, this quote reveals the perhaps tenacious misperception that the BRL was administering treatment, thus obscuring its historical role as the link between EAB and ABA, and ignoring Lindsley’s technical and methodological innovations in the functional analysis and recording of continuous behavior.
[xvi] In fact, the movie “A Civil Action,” starring John Travolta, featured the grounds of the hospital. The film dramatized the story of the real-life civil action suit of eight Woburn, Massachusetts families who charged two large corporations with contaminating local drinking water, leading to the deaths of their children by leukemia. The hospital grounds were used to film the dumping site.