Flashcards in Behavioral and CBT Deck (13):
Theorists of Behavioral and CBT:
4. Liberman (behavioral couple therapy)
6. Stuart (behavioral couple therapy)
Major Concepts of Behavioral and CBT:
1. Baseline taken at beginning of therapy.
2. Do not attend to historical or developmental data but focus on current behaviors and adequacy of functioning.
3. Good communication and problem-solving skills are the most important characteristics of functional relationships.
4. Operant and classical conditioning
5. Linear causality
Theory of Dysfunction in Behavioral and CBT:
Maladaptive, symptomatic behaviors are learned responses, involuntarily acquired and reinforced.
Coercion replaces reciprocity.
Theory of Change in Behavioral and CBT:
1. Modifying specific behavior patterns to alleviate the presenting problem. Interaction of affect, cognition and behavior means a change in one area will bring change in another.
2. Rewards should be made for appropriate, adaptive behavior.
3. Do not reward inappropriate, maladaptive behaviors.
4. Change contingencies of social reinforcement.
Stages of Therapy in Behavioral and CBT:
1. Identify problem behavior through observation and self-report.
2. Behavioral goals created by therapist and client.
3. Design behavioral interventions, give homework.
4. Observable and reported symptom removal.
Therapy is brief, and only need to work with family members directly involved in maintaining the problematic behaviors.
Stance of Therapist in Behavioral and CBT:
1. Directive, reinforcer
2. Teacher and coach
Methods/Techniques in Behavioral and CBT:
1. Operant Techniques
2. Respondent Conditioning
3. Cognitive Affective Techniques
4. Communication skills training
5. Love days and Caring days
Name the Operant Techniques:
Behavioral/CBT, behavioral parent training
1. Shaping (reinforced for successive approximations to the target behavior)
2. Token economies (receive tokens for good behavior than can later be exchanged for specified reinforcers)
3. Contingency contracting (negotiate behaviors that would like to see changed, used with older kids and teens)
4. Contingency management
5. Time out (removal from situation where bad behavior could be reinforced)
Name the Respondent Conditioning Techniques:
Behavioral/CBT, classical conditioning
1. Systematic desensitization
2. Assertiveness training
3. Aversion therapies
4. Sex therapies
Name the Cognitive Affective Techniques:
1. Thought-stopping (client thinks irrational thoughts while the therapist yells "stop")
2. Rational emotional therapy (recognize how events of the family (A) are influenced by irrational beliefs (B) and result in a problem (C))
3. Modeling (seeing how a behavior is reinforced to another)
Diagnosis/Assessment in Behavioral/CBT:
1. Obtain a baseline of the target behavior frequency and function.
2. Functional analysis of behavior = Identification of interactional sequences in which problems are embedded, look at antecedents and consequences.
4. Self-report measures (ex. marital adjustment scale)
5. Direct observation of problem-solving and communication
Assessment is ongoing.
What is the difference between classical and operant conditioning?
Classical conditioning (Pavlov) - Learn to exhibit a response when a previously neutral stimulus is associated with a different stimulus that elicits a naturally reflexive response. (Ex. phobia, then treated with systematic desensitization)
Operant conditioning (Skinner) - a naturally occurring response is reinforced and the absence of it punished, thereby increasing the frequency of the desired response. (ex. token economies)