Behavior Therapy (Lecture 2+ ch. 6) Flashcards

(38 cards)

1
Q

What features do all behavioral therapies have in common?

A
  • Changing behavior
  • Empiricism
  • All behaviors have a function
  • Focus on maintaining factors
  • Directive
  • Transparent
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2
Q

Which therapies are most similar to behavior therapy?

A

Cognitive therapy & rational emotive therapy

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3
Q

Difference between psychoanalysis and BT?

A
  • Psychoanalysis: nondirective, less transparent, less evidence-based, reliant on therapist’s interpretation, more focused on cause
  • Assumption of symptom substitution
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4
Q

What is symptom substitution?

A

An underlying problem showing up in another form when a surface symptom is treated

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5
Q

What are the roots (history) of BT?

A

mid-1900s: classical conditioning, operant conditioning, behaviorism

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6
Q

What is systematic desensitization?

A

Confronting feared situations in imagination + simultaneous relaxation.

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7
Q

Three waves of therapy?

A
  1. Behavioral
  2. Behavioral + cognitive
  3. Behavioral + cognitive + acceptance
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8
Q

What can be said about personality & behavior approaches?

A

Behavioral approaches mostly reject personality approaches (‘behavior influenced by environment’). Research does show that individual temperaments influence behavior.

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9
Q

Reinstatement

A

A repairing of the US and CS after extinction, leading to a return of fear.

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10
Q

Extinction in classical conditioning

A

Presentation of the CS in absence of the US, CR stops occurring.

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11
Q

Extinction in operant conditioning

A

Behavior stops occuring because it is no longer reinforced.

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12
Q

What misunderstandings can there be in BT?

A
  • Denial: BT denies deeper thoughts and feelings (not only observable behavior)
  • Superficial: BT only addresses symptoms (focus at cause of symptoms)
  • Exclusive: BT focuses exclusively on present behavior (past is also a factor)
  • Simplistic (actually catered to the individual)
  • Ignores therapeutic relationship
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13
Q

What is added in the fourth wave of BT (which is not clearly manifested yet)?

A

A technological/neurocognitive/neurobiological aspect

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14
Q

Case conceptualization? (holistic theory)

A

A clinician’s summary of the client’s problems which is usually composed after 2/3 sessions

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15
Q

What is functional analysis and what is it based on?

A
  • Analysis of the variables that cause and maintain problem behaviors
  • Operant conditioning (reinforcement and punishment)
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16
Q

What criteria for treatment planning are there in a case conceptualization? (5)

A
  • Probability + problematic value
  • Treatability
  • Centrality (vs end problem)
  • Reason for therapy
17
Q

What is meaning analysis and what is it based on?

A
  • Why certain causes elicit the problem behavior
  • Classical conditioning
18
Q

What is exposure (theoretical view)?

A

Extinction, inhibition (new assocation)

19
Q

What are discrimination learning and generalization?

A
  • Response becomes context dependent
  • More situations than acquired
20
Q

What does the corrective learning approach assume? (BT)

A

Behavior learned through association (classical), consequences (operant), observation (vicarious), rules (instructional)

21
Q

For what is a therapeutic relationship important?

A

Social reinforcement for desired behaviors +model for desired interpersonal skills

22
Q

Which explanations for BT are becoming increasingly more popular?

A

Information + emotional processing, cognitive reappraisal models

23
Q

What are predictors of worse outcome for BT?

A
  • Presence of personality disorders
  • Severe depression/anxiety
  • More stressful life events
  • Poor insight + motivation/engagement
  • Negative patterns of communication in family
24
Q

What are the functions of behavioral assessment?

A
  • Identifying target behaviors (deficits + excesses)
  • Determining course
  • Assessing impact + final outcome
25
What factors vary in behavioral assessment?
Methods, informants and situations
26
What are the components of behavior assessment?
* FA (ABC method) * Interview * Observation (naturalistic/analog) * Diaries/forms * Self-report * Psychophysiological
27
What three types of exposure are mentioned?
In vivo, imaginal and interoceptive
28
What behavioral technique is the best studied and consistently effective?
Exposure
29
What are the two reinforcement-based strategies?
* Differential reinforcement: absence unwanted behaviors + occurence of desired alternative behaviors * Contingency management: changing the environment (token economy is also reinforcement-based)
30
What punishment-based strategy is there?
Aversion therapy
31
What are other techniques in BT?
* Response prevention * S-R procedures * Modeling * Behavioral activation * Social skills training
32
What strategies can be used in relaxation training?
* Breathing retraining * Guided mental imagery * Progressive relaxation (tensing + relaxing muscles)
33
What are the 5 core steps of problem-solving training?
1. Defining the problem 2. Possible solutions 3. Evaluating solutions 4. Choosing best solution 5. Implement
34
What acceptance-based BT strategies are mentioned?
* Mindfulness * ACT * DBT (dialectical behavior therapy)
35
Evidence for (C)BT
* Most researched/best-supported * Many clients only respond partially/not at all * RCTs provide limited information on individual
36
What does an empirical therapy approach include?
* Being aware of one's biases * Collecting data during the course
37
What does enhancing dissemination mean?
The increase of the use of evidence-based treatments in non-research settings
38
Why is a behavioral experiment cognitive?
Behavioral experiments are generally considered a cognitive technique because the goal is to challenge and modify dysfunctional thoughts. A reduction of fear is not required as it is in exposure