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BOOK REVIEWS 256 NOTES 1 . An example is E. W. Norris, A History of the London Hospital, 2nd ed. (London: Edward Arnold, 1910). 2. A Davison, “An Early 18th Century Artist Looks at Medicine,” Proceedings of the Scottish Social History of Medicine, (1969.1970): 10-13. 3 . An appreciation of the difficulties of the current strict control of length of hospital stay (and problems with modern diagnostic semantics) can be obtained from a paper by L. I. Lezzoni and M. A. Moskowitz, “Clinical Overlap Among Medical Diagnosis-Related Groups,” Journal of the American Medical Associa- tion, 255 (1986): 927-942. 4. S. Muller, chair, Physicians for the Twenty-First Century: The GPEP Report. Report of the Panel on the General Professional Education of the Physician and College Preparation for Medicine (Washington, D.C.: Association of American Medical Colleges, 1984). 5. G . B. Morgagni, De Sedibus et Causis Morborurnper Anatomen Indiagatis Libri Quinque, 2 vols. (Venetis, typog., Remondiniana, 1761). 6. The frustration in searching for pre-nationalization hospital records is evident in an article by D. N. Thomp- son, “Wirral Hospital Records,” Journal of Social Archivists 7 (1985): 421-442. Journaf of the History of rhe Behavioral Sciences Volume 24, Juiy 1988 B. F. Skinner. Upon Further Reflection. Englewood Cliffs, N . J.: Prentice-Hall, 1987. viii + 214 pp. $27.95 (cloth) (Reviewed by Fred S. Keller) The chapters of this book are fourteen of the author’s papers (thirteen published) from the period 1981-1986. Part One (three papers) deals with “Global Issues”; Part Two (three papers), with “The Origins of Behavior”; Part Three (two papers), with “Cur- rent Issues in Psychology and Education”; Part Four (two papers), with “Behavioral Self-Management”; and Part Five (four papers) is called “For Behavior Analysts Only.” According to the author, the book possesses “no central theme beyond the commitment to an experimental analysis of behavior and its use in the interpretation of human affairs.” Much more than this, however, is reflected in its pages-to wit, the major integrants of B. F. Skinner’s professional life. Here is Skinner the experimentalist, Skinner the technologist, Skinner the humanitarian, and Skinner the complete behaviorist. The experimental factor is represented best in Part Four, especially in the final chapter, wherein the author points specifically to five “fields of operant research that I would look at closely if I were to return to the laboratory.” This is the Skinner of The Behavior of Organisms (1 938) and the Ferster-Skinner Schedules of Rein forcement (1957). New developments are suggested in the areas of Choice, Stimulus Control, Reac- tion Time, Multiple Operants, and Schedules of Reinforcement - developments that should bring within surveillance aspects of stimulus and behavioral control that are cur- rently unexplored. The technologist appears in several papers of this book, but most obviously in Chapter 8, “The Shame of American Education.” The current disgraceful state of that institution is attributed by the author to “a conspiracy of silence about teaching as a skill.” He points to the teaching machine and programmed instruction as technological contributions that were ignored for years despite their demonstrated virtues. This disregard is traced in turn to our teachers’ colleges and schools of education, which have adhered to an outmoded view of human conduct, recently revived and promoted by BOOK REVIEWS 257 psychologists of the cognitive persuasion. (The present reviewer can only agree with this assessment, but would add that any change as great as that suggested by the author will be resisted by almost everyone within the schoolhouse or outside, not because of its intrinsic nature, but of its implications for the function of everyone involved- teachers, administrators, and supporting cast, even alumni and alumnae.) The cognitivists themselves receive incisive and exhaustive treatment in Chapter 7, “Cognitive Science and Behaviorism”- a point-by-point coverage of their claims, end- ing with six accusations in the manner of Emile Zola’s denunciation of the enemies of Alfred Dreyfus. It is unlikely, however, that this author will be tried for libel! Skinner the humanitarian (“having concern for or helping to improve the welfare of mankind”) comes through impressively in several portions of this book, particularly in the chapters of Part One: “Why We Are Not Acting to Save the World”; “What Is Wrong With Daily Life in the Western World?”; and “News From Nowhere, 1984” an update on the author’s “Walden Two.” Burris’s report that teaching machines, in com- puter form, are now employed in that community leads this reviewer to point out that, in the Mexican real-life Walden Two (Communidad Los Horcones), all instruction of the children is carried out with PSI, a special form of programmed teaching, in the absence of machinery of any sort, and with general satisfaction! Frazier’s feeling with respect to work, in Walden Two of 1984, is akin to that of Thomas Carlyle, whom he mentions. Carlyle, in Past and Present (1843): “For there is a perennial nobleness, and even sacredness, in Work. Were he never so benighted, . . . there is always hope in a man that actually and earnestly works: in Idleness alone is there perpetual despair.” And Frazier: “At the heart of doing anything is something worth keeping. . . . Welfare is a form of leisure and it raises the same problems. Help- ing those who cannot help themselves strengthens a culture, but helping those who can help themselves destroys it. . . . Welfare payments are not effectively contingent on behavior. The health-giving side of operant reinforcement is missing.” Most behaviorists are incompletely so. They are behaviorists in the laboratory, in their reading and reporting of research, in their discussions with co-workers. Not often do we find one who carries his analyses into everyday interpretations of his own or others’ actions, or who looks at various institutions and different disciplines (biology and linguistics, for example) with an eye to the contingencies that prevail within them. Every aspect of the human condition seems to catch the eye of Skinner the com- plete behaviorist. They may not be as obvious in Upon Further Reflection as it was M his Notebooks (1980), but the variety is there, including the kind of self-management needed in writing a paper (Chapter 9) or coping with old age (Chapter 10); the use of “contrived reinforcers” in education, behavior therapy, industry, and government (Chapter 12); the processes of cultural evolution (Chapter 5) ; and the origins of verbal behavior (Chapter 6). Some readers of Upon Further Reflection will liken the book to its predecessor, Reflections on Behaviorism and Society (1978), with which it has some common features. Both books might better be compared with The Behavior of Organisms, written by the author fifty years ago. By virtue of a new experimental method, a body of related data, and the outline of a system, there emerged within this period a new behavior science. A comparison of the first book with the last one should dramatize the magnitude of change involved.
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