Chapter 9

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Chapter 9
2010-10-31 15:09:00
behavior therapy

Chapter 9 Behavior Therapy
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  1. Introduction to Behavior Therapy
    • -skinner,pavlov,bandura
    • -focus on measureable, obvservable behaviors
    • -less focus on childhood, the internal world or insight
    • -changing behavior can lead to changes in emotions
    • -goals are defined in terms of behavior change
  2. What influences behavior?
    antecedents, consequences, and models
  3. Basic Fundamental Principles
    • -classical conditioning
    • -operant conditioning
    • -modeling/observation learning
  4. Key Concepts of Behavior Therapy
    • -based on the scientific method (data collection)
    • -regular assessment of the problem behavior
    • -focus on current problems not past
    • -client plays active role
    • -assumes change can take place without insight
    • -treatment is individually tailored
  5. Therapy Process; Goals
    • -change behavior to be more adaptive and functional
    • -help clients understand how they and the environment play a role in maintaining problematic behaviors
    • -develop treatment plan to change associations and consequences
    • -find healthier models
  6. Clients Role
    • -teacher-student relationship
    • -active participant
    • -does h/w self monitoring
    • -willing to make changes, not just talk
  7. Therapist Role
    • -conduct a functional assessment of problem behavior
    • -ABC model- (antecedents, behavior, consequences)
    • -change antecendents/associations and consequences
    • -evaluate and revise
  8. Basic Behavioral Techniques
    • -conduct a functional assessment
    • -collect data about the triggers + reinforcements/punishments related to problem behavior (self-monitoring)

  9. Treatment Plan
    • -stimulus control: manage or avoid triggers
    • -change reinforcements/punishments consequences
    • -add rewarding activities
    • -find healthier reinforcers (response substitution)
    • -enlist others to manage reinforcements/punishments (continguency contracting), find healthier models
  10. Applied Behavioral Analysis (operant conditioning)
    • -reinforcement (increasing behavior)
    • -positive- adding something rewarding
    • negative- subtracting something noxious
    • extinction- removal on reinforcement
    • -punishment (decreasing behavior)
    • -postive- adding something noxious
    • negative- subtracting something positive
  11. Behavioral Techniques for Specific Problems
    • -skills training
    • -anxiety disorders
    • -relaxation training
  12. Skills Training
    • -social skills, assertiveness, anger management
    • -uses modeling, role playing, operant conditioning
    • -client watches healthy behavior
    • -gains practice doing the behavior in a supportive,controlled setting
  13. Relaxation Training
    • -treats stress/anxiety
    • -teaches client to more readily relax tense muscles
    • -client must practice regularly so that they can use it effectively in stressful sit.
    • -used in conjuction w other behavioral techniques
  14. Exposure Techniques
    • -used to treat fear (phobias, panic, ocd) irrational fear
    • -based on extinction- removal of reinforcement/punishment to extinguish behavior
    • -avoidance plays a big role in increasing fear
  15. Exposure Therapy
    • -prevent avoidance
    • -learn if there truly is danger
    • -extinguish fear response
  16. Flooding vs. Gradual exposures
    • -gradual does it more slowly
    • -fear hierarchy- rate fear
  17. In-vivo vs. Imaginal exposures
    • -in vivo- means in person or real-life
    • -imaginal exposures- imagine fear

    • -EMDR
    • -bilateral stimulation and exposure (PTSD)
    • -write or tell story
  18. Systematic Desensitization
    • -counterconditioning- classically condition an incompatable response
    • -pair relaxation with gradual exposure to feared stimulus
    • -client learns to associate relaxation w feared stimulus
  19. Contributions
    • -empirically supported
    • -specific, concrete
    • -time-limited
    • -many techniques
    • -very effective (depression, ocd, panic, phobias)
  20. Limitations
    • -treats symptoms, not causes
    • -changes behavior, not feelings or insight
    • -less focus on relational factors